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RACHMAT HIDAYAT
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hanifmedisiana@gmail.com
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+6287837160809
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editor.jrp.rsmh@gmail.com
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Jl. Sirna Raga no 99, 8 Ilir, IT3 Palembang
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Kota palembang,
Sumatera selatan
INDONESIA
Jurnal RSMH Palembang
Published by HM Publisher
ISSN : -     EISSN : 27742970     DOI : https://doi.org/10.37275/jrp
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
JRP covers the major topics like Internal Medicine, Obstetric and Gynecology, Pediatric, Surgery, Ear Nose Throat, Neurology, Ophthalmology, Dermatovenerology, Anesthesia and Reanimation, Radiology, Pathology Anatomy, Clinical Pathology, Community Enpowerment, Manajemen of Hospital, Community Medicine and all topics related medical fields.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 48 Documents
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The Relationship of Mothers’ Knowledge of Basic Immunization with Babies’ Immunization Status in Toboali Puskesmas of South Bangka Regency Fabellandari, Vaquita; Hein Intan Wulandari
Jurnal RSMH Palembang Vol. 3 No. 2 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i2.56

Abstract

Immunization is the process by which a person is immune or resistant to infectious diseases, usually with the vaccine. The aim of research is to find out how the relationship between maternal knowledge about basic immunization with the complete basic immunization in infants at Toboali South Bangka Regency Health Center. This research was conducted with cross sectional analytic method. The population in this study were 73 respondents, who were in accordance with the inclusion and exclusion criteria that have been established by researchers. Distribution rate of mothers knowledge of basic immunization in Puskesmas Toboali South Bangka Regency, with a yield of 47.95% had less knowledge of good and amounted to 52.05% of respondents had good knowledge. Mother's attitudes unfavorable category amounted to 41.09%, both categories amounted to 58.91% and the mother acts unfavorable category by 53% while both categories by 47%. The results of the study with square chi showed significant association between maternal knowledge about basic immunization with complete basic immunization is based on statistical analysis chi square correlation with the value x2 = 9.272 with significant value that can be accepted where the value of p = 0.002 ( α) of 0.05 (p < 0.05).To the health officer on duty in the village of Toboali is expected to continue immunization activities by running Posyandu activities on a monthly basis, and remain members the latest information about immunization.
Superior Vena Cava Syndrome in Men with Thymic Atypical Carcinoid (Neuroendocrine Tumor Grade 2) Ramkita, Nora; Suly Auline Rusminan; Ika Kartika; Krisna Murti; S. Nurul Amanah Ratna Sari; Devi Eqtriana Setyaningsih
Jurnal RSMH Palembang Vol. 3 No. 2 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i2.57

Abstract

Introduction: Cases of neuroendocrine tumors (NET) can occur in various organs, generally in the form of gastroenteropancreatic (GEP-NET) and pulmonary tract (PNET). The incidence of thymic neuroendocrine tumors (TNET) is rare, accounting for less than 5% of thymic and mediastinal malignancies, and 0.4% of all neuroendocrine tumors. Case presentation: A 57-year-old man came to RSUP Dr. Mohammad Hoesin Palembang with complaints of coughing, bluish and curved blood vessels in the chest, and shortness of breath during activities that have been getting worse for six months. CT scan showed a tumor measuring 18.6 x 11.7 x 11 cm in the anterior mediastinum and pressing on the superior vena cava and abdominal aorta. TTNA and core biopsy with CT guidance showed NET Grade 2, mitoses 6/2 mm2, positive tumor cells with immunohistochemistry for synaptophysin, chromogranin, CD 56, AE1/AE3, and Ki67 9%. The patient received paclitaxel and carboplatin chemotherapy for 6 cycles. Conclusion: The prognosis for atypical carcinoid patients is 20-80% for a 5-year survival rate. Appropriate patient management is needed to improve the outcome of patients with primary thymic atypical carcinoid (NET, grade 2).
Effectiveness and Efficiency of Using LINAC Precise and Cobalt-60 Medical Devices at Dr. Mohammad Hoesin Hospital Palembang Widyastuti, Aulia; Masdahlena
Jurnal RSMH Palembang Vol. 3 No. 2 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i2.58

