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Jurnal Kedokteran Brawijaya
Published by Universitas Brawijaya
ISSN : 02169347     EISSN : 23380772     DOI : http://dx.doi.org/10.21776/ub.jkb
Core Subject : Health,
Medicine & Pharmacology
JKB contains articles from research that focus on basic medicine, clinical medicine, epidemiology, and preventive medicine (social medicine).
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 782 Documents
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Factors of Incomplete Inpatient Medical Records Filling at Dr. H. Slamet Martodirdjo Regional General Hospital Pamekasan Fajar, Achmad; Holipah, Holipah; Handayani, Ike
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.4s

Abstract

Hospitals have an important role in improving health status by providing quality services, including complete medical record data and information. Complete and accurate medical records can be used for health care and patient treatment, evidence in law enforcement, medical discipline and medical ethics, educational and research purposes, basis of payment for health care costs, and health statistical data. This study aimed to identify the factors causing the incomplete filling of inpatient medical records at Dr. H. Slamet Martodirdjo Regional General Hospital Pamekasan. This research applied the descriptive observational method, with data collected through secondary data analysis using document studies and problem exploration using focus group discussions (FGD). The document study was conducted on 80 samples of inpatient medical records, while the FGD was conducted by inviting the head of the planning department, medical records officer, and 8 heads of inpatient wards to find out the causes and solutions for incomplete medical record files. The study results found that the number of incomplete medical records was 76.25%, with the highest percentage of incompleteness due to doctors, pharmacists, and nurses. The main problem causing the incompleteness of medical records was professional caregivers (PPA) who lacked discipline. The solutions obtained were management meetings and evaluations to professional caregivers, constructing policies that regulate reward and punishment systems, monitoring the checklists of medical record completeness, and routine evaluation of medical record files.
Root Cause Identification of Incomplete Medical Records Filing in Outpatient Clinic at Hospital X Malang City Perdana, Yudha; Imam, Cecilia Widijati; Al Rasyid, Harun
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.5s

Abstract

Completeness of medical records is one indicator of the quality of health services in hospitals. The completeness of medical records at X Hospital still does not meet the national standards that have been set. The purpose of this study was to identify the root cause of the incompleteness of the outpatient medical record document at Hospital X Malang City. This study used a descriptive research design by reviewing medical record documents and FGDs. Document review was conducted on 111 medical records taken by random sampling. Identification of the root of the problem is carried out through FGD activities by applying the 5 Why's. The results of the FGD showed that there were three factors that contributed to the incompleteness of medical records at X Hospital, namely humans, machines, and methods. The root of the problems identified were not having electronic medical records, the number of patients was not proportional to the allocation of time for doctor's services, medical and nursing assessment sheets were combined into 1 sheet, lack of knowledge of doctor assistants, and quality indicators and telemedicine SOPs that were still not differentiated from outpatient clinics.
Factors Affecting Decreasing Patient Visits at Ob-Gyn Polyclinic of Outpatient Installation of “X” Hospital Suryandewi, Made Ayu Cintya; Dwi Harjayanti, Nofita; Seyijowati, Nanik
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.7s

Abstract

In early 2020, the SARS-CoV-2 or Covid-19 outbreak resulted in decreasing number of patient visits at “X” Hospital. “X” Hospital has set a target of health services in the outpatient installation as many as 5,500 patient visits per month, but the 2020/2021 data showed a downward trend in patient visits, with the most significant decline in the Ob-Gyn polyclinic that reached 50%. Several factors could cause this decline, including the suboptimal promotion of the hospital's leading programs, a suboptimal response from the customer service officers, specialist doctors who do not only work at “X” Hospital that causes priority clashes, unclear signboards at the hospital, an uncomfortable waiting room at the outpatient polyclinic, patients who often cancel the visits, faulty online registration, and no patient satisfaction measurement in the outpatient installation. These situations will eventually cause increasing operational costs. This study aimed to determine the factors that caused decreasing patient visits at the Ob-Gyn polyclinic of “X” Hospital. This research used questionnaires distributed to patients in the Ob-Gyn polyclinic totaling 135 respondents and google forms distributed to the employees of “X” Hospital. The collected data were processed using descriptive statistics. From the study results, the three main factors that caused the decreasing patient visits are the suboptimal promotion of the hospital's leading programs, the suboptimal response of the customer service officers, and the absence of patient satisfaction measurement at the outpatient installation.
Complaint Management Performed at X Public Hospital in Indonesia Nugraha, Reza; Wulandari, Maulina Pia; Kriyantono, Rachmat
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.18s

