Abstract:Kidney function disorders refer to a condition where the kidneys' ability to filter metabolic waste from the blood and excrete it through urine is compromised. Cystatin C serves as a sensitive and specific biomarker for…
measuring glomerular filtration rate, accurately reflecting kidney function. This study aims to evaluate Cystatin C levels based on gender among patients with kidney function disorders at the Prodia Cibubur clinic laboratory. The research was conducted from February to March 2023 using a descriptive cross-sectional approach. The sample comprised 120 patients with kidney function disorders selected through total sampling. The findings indicate that 16 patients (13.3%) had normal Cystatin C levels, while 104 patients (86.7%) had elevated Cystatin C levels. Notably, among males, 61 individuals (50.8%) tended to exhibit higher Cystatin C levels, suggesting a greater potential for kidney function disorders due to factors such as activity intensity, body mass influence, and hormonal factors.
Abstract:The examination of hemoglobin levels in the elderly is crucial as iron deficiency or anemia is often found in this age group. Various methods of hemoglobin examination are used in healthcare facilities. This study aims to…
o identify the differences in hemoglobin levels using the Dirui BCC-3600 and Quick Check devices in the elderly population at Puskesmas Biromaru. This research is descriptive-comparative in nature. The sample consisted of 30 patients undergoing hemoglobin examination at the Puskesmas Biromaru laboratory between March 29th and April 30th, 2023. The sampling method used was accidental sampling, with venous blood samples from 30 respondents. The results of the study showed that the average hemoglobin level using the Dirui BCC-3600 device was 12.86 g/dL, while with the Quick Check device it was 11.77 g/dL. Normality testing was conducted using the Shapiro-Wilk test, which yielded a p-value of 0.023. A p-value < 0.05 indicates non-normal data distribution, thus followed by the Mann-Whitney test. The Mann-Whitney test resulted in a significant value (p) = 0.011. In conclusion, there is a significant difference in hemoglobin levels using the Dirui BCC-3600 and Quick Check devices in the elderly.
Abstract:Thalassemia is a blood disorder that is passed down genetically from parents to their children. The body cannot form normal red blood cells resulting in them being damaged easily and having a short life of less than 120…
days and anemia, requiring continuous blood transfusions to maintain hemoglobin levels in the body. A history of repeated blood transfusions can cause excess iron in the body which is characterized by an increase in serum ferritin levels which can cause damage to kidney function by looking at creatinine levels. The purpose of this study was to determine whether there is a relationship between ferritin and creatinine levels in children with thalassemia. This study used a quantitative method with a cross sectional approach. The sampling technique used in this study was the total sampling technique. The sample used was 12 samples. Data processing in this study used the Shapiro-Wilk Normality test and the Pearson Correlation test in bivariate analysis. The results of the analysis of this study indicate that there is no significant relationship between the ferritin and creatinine levels in children with thalassemia where the value of Sig. 0.212 > 0.05 (p> 0.05), and shows a significant negative correlation of -0.389. This study in thalassemia children had high ferrtin levels but creatinine levels were still within normal limits.
Abstract:BPJS services certainly cannot be separated from efforts to maintain service quality standards which at least include service procedures, completion time, service costs, service products, facilities and infrastructure, as…
s well as the competence of service personnel. Therefore, BPJS as an institution that provides health insurance to the public should measure the quality of services provided, especially through the HIS program. The aim of this research is to describe how the Health Insurance Administering Agency (BPJS) provides services at the Merauke Regency Regional General Hospital (RSUD Merauke Regency). The research method used is a qualitative descriptive technique. Based on the research results, the availability of adequate health facilities and equipment at BPJS counters can help officers in carrying out their duties in providing services to BPJS participants and is a factor that influences services at BPJS counters in Merauke-General Region. the affected hospitals are physical evidence. In accessing health services, officers must be sensitive in handling patient complaints and nursing staff must be responsive in resolving complaints from BPJS participants. Apart from that, nurses or civil servants must be punctual and each have an educational background related to BPJS. This applies to both training in the health and non-health sectors and the last is certainty, namely that to get services from BPJS, patients must follow the procedures set out in regional regulations, do not follow
Abstract:Chronic pain represents a major global health burden and often remains resistant to conventional pharmacological treatment, prompting the exploration of alternative therapeutic strategies. Electroencephalographic (EEG) neurofeedback…
eurofeedback has emerged as a non-invasive neuromodulatory intervention that enables patients to self-regulate brain activity and potentially alleviate persistent pain symptoms. This systematic review addresses the research problem of inconsistent evidence regarding the clinical efficacy and underlying mechanisms of EEG-based neurofeedback for chronic pain management in adults. A comprehensive analysis of 80 studies involving adults with chronic pain lasting at least three months was conducted, examining neurofeedback protocols, clinical pain outcomes, neurophysiological changes, secondary benefits, and methodological quality. Findings revealed heterogeneous results, with several studies reporting statistically significant and clinically meaningful pain reduction, particularly in conditions such as chemotherapy-induced neuropathy, fibromyalgia, and chronic back pain. Observed neurophysiological changes, including increased alpha power and modified connectivity in pain-related brain regions, were sometimes associated with clinical improvement, alongside reported benefits in sleep quality, mood, and overall well-being. However, evidence from sham-controlled randomized trials showed no significant differences between intervention and control groups, highlighting methodological limitations and challenges in blinding procedures. The review concludes that EEG neurofeedback is a safe and feasible intervention with potential therapeutic value for chronic pain, although current evidence remains inconsistent. The novelty of this study lies in its integrative evaluation of clinical outcomes, neurophysiological mechanisms, and protocol-specific effects, while emphasizing the need for personalized approaches, biomarker identification, and rigorous experimental designs to clarify efficacy and optimize treatment implementation.