Abstract

Hospitals are social institutions that provide quality health services to every customer. To meet expected service standards, hospitals should have effective procurement of medical equipment. This study aims to evaluate the effectiveness and efficiency of utilities in the use of medical devices in supporting services at RSUP Dr. Mohammad Hoesin Palembang, with descriptive analytical research using quantitative methods with a cross sectional research design. The research results show that there is a significant difference between the Break Event Point (BEP) value before and after purchasing the Cobalt 60 aircraft from the target of 90 patients per day to 87 patients per day, and there is a significant difference between the BEP value before and after purchasing the Precise LINAC aircraft from the target of 70 patients per day to 55 patients per day. Based on the calculation of the effectiveness and efficiency of the utility of using the Cobalt 60 and Linac Precise aircraft, it can be concluded that the utility of using the Cobalt 60 aircraft at RSUP Dr. Mohammad Hoesin Hospital Palembang is considered ineffective (50%) but efficient (70.88%) with a BEP value of 5.5 years; while the utility of using the Linac Precise aircraft at RSUP Dr. Mohammad Hoesin Hospital Palembang is considered effective (113%) and efficient (51.77%) with a BEP value of 4.1 years. The data above shows that hospitals experienced slight losses due to the Covid-19 pandemic because the number of patients using medical equipment did not reach the target, but hospitals were able to manage expenditure well so that there was a decrease in the efficiency ratio every year in the procurement of medical equipment.
Evaluation of the operation scheduling application (SIJO) in an effort to reduce the number of cancellation of operations at Dr. Mohammad Hoesin Hospital Palembang Masdahlena; Aulia Widyastuti
Jurnal RSMH Palembang Vol. 5 No. 1 (2024): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v5i1.60

Abstract

The high rate of surgical cancellation has an impact on the low hospital performance assessment. Based on the results of the first semester achievement of 8.75% with a score of 0.5, it shows that it is far from the target achievement < 1%. This study aims to evaluate the application of the SIJO application in an effort to reduce the cancellation rate at Dr. Mohammad Hoesin Palembang Hospital using mixed methods with a quantitative research design using cross-sectional and qualitative research design using Miles and Huberman. The results of quantitative research showed that there was a significant relationship between the number of cancelled operations with laboratory results (COVID-19) (p-value 0.0001); did not get anesthesiologist approval (p-value 0.0001); ICU room availability (p-value 0.017); and blood availability (p-value 0.0001), and there was an insignificant relationship between the number of cancelled operations and the unavailability of pharmaceutical equipment (p-value 0.227). From the results of qualitative analysis conducted by in-depth interviews with research respondents, it is known that the Operation Scheduling Application (SIJO) is useful in the regularity of scheduling operations, effective in reducing the number of canceled operations. The most common obstacles encountered in using the SIJO application are swab results that sometimes do not appear automatically which have an impact on the operation scheduling process, the passwords of all users are the same so that misuse of SIJO accounts can occur and the slow RSMH internet network.
Correlation between the Pre-Analytical Stage and Quality of Breast Histopathology Specimen Kurniawaty, Nyiayu Fauziah; Krisna Murti; Nora Ramkita; Sandria
Jurnal RSMH Palembang Vol. 5 No. 1 (2024): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v5i1.61

Abstract

The histopathology preparations procedure in the Anatomic Pathology Laboratory consists of three stages: pre-analytic, analytical and post-analytic. Errors in the pre-analytic process can affect the quality of histopathology preparations, thereby affecting diagnosis and patient management. The length of fixation and the large size of tissue lamellae are variables in the pre-analytic process that influence the quality of histopathological preparations. The aim of this study is to determine the relationship between the length of fixation and the size of large tissue lamellae on the quality of histopathological preparation. A cross-sectional study was conducted on medical record data of histopathological examination of breast tissue examined at the Barokah Palembang Anatomical Pathology Laboratory between January - December 2022. There were 37 cases of histopathological specimens that met the inclusion criteria, of which 3 cases were underfixed, 13 cases were overfixed and the rest were normal. One case from the underfixation, 20 cases from the normal fixation and 3 from the overfixation group were included in the good specimen quality category. The Spearman test showed that there was a significant relationship between normal fixation and good specimen quality (p=0.00217). Of the 37 research subjects, there were 18 subjects who were categorized as good lamellation. When related to specimen quality, good lamellation is associated with good specimen quality (p=0.02161). The correct fixation and lamellation during the pre-analytic phase are associated with good specimen quality.
Impact of Particulate Matter 2.5 in Acne Vulgaris: A Literature Review Afren I; Kurniawati Y; Diba S; Aryani IA; Argentina F
Jurnal RSMH Palembang Vol. 5 No. 1 (2024): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v5i1.62

