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Arif Faisal
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Academic Hospital Journal
Published by Universitas Gadjah Mada
ISSN : 26156245     EISSN : 26156253     DOI : https://doi.org/10.22146/ahj.v5i1.81830
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
The Academic Hospital Journal (AHJ) is an open accessed online journal and comprehensive peer-reviewed that considers articles on a variety range of health issues, clinical and non clinical researches, hospital management, and health technology. AHJ accept original articles and case reports. AHJ will be published two times annually.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 11 Documents
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Search results for , issue "Vol 7, No 2 (2025)" : 11 Documents clear
The Impact Of Adding Notifications For Drug Restriction Information And Digitalization Of Chemotherapy Protocols In Sistema On The Success Of Claiming Oral Antineoplastic Drugs For JKN Outpatients At The Academic Hospital Of Universitas Gadjah Mada Nofiyanti, Nofiyanti; Septiyorini, Hanifah Icsan; Rakhmayanti, Luthfi; Mahmudah, Puri Nur
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.103845

Abstract

Chemotherapy services in the Rumah Sakit Akademik UGM have collaborated with BPJS Kesehatan so that service costs and drug costs can be covered. The success of submitting claims for service and drug costs to the BPJS Kesehatan depends on the compliance of health workers in selecting a treatment regimen based on national formulary guidelines and clinical service guidelines, and taking action for the benefit of establishing a diagnosis and laboratory examination. Electronic prescribing innovations, the addition of drug restriction information notifications based on the Formularium Nasional, and the digitalization of chemotherapy protocols are expected to help reduce problems related to delays in billing costs to BPJS Kesehatan.Method: The method used in this research is an observational method with a cross-sectional research design. The data collected will then be analyzed by comparing before and after the addition of national formulary drug restrictions to electronic prescriptions and protocol digitization with the help of Sistema and claim reports.Result: Research on the impact of adding drug restriction notification information and digitizing chemotherapy protocols in the Sistema system on the success of claims for oral antineoplastic drugs for outpatient JKN patients at Rumah Sakit Akademik Universitas Gadjah Mada found that 95.7% of the submitted cases were successfully verified by BPJS, while 4.3% of oral antineoplastic cases were pending from January to August 2024.Conclusion: The addition of notification for drug restriction information has proven effective in reducing pending oral antineoplastic claims caused by non-compliance with drug restrictions.
Breaking Bad News: Flipped Calendar as a Patient Information Provision Education Media Using the Spikes Method a Universitas Gadjah Mada Academic Hospital Wirastuti, Fita; Effendy, Christantie; Adnan, Nur Fatimah; Satiti, Sekar
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.104337

Abstract

Background: The quality of Breaking Bad News (BBN) communication has a significant impact on patient treatment adherence, emotional condition, understanding, and satisfaction with medical care. Effective communication skills and appropriate communication techniques are essential for providing optimal care. The SPIKES protocol is a communication protocol used as a standard and strategy for delivering difficult patient communication, comprising several stages: setting up, perception, invitation, knowledge, emotions, strategy, and summary.Objective: This study aimed to determine the effect of using the BBN flip chart calendar as educational media, combined with the SPIKES method, at Universitas Gadjah Mada Academic Hospital (UGM Academic Hospital). The specific research objectives were: (a) to understand the perceptions and expectations of doctors and nurses when providing education related to BBN, and (b) to determine the effect of using the BBN flip chart calendar educational media on patients.Method: This study was an experimental investigation to assess the effectiveness of using the BBN flip chart calendar as educational media in conjunction with the SPIKES protocol. The type of research was a quantitative study to understand the implementation of the BBN flip chart educational media at UGM Academic Hospital.Result:  The intervention group and the control group do not show statistically significant differences. The primary reason for these outcomes could be that behavioral changes are difficult to modify with a single communication practice. Continuous evaluation and feedback are needed on the effectiveness of BBN to improve the quality of health workers.
Assessing Antibiotic Stewardship Knowledge Among Healthcare Professionals in an Indonesian Teaching Hospital Taufiqurohman, Taufiqurohman; Tanjung, Rahmadiyah S.; Amalia, Khoirunnisa
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.104539

