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Should the Central Sterile Supply Department in Every Hospital? Dhian Kartikasari; Viera Wardhani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 9 No. 1 (2020): April 2020
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.91117

Abstract

Hospitals as health services should prevent the risk of infection for patients and hospital staff. One indicator of success in hospital services is the low number of nosocomial infections or Healthcare-Associated Infection. Efforts to reduce the incidence of nosocomial infections are by carrying out good Central Sterile Supply Department services. This study aims to describe the process of sterilization transition in Mitra Delima Hospital Malang from a decentralized system to a centralized system. This study uses a qualitative approach that is focused on the Sterilization Unit of General hospital of Mitra Delima Malang. The study was conducted in August-October 2019. This research was conducted using interviews, observations, document studies, and literature studies. Sterilization activities at Mitra Delima Malang General Hospital which is still decentralized, starting from the decontamination process to labelling in other units, it is necessary to have a plan to develop a Central Sterilization Installation that is in line with the needs of Mitra Delima Malang General Hospital and accordance with the regulations, guidelines, and standards of Installation Central Sterilization to achieve the ideal Central Sterilization Installation. Sterilization in hospitals should use a centralized system. With a centralized and independent sterilization system with other departments, hospitals can be efficient, economical, safe, and valid in implementing sterilization equipment. This also ensures that the sterilization process will be overseen by specialized staff and runs according to the standard operating procedures.
Comparison of Low-Level and High-Intensity Laser Therapy Effects on Functional Outcomes in Knee Osteoarthritis Fauzan Ahmad; Mohammad Barlian Nugroho; Djoko Witjaksono; Viera Wardhani
Glosains: Jurnal Sains Global Indonesia Vol. 7 No. 4 (2026): Glosains: Jurnal Sains Global Indonesia
Publisher : Sekolah Tinggi Agama Islam Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59784/glosains.v7i4.881

Abstract

Background: Low-Level Laser Therapy (LLLT) and High-Intensity Laser Therapy (HILT) are widely used nonpharmacological interventions for patients with knee osteoarthritis (KOA). However, scientific evidence comparing the effectiveness of these two therapies on functional outcomes remains limited. Objective: To compare the effects of LLLT and HILT combined with quadriceps bench exercises on knee function, walking speed, and knee proprioception in patients with KOA. Methods: This randomized controlled trial used a pretest–posttest design at Dr. Saiful Anwar Regional General Hospital, Malang. Patients with KOA were randomly assigned to LLLT or HILT groups, with both receiving quadriceps exercises for four weeks. Knee function, walking speed, and proprioception were assessed using KOS-ADLS, 10MWT, and joint position sense tests. Pre- and post-intervention changes were statistically compared within and between groups. Results: Both LLLT and HILT produced significant improvements in functional outcomes after four weeks of intervention. Improvements in knee function were observed in both groups, with no significant between-group difference. Walking speed increased significantly in both groups; however, the LLLT group demonstrated a significantly greater improvement than the HILT group (p = 0.030). Regarding proprioception, a significant improvement was observed only in the LLLT group, although no significant between-group difference was found following the intervention. Conclusion: The findings suggest that LLLT may be considered an effective noninvasive adjunctive therapy for improving mobility in patients with KOA.