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PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID)
Published by Transpublika Publisher
ISSN : -     EISSN : 28099745     DOI : https://doi.org/10.55047/comorbid
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Neuroscience Nursing
About the Journal PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID) is an international, modern, general medical publication that publishes research on all aspects of medicine, from fundamental research to significant clinical trials and cost-effectiveness analyses. We generally publish human research that contribute to our understanding of medical epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; clinical trials that evaluate the efficacy of particular therapies and comparative trials; and systematic reviews. We want to encourage the conversion of fundamental research into clinical trials and clinical evidence into therapeutic practice. When studies in animal models produce remarkable research findings that are extremely clinically relevant, we publish them on occasion. The international medical community, as well as educators, policymakers, patient advocacy groups, and other interested parties, are among our target audiences. The online edition of COMORBID is updated on a regular basis. Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Articles from all branches of medicine and associated subjects are published in PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID)
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 89 Documents
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THE FUNCTION OF RECOMMENDATION OF A PHARMACISTS IN REDUCE PIMs (POTENTIALLY INAPPROPRIATE MEDICATIONS) OF GERIATRIC PATIENTS AT THE GENERAL HOSPITAL DR. MOEWARDI SURAKARTA Dewi Isnaini, Ratna; Darmawan, Endang; Yovita Dewi, Fransiska
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 2 (2022): APRIL
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i2.81

Abstract

The prevalence of potentially inappropriate medications (PIMs) is quite high in geriatric patients. PIMs can be detected using an explicit prescription indicator (a criterion). Explicit criteria that can be used in the identification of PIMs in geriatric patients include: BEERS Criteria, STOPP Criteria, and START Criteria. This study aims to analyze drugs included in the PIMs category based on BEERS Criteria, STOPP Criteria, and START Criteria. This research is a semi-experimental study (intervening in the form of giving recommendations) with prospective data collection in the geriatric ward of Regional General Hospital Dr. Moewardi Surakarta in the period from October 2019 to January 2020. The results showed that out of 70 patients, there were 47 PIMs, PIMs based on BEERS Criteria for 20 patients (28.6%), PIMs based on STOPP Criteria for 10 patients (14.3%) and PIMs based on START Criteria for 17 patients (24.3%). Bivariate analysis showed that there was a relationship between the incidence of adverse drug events (ADEs), with recommendations that were followed up on PIMs based on BEERS Criteria with an RR value of 25 (95% CI 1,2: 520,7), P = 0.04 and PIMs based on START Criteria with an RR value of 5 (95% CI 1: 35.9), P = 0.04, whereas the results of the bivariate analysis on PIMs based on STOPP Criteria showed that there was no relationship between the incidence of ADEs with the recommendations that were followed up with a RR value of 4 (95% CI 0.13: 119.2), P = 0.50. Based on the results of univariate and bivariate statistical analysis, it can be concluded that there are still many incidents of PIMs based on BEERs Criteria, STOPP Criteria, and START Criteria and pharmacists have an important function to reduce PIMs so that the incidence of ESO due to PIMs can be minimized in the regional general hospital Dr. Moewardi Surakarta.
EDUCATION WITH BOOKLETS MEDIA ON HIV PATIENTS IN THE HOSPITAL: A QUASI EXPERIMENTAL CLINICAL TRIAL Apriliyani, Fitri; Akrom; Wijaya, Uniarti
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 2 (2022): APRIL
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i2.82

