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INDONESIA
Universa Medicina
Published by Universitas Trisakti
ISSN : 19073062     EISSN : 24072230     DOI : -
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through browsing, advanced searching, or collections by disease or topic
Arjuna Subject : -
Articles 6 Documents
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Search results for , issue "Vol 27, No 4 (2008)" : 6 Documents clear
Factors influencing length of stay in the Emergency Department in a Private Hospital in North Jakarta Juss, Irwan
Universa Medicina Vol 27, No 4 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.165-173

Abstract

Length of stay (LOS) is a key measure of Emergency Department (ED) throughput and a marker of quality objectives. Time studies that assess ED services may help to clarify the causes of prolonged ED service to patients. The objective of this study was to analyse factors influencing LOS in the ED of Private Hospital X. This study was conducted at the ED of Private Hospital X in North Jakarta. One hundred and seventy one adult patients were admitted via the over a period of three weeks in March 2008. Data recorded included characteristics of patients, service time of nurses, service time of physicians, and overall ED LOS. Anova and independent t-test were performed to determine factors associated with ED LOS. Elderly patients, patients in emergency status, patients with letters of referral, electrocardiogram (ECG) training for physicians and advance cardiac life support (ACLS) training for nurses were significantly associated with duration of service in the ED. Mean ED LOS was 50 ± 20.7 minutes. Patient category and characteristics of physicians and nurses are important independent variables that influence the ED’s duration of service. Future research is necessary to determine how these and other factors can be incorporated into a model for predicting ED LOS.
Validity and reliability of Preschool Language Scale 4 for measuring language development in children 48-59 months of age Sidarta, Nuryani; Tulaar, Angela BM; Nasution, Amendi; Suryanto, Suryanto
Universa Medicina Vol 27, No 4 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.174-182

Abstract

Prevalence rates for speech and language delay have been reported across wide ranges. Speech and language delay affects 5% to 8% of preschool children, often persisting into the school years.  A cross-sectional study was conducted in 208 children aged 48-59 months to determine the validity and reliability of the Indonesian edition of the Preschool Language Scale version 4 (PLS4) as a screening tool for the identification of language development disorders. Construct validity was examined by using Pearson correlation coefficient. Internal consistency was tested and repeated measurements were taken to establish the stability coefficient and intraclass correlation coefficients (ICC) for test-retest reliability. For construct validity, the Pearson correlation coefficient ranged from 0.151-0.526, indicating that all questions in this instrument were valid for measuring auditory comprehension (AC) and expressive communication skills (EC). Cronbach’s alpha level ranged from 0.81-0.95 with standard error of measurement (SEM) ranging from 3.1-3.3. Stability coefficients ranged from 0.98-.0.99 with ICC coefficient ranging from 0.97-0.99 both of which showed an excellent reliability. This study found that PLS-4 is a valid and reliable instrument. It is easy to handle and can be recommended for assessing language development in children aged 48-59 months.
Thiazolidinedione and cardiovascular risk in type 2 diabetes mellitus Yenny, Yenny
Universa Medicina Vol 27, No 4 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.183-193

Abstract

Cardiovascular disorders are the most common complications encountered in patients with type 2 diabetes mellitus (DM). The relationship is likely to be multifactorial and may also involve a specific, though ill-defined, diabetic cardiomyopathy. Patients with heart failure accompanied by DM have a reduced cardiac output compared with patients without DM. Thiazolidinediones (TZDs) are agonists of peroxisome proliferator-activated receptor gamma (PPARã) and have beneficial effects in the control of blood glucose and cardiovascular parameters, but the ability of these drugs to induce retention of plasma has to be taken into consideration in prescribing them for patients with DM at high risk of cardiovascular disease. The molecular mechanism of fluid retention by TZDs has not been fully elucidated. Available evidence indicate a possible role of epithelial sodium channels (ENaC) in causing the side effects of TZDs. This paper will discuss the mechanism of ENaC in inducing fluid retention and the management to be applied for anticipating these side effects.
Magnetic resonance cholangiopancreatography: practical experience in 30 subjects Nurman, A
Universa Medicina Vol 27, No 4 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.150-156

