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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 63 Documents
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Overview of TB Patient Compliance for Control during the Covid-19 Pandemic at the UGM RSA TB Clinic Herfis Avidati; Suci Wahyu Harianto; Undatun Ulfah; Arinda Nia Nurlaily; Krista Dyah Tejaningrum
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.94959

Abstract

Tuberculosis (TB) is a public health problem that is a global challenge and is the third leading cause of death in Indonesia and the first leading cause of death due to infectious diseases. Based on data from the Ministry of Health of the Republic of Indonesia, there has been a decrease in the number of TB cases found and treated. As one of the strategies to control risk factors for TB disease transmission, RSA UGM provides a special clinic for TB patients whose rooms meet national standards. However, several times researchers found that there were still TB patients who controlled outside the TB clinic schedule so that they mingled with non-TB patients, which resulted in increasing the risk of TB disease transmission to patients visiting the UGM Hospital. The World Health Organization (WHO) declared Covid-19 a pandemic on 9 March 2020. This has caused public fear to visit health facilities. This study aims to determine the level of compliance of TB patient visits during the Covid-19 pandemic at the UGM RSA TB Clinic. This descriptive observational study used secondary data, with a total sampling technique and analyses using univariate analysis. Of the 40 samples that met the inclusion and exclusion criteria, 92.5% of patients were in the productive age range (18-65 years), mostly male (70%). The proportion of patients with pulmonary TB was 62.5% and the remaining 37.5% were extra- pulmonary TB patients. There was an increase in adherence of TB patients to control at the TB clinic and on schedule from month 1 to the following months.
The Effect of Bilateral Orchiectomy on Total Prostate Specific Antigen (TPSA) Levels in Prostate Adenocarcinoma Patients WIKAN KURNIAWAN Sp.U
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.98565

Abstract

AbstractBackground: Hormonal therapy is one treatment option for prostate cancer. There are two main categories of hormone therapy: surgical therapy and non-surgical therapy.  Orchiectomy is the surgical method of hormone therapy; medication supplementation is the non-surgical method. Many kinds of indicators are used to track the advancement of patients with prostate cancer receiving hormone therapy. tPSA levels are one of the markers that are regularly evaluated.Methods: In this retrospective study, PSA levels in patients with prostate adenocarcinoma cancer were evaluated before and after bilateral orchiectomy.  Use the search terms "prostate cancer" and "orchiectomy" to find research subject data in the UGM Academic Hospital's medical records installation between 2020 and 2023. The study's findings will be shown in a graphic and statistical analysis while protecting the subjects' anonymity.Results: Most of the participants (n=18, 60.0%) have pre-orchiectomy tPSA level of more than 30 ng/mL, while only almost a quarter (n=7, 23.3%) of participants have post-orchiectomy tPSA level of more than 30 ng/mL. The two research groups (p<0.0001) before and after the orchiectomy procedure, significantly differ between the two research groups based on Wilcoxon paired sample test analysis.Conclusion: TPSA levels are considerably decreased by bilateral orchiectomy.  
Clinical Profile of Impaired Hearing in Children with Autism Spectrum Disorder (ASD) at UGM Academic Hospital Lestari, Ade Febrina; Sitaresmi, Mei Neni; Wibowo, Anton Sony; Sari, Shinta Kusumalarna; Ridhayanti, Firda
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.98785

Abstract

Background: Hearing tolerance is impaired in children with Autism Spectrum Disorder (ASD), which can affect social and academic functioning. This study aims to describe the clinical profile of hearing impairments in children with ASD and determine the prevalence of such impairments. Method: A cross-sectional study was conducted at Academic Hospital UGM on pediatric ASD patients aged 18 months to 12 years who underwent hearing exams like BERA (brain-evoked response auditory) and/or audiometry. ASD severity was assessed using the Childhood Autism Rating Scale (CARS) and a questionnaire on demographics and comorbidities, followed by BERA tests. Results:  A total of 41 ASD children were obtained, with 31 children (76%) being boys and an average diagnosis age of 3.3 years (±1.3 SD). Hearing loss was suffered by 4 children (10%) and 37 children (90%) did not experience hearing loss. Sound sensitivity and degree of ASD correlated with head banging (p=0.01), and male gender correlated with hearing loss (P=0.006). CARS score was statistically associated with sound sensitivity (p=0.041) and degree of ASD (<0.001). Conclusion: Children diagnosed with ASD face an increased susceptibility to communication impairments which can be attributed to hearing impairments. This issue warrants particular attention in the context of ASD, highlighting the necessity for thorough screening of hearing capabilities.
A Study on Lung Cancer Chemotherapy Regimen Administration at Universitas Gadjah Mada Academic Hospital Oktariyanto, Efel Erlambang; Yasin, Nanang Munif; Puspitasari, Ika
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.99663

