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All Journal MNJ (Malang Neurology Journal) Research of Service Administration Health and Sains Healthys
Rachmatullah, Fahmi
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Health Professions Neuroscience Public Health

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AUTOIMMUNE ENCEPHALITIS: DIAGNOSTIC AND TREATMENT APPROACH Hamdani, Ismi Adhanisa; Agustina, Lydia; Sasongko, Hari Andang; Gaharu, Maula Nuruddin; Rachmatullah, Fahmi; Ghufira, Nanda; Stevany, Nabila; Pawestri, Natasya Rahma Dewi; Fatahuddin, Rahaliya Salsabila; Natasya, Natasya
MNJ (Malang Neurology Journal) Vol. 10 No. 2 (2024): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.02.13

Abstract

Autoimmune encephalitis is a type of brain inflammation induced by an inappropriate immune response to a neuronal antigen, resulting in the generation of autoantibodies. Autoimmunity as important cause of encephalitis in recent years has not been much reported in Indonesia. Increased familiarity with autoimmune encephalitis among physician, not only neurologist, is extremely important for early detection. Prompt diagnosis and early immunotherapy leads to better prognosis in this potentially treatable disease, despite a long disease course. Autoimmune encephalitis is characterized by acute-subacute progressive neuropsychiatric symptoms with associated cognitive dysfunction, encephalopathy, psychiatric disorders, movement disorders and seizures, with anti-N-methyl-D-aspartate (NMDA) receptors encephalitis as the most common type. In addition to clinical features, further diagnostic investigations needed are brain magnetic resonance imaging (MRI), electroencephalography (EEG), cerebrospinal fluid (CSF) analysis, and autoantibody testing. Challenges in establishing diagnosis include wide range of clinical symptoms, absence of abnormalities in brain MRI, unspecified EEG findings, negative antibody testing, and limited availability of antibody testing in Indonesia. This literature review discusses the recognition, diagnosis and principle of treatment of autoimmune encephalitis.
The Influence of Work Discipline and Work Environment on Compliance with Patient Safety Procedures among Health Workers at the Beriman Balikpapan Regional Hospital Rachmatullah, Fahmi; Purwadhi, Purwadhi; Suwardhani, Achmad Dheni
Research of Service Administration Health and Sains Healthys Vol 6, No 1 (2025): Research of Service Administration Health and Sains Healthys (Juni)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v6i1.9036

Abstract

Compliance with patient safety procedures is a crucial component in improving the quality of hospital services. This study aims to analyze the influence of work discipline and work environment on healthcare workers’ compliance with patient safety procedures at RSUD Beriman Balikpapan. The research used a quantitative method with a descriptive-verificative approach. Data were collected through questionnaires distributed to 207 healthcare worker respondents and analyzed using multiple linear regression with validity, reliability, normality, multicollinearity, and heteroscedasticity tests. The results showed that work discipline and work environment variables had a simultaneous and significant effect on compliance with patient safety procedures. Partially, work discipline had a significant influence with a greater contribution compared to the work environment. The coefficient of determination indicated that these two variables explained 52.2% of the compliance with patient safety procedures, while the remaining percentage was influenced by other variables not examined in this study, such as work culture, motivation, and workload. These findings suggest that improving discipline and enhancing the work environment can be effective strategies to encourage healthcare workers to comply with patient safety procedures. Other factors beyond this study, such as organizational culture or workload, are also suspected to influence the level of compliance. 
Co-Authors Agustina, Lydia Fatahuddin, Rahaliya Salsabila Gaharu, Maula Nuruddin Ghufira, Nanda Hamdani, Ismi Adhanisa Natasya Natasya Pawestri, Natasya Rahma Dewi Purwadhi Purwadhi Sasongko, Hari Andang Stevany, Nabila Suwardhani, Achmad Dheni