Abstract

Regular visits of HIV patients to the hospital are expected to provide a positive therapeutic out-come because during the visit clinical monitoring, laboratory testing, counseling conducted by health workers and VCT themes, as well as taking antiretroviral (ARV) routine drugs every once a month, so that it is expected that the compliance of HIV patients to take ARV drugs will increase. Marking the success of the treatment of antiretroviral therapy come from HIV patients includes the minimum opportunistic infections related to AIDS and malignancy, increased CD4 cell counts, and increased body weight. The purpose of this study was to determine the effect of booklet media education on the level of adherence, perception, clinical out come and the quality of life of HIV patients in RSUD R. Soedjati Soemodiharjo The method used was quasi experimental with the design of two design pretest-posttest groups. Data were analyzed by univariate and bivariate. Statistical tests using a sample independent-sample test. The results obtained from this study are a description of the demographic characteristics of HIV patients in RSUD R. Soedjati Soemodiharjo, namely the highest age at 18-29 years as many as 22 patients (36%), dominated by women 43 people (70,5%), married as many as 49 people (80,3%), elementary school education 35 patients (57,4%), the most work was not working 23 people (37,8%), the highest duration of illness was above 1 year, 29 patients (47,6%), the most comorbid / comorbidities suffered by HIV patients in RSUD R. Soedjati Soemodiharjo were TB as many as 8 patients (36,4%). Perception on perception shows a P value of > 0,05. Intervention on compliance analysis results P > 0,05. Both treatment and control studies have moderate adherence because they have 48 patients (78,6%). Statistical results showed a significant difference for Hb because the SPSS results were P < 0,05 between the treatment with controls and for the leukocyte number P > 0,05, meaning that there was no significant difference between treatment and control. Interventions with quality of life P < 0,05. The conclusion is the influence of quality of life education intervention, Hb on HIV patients in RSUD R Soedjati between the control and treatment groups P <0,05.
RATIONALITY EVALUATION OF ANTIBIOTIC USE IN PEDIATRIC PNEUMONIA AT HOSPITALS IN INDONESIA Suminar, Fadhila Diah
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 2 (2022): APRIL
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i2.122

Abstract

Indonesia is a developing country that has high morbidity and mortality rates due to infectious diseases, one of which is pneumonia. This study aims to describe the use of antibiotics, to determine the rationality of antibiotic use using the Gyssens method, and to determine the relationship between the rationality of antibiotic use on the therapeutic outcomes of pediatric pneumonia patients in one of the public hospitals and private hospitals in Indonesia without PPRA at the same time. This study is a cross sectional study with retrospective data collection from the patient's medical record. The analysis was carried out descriptively and analytically with the Chi-square method to see the relationship between rational use of antibiotics and therapeutic outcomes. A single antibiotic which is generally used in one of the hospitals and private hospitals in Indonesia is Ampicillin. In addition, antibiotics that are often prescribed are Ceftriaxone and Cefotaxim). The use of antibiotics in Public Hospitals found 83 irrational use of antibiotics (81,4%) and 75 total uses of antibiotics (86,2%) in Private Hospitals. Irrational category III A (long duration) mostly occurs in two hospitals. The results of the research on the relationship between rationality and therapeutic outcome were analyzed by Chi-square. The results showed that the rationality of empirical antibiotic therapy significantly improved therapeutic outcomes (p=0.008) in one of the hospitals in Indonesia. The results of research conducted in one of the Indonesian private hospitals obtained p value = 0,153.
COMPARISON OF THE NUMBER OF ERYTHROCYTES IN 3 ML, 2 ML, & 1 ML OF BLOOD SAMPLES WITH K2EDTA ANTICOAGULANTS AFTER A 4-HOUR DELAY IN THE DR. H. ABDUL MOELOEK BANDAR LAMPUNG HOSPITAL Syuhada; Priyayi, Hemas; Putri , Bella Tania; Nabigha, Zehan Aura; Triwahyuni, Tusy
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 2 (2022): APRIL
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i2.144

Abstract

Background: The volume of blood samples, especially the number of erythrocytes in laboratory examinations, has an important role in determining the results of the diagnosis, in this case pre-analytic errors often occur so that a definite diagnosis will be difficult to establish. Therefore, research on the comparison between the results of the examination of the number of erythrocytes in the volume of blood samples of 3 mL, 2 mL, and 1 mL after being delayed for 4 hours with K2EDTA anticoagulant helps to determine a definite diagnosis from laboratory tests, one of which is the count of the number of erythrocytes. Research purpose: it aims to identify the comparison of erythrocytes in the volume of blood sample 3 ml, 2 ml, and 1 ml with k2edta anticoagulant after postponed for four hours. Research methods: the study uses primary data with hematology analyzer in rsud Dr.abdul moeloek bandar lampung. This type of research is a quantitative, using observational analtic design with a cross sectional view and with consecutive method, through hematology analysis using a alayzer mindray bc-3600 hematology. The research has 50 respondents. Results: the results of erythrocytes comparison between blood volume 3 ml, 2 ml and 1 ml (ml) with k2edta anticoagulant after 4 hours have different results but statistically the results have the same with 3 ml, that show the lowest result. Conclusion: there is no significant differences between the examunation of the erythrocytes with the volume of blood sample 3 mL, 2 mL, and 1 mL in the vacutainer k2edta tube after postponed for four hours.
COMPARISON OF THE LENGTH OF STAY OF COVID-19 PATIENTS WITH COMORBID DIABETES MELLITUS BY GENDER AT NATAR MEDIKA HOSPITAL SOUTH LAMPUNG IN 2021 Firhat, Esfandiari; Dhyta, Kinantie Lintang; Tusy , Triwahyuni; Fransisca, Sinaga
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 2 (2022): APRIL
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i2.155