Abstract

Background: One of the main ways to treat lung cancer is through chemotherapy regimens. Due to the complexity of lung cancer pathophysiology, the variability of chemotherapy given tends to cause drug interactions and toxicity in patients.Objective: Based on this, this study aims to determine the characteristics of lung cancer patients and identify chemotherapy administration patterns based on the NCCN therapy guidelines, identify interactions and side effects of chemotherapy that occur in patients diagnosed with lung cancer who are undergoing outpatient therapy at the Universitas Gadjah Mada Academic Hospital.Method: This research was carried out with a case-series design, namely by conducting a study using descriptive methods that provide an overview of patient characteristics, chemotherapy regimen patterns and their conformity to NCCN guidelines, potential drug-drug interactions (DDIs), and the incidence of side effects experienced by patients. Data was collected retrospectively through medical records of lung cancer patients undergoing outpatient treatment in the period April 2022 – April 2023 who met the inclusion and exclusion criteria.Result: There were a total of 27 patients in this study with patient characteristics predominantly in the elderly age range (> 60 years), 18 patients (66.7%), with exon 19 mutation NSCLC lung cancer type (n = 13; 92.6%), stage IV (n = 25 ; 92.6%), as well as non-smoking patients (n = 15 ; 55.6%). Chemotherapy regimen patterns at Gadjah Mada University Academic Hospital for lung cancer patients included afatinib (n = 14; 51.9%), gefitinib (n = 12; 44.4%), and cisplatin pemetrexed (n = 1; 3.7 %) with conformity reaching 100% in the accuracy of indications, dosage and usage information. In this study, it was identified that there were 2 Potential DDIs that occurred in 1 patient (3.7%) with respective risks, namely C and B which included cisplatin-furosemide and cisplatin-ondansetron interactions. Side effects were known to occur in almost all patients (n = 23; 85.2%) where side effects in the form of skin toxicity and diarrhoea were the two most frequently identified types of side effects with a percentage of 59.3% (n = 16). and 40.7% (n = 11).Conclusion: More than 90% of NSCLC showed exon 19 mutation. The most chemotherapy given to the patients was afatinib. There were a potential interaction between cisplatin and either furosemide or ondansetron.
Predictive Value of Tumor Size on The Incidence of Peritumoral Edema on Pre-Surgery Head Mri of Meningioma Patients Pangestu, Rahmawati Dianing; Faisal, Arif; Utomo, Bambang Purwanto
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.100033