Abstract

Air pollution is the contamination of any chemical, physical or biological agent that alters the characteristics of the atmosphere. The main environmental pollutants consist of nitrogen dioxide (NO2), sulfur dioxide (SO2), carbon monoxide (CO), heavy metals, particulate matter (PM)10 and PM2.5. Particulate matter is a heterogeneous mixture of small particles and liquids consisting of organic chemicals, acids, metals, soil or dust particles. Hair has a diameter of 50-70 µm, while PM10 is 2.5-10 µm and PM2.5 is < 2.5 µm. Air pollution can induce or aggravate skin diseases including acne vulgaris. Particulate matter2.5 triggers skin inflammation and stimulates inflammatory acne lesions through lipid peroxidation and Aryl hydrocarbon receptor (AhR) signaling. Interleukin (IL)-1α and IL-8 are elevated in inflammatory lesions of acne compared to normal skin, showing their role in the exacerbation of acne. The main preventive and therapeutic strategies against air pollution-induced skin damage consist of preventing the penetration of air pollutants through the skin and hair follicles, removing pollutants, improving skin barrier function, increasing skin hydration, and reducing inflammation, as well as preventing collagen and elastin degradation.
Effect of Autologous Serum Therapy (AST) as Adjuvant Management in Morphea: A Pilot Study Nopriyati; Hasbiallah Yusuf; Ahmad Ligar Suherman
Jurnal RSMH Palembang Vol. 5 No. 1 (2024): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v5i1.63

Abstract

Morphea, or localized scleroderma, is a chronic autoimmune disease characterized by sclerosis of the skin, subcutaneous tissue, and bones. Morphea therapy targets the inflammatory component, cytokine release and collagen activation and deposition. The mechanism of action of autologous serum therapy (AST) is based on the principle of induction of desensitization or tolerance to pro-inflammatory signals. The patient's clinical improvement criteria were calculated using the localized scleroderma cutaneous assessment tool (LoSCAT) based on physical examination. This study used a one group pre-test – post-test experimental design on morphea patients at the Dermatology, Venereology, and Aesthetics (DVE) Polyclinic, Allergy and Immunology Subdivision in Dr. Mohammad Hoesin General Hosptial (RSMH) Palembang in May-October 2023. This study included 7 morphea patients who met the inclusion criteria for AST injection in 8 weeks duration. The Dermatology Life Quality Index (DLQI) assessment carried out before the AST and after the 8th AST showed that all patients experienced improvements in quality of life after 8 weeks. There was a decrease in LoSCAT scores in 5 patients (71.4%), while there was no change in LoSCAT scores in 2 patients (28.6%). Side effects of pain at the AST injection site in 3 patients (42.8%) were tolerable without painkillers, while other patients did not experience any side effects. The paired T-test statistical test on patients before AST and after AST treatment for 8 weeks showed that there was a significant difference in the mean DLQI and LoSCAT with p-value respectively 0.003 and 0.032. There is a significant difference in the mean DLQI and LoSCAT in study patients before AST and after AST for 8 weeks. There were side effects in the form of local pain at the AST injection area in 3 patients which were well tolerated without painkillers.
Resistance Patterns in Drug-Resistant Pulmonary Tuberculosis Patients at Dr. Mohammad Hoesin Palembang Hospital Muhammad Novran Chalik; Alif Fathurrachman; Linda Andriani; Rouly Pasaribu; Sudarto; Ahmad, Zen; Ahmad Rasyid
Jurnal RSMH Palembang Vol. 5 No. 1 (2024): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v5i1.64

Abstract

Tuberculosis (TB) is a contagious infectious disease caused by acid-resistant bacteria, Mycobacterium Tuberculosis (MTb). Based on immunity, there are two types of pulmonary TB infection: drug-sensitive and drug-resistant. Based on ATD sensitization tests, MTb resistance types consist of TB that is monoresistant, polyresistant, multidrug resistance (MDR), pre-extensively drug resistant (Pre-XDR), extensively drug-resistant (XDR). Globally, in 2022, there will be an estimated 450,000 cases of DR-TB, but only 161,000 treated. In Indonesia, in 2022, there were an estimated 24,000 cases of DR-TB; only 8,268 were notified and 5,082 cases had started therapy. In this study, conducted with a retrospective descriptive method, during the period 2022 at RSMH Palembang, 92 patients with DR-TB were obtained who received treatment at RSMH Palembang. Of the 92 subjects, the mean age of diagnosis of DR-TB was 44.47 ± 16.5. The most common gender was male 62 subjects (67.4%) and 30 subjects were female (32.6%). Of the 92 rifampicin-resistant patients, there were a total of 39 patients (42.4%) with isoniazid resistance. Among these 39 patients, 21 patients (54%) were primary resistance cases and 18 patients (46%) were secondary resistance cases. The most common type of therapy regimen used was a long-term regimen as many as 68 subjects (74%) and short-term as many as 24 subjects (26%)Primary resistance patterns were obtained in 43 subjects (46.8%) and secondary resistance in 49 subjects (53.2%). Of the 49 secondary resistance subjects, 52 subjects (56.5%) had TB-RR, 33 subjects (35.8%) had MDR-TB, 6 subjects (6.5%) had pre-XDR TB, and 1 subject (1.2%) had XDR-TB. The researcher concluded that the dominant resistance pattern of pulmonary TB cases was secondary resistance, with the results of the drug sensitivity test being TB-RR. However, it should be noted that DR-TB with a primary resistance pattern also has a higher percentage.

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