Abstract:Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic respiratory disease that has become a global health concern due to its high morbidity and mortality rates and its impact on patients’ quality of life.…
e. In acute exacerbation conditions, impaired oxygenation becomes a major problem that may be influenced by various factors, including hemoglobin levels as the primary component of oxygen transport in the blood. However, the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD remains inconsistent, particularly in populations exposed to high environmental risk factors. This study aimed to determine the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD hospitalized at RSUD dr. Suhatman MARS Dumai, Kota Dumai. This research employed an analytic observational design with a cross-sectional approach involving 73 patients selected through total sampling based on medical record data. Bivariate analysis using the Spearman correlation test showed no significant relationship between hemoglobin levels and oxygen saturation (r = 0.098; p = 0.412), indicating a very weak and statistically insignificant correlation. The study concluded that hemoglobin levels do not directly influence the oxygenation status of patients with acute exacerbation COPD, where impaired oxygenation is more strongly affected by respiratory factors such as ventilation-perfusion imbalance and structural lung damage. The novelty of this study lies in its empirical evidence demonstrating the limited role of hemoglobin as a predictor of oxygenation in patients with acute exacerbation COPD within a population with specific environmental characteristics, thereby providing a basis for developing more comprehensive clinical approaches in monitoring and managing COPD patients.
Abstract:Physical fitness is a very important part of everyday life and almost everything that’s done depends on the physical member. In order to function properly, it is essential for us to maintain physical health so as not to…
o cause problems and risk illness. In addition to the illness caused by physical activity, it can also be caused by age actors. In the field of health continues to undergo rapid development, one of the breakthroughs that has been used is the use of ultrasonic waves. Ultrasonic waves are the result of mechanical vibrations produced by the movement of isolated molecules in their diffusion media. If tissues receive ultrasound waves, the impact includes biological effects, mechanical effects and thermal effects. Some of the findings that have been established are the application of ultrasound waves to therapies in cases that appear on physical limbs. On this article aims to be able to contribute in the field of health so that it is easier to develop the use of ultrasonic therapy. This article is compiled using a literature review method taken from the references that have been collected. Of all the references collected, ultrasonic waves are used as therapies for some physical function problems. This therapy also collaborates with several paractic methods of health to address the existing problems. Therapy using ultrasonic modality has been shown to reduce pain, muscle cramps and minor injuries. It can be concluded that ultrasound therapy can help deal with patients suffering from disorders in their physical bodies, either to reduce pain or during the recovery process.
Abstract:Abstract: The selection of pediatric cough medicine at Apotek Keluarga is currently subjective and highly dependent on the pharmacist's experience, which potentially leads to inconsistent recommendations for customers. This…
his research aims to develop a Decision Support System (DSS) using the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method to provide objective, fast, and accurate drug recommendations. The assessment criteria used in this system include cough type, side effects, age, and drug price, which are adjusted to clinical needs and consumer preferences. TOPSIS was chosen for its ability to rank drug alternatives based on their relative closeness to the positive ideal solution and the farthest distance from the negative ideal solution. The system development process involved problem identification, literature study, and data collection through interviews and direct field observations. The results indicate that the implementation of the TOPSIS method is effective in producing a list of cough medicine recommendations tailored to the specific conditions of pediatric patients. With this web-based system, the drug selection process becomes more transparent, systematic, and efficient, thereby enhancing the quality of pharmaceutical services at Apotek Keluarga.
Keywords: Decision Support System, TOPSIS, Pediatric Cough Medicine, Apotek Keluarga.
