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Denni M Rajagukguk
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INDONESIA
COVID-19 : Journal of Health, Medical Records and Pharmacy
Published by Cv. Devi Tara Innovations
ISSN : -     EISSN : 30324033     DOI : -
Core Subject : Health, Science,
Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
COVID-19 : Journal of Health, Medical Records and Pharmacy is a journal covering the fields of health, Medical Records and Pharmacy with Scope: Health Health Policy and Management, Midwifery, Nursing, Public Health, Critical Care and Intesive Care Medicine, Health Information Technology, Medical Informatics, Occupational Health and Safety, Health Law Medical Record Health Information Management, Health Information System, Health Information Technology, Classification and Codefication of Diagnostic Related Health Problems and Prosedure, Health Quality Information Management. Pharmacy Clinical Pharmacy, Pharmaceutical Chemistry, Pharmaceutics, Community Pharmacy, Pharmacognosy, Phytochemistry, Biology of Pharmacy, Pharmacology, Pharmacy Technology and Pharmaceutics, Clinical Pharmacy and Community, Medicine.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 45 Documents
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Anesthesia Management in Thyroid Tumors Suhety, Indah
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 01 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Thyroid nodules as discrete lesions within the thyroid gland. Nodules in the thyroid gland are detected in approximately 5% to 7% of the adult population by physical examination alone. Thyroid nodules are approximately 4 times more common in women than men Thyroid nodules can be classified as neoplastic and non-neoplastic. The initial evaluation of a patient with a thyroid nodule should include a history, physical examination, thyroid stimulating hormone (TSH) measurement, and thyroid ultrasonography to characterize the nodule. TSH measurement by itself may detect subtle thyroid dysfunction. Diagnostic tests include serum markers, fine needle aspiration (FNA) cytology, genetic markers, immunohistochemical markers, and several imaging modalities, most commonly ultrasonography, but also elastography, MRI, CT, and 18FDG-PET scanning. Thyroidectomy is the most common endocrine surgery. Due to compression on the trachea, airway management can be difficult.[1] Preoperative evaluation and management are critical when planning elective thyroidectomy, where changes in the anatomical location are expected because of a large or substernal goiter. Anatomical changes, laryngeal edema and an inexperienced team can all contribute to difficulty in intubation. The incidence of difficult tracheal intubation (DTI) in the patient population undergoing thyroid surgery varies. Several studies found a similar value for the incidence of DTI (5.3% to 6.8%). Previous studies have evaluated risk factors for DTI in patients undergoing thyroid surgery. Increasing age, high Mallampati score, Grade III or IV Cormack score, reduced mouth opening (<4.4 cm), goiter cancer and tracheal stenosis (≥30%) are independent predictors of DTI. Neck circumference (NC) appears to be an important predictor of DTI.
The Relationship Between Burnout Syndrome In Nurses In Psychiatric Clinics Hasbi, Muhammad
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 01 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Nurses who work in the Psychiatric Clinic are also prone to burnout, where burnout is a problem caused by prolonged work pressure. There are several conditions that people experience burnout, namely emotional saturation, loss of motivation, and reduced commitment which results in a decrease in performance at work. This study is a correlative analytical study with a cross-sectional approach that analyzes the relationship between free and dependent variables using the Maslach-Trisni Burnout Inventory (M-TBI) instrument. The sample was taken by the Non-Probability consecutive sampling method. The study had 6 independent variables, and the sample size was determined based on the highest bivariate relationship. Data analysis was carried out by the Chi-Square test.   Pene; ITI found a relationship between gender (p = 0.001), age (p = 0.021), and job position (p = < 0.001) to burnout syndrome in nurses working in the Psychiatric Clinic. This study found a relationship of burnout syndrome in nurses who care for people with mental problems.
Factors Associated with Mothers’ Participation in Bringing Toddlers (Aged 12–36 Months) to the Integrated Health Post (Posyandu) in Helvetia Village, Sunggal Subdistrict, Deli Serdang Regency Samosir, Yohana; Simamora, Debora Lestari
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 02 (2025): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

The morbidity and mortality rates of mothers and children remain critical public health concerns in Indonesia. Posyandu (Integrated Health Service Post), as a Community-Based Health Effort (UKBM), plays a vital role in child health maintenance, especially through mothers' active participation in bringing their toddlers for health services. This study aims to identify the factors associated with mothers’ activeness in bringing toddlers (aged 12–36 months) to Posyandu in Helvetia Village, Sunggal Subdistrict, Deli Serdang Regency, in 2023. An analytical survey with a cross-sectional approach was employed, involving 72 mothers selected through purposive sampling. Data were collected using questionnaires and analyzed using the chi-square test. The results showed that the majority of mothers (66.7%) were inactive in taking their toddlers to Posyandu. There was a significant relationship between mothers’ activeness and knowledge (p=0.001), employment status (p=0.000), husband’s support (p=0.000), and attitude (p=0.000). Mothers with good knowledge, who were unemployed, received support from their husbands, and had a positive attitude were more likely to actively attend Posyandu. These findings highlight the importance of educational interventions and social support in increasing mothers’ participation in Posyandu, which is essential for optimizing child growth and development.
The Description of Work Stress Among Medical Record Officers in the Coding Section at Haji General Hospital Medan in 2024 Faadyah, Siti; Ritonga, Zulham Andi; Karo Karo, Siddik; Hulu, Delisman
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 02 (2025): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Stress is the result of an imbalance between demands and the resources an individual possesses—the greater the gap, the higher the level of stress experienced, which can pose a threat to well-being. The aim of this study was to describe the work stress experienced by medical record officers in the coding section at Haji General Hospital Medan in 2024. This study employed a qualitative research method. The informants included four individuals: one outpatient coding officer, two inpatient coding officers, and one head of the medical record installation. The findings revealed that the causes of work stress among coding officers included workload, work-related conflicts, inadequate work equipment, and poor working environment. It is recommended that the hospital provide adequate workspace and facilities that ensure comfort for the officers. Additionally, coding officers should pay more attention to task distribution and provide education to other healthcare workers to ensure timely delivery of medical record files for coding. Officers must also maintain effective communication with other healthcare personnel to prevent conflicts and misunderstandings.
Evaluation of Clinical Pathway Implementation for Acute Appendicitis at Mitra Medika General Hospital, Medan Tanjung Mulia, 2022 Liem, John Barker; Siregar, Rabia Ulfa
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 02 (2025): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

This study evaluated the implementation of the Clinical Pathway for acute appendicitis at Mitra Medika General Hospital, Medan Tanjung Mulia, in 2022. The objective was to assess the compliance level of healthcare professionals with the established clinical pathway and to identify factors influencing its application in patient management. A descriptive retrospective design was employed, using medical records of acute appendicitis patients treated during the specified period. Data analysis focused on adherence to diagnostic, therapeutic, and postoperative care standards outlined in the clinical pathway. The results showed that overall compliance was high, particularly in preoperative and operative phases, while postoperative follow-up displayed moderate adherence due to variations in discharge planning and documentation. Factors affecting implementation included staff workload, availability of medical resources, and differences in clinical judgment. It was concluded that the clinical pathway was effectively implemented, although improvements are required to enhance consistency in postoperative care. Strengthening monitoring systems and conducting regular training are recommended to improve adherence and optimize patient outcomes.

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