Abstract

Health consumers or patients become aware of their health literacy by obtaining, processing, understanding, and communicating health-related information when they come to health decisions. However, background knowledge obtained would set patients' expectations and satisfaction, and the expression of patients' expectation gap that creates dissatisfaction or concern with a service provided is called complaint. This present study aimed to obtain a comprehensive understanding about the role and activities of public relations on patient complaint management at X public hospital in Indonesia. This research applied a qualitative method using the purposive sampling technique. The research finding showed that the informants at the hospital lacked communication and public relations knowledge, and no training was given to the staff involved in communication matters. This absence of an academic foundation to guide the work directly affects the professionalism of the public relations manager, especially during managing complaints and making policies. As a result, the public relations department of the hospital did not have a direct channel for the patients to register their complaints, and the only indirect patient complaint facility aimed at the public relations was not managed by the public relations department. In short, this study shows that the public relations manager did not have a management role on the complaint management at the hospital, which consequently brings a snowball effect to the overall management of complaints due to the practices of encroachment, and the hospital must provide more training and professional coaching to bring back the role and functions of public relations.
The Potential of Shell Extract as a Hemostasis and Wound Healing Agent: A Literature Review Erlyn, Putri; Irfannuddin, Irfannuddin; Murti, Krisna; Lesbani, Aldes
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.033.01.6

Abstract

Hemostasis is an emergency medical treatment to reduce pain and patient mortality, therefore research is being developed to find effective hemostasis. The utilization of natural materials for hemostasis and wound healing is rapidly expanding, including chitosan found in shell extracts. Chitosan is obtained from chitin found in the soft shells of marine animals such as squid, shrimp, and crabs, or from hard shells such as clams, crabs, and lobsters. Chitosan offers advantages such as good biodegradability, biocompatibility, and non-toxicity, and has been widely used in biomedical, chemical, food, and cosmetic industries. This literature review aims to investigate the potential of shell extracts, particularly the characteristics of chitosan, in wound healing across hemostasis, inflammation, proliferation, and remodeling stages. The study results indicate that extracts from shells containing chitosan exhibit varying characteristics in terms of molecular weight and degree of deacetylation. Chitosan with higher molecular weight and degree of deacetylation tends to yield better outcomes in hemostasis and wound healing. The material is effective in reducing antithrombin, enhancing blood clotting processes, and aiding clot formation. Increased molecular weight contributes to stimulating various cytokines, such as TNF-α, TGF-ß1, and FGF2, which play a key role in the wound healing process. Additionally, higher degree of deacetylation chitosan is effective in stimulating fibroblast proliferation. Chitosan also influences VEGF in inducing angiogenesis and enhancing neovascularization in bone healing. Chitosan from shell extracts with certain molecular weight characteristics and degree of deacetylation has the potential to be the material of choice for accelerating hemostasis and wound healing.
Conservative Management of Early Grade Unilateral Reinke's Edema with Laryngopharyngeal Reflux Rahardjo, Sutji Pratiwi
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.033.01.10

Abstract

Reinke's edema is described as fluid-filled vocal folds in the Reinke's space. Unilateral cases are uncommon and might caused by gastrointestinal reflux. We report a 61-year-old man with complaints of hoarseness since one year ago, which was getting worse for the past two months. Examination of the reflux symptom index (RSI) obtained a score of 23 and reflux finding score (RFS) score of 11. Examination of the flexible fiber laryngoscopy showed that the right vocal fold size was thicker than the contralateral side, greyish in color, soft, and did not bleed easily. The patient was then given conservative therapy with proton pump inhibitors (PPIs), corticosteroids, and mucolytics, accompanied by lifestyle modifications. Clinical improvement was found at four weeks of evaluation. In conclusion, the response to conservative therapy and elimination of risk factors for early-stage Reinke's edema contributes well to disease recovery, particularly those caused by laryngopharyngeal reflux.
The Effect of Social Support on Adolescent Mental Health: Literatur Review Harahap, Ana Pujianti; Daramusseng, Andi; Choirunissa, Risza; Nugraheni, Sri Achadi
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.033.01.7

Abstract

Adolescence is a period that experiences many changes in hormonal, physical, psychological, and social aspects. If not controlled properly, these changes can lead to mental disorders in adolescents. This study aims to explore the relationship between social support and adolescent mental health through literature review. The review analyzed articles sourced from Google Scholar, PubMed, and ScienceDirect as a database with a range of publications between 2012-2022 using the keywords mental health, social support, and adolescents. There were 13 articles that met the inclusion criteria. The result showed that adolescents' mental health is largely determined by the social support surrounding them. Adolescents who lack social support from their families, teachers, and peers will result in bad effects of their mental health. The social support of the nuclear family, especially parents, played a very important role in adolescent mental health. In addition, the factor of the history of adolescents also needed to be considered as a risk factor. Therefore, there is a need for interventions in understanding social support to families, teachers, and adolescents, as well as further research in this topic.
Clinical Profile and Prognostic Factors of Mortality in Elderly Covid-19 at Ansari Saleh Hospital Agung SNC, Wiwit; Khairina, Ana; Erianty, Erni
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.13