Abstract

Background: Hospitals all around Indonesia have adopted antimicrobial stewardship. Hospitals were encouraged to adopt the program through required AMS programs as part of hospital accreditation and the implementation of a national policy. Pharmacists actively contribute to the program's implementation, which has a significant impact on hospitals. Additionally, the involvement of other healthcare professionals is crucial for the program's success.Method: The study was conducted at UGM Academic Hospital from June 1 to October 31, 2024. This study design is non-experimental research with an analytical cross-sectional approach, and data collection was conducted prospectively using questionnaires. Respondents are specialist, general practitioners, dentists, pharmacists, and nurses working at UGM Academic Hospital, possess a valid practice license, and are willing to participate as respondents in the study.Result:  The questionnaire was collected from healthcare professionals at UGM Academic Hospital. 91 participants, representatives from three professional groups: nurses/midwives (49.5%), physicians (36.3%), and pharmacists 14.3%). High knowledge scores (reaching the maximum score) on antimicrobial stewardship were achieved by 69.2% (63/91) of the respondents. Compared to nurses/midwives and physicians, pharmacists had a greater mean level of antibiotic stewardship knowledge.Conclusion: Healthcare professionals demonstrated good knowledge of antimicrobial stewardship; however, a few healthcare workers still scored low. A regular training program must be carried out to enhance the antimicrobial stewardship program in the hospital.
A Narrative Review: Augmented Renal Clearance and Its Effect on Drug Therapy Selamet, Ni Made Dwi Antika; Sari, Ika Puspita; Andayani, Tri Murti
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.105634

Abstract

Background: Augmented renal clearance (ARC) is a common condition in critically ill patients, particularly in intensive care units, characterized by enhanced renal elimination. The accelerated elimination of drugs can significantly impact therapeutic efficacy, potentially resulting in suboptimal treatment outcomes. This review aims to provide a comprehensive overview of drugs impacted by ARC, offering a better understanding of the impact of ARC on drug therapy.Method: A narrative review was conducted to explore previous studies from Scopus, PubMed, and ScienceDirect. PRISMA flow chart was used to guide the article selection process.Result:  A total of 14 articles were comprehensively reviewed and discussed regarding drugs affected by ARC, the impact of ARC on the pharmacokinetic/pharmacodynamic properties of drugs, and their clinical outcomes. Classes of drugs affected by ARC include beta-lactam antibiotics, glycopeptide antibiotics, anticoagulants, and anticonvulsants.Conclusion: Antibiotics are the most frequently reported drugs to be impacted by ARC, followed by anticoagulants and anticonvulsants. The impact of ARC on anticoagulants is inconsistent. ARC reduces free drug concentration, requires a higher dose to achieve the therapeutic target, and is associated with a higher risk of treatment failure. However, no significant differences were found in clinical response and mortality compared to non-ARC.
Identifying Factors Influencing Customer Satisfaction in Community Pharmacies: A Systematic Review Widyasari, Leiren Garda; Wiedyaningsih, Chairun; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.105722

Abstract

Background: The paradigm shift from a drug-oriented to a patient-oriented approach requires health facilities to improve the quality of pharmaceutical services. Meeting customer needs and expectations can increase satisfaction and support the achievement of therapeutic goals.Objective: Conduct an in-depth analysis of the available literature to identify customer satisfaction factors towards pharmaceutical services in community pharmacies.Method: A systematic review was conducted by searching articles across three databases: ScienceDirect, Scopus, and PubMed. The search flow is described in the PRISMA Diagram. Inclusion criteria included customer satisfaction with pharmaceutical service articles and research settings in community pharmacies. Exclusion criteria included online or hospital pharmacy articles and review articles, books, theses, dissertations, and reports. Articles are assessed using the Joanna Briggs Institute's critical appraisal instrument.Result:  The findings from the nine articles revealed various factors that influence customer satisfaction, which can be categorized into intangible and tangible factors. Intangible factors include the attitude and communication of pharmacy staff, as well as consultations regarding medications and health conditions. Tangible factors include the facilities and convenience, the availability and variety of medications, prices, and customer demographics.Conclusion: The identified customer satisfaction factors can be useful to increase pharmacy customer loyalty. Thus, it can encourage customers to make repeat orders.
Description Of Giving Blood Supplement Tablets To Donor Haemoglobin Levels in PMI Banyumas Regency Febriana, Gita Dwi; Setyaji, Yoki
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.106000