Abstract

Based on existing data, comorbid hypertension and diabetes mellitus, male gender, and active smoking are risk factors for SARS-CoV-2 infection. Diabetes mellitus (DM) is a metabolic disorder that affects insulin action in glucose absorption. A study conducted by Parveen et al showed that diabetes made the general health condition of COVID-19 patients worse. COVID-19 patients require hospitalization because COVID-19 is a highly contagious respiratory infectious disease, which can cause respiratory, physical, and psychological dysfunction of the patient, also resulting in various dysfunctions, which in turn can reduce the patient's functional capacity. This study aims to determine the difference in length of stay for COVID-19 patients with comorbid diabetes mellitus based on gender at Natar Medika Hospital, South Lampung in 2021. This type of research uses a comparative descriptive research method. The research design used in this study was cross sectional. Samples that met the inclusion and exclusion criteria were 40 patients' medical records. Gender characteristics were dominated by 24 women (60%) and 16 men (40%). A total of 14 female patients (58.3%) and 12 male patients (75%) recovered quickly. While 4 male patients (25%) and 10 female patients (41.7%) recovered for a long time. It is known that there is no significant comparison of length of stay for COVID-19 patients with comorbid diabetes mellitus based on gender where the Mann-Whitney test obtained a significance level (ρ value) of 0,466.
EFFECT OF EDUCATION LEVEL AND FAMILY SUPPORT ON DIET IN ADOLESCENTS WITH HYPERTENSION RISK WITH SELF CARE THEORY APPROACH Bagustianto, Ridho; Fikriana, Riza; Hardiyanto
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 2 (2022): APRIL
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i2.177

Abstract

Hypertension is a disease that increases every year. Diet in hypertension sufferers is still not working because many people with hypertension still have poor dietary behavior. The purpose of this study was to analyze the effect of education level and family support on diet in adolescents at risk of hypertension using the Self Care theory approach. The design of this research is Analytical Observation with Cross Sectional approach. Samples were taken using the Purposive Sampling technique with criteria according to inclusion and exclusion in Islamic Vocational Schools of Gondanglegi and NU Gondanglegi Middle Schools, Gondanglegi District, Malang Regency as many as 80 respondents. In this study, data was collected on the level of education and family support using a questionnaire sheet. The statistical test used is multiple linear regression analysis test. The results of multiple linear regression analysis revealed that the most influential variable on diet in adolescents with hypertension risk was family support with a value of (0,001) with a coefficient of -.420. Therefore, it can be seen that family support can affect diet in hypertensive adolescents, so it is necessary to have family support for hypertensive adolescents to reduce hypertension in adolescents.
LITERATURE REVIEW: PREGNANT WOMEN NUTRITION DURING A PANDEMIC Rahayu, Kurnia; Rahmawati, Alfiah; Susiloningtyas
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 3 (2022): JULY
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i3.254