Abstract

Morbidity and mortality of elderly with Covid-19 are higher than in adults. This study aimed to determine the prognostic factors of mortality in elderly with Covid -19. This research was a retrospective cohort study in patients aged 60 years and older with a PCR-confirmed diagnosis of Covid -19 admitted to Ansari Saleh Hospital, South Kalimantan, Indonesia between January to July 2021. Data on age, sex, comorbidities, symptoms, physical examinations, laboratory examinations, chest x-rays, and Covid severity degree were collected, univariate and multivariate analyses performed to determine the independent prognostic factors. The research results showed 209 samples met the criteria. The average age was 66,94 years, dominated by men (57.9%). The most common comorbidities were hypertension (48.8%), diabetes mellitus (35.4%), and chronic heart failure (8.1%). The most frequent symptoms were dyspnea (79.9%), cough (74.2%), and fever (56.5%). Patients treated mostly had severe/critical degree of Covid -19 (140 patients, or 67%). The results of multivariate logistic regression analysis on the variables of respiratory rate (p=0.009; OR=1.1), NLR level (p=0.002; OR=1.081), age (p=0.025; OR=2.479) and Covid severity degree (p=0.008; OR=8.206) showed significant results as independent prognostic factors of mortality. Covid severity degree variable has the highest prognostic level; patients with severe Covid degree have an 8.206 times higher chance of death than mild-to-moderate degrees. In conclusion, respiratory rate, NLR level, age, and Covid severity degree can act as prognostic factors of mortality in elderly suffering from Covid-19.
Antibacterial and Antifungal Properties of Citronella oil Against Streptococcus mutans and Candida albicans by In Vitro Study Sugiaman, Vinna Kurniwati; Widowati, Wahyu; Widya Kusuma, Hanna Sari Widya Kusuma; Salsabila, Nindia; Rizal, Rizal
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.1

Abstract

Streptococcus mutans and Candida albicans are the main microorganisms that cause dental cavities. It can cause infection, damaged tissue around teeth, abscesses, and focal infection to other organs in the body. Natural products are currently widely used as products or as additives in the prevention of dental caries which have more anti-bacterial and anti-fungal activities than antibiotics that can cause resistance. Citronella (Cymbopogon citratus) is abundant and easy to grow. This study was conducted to determine the effectiveness of citronella (Cymbopogon citratus) oil on the growth of S. mutans and C. albicans microorganisms by Minimum Inhibitory Content (MIC) and Minimum Bactericidal Content (MBC). The method of MIC is broth microdilution by making chlorhexidine concentration levels of 100%, 50%, 25%, 12.5%, 6.25%, 3.125%, and 0.2% with 4 replications each. The MIC value was determined based on absorbance spectrophotometry and the MBC value was determined from the agar plate using the spread method. Biofilm eradication test was conducted by crystal-violet staining and measuring the absorbance. The results of MIC and MBC were obtained on S. mutans, namely at concentrations of 25% and 100%, respectively. Meanwhile, the results of MIC and MBC on C. albicans were obtained at concentrations of 50% and 100%, respectively. Furthermore, the citronella oil has antibacterial and antifungal activities.
Promising Anthelmintic Properties of Papaya (Carica Papaya) Extract: A Literature Study An-Nisa, Syanur; Putri, Silma Amalia; Affandi, M Luqman; Pawestri, Aulia Rahmi
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.8

Abstract

Helminthiasis is a lurking health issue worldwide. Currently, available anthelmintics focus on the benzimidazole group, despite their side effects and threats of anthelmintic resistance. Therefore, exploration of novel compounds with anthelmintic properties is crucial. Papaya (Carica papaya) contains active compounds with prospective anthelmintic properties. This literature review discusses the potential of papaya as an anthelmintic agent. We screened publications from indexed journals in English and Indonesian published between 2013–2023 covering topics of C. papaya active compounds and their anthelmintic properties. Seeds, leaves, bark, and stems of papaya showed various degrees of anthelmintic properties. Studies reported its efficacy against several helminth species with good safety profiles. C. papaya extract can be a promising anthelmintic candidate. Aside from its abundance, its effectiveness and safety yielded satisfactory results. Further research is needed to elicit the mechanism of C. papaya as a novel therapeutic modality for parasitic infections.

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