Abstract

Background: Based on data from the Banyumas Regency PMI for August 2023, it is stated that there are 182 requests for blood products every day, but can only fulfil the demand for blood products at 152 blood bags/day, which means that in one day, the Banyumas Regency PMI still lacks 30 blood bags of blood. Everyday. Therefore, this is the background for UDD PMI Kab. Banyumas to provide additional blood supplements of Fe 60 mg and Folic Acid 0.4 mg to donors who failed due to low haemoglobin levels, namely < 12.5 gr/dL. Giving blood supplement tablets is considered to be able to increase haemoglobin levels more quickly than other vitamin supplements because they contain Fe or iron. The purpose of this study was to determine the increase in haemoglobin levels before and after giving blood supplements to blood donors in UDD PMI Banyumas.Method: This quantitative research uses an analytical observational method (Cross-Sectional Study), with a Purposive sampling technique using the Slovin Formula, resulting in 24 samples. Of the 24 prospective blood donors who failed the HB screening selection, they were given treatment with blood supplements of 5 tablets, which were consumed once a day.Result:  The average result of checking the haemoglobin level before administering the blood supplement was 11.48 gr/dL. After taking the blood supplement, the donor checked the haemoglobin level again, and the average haemoglobin level was 12.57 gr/dL. Based on the results of pre- and post-blood supplement examinations, the results showed an average increase in haemoglobin levels of 1.09 gr/dL.Conclusion: Prospective blood donors who consumed blood supplement tablets, namely Fe 12.45 mg and Folic Acid 0.5 mg, 1 tablet per day for 5 days, experienced an average increase in haemoglobin levels of 1.09 gr/dL.
The Role of TNF-α (Tumor Necrosis Factor-alpha) in Pulmonary Tuberculosis Sulistyasmi, Wiwit; Fuzianingsih, Eka Noviya; Kuncara, Rachmad Bayu
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.106190

Abstract

Background: Tuberculosis (TB) remains a primary global health concern, with Indonesia accounting for approximately 10% of international cases. Tumor necrosis factor-alpha (TNF-α) plays a crucial role in the immune response against Mycobacterium tuberculosis, particularly in pulmonary tuberculosis (TB).Method: This article is a narrative literature review that examines the role of tumor necrosis factor-alpha (TNF-α) in pulmonary tuberculosis.Result:  This pro-inflammatory cytokine is essential for activating macrophages, promoting phagolysosome fusion, and supporting the formation and maintenance of granulomas—immune structures critical for containing infection. However, dysregulated TNF-α expression can be detrimental: excessive levels contribute to inflammation and lung tissue damage, while insufficient production—such as that induced by TNF-α inhibitor therapy—can lead to reactivation of latent TB. This narrative review examines the biosynthesis, immunological functions, and regulatory mechanisms of TNF-α in the context of pulmonary tuberculosis, highlighting its dual role in protective immunity and immunopathology.Conclusion: A deeper understanding of TNF-α modulation may inform the development of targeted, host-directed therapies that improve treatment outcomes while minimizing tissue damage.
Hemoglobin Levels in PRC Blood Products Before and After Shelf Life Period Ranika Puteri, Orchelanesya Avrilia; Setyaji, Yoki; Setyowatiningsih, Lilik
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.106350

