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Herpes Zoster In Teenagers: Case Report Prakoeswa, Flora Ramona Sigit; Rosyida, Hindun Luthfia
Journal of Applied Nursing and Health Vol. 5 No. 2 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i2.167

Abstract

Background: Herpes Zoster (HZ) is a reactivation of the Varicella Zoster Virus (VVZ), which is characterized by an acute unilateral vesicular eruption grouped with radicular pain around the dermatome. The incidence of HZ increases with age and is rare in children. The prevalence of HZ in children can occur if they have a history of primary intrauterine infection, are immunocompromised, and are infected with varicella in the first year of life. Methods: The research design used a case study on one of the patients at the PKU Muhammadiyah Hospital Surakarta Polyclinic. The instruments include informed consent and demographic data questionnaires. Results: Ms B, 15 years old, came to the Skin and Venereology Clinic, PKU Muhammadiyah Surakarta Hospital on December 28, 2022 with complaints of itching and heat, a lesion in the form of multiple clustered vesicles, round in shape, with a size of 0.3- 0.5 cm above the skin, erythematous, unilateral, not crossing the midline, the age of the cysts in one group is the same. Still, with other groups, it is not the same; the skin between groups is normal. Treatment was given acyclovir 4x800 mg per day taken orally for five days, triamcinolone 4 mg/day, compressed NaCl 15 minutes 2x daily, calamine lotion 2x daily on intact lesions and mupirocin calcium on open wounds. Conclusion: Maintaining the body's immune system and managing stress, as well as getting the varicella vaccine/measles vaccine, can prevent the occurrence of shingles
Building Patient Loyalty: The Role of Brand Image and Service Quality in Outpatient Healthcare Revisit Behavior-A Systematic Review Rosyida, Hindun Luthfia; Suprapto, Sentot Imam; Agusta Dian; Indasah
Journal of Applied Nursing and Health Vol. 7 No. 1 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i1.272

Abstract

Background: In the competitive outpatient healthcare sector, clinics struggle to retain and attract returning patients. Brand image and service quality significantly influence patient satisfaction and revisit decisions. A strong reputation and high service standards are expected to enhance loyalty and revisit rates. However, their interaction in hospital settings remains underexplored. This systematic review examines how brand image and service quality affect patient return behavior, satisfaction, and loyalty in outpatient clinics. Methods: A systematic review following the PRISMA approach was conducted on studies published between 2020 and 2024. The review included research assessing the impact of brand image and service quality on patient satisfaction and revisiting intentions. Using a structured selection process, relevant studies were identified from academic databases. The analysis focused on cross-sectional, case study, and survey-based research to determine key factors influencing patient revisit behavior in outpatient healthcare settings. Results: The review found that brand image and service quality significantly impact patient revisit behavior. A strong brand image was consistently linked to higher patient loyalty and revisit intentions. High service quality, characterized by timely service, professionalism, and responsiveness, emerged as a crucial determinant of patient satisfaction and return behavior. Several studies emphasized service quality as an essential factor in shaping positive patient experiences. Additionally, the relationship between brand image and service quality was interdependent, with each factor reinforcing the other. Conclusion: This review highlights the critical roles of brand image and service quality in influencing patient revisit behavior in outpatient healthcare services. To enhance patient retention, healthcare facilities should strengthen their brand image through effective communication and improving service quality to meet patient expectations. Future research should investigate longitudinal effects and patient segmentation to understand further the dynamics of patient revisit behavior in healthcare settings.
Treatment in Patients DRESS (Drug Reaction With Eosinophilia And Systemic Symptoms) : Case Report Sigit Prakoeswa, Flora Ramona; Rosyida, Hindun Luthfia; Ariyanti, Rika
Asian Journal of Social and Humanities Vol. 2 No. 2 (2023): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i2.179

Abstract

Drug reactions with eosinophilia and systemic symptom syndrome (DRESS) are rare and potentially life-threatening severe skin adverse reactions (SCAR) The mean age at diagnosis is approximately 50-55 years and less than 10% of patients are under 20 years men : women 0.7-0.8. All drugs used by the patient during DRESS should be stopped immediately. Complications of DRESS are myocarditis, Pneumocystis jiroveciipneumonia, sepsis, liver failure, and gastro-intestinal bleeding. Systemic corticosteroids (prednisolone 1 mg/kg/day) are the gold standard of treatment in the acute phase of patients with severe organ involvement. Therefore, the importance of appropriate therapy to reduce the occurrence of complications from DRESS disease.