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All Journal Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Academic Hospital Journal Indonesian Journal of Pharmacology and Therapy
Lestari, Ade Febrina
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Clinical Profile of Impaired Hearing in Children with Autism Spectrum Disorder (ASD) at UGM Academic Hospital Lestari, Ade Febrina; Sitaresmi, Mei Neni; Wibowo, Anton Sony; Sari, Shinta Kusumalarna; Ridhayanti, Firda
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.98785

Abstract

Background: Hearing tolerance is impaired in children with Autism Spectrum Disorder (ASD), which can affect social and academic functioning. This study aims to describe the clinical profile of hearing impairments in children with ASD and determine the prevalence of such impairments. Method: A cross-sectional study was conducted at Academic Hospital UGM on pediatric ASD patients aged 18 months to 12 years who underwent hearing exams like BERA (brain-evoked response auditory) and/or audiometry. ASD severity was assessed using the Childhood Autism Rating Scale (CARS) and a questionnaire on demographics and comorbidities, followed by BERA tests. Results:  A total of 41 ASD children were obtained, with 31 children (76%) being boys and an average diagnosis age of 3.3 years (±1.3 SD). Hearing loss was suffered by 4 children (10%) and 37 children (90%) did not experience hearing loss. Sound sensitivity and degree of ASD correlated with head banging (p=0.01), and male gender correlated with hearing loss (P=0.006). CARS score was statistically associated with sound sensitivity (p=0.041) and degree of ASD (<0.001). Conclusion: Children diagnosed with ASD face an increased susceptibility to communication impairments which can be attributed to hearing impairments. This issue warrants particular attention in the context of ASD, highlighting the necessity for thorough screening of hearing capabilities.
Childhood Masturbation: A Case Report and Literature Review for Treatment Lestari, Ade Febrina; Sitaresmi, Mei Neni; Ridhayani, Firda
Academic Hospital Journal Vol 5, No 1 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i1.81830

Abstract

Background: Masturbation is normal sexual behavior. However, masturbation in childhood is rarely discussed in the research. Childhood masturbation or gratification disorder, is characterized by self-stimulation of genitalia in prepubescent children. However, childhood masturbation often stops if the child is distracted, and spontaneous recovery within two years in most cases Generally, no drug therapy is required for childhood masturbation unless it is very frequent or excessive and it affects the daily functionality of the child. Regarding the treatment of childhood masturbation, we highlight the fact that evidence-based therapy for childhood masturbation is lacking due to unclear standard guidelines on it. We need a path of therapy that can help doctors in the management of childhood masturbation. Case: Here we reported two cases of excessive childhood masturbation from a 3-year-old and a 10-month-old female patient who were brought by their mother to the outpatient clinic pediatric, Academic Hospital, Universitas Gadjah Mada, Indonesia, with a complaint of stretching by flexing the legs and rubbing on her genital part Risperidone as one of the drug therapies for this case and present a good outcome. Additionally, this article also provides literature reviews on childhood masturbation treatment that may guide clinicians in its evaluation and management. Conclusion:  We conclude that behavioral treatment is the common strategy for childhood masturbation.  The treatment, as well as behavioral and drug therapeutic strategies, should be considered to achieve an effective outcome.
Management of COVID-19 in Universitas Gadjah Mada (UGM) Academic Hospital: Balancing to save the patients and protect the staffs Siswanto, Siswanto; Utama, Oktaviarum Slamet; Sari, Astari Pranindya; Alfajri, Novi Zain; Lestari, Ade Febrina
Academic Hospital Journal Vol 5, No 2 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i2.88794