Abstract

Background: PRC is a component found in living creatures, which plays an important role in transporting oxygen and metabolic products to body tissues. PRC transfusion is indicated at Hb levels < 7.0 g/dl, especially in patients with acute anemia. In the transfusion process, before there is a request for blood to be transfused, the blood will be stored in a blood bank. A good blood storage process is needed to maintain the quality of blood products so that they are safe for transfusion. During the storage process, hemoglobin levels in the blood can change. The longer blood is stored, the more red blood cells become fragile and lyse, thereby increasing the concentration of hemoglobin in the blood. This study aims to determine and describe the description of hemoglobin levels in pre- and post-PRC blood products during the shelf life at UDD PMI Rembang Regency.Method: This type of research uses analytical descriptive research and a research design with purposive sampling techniques. The samples used in this study were 30 bags of PRC blood, which met the inclusion and exclusion criteria.Result:  The results of this study showed an increase in hemoglobin levels, with the average pre-storage hemoglobin level being 14.99 g/dl, while the average post-storage hemoglobin level was 17.5 g/dl.Conclusion: In this study, there was an average increase in hemoglobin levels of 2.51 g/dl or 16.74%. This could be caused by temperature, storage time, and anticoagulants.
Occupational Health Hazards on Tobacco Farm Workers: A Systematic Review Fakhriya, Dina; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni; Wiedyaningsih, Chairun
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.106781

Abstract

Background: Tobacco farm workers are exposed to numerous occupational health hazards, involving chemical, biological, and physical concerns. These hazards can cause acute and chronic health problems, affecting workers’ well-being and productivity. Objective: This systematic review aims to integrate available information on occupational health hazards among tobacco farm workers, identify important risks, and provide feasible mitigation techniques. Methods: A systematic search was conducted in Scopus, ScienceDirect, and PubMed for studies published between 2015-2023. Inclusion criteria comprised reviewed articles focusing on occupational health hazards among tobacco farm workers. Studies were screened, and data were extracted according to PRISMA guidelines. The Joanna Briggs Institute (JBI) and Mixed Methods Appraisal Tool (MMAT) were used to assess quality for the Critical Appraisal Tool. Results: This review found five studies that highlighted major health hazards, such as green tobacco sickness (GTS) caused by nicotine exposure, pesticide poisoning, respiratory problems, musculoskeletal disease, and cancer. Risk factors include extended exposure, a lack of protective equipment, and poor working conditions were frequently noted. Preventive strategies, such as the use of personal protective equipment (PPE), education programs, and government policies, must be prepared. There are research gaps in long-term health impacts and gender-specific concerns among tobacco farm workers. Conclusion: Tobacco workers face several occupational health hazards, including green tobacco sickness (GTS), pesticide exposure, respiratory illnesses, and ergonomic issues that require several interventions for prevention.
Tunneled Epidural Analgesia for Refractory Scrotal Cancer Pain: A Case-Based Evaluation of Therapeutic Efficacy Nur Azza, Kamala Kan; Tomo, Wahyu Kartiko; Darwito, Darwito; Puspitasari, Ika; Mahmud, Mahmud; Widyastuti, Yunita
Academic Hospital Journal Vol 7, No 2 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i2.109434

Abstract

Background: Scrotal Squamous Cell Carcinoma (SCC) is a rare malignancy. Although SCC typically demonstrates slow progression, in advanced stages with significant size, it can cause considerable pain due to mass effect and local tissue invasion. The management of cancer-related pain encompasses a wide spectrum of approaches, ranging from pharmacologic to surgical interventions. In cases where patients become intolerant to the side effects of pharmacologic therapies and adequate pain relief cannot be achieved, while surgical options are either not feasible, interventional pain management may offer an effective alternative. Tunneled Epidural Analgesia represents one such interventional technique that can be considered for refractory pain. This case report aims to evaluate the efficacy of tunneled epidural analgesia administration in managing intractable pain associated with advanced scrotal SCC.Materials and methods: This case report is structured according to the CARE (Case Report) guideline. The study was conducted at UGM Academic Hospital, where the patient received evaluation and treatment.Case: A 65-year-old male diagnosed with SCC presented experiencing refractory cancer pain. Despite receiving conventional analgesic therapy, he experienced no significant pain relief and developed adverse effects. Pain management was subsequently escalated to an interventional approach using a bupivacaine 0.125% and fentanyl 25 mcg administered via a tunneled epidural drug delivery system. This intervention resulted in effective pain control, enabling him to do daily activities. With this modality, the pain remained well managed, although occasional breakthrough pain occurred, which was successfully managed with 1% lidocaine as a rescue analgesic.Conclusion: Tunneled epidural analgesia using a combination of opioid and bupivacaine has demonstrated effectiveness in the management of refractory scrotal cancer pain.

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