Abstract

Background : Peritumoral brain edema (PTBE) of meningioma causes morbidity, poor clinical outcomes and complicates surgery. Tumor size correlates with the incidence of PTBE. However, the threshold value for tumor size that cause PTBE in meningioma has not been widely studied. Objective: To determine the threshold value for meningioma size that can predict the incidence of peritumoral edema in general and based on specific intracranial locations on pre-operative head MRI.Methods: This is a cross sectional study on patients with intracranial meningioma who had undergone head MRI imaging at Dr.Sardjito Hospital in the period of 2018-2022 retrospectively. An analysis was carried out to find the threshold value for meningioma size and the prevalence ratio to predict the incidence of PTBE. Results: The cut-off volume for intracranial meningioma was >44 cm3 with RP of 3.61 (p=0.01) in general. Simultaneously, large tumor volume (≥44 cm3) has the strongest correlation to the incidence of peritumoral edema (p=0.01). The cut-off volume for meningioma in supratentorial non-skull base was >22 cm3 with RP of 2.54, while in supratentorial skull base was >54 cm3 with RP of 23.33 (p=0.01). The cut off volume for meningioma in infratentorial region was >19.75 cm3 with RP 3.0 (p=0.52). Conclusion: The cut-off value for intracranial meningioma volume to predict the incidence of peritumoral edema is 44 cm3. There are differences in the cut-off values of meningioma volume and prevalence ratios based on specific intracranial locations to predict the incidence of PTBE in meningioma.
Qualitative analysis of Indonesian hospital pharmacist’s perceptions of their roles and behaviour during the covid-19 pandemic Prasetyaningrum, Dina Ayu; Purwonugroho, Tunggul Adi; Mustikaningtia, Ika; Ilma, Dewi Latifatul; Sholihat, Nia Kurnia; Maharani, Laksmi
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.100052

Abstract

AbstractBackground: Pharmacists are health workers who play an important role in dealing with COVID-19 pandemic problems. This study explored the hospital pharmacist's perception of their roles and behaviours and the influence factors during the COVID-19 pandemic period.Material and Methods: The research was conducted using phenomenological qualitative methods through in-depth online interviews using an online meetings platform. Informants were taken until the data was saturated. Credibility tests by member checking, dependability, and confirmability tests were performed to ensure data validity. The results of the interviews then were analyzed by thematic analysis.Results: Eight informants were included with 5 emerging themes revealed from this study. The theme consists of the pharmacist's high commitment to his important role as a team member of the healthcare provider in providing the best service by adapting their services, ensuring rational therapy for COVID-19 patients, and maintaining the availability of medicines, medical devices, and consumable medical materials. Furthermore, pharmacists described some innovation strategies, like drug delivery for outpatients and telepharmacy services. The supporting factors for pharmacists in their services were interprofessional collaboration between pharmacists and other healthcare providers. Support from colleagues, hospital management, government, donations and technology were also revealed as positive factors. The barrier factors included uncertain pandemic conditions, pharmacists who were exposed to the virus and the mental health condition of healthcare professionals during the pandemic.Conclusion: Pharmacists have a strong commitment to playing a crucial part in the healthcare team in offering the most treatment possible and providing management work. They created some innovative initiatives to tackle the COVID-19 burden. Supportive and barrier factors that affect pharmacist performance during pandemics were also disclosed and examined in this paper.Keywords:  
Modification of Gloves for Water Cushion As An Injury Prevention During Tumor Removal Procedure in Prone Position: Case Report Lestari, Listya Puji; Aulawi, Khudazi; Subekti, Tri
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.100102

Abstract

Background: Surgery in the prone position has been associated with various complications such as facial edema, pressure ulcers, and eye problems.  It is important to prevent complications during prone position with head support. Modification of water cushions made from gloves to protect the facial area is often done, but needs to be considered between the benefits and risks to patient safety.Case: A 29 year old woman with a tumor of the occipital region. The patient underwent tumor removal surgery in a prone position for +/- 9 hours. During the operation, the patient uses water cushions from the glove that are placed on the forehead and two sides of the eye. The cushion burst during positioning and in the middle of the operation a water cushion fell. After surgery, the patient complained of blurred vision and facial swelling for 2-3 days.Conclusion: The cushion modification of gloves has the benefit of protecting the bony prominences of the face. Apart from that, the risks of using this modification need to be taken into account, such as the risk of contamination, risk of injury if the placement is uncorrect, and injury also can arise if the cushions shifts or falls due to poor fixation. The modifications can be improved by replacing the gloves used, the water used, and the level of elasticity of the cushion. They can also use head supports that have been proven effective and improve intraoperative monitoring.
The Level of Mental Health Literacy among Medical Students of Universitas Gadjah Mada: A Study Using Mental Health Literacy Questionnaire-Short Version for Adults (MHLq-SVa) Auliaurrohman, Aufa; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.101154