Abstract

The Coronavirus Disease 2019 (COVID-19) is a worldwide outbreak disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Indonesia is the fourth most populous country in the world and is predicted to be affected significantly over a more extended period. Universitas Gadjah Mada (UGM) Academic Hospital is one of the COVID-19 referral hospitals located in the Yogyakarta Special Region, Indonesia. Since the early months of the pandemic, the hospital has prepared strategies to provide effective and efficient patient care. The focus has been safety for both patients and healthcare staff. Here, we will share our experiences activating a Hospital Incident Command System (HICS) as a hallmark for preparedness and response to the COVID-19 pandemic disaster so it can be adopted in other hospitals nationwide or worldwide. The HICS in the UGM Academic Hospital includes 1) surge capacity for isolation rooms, 2) infection prevention and control, 3) human resources, 4) continuity of essential health services and patient care, 5) communication, 6) logistics and management of supplies including pharmaceuticals, 7) essential support services, 8) case management system, 9) surveillance early warning and monitoring, 10) laboratory services, and 11) additional programs including community service programs. Based on our experiences, early preparedness with a proactive response, and adapting plans to local needs, the national and global current situation are the keys to managing patient care. Implementing all levels of the hierarchy of control infection and keeping the human resources adequate also could protect staff
Characteristics of Trauma Patients Who Died at UGM Academic Hospital (RSA UGM) Prananingrum, Febriana; Tyas, Humaera Elphananing; Caswita, Aditya Bagas; Dewa Rachmat, Radyan Artha; Widyastuti, Rina; Lestari, Ade Febrina; Darwito, Darwito; Pratama, Yanasta Yudo
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.94712

Abstract

BACKGROUND : Trauma becomes the main health problem worldwide due to its high mortality rate. Traffic accidents are a trauma with a high incidence and death rate in Indonesia, specifically in Yogyakarta. Factors causing trauma-related death are the lack of hospital infrastructure, the lack of quality human resources, the lack of standardization of trauma management, and the limited number of hospitals providing comprehensive trauma services. This research aims to identify the characteristics of trauma patients who died while receiving medical treatment at UGM Academic Hospital and to analyze the mortality of patients according to the trimodal distribution to prepare this hospital to become a trauma center hospital.METHOD : This quantitative descriptive research used a cross-sectional method. Data were taken from medical records of patients admitted to the ER of UGM Academic Hospital in 2018-2023 based on predetermined inclusion and exclusion criteria. The research was conducted from March to November 2023.RESULT : This research involved 58 patients consisting of 42 (72.4%) male and 16 (27.6%) female patients. The most common cause of death was brain injury (63%), followed by spinal cord injury (13.7%), multi-organ failure and sepsis (8.6%), cardiac and respiratory arrest (6.8%), and comorbidities patients (6.8%).CONCLUSION : The majority of trauma patients who died at the UGM Academic Hospital are male and aged 60-80 years with the main cause of death of brain injury. The patient dies at the late death stage based on trimodal distribution of death time.
Adverse events following immunization (AEFIs) in health workers who receive COVID-19 vaccination at Academic Hospital Universitas Gadjah Mada, Yogyakarta Lestari, Ade Febrina; Sitaresmi, Mei Neni; Haspitaningrum, Anjarsari; Rachmasari, Kusuma Ayu; Wulandari, Ratih; Sari, Shinta Kusumalarna; Ridhayani, Firda
Indonesian Journal of Pharmacology and Therapy Vol 4 No 1 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Indonesian Pharmacologist Association or Ikatan Farmakologi Indonesia (IKAFARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijpther.6860

Abstract

COVID-19 is a new viral infection that has become a global pandemic, resulting in extremely high mortality and morbidity rates worldwide, including in Indonesia. Vaccination is one of the strategies for preventing COVID-19 infection promoted by the World Health Organization (WHO) to reduce COVID-19 morbidity and mortality. The Indonesian government supports the implementation of vaccination and conducts mass vaccination as a strategy to overcome the pandemic in Indonesia. The high immunization coverage resulted in increased use of vaccines, and events following immunization (AEFI) also increased. Reports on follow-up AEFI are needed as government policy references and information for the public. This study aims to describe the following events after the COVID-19 vaccine immunization and the incidence of the infection post vaccination. The study design was a cross-sectional study using primary and secondary data. The data were analyzed descriptively and statistically using Chi Square method by identifying association between demographic data and AEFI incidence. A total 131 respondents were included. Most respondents experienced AEFI after giving the first (77.1%) or second (71.9%) vaccine with the Sinovac vaccine. However, all reported mild AEFI. Most reported AEFIs were pain (48.8% and 49.6%), hungry (37.4% and 10.0%), and drowsiness (32.1% and 23.7%) after the first and the second vaccine. In conclusion, the prevalence of AEFI in the first and the second dose of inactivated COVID-19 vaccine is higher than that reported in the clinical trial study although the all AEFIs are considered as mild.
Characteristics and Readmission Rates of Tracheostomy Patients Receiving Tailored Discharged Planning: A Retrospective Study Hanum, Ardani Latifah; Margianti, Tri; Alfajri, Novi Zain; Lestari, Ade Febrina
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 10, No 1 (2026)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.100697