Abstract

Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive method of imaging the biliary and pancreatic ducts. No special patient preparation is    required but the usual contraindications to MR scanning apply. The diagnostic performance of MRCP in most biliary tract diseases is similar to that of more invasive techniques of direct cholangiography such as endoscopic retrograde cholangiopancreatography (ERCP). The objectives of this study were to           investigate the diagnostic efficacy of MRCP in patients with abdominal pain with lesser likelihood of having choledochal stone and to determine whether use of MRCP could eliminate the need for purely diagnostic endoscopic retrograde cholangio-pancreatography (ERCP). A total of 30 patients with suspected biliopancreatic pathology from several hospital was studied retrospectiely between January 2007 and December 2008 in Jakarta. The sensitivity and specificity of MRCP was 92.59% (95% Confidence Interval, 74.25 - 98.71%) and 66.67% (95% Confidence Interval, 12.53 – 98.23%), respectively. The positive predictive value of MRCP for all biliary pathology was 96.15% (95% Confidence Interval, 78.42 – 99.79%) The negative predictive value of MRCP was 50.00% (95% Confidence Interval, 9.19 – 90.81%). MRCP seems to be effective in diagnosing patients with abdominal pain with lesser likelihood of having choledochal stone.
The quality of life of epileptic patients Harsono, Harsono
Universa Medicina Vol 27, No 4 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.194-203

Abstract

Epilepsy has historically been surrounded by prejudice and myth, and associated with many misconceptions. Even today, people with epilepsy experience psychosocial problems, especially in their relationships and employment. Age, seizure severity and frequency, stigma of epilepsy, social deprivation, fear and anxiety, factors responsible for inadequate treatment, treatment gap, and healthcare needs may affect the quality of life of epileptic patients. Improving the diagnosis, treatment, prevention, and social acceptability are important factors in achieving the objective of the management of epilepsy. Treatment of epilepsy refers to any intervention that is intended to restore health status including quality of life. Quality of life is recognized as an important outcome in epilepsy treatment. Quality of life has been reported to vary across epileptic patients with different clinical, demographic, and socio-economic variables. Seizure type and frequency have been found to be significant predictors of quality of life scores. For measuring quality of life in clinical practice, such as in epileptic patients, a wider range of properties is required to ensure that a measure can be used routinely. These include validity, appropriateness and acceptability, reliability, responsiveness to change, and interpretability.
Effect of range of motion and isometric strengthening exercises on grip strength and hand function in rheumatoid arthritis patients Bastiana, Yefta Daniel; Tulaar, Angela BM; Hartono, Surjanto; Albar, Zuljasri
Universa Medicina Vol 27, No 4 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.157-164

Abstract

In previous studies, duration of hand exercises in patients with rheumatoid arthritis (RA) had widely varying ranges, from 3 weeks to 4 months. An experimental study was conducted to evaluate the effect of range of motion (ROM) and muscle strengthening exercises for 6 weeks on grip strength and hand function in RA patients. Seventeen patients with chronic RA were randomly assigned to a treatment group and a control group. The treatment group (n=8) was given muscle strengthening exercises and heat therapy using paraffin baths 3 times a week at the hospital and ROM exercises once a day at home for 6 weeks. The control group (n=9) was given only paraffin baths 3 times a week. After 6 weeks, there were significant differences in hand function (p=0.003), right and left grip strength (p=0.000 and p=0.001) and ROM in the interventional group only. ROM and isometric strengthening exercises significantly improved grip strength and hand function in patients with RA, while no impact was found when the patients were given paraffin baths only. In view of the small size of the study population, there is a need for further studies with larger populations.

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