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All Journal Dentika Dental Journal Buletin Kedokteran dan Kesehatan Prima
Siregar, Fitri Dona
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Traumatic Ulcer Associated with Iatrogenic Trauma After Basal Cell Adenoma Surgery Siregar, Fitri Dona; Setiadhi, Riani
Dentika: Dental Journal Vol. 26 No. 2 (2023): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v26i2.12115

Abstract

Traumatic ulcer is an oral cavity lesion characterized by loss of epithelial lining, reaching the lamina propria. This condition presents a single lesion with irregular borders, surrounded by diffuse erythema, and covered with pseudo-membrane. In specific case, the traumatic ulcer was caused by iatrogenic trauma after basal cell adenoma surgery. This case report aimed to discuss the causes of traumatic ulcer. A 39-year-old female was referred to the Oral Medicine Clinic from the Ear, Nose, and Throat Department, complaining of pain in the oral mucosa after basal cell adenoma surgery. On extraoral examination, the facial symmetry was intact along with dry and exfoliative lips. A solitary, oval, yellowish-white intraoral ulcer covered with pseudomembrane, irregular borders surrounded by diffuse erythema on the palate, left buccal mucosa and upper labial mucosa was present. The patient was diagnosed with traumatic ulcer due to iatrogenic trauma after surgery for basal cell adenoma located within the parotid gland that extended to the left palate. The treatment administered comprised instructions to clean the oral cavity using gauze and a cotton stick soaked in 0.2% chlorhexidine gluconate. Additionally, compressing the affected areas with gauze soaked in 0.9% NaCl and applying a thin coating of Vaseline album on the lips were part of the therapeutic measures. Given the iatrogenic nature of traumatic cancer, comprehensive therapy was considered essential to prevent secondary infection and address issues related to speech, appearance, and masticatory functions.
Healthcare service quality and inpatient satisfaction among participants of the National Health Insurance-Contribution Assistance Recipients (JKN-PBI) programme Abdullah, Ardiani; Siregar, Santy Deasy; Hartono, Hartono; Susanto, Chandra; Siregar, Fitri Dona; Lestari, Vandersun; Azzanjani, Aisyah Bella; Sinamo, Sopan
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6701

Abstract

This research analyzes healthcare service quality and its impact on inpatient satisfaction among National Health Insurance-Contribution Assistance Recipient (JKN-PBI) participants at Muyang Kute Regional General Hospital, Bener Meriah Regency, Indonesia. Employing a descriptive-analytical survey design with a cross-sectional approach, data was collected from 69 randomly selected JKN-PBI inpatients using questionnaires. The study examined five service quality dimensions: tangibles, reliability, responsiveness, empathy, and assurance, and their relationship with patient satisfaction. Bivariate analysis using the Chi-square test revealed that reliability (p=0.003) and assurance (p=0.000) significantly influenced patient satisfaction, while tangibles, responsiveness, and empathy did not show statistically significant relationships (p>0.05). Reliability and assurance, reflecting consistent service delivery and staff competence, were crucial in fostering patient trust and satisfaction. Empathy, though not statistically significant, showed a trend towards positively influencing satisfaction, indicating a need for improvement in patient-centered care. The findings highlight the importance of reliability and assurance in enhancing JKN-PBI patient satisfaction. Recommendations include implementing training programs to improve staff empathy, maintaining high standards in reliability and assurance, and continuous patient feedback monitoring.
Co-Authors Abdullah, Ardiani Azzanjani, Aisyah Bella Hartono Hartono Lestari, Vandersun Riani Setiadhi Santy Deasy Siregar Sinamo, Sopan Susanto, Chandra