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All Journal Medical Scope Journal (MSJ) JURNAL PENDIDIKAN, HUMANIORA, LINGUISTIK DAN SOSIAL (JAGADDHITA)
Krishna, Mahesa
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Religion Humanities Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Nursing Public Health Other

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Comparison of Scoring Systems in Predicting Stone-Free Rate in Flourless Retrograde Intrarenal Surgery Arianto, Eko; Astram, Ari; Toreh, Christof; Wihono, Frendy; Krishna, Mahesa
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.57388

Abstract

Abstract: Thus far, there is no standardised method for predicting outcomes from fluoro-less retrograde intrarenal surgery (RIRS) procedure. This study aimed to compare scoring systems in predicting stone-free rate (SFR) in RIRS patients This was an observational and analytical study with a retrospective cohort design. Samples were obtained from medical records of  Dr. J. H. Awaloei Hospital from March 2022 to October 2023. This study only analyzed three scoring systems: Guy's Stone Score (GSS), Resorlu-Unsal Stone Score (RUSS), and Seoul National University Renal Stone Complexity Score (S-ReSC). The results obtained 219 patients with an average age of 55 years, GSS grade I in 108 patients, and grade II in 50 patients. Related to RUSS score, 43 patients got a score of 1, 108 got a score of 2, and 60 got a score of 60. Meanwhile, S-ReSC score was at a high level with a percentage of 65.3%, 20.4% at the medium level, and 14.4% at the low level. Moreover, GSS sensitivity 76%, specificity 75%, PPV 93.2%, NPV 41.1%, AUC 75%; RUSS score sensitivity 75.4%, specificity 62.2%, PPV 90%, NPV 36.2%, AUC 70%; S-ReSC score sensitivity 71%, specificity 77.5%, PPV 93.4%, NPV 37.3%, AUC 72%. In conclusion, Guy's Stone Score, Resorlu-Unsal Stone Score, and Seoul National University Renal Stone Complexity Score have similar abilities in predicting stone-free rate. Further research is needed with a larger sample size or population to confirm the findings of this study. Keywords: nephrolithiasis; stone-free rate; scoring system; retrograde intrarenal surgery
EVALUASI HASIL PENDIDIKAN DAN PELATIHAN EMPAT ELEMEN DASAR DALAM RANGKA PERSIAPAN AKREDITASI RUMAH SAKIT DI RUMAH SAKIT TMC TASIKMALAYA Yanuarti, Lita; Devina, Livia; Krishna, Mahesa; Veranita, Mira
JURNAL PENDIDIKAN, HUMANIORA, LINGUISTIK DAN SOSIAL (JAGADDHITA) Vol 2 No 1 (2023): JURNAL PENDIDIKAN, HUMANIORA, LINGUISTIK DAN SOSIAL (JAGADDHITA)
Publisher : ABISATYA DINAMIKA ISWARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58268/jg.v2i1.159

Abstract

Akreditasi rumah sakit merupakan penilaian terhadap suatu rumah sakit supaya rumah sakit mempunyai standar pelayanan yang sesuai sehingga dapat memberikan pelayanan yang mengutamakan mutu dan keselamatan pasien. Standar penilaian akreditasi yang paling penting meliputi empat elemen dasar penilaian rumah sakit yaitu Bantuan Hidup Dasar (BHD), Keselamatan dan Kesehatan Karyawan Rumah Sakit (K3RS), Sasaran Keselamatan Pasien (SKP), dan Pencegahan dan Pengendalian Infeksi (PPI). Sehingga empat elemen dasar penilaian tersebut mampu dipahami oleh seluruh karyawan rumah sakit baik medis ataupun non medis. Penelitian ini dilakukan bertujuan untuk mengevaluasi hasil pelatihan empat elemen dasar yang telah dilakukan di  rumah sakit TMC Tasikmalaya dengan jumlah peserta berjumlah 50 orang. Metode yang dilakukan dengan menggunakan pendekatan deskriptif kuantitatif dengan membandingkan nilai pre-test dan post-test serta metode wawancara. Hasil penelitian menunjukan adanya peningkatan nilai yang signifikan dari 58,2% nilai pre-test menjadi 90,4% pada nilai post-test sehingga bisa dinilai pelatihan efektif dalam meningkatkan pengetahuan dan pemahaman peserta. Meskipun ada beberapa kendala yang dapat diperbaiki untuk pelatihan selanjutnya.
Co-Authors Ari Astram, Ari ARIANTO, EKO Livia Devina Toreh, Christof Veranita, Mira Wihono, Frendy Yanuarti, Lita