Abstract

Pregnant women's nutrition is an important factor that must be met and taken into account during their pregnancy. Pregnant women and their fetuses benefit greatly from good nutrition during pregnancy. Nutritional intake throughout pregnancy is still something that should be considered for the womb's health. Pregnant women should get a good nutritional intake that includes four healthy five perfect foods in order to keep the mother and fetus immune during the pandemic. The purpose of this study is to look into the literature on pregnant women's nutrition. This study is a sort of literature review conducted using electronic databases such as PubMed and Google Schoolar. Each data-based publishing year is limited to the last ten years, beginning in 2011-2021. The publications obtained through the search include articles that include both international and national articles, and they will be then evaluated. The findings revealed that a pregnant woman during this pandemic requires additional nutrition since the mother must better maintain the immunity of the body and the fetus in her womb during this pandemic. If a pregnant woman normally requires 80.000 calories during pregnancy, the needs during the pandemic must be increased and presumed once more. During the pandemic, pregnant women should require some additional nutrients such as daily nutritional needs, supplements, iron, vitamin C, and macronutrient demands containing carbohydrates, proteins, and fats. To address the nutritional demands of pregnant women during a pandemic, pregnant women are recommended to eat breakfast every day, eat high-fiber foods, and enhance nutrient intake.
LUNG BULLAE DUE TO SEPTIC PULMONARY EMBOLISM IN A 4-YEAR-OLD CHILD: A CASE REPORT Widiastari, Erina Febriani; Graha, Wirya Ayu; Pardede, Marolop
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 3 (2022): JULY
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i3.355

Abstract

Bullous lung disease in pediatric patients is a rare case. The etiology of lung bullae is cigarette smoking history, pulmonary sarcoidosis, alpha 1-antitrypsin deficiency and many more. One of the treatments for lung bulla is surgical approach. We present a case of 4-year-old girl with lung bulla due to septic pulmonary embolism. Primarily the patient was admitted with a decrease in consciousness, fever, cough and dyspnea. A CT scan revealed bilateral bullae, multiple nodules in various size, mostly with internal cavities and feeding vessel sign suggestive of a septic pulmonary embolism accompanied by a pneumothorax. We did thoracotomy, wedge resection and pleurodesis, the outcome was clinical improvement and no postoperative complication occurred. Thoracotomy, wedge resection and pleurodesis can be considered as a treatment for lung bulla in pediatric population, so this case report may provide guidance on management of these cases for clinicians.
THE RELATIONSHIP OF SERVICE QUALITY TO OUTPATIENT SATISFACTION AT THE BALOI PERMAI HEALTH CENTER IN 2022 Farhansyah, Fani; Anisa, Desfa; Tampubolon, Cyntia
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 3 (2022): JULY
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i3.553

Abstract

The aim of this study was to determine the relationship between service quality and satisfaction of outpatients at the Baloi Permai Health Center. The method used is quantitative method with survey research used is cross sectional to determine the effect of health service quality on patient satisfaction at the Baloi Permai Health Center. The results of this study were carried out by a chi square statistical test showing that the quality of patient care at the Baloi Permai Health Center was considered good by 81,2% with a total of 81 respondents. While patients who said they were not good were 18,8% with a total of 19 respondents. Patient Satisfaction at the Baloi Permai Public Health Center who rated satisfaction as much as 68% with a total of 68 respondents. While patients who said they were not good were 32% with a total of 32 respondents. Since the p value is 0,000 <0,05, thereby H0 is rejected and H1 is accepted, thus it can be concluded that there is a relationship between service quality and outpatient patient satisfaction at the Baloi Peria Health Center in 2022.
PROVISION OF INFRARED THERAPY AND ACUPRESSURE THERAPY TO REDUCE JOINT PAIN IN GUE VILLAGE Putra, Yadi; Fauziah; Ismail
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 4 (2022): OCTOBER
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v1i4.575

Abstract

Joint pain is a prevalent disease among the elderly, and treatment can be carried out through pharmacological and non-pharmacological methods. Infrared and acupressure therapies are two effective solutions to alleviate this problem. In this community service, we utilized infrared therapy and acupressure therapy to reduce joint pain. A quasi-experimental study with a control group pretest-posttest design was conducted, and the therapy was administered five times. The activity took place on June 29, 2022, in Gue Village, Kuta Baro District, Aceh Besar, and was facilitated by D3 Nursing lecturers with the assistance of students. The study's findings indicate a decrease in the pain scale from an average of 5.30% before therapy to 2.40% after therapy among 20 elderly patients. This therapy can be imparted to health cadres in the community and is a viable option for managing joint pain.

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