Abstract

Background: Tracheostomy patients often face difficulties after hospital discharge and are at increased risk of readmission. Although discharge planning has proven benefits, studies focusing on tracheostomy patients, particularly those involving case managers, remain limited.Objective: To investigate the characteristics of tracheostomy patients, their readmission rates after individualized discharge planning led by case managers, and 30-day readmission outcomes.Method: A descriptive retrospective study was conducted using electronic health records from 2021 to 2023. Samples were selected through consecutive sampling, including patients who underwent tracheostomy, had been discharged, and received case management services. Data on sociodemographic characteristics, clinical conditions, and 30-day readmission rates were collected and analyzed descriptively using frequency distributions, percentages, medians, and ranges with SPSS 26.Results: Among 50 patients, most were aged 41–65 years (54%) and male (72%). The main indication for tracheostomy was prolonged mechanical ventilation (72%), with a median length of stay of 40,5 days. About 54% were discharged with a tracheostomy tube and other invasive devices, including nasogastric tubes (62%) and urinary catheters (28%). A total of 94% of patients had no readmission within 30 days post-discharge.Conclusion: Tracheostomy patients have complex conditions requiring continued home care; however, readmission rates are low. Case management and individualized discharge planning may help prevent readmissions in high-risk patients.INTISARILatar belakang: Pasien trakeostomi sering menghadapi kesulitan setelah pulang dari rumah sakit dan memiliki risiko tinggi untuk mengalami readmisi. Meskipun manfaat perencanaan pulang telah terbukti, studi yang berfokus pada pasien trakeostomi, khususnya yang melibatkan manajer kasus, masih terbatas.Tujuan: Menyelidiki karakteristik pasien trakeostomi, tingkat readmisi setelah mendapatkan perencanaan pulang individual yang dipimpin oleh manajer kasus, serta luaran readmisi dalam 30 hari.Metode: Penelitian deskriptif retrospektif dilakukan menggunakan data rekam medis elektronik dari tahun 2021 hingga 2023. Sampel dipilih melalui consecutive sampling, meliputi pasien yang menjalani trakeostomi, telah dipulangkan, dan menerima layanan manajemen kasus. Data mengenai karakteristik sosiodemografi, kondisi klinis, serta tingkat readmisi 30 hari dikumpulkan dan dianalisis secara deskriptif dalam bentuk distribusi frekuensi, persentase, median, dan rentang menggunakan SPSS 26.Hasil: Dari 50 pasien, sebagian besar berusia 41–65 tahun (54%) dan berjenis kelamin laki-laki (72%). Indikasi utama trakeostomi adalah ventilasi mekanik berkepanjangan (72%), dengan median lama rawat 40,5 hari. Sekitar 54% pasien dipulangkan dengan kanul trakeostomi serta alat invasif lain, seperti selang nasogastrik (62%) dan kateter urine (28%). Sebanyak 94% pasien tidak mengalami readmisi dalam 30 hari setelah pulang.Simpulan: Pasien trakeostomi memiliki kondisi yang kompleks dan memerlukan perawatan lanjutan di rumah, namun, tingkat readmisi relatif rendah. Manajemen kasus dan perencanaan pulang individual dapat membantu mencegah readmisi pada pasien berisiko tinggi.
Co-Authors Alfajri, Novi Zain Caswita, Aditya Bagas Darwito, Darwito Dewa Rachmat, Radyan Artha Firda Ridhayani Hanum, Ardani Latifah Haspitaningrum, Anjarsari Margianti, Tri Mei Neni Sitaresmi Prananingrum, Febriana Rachmasari, Kusuma Ayu Ratih Wulandari Ridhayanti, Firda S Siswanto Sari, Astari Pranindya Sari, Shinta Kusumalarna Tyas, Humaera Elphananing Utama, Oktaviarum Slamet Wibowo, Anton Sony Widyastuti, Rina Yanasta Yudo Pratama