Abstract

Background: mental health problem is general challenge for today’s and future generation. Prevalence improvement for this problem reveals the importance of early diagnostic in order to improve medication and treatment effectiveness. One of preventive action is by increasing mental health literacy (MHL) that can be measured by applying Mental Health Literacy Short Version for Adults (MHLq-SVa).Objective: To measure level of mental health literacy among medical students of Gadjah Mada University (UGM) also to reveal relation between sociodemographic toward level of literacy.Method: The study is descriptive quantitative with cross-sectional method. The questionnaire was distributed to 102 respondents which were active medical students at UGM with convenience sampling method. The data was analyzed descriptively and statistically by applying One-Way ANOVA dan Mann Whitney U.Result: Level of mental health literacy among medical students of Gadjah Mada University has median value of 72 and average score is 71.0±6.01 with score range of 52-80. The result stated that 56.9% of respondents have high mental health literacy. Results of statistical test showed that years of study and field of study significantly correlate with mental health literacy score with p value less than 0.001. Meanwhile the sociodemographic characteristics of sex (p=0.166), type of residence (p=0.871), monthly expense (p=0.306) and perceived health status (p=0.135) did not show statictically significant correlation with mental health literacy score.Conclusion: Mental health literacy level among medical students of Universitas Gadjah Mada was relatively high and there was correlation between mental health literacy score and years of study and field of study.
Knowledge and Preventive Behavior Toward Gastroesophageal Reflux Disease Among Undergraduate Students at Universitas Gadjah Mada Dayinta, Adella; Widayanti, MPH., Apt., Ph.D., Anna Wahyuni
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.101466

Abstract

Background: Gastroesophageal Reflux Disease (GERD) is a chronic condition characterized by the regurgitation or backflow of stomach contents into the esophagus, which can potentially lead to various complications. This study aims to evaluate the relationship between the level of knowledge and the level of preventive behavior regarding GERD among students at Universitas Gadjah Mada.Materials and methods: A cross-sectional study was conducted using a convenience sampling method, involving 113 students aged 18-25 years, with data collected through a questionnaire. Knowledge about GERD was measured using the Guttman scale, while preventive behavior was assessed using the Likert scale.Results: The results revealed a significant relationship between knowledge and preventive behavior (Pearson Chi-Square value: 8.817, p=0.03). Among the 49 students with poor knowledge, 59.2% exhibited poor preventive behaviors, while 68.8% of the 64 students with good knowledge demonstrated good preventive behaviors.Conclusion: Overall, students with better knowledge of GERD tend to have better preventive behaviors. The study also found a relationship between the academic cluster with levels of knowledge and preventive behaviors. However, other characteristics such as age, sex, semester, history of GERD, living situation (alone or with parents), and monthly allowance were not significantly associated.
The Relationship between Virtual Visits and Family Satisfaction of ICU Patients at UGM Academic Hospital Hidayanto, Muhammad Nur; Pitajeng, Mutik Sri; Sujalmo, Purwadi; Ratnasari, Etika
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.102151

Abstract

Background: The visiting policy to the hospital changed following the pandemic situation. There was a restriction to ICU patients getting visits from their relatives or families during their admission. This policy aimed to prevent transmission and optimize care for patients. An online visit was implemented to provide a visit experience to patients and their families during ICU hospitalization. Visitation was associated with family satisfaction of ICU patients but an analysis of the relationships between virtual visits and family satisfaction in ICU has not been conducted. Identify relationships between online visit and  patient’s family satisfaction with ICU.Materials and methods: An online survey of ICU patients' family members who were admitted to ICU Arjuna 5 RSA UGM in 2020-2022 was done.Results: 34 of 36 family members of ICU patients completed the online survey questionnaire. Most participants experienced online visits (85.3%) and had high levels of satisfaction with the ICU. The average score of their satisfaction with the ICU was  (68.6±21,1). However, the Fisher test between online visits andthe patient’s family satisfaction with ICU resulted in a p-value of=0.56. P value >0.05 meant no significant relationship between both variables.Conclusion: there was no significant relationship between online visits and patient family satisfaction with the ICU. A high level of family satisfaction in the ICU might be influenced by other factors that are required to be studied.

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