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All Journal Althea Medical Journal Journal of Social Science and Business Studies
Annisa Ikhsanawati, Annisa
Faculty of Medicine Universitas Padjadjaran
Economics, Econometrics & Finance Medicine & Pharmacology Social Sciences

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Herniated Nucleus Pulposus in Dr. Hasan Sadikin General Hospital Bandung Indonesia Ikhsanawati, Annisa; Tiksnadi, Bambang; Soenggono, Arifin; Hidajat, Nucki Nursjamsi
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (717.2 KB)

Abstract

Background: Herniated nucleus pulposus (HNP) is one of the most common diseases of the spine. For an optimal management and prevention, there’s a need for data on factors related to the onset of complaints because this disease lowers the quality of life and increases morbidity. This study is aimed to see the scale and pattern of the HNP in Dr. Hasan Sadikin General Hospital, Bandung.Methods: This is a descriptive study with the design of case series, data was obtained from medical records of patients with the diagnosis of HNP in the inpatient care of Dr. Hasan Sadikin General Hospital in the period of 2007–2011.Results: According to the study on 79 patients, with 43 men and 36 women, the highest incidence was at the age group of 51–60 years old (31.6%) and most common occupation was civil servant (11.4%). The most common clinical symptoms were sciatica (51.9%) and low back pain (51.9%). Most frequent location was in the lumbar vertebrae at the level of L5–S1 (58.2%). Trauma was found to be the highest relatable history in the patients (39.2%). Therapy of choice was primarily conservative (58.2%) and most patients went home after the progression (84.8%). The year 2007 showed the highest prevalence of HNP at 25.3%. The most common clinical symptoms were sciatica (51.9%) and low back pain (51.9%)Conclusions: The most common clinical symptoms were sciatica and low back pain. Most frequent location was in the lumbar vertebrae at the level L5–S1. [AMJ.2015;2(1):179–85]
Characteristics and Clinical Outcomes of COVID-19 Patients with Hyperglycemia: Retrospective Cohort Study from a COVID-19 Referral Hospital, Bandung, Indonesia Permana, Hikmat; Ikhsanawati, Annisa; Susandi, Evan; Soetedjo, Nanny Natalia Mulyani; Alisjahbana, Bachti
Althea Medical Journal Vol 10, No 4 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n4.3111

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Background: COVID-19 often causes severe complications in patients with metabolic disorders such as diabetes mellitus. Conversely, inflammation caused by infection may also trigger insulin resistance, resulting in hyperglycemia and is related to the disease severity. This study aimed to describe the characteristics and clinical outcomes of COVID-19 patients with hyperglycemia at one of the COVID-19 referral hospitals in Bandung, Indonesia.Methods: This retrospective cohort study used secondary data from medical records of COVID-19 patients admitted to Dr. Hasan Sadikin General Hospital Bandung, Indonesia from March 2020 to March 2021. This study included all patients with confirmed COVID-19, aged >18 years, and had at least one blood glucose test at admission. Patients were grouped based on three possible types of hyperglycemia, namely diabetes mellitus, reactive hyperglycemia, and steroid-induced hyperglycemia; then their characteristics and disease outcomes were compared. Results: This study identified 1,114 patients’ medical records and included 1,013 data in the analysis. Hyperglycemia occurred in 45.1% of COVID-19 patients. The most common hyperglycemia types were diabetes mellitus (55.7%), reactive hyperglycemia (37.4%), and steroid-induced hyperglycemia (7%). The steroid-induced hyperglycemia group had similar characteristics as the diabetes group. The reactive hyperglycemia group exhibited a metabolic syndrome pattern resembling pre-diabetic conditions. The highest rates of severe disease and mortality were seen in the steroid-induced hyperglycemia group, followed by the diabetes group.Conclusions: There is an elevated prevalence of hyperglycemia in COVID-19 patients with diabetes. The steroid-induced hyperglycemia group has the most unfavorable outcomes. These observations emphasize the importance of identifying hyperglycemic conditions to improve management and outcomes.
Improving Patient Satisfaction: The Crucial Role of Lead Time and Room Facilities in Outpatient Services at Bandung Kiwari Hospital Ikhsanawati, Annisa; Nu'man, Harits; Nurdin, Nurdin
Journal of Social Science and Business Studies Vol. 3 No. 2 (2025): JSSBS
Publisher : Yayasan Gema Bina Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61487/jssbs.v3i2.161

Abstract

Lead time and room facilities are critical factors influencing patient satisfaction with hospital services. This study aims to analyze the effects of lead time and room facilities on patient satisfaction in the Outpatient Department of Bandung Kiwari Hospital (RSUD Bandung Kiwari). The research employs a descriptive-verificative quantitative method, involving 150 respondents selected through purposive sampling from an outpatient population of 5,399 in July 2023. Data were collected using a Likert scale questionnaire. The results reveal that the majority of patients experienced lead times exceeding 60 minutes (65.3%), which is beyond the established standard. Conversely, room facilities were generally rated as highly satisfactory (81.95%), despite shortcomings in bathroom cleanliness. Overall patient satisfaction was categorized as good (79.26%), although lead time received a lower score (58%). Regression analysis indicates that lead time and room facilities have a significant simultaneous effect on patient satisfaction (F = 48.662, p = 0.000), with room facilities (β = 0.310, p = 0.000) having a greater partial influence compared to lead time (β = 0.234, p = 0.004). This study concludes that better management of lead time and improved quality of room facilities are essential for enhancing patient satisfaction. The findings highlight the importance of optimizing digital queue systems, improving cleanliness, and conducting regular evaluations through patient satisfaction surveys to ensure continuous service improvement.
Co-Authors Arifin Soenggono, Arifin Bachti Alisjahbana Bambang Tiksnadi Hikmat Permana Nanny Natalia Mulyani Soetedjo Nu'man, Harits Nucki Nursjamsi Hidajat, Nucki Nursjamsi Nurdin Nurdin Susandi, Evan