Abstrak: Pemilihan obat batuk anak di Apotek Keluarga saat ini masih bersifat subjektif dan sangat bergantung pada pengalaman apoteker, sehingga berpotensi menimbulkan ketidakkonsistenan dalam pemberian rekomendasi kepada pelanggan. Penelitian ini bertujuan untuk mengembangkan Sistem Pendukung Keputusan (SPK) menggunakan metode Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) guna memberikan rekomendasi obat secara objektif, cepat, dan akurat. Kriteria penilaian yang digunakan dalam sistem ini meliputi jenis batuk, efek samping, usia, dan harga obat, yang disesuaikan dengan kebutuhan klinis serta preferensi konsumen. Metode TOPSIS dipilih karena kemampuannya dalam meranking alternatif obat berdasarkan kedekatan relatif terhadap solusi ideal positif dan jarak terjauh dari solusi ideal negatif. Proses pengembangan sistem dilakukan melalui tahapan identifikasi masalah, studi literatur, serta pengumpulan data melalui wawancara dan observasi langsung di lapangan. Hasil penelitian menunjukkan bahwa penerapan metode TOPSIS efektif dalam menghasilkan urutan rekomendasi obat batuk yang paling sesuai dengan kondisi spesifik pasien anak. Dengan adanya sistem berbasis web ini, proses pemilihan obat menjadi lebih transparan, sistematis, dan efisien, sehingga mampu meningkatkan kualitas pelayanan farmasi di Apotek Keluarga.
Kata kunci: Sistem Pendukung Keputusan, TOPSIS, Obat Batuk Anak, Apotek Keluarga.
Abstract:Abstract: Babun Rizki Pratama Clinic is a business that operates in the health services sector. Pratama Babun Rizki Clinic is located in Haessa Air Genting Village Dusun IV, Air Batu District, Asahan Regency. The public…
always asks for quality medical services, but often these requests do not meet expectations, because the services provided to patients at Babunn Rizki Pratama Clinic are said to be less effective. The lack of staff at the Pratama Babun Rizki Clinic results in a long patient examination process, so that many patients receive less effective services and are at high risk of experiencing medical errors. These various problems can be overcome by using technology that carries the concept of service to patients using the Service Quality (SERVQUAL) method. The method used in this research is qualitative, where this research is carried out by distributing questionnaires to find out how respondents respond to the services provided. The results of service calculations using the Servqual method at Babun Rizki Pratama Clinic showed that 80% of respondents felt "Not Satisfied" and 20% felt "Very Satisfied". Of the total assessment, there were 20 data indicating "Not Satisfied" and 5 data indicating "Very Satisfied". From the results of this percentage, it can be seen that only 5 data stated "Very Satisfied".
Keywords: service quality (servqual); babun rizki pratama clinic; decision support system; ph; mysql
Abstrak: Klinik Pratama Babun Rizki merupakan salah satu usaha yang bergerak dalam bidang jasa kesehatan. Klinik Pratama Babun Rizki beralamat di desa Haessa Air Genting Dusun IV Kecamatan Air Batu Kabupaten Asahan. Masyarakat selalu meminta pelayanan medis yang berkualitas, namun seringkali permintaan tersebut tidak sesuai harapan, karena pelayanan yang diberikan kepada pasien di Klinik Pratama Babunn Rizki dikatakan kurang efektif. Kurangnya pegawai yang ada di Klinik Pratama Babun Rizki mengakibatkan lamanya proses pemeriksaan kepada pasien, sehingga banyak pasien yang mendapatkan layanan kurang efektif dan beresiko tinggi mengalami kesalahan medis. Berbagai permasalahan tersebut dapat diatasi dengan menggunakan teknologi yang mengusung konsep pelayanan kepada pasien dengan menggunakan metode Service Quality (SERVQUAL). Metode yang digunakan dalam penelitian ini adalah kulitatif, dimana penelitian ini dilakukan dengan cara menyebarkan kuisioner untuk mengetahui bagaimana tanggapan responden terhadap pelayanan yang diberikan. Hasil perhitungan pelayanan menggunakan metode Servqual di Klinik Pratama Babun Rizki menunjukkan bahwa 80% responden merasa "Tidak Puas" dan 20% merasa "Sangat Puas". Dari total penilaian, terdapat 20 data yang menunjukkan "Tidak Puas" dan 5 data yang menyatakan "Sangat Puas". Dari hasil persentasi tersebut dapat dilihat hanya 5 data yang menyatakan “Sangat Puasâ€.
Kata kunci: service quality (servqual); klinik pratama babun rizki; sistem pendukung keputusan; php; mysql
Abstract:Abstract: Puskesmas as a public health technical service unit (UPT) facilitated by the government. Medical record data at the Sidodadi Health Center is processed manually and has a weakness, which requires a long time to…
find medical record data, because the data is still in the form of print media. The purpose of this study can be to build and design applications that can find out the process of managing patient medical records, to design a medical record information system equipped with facilities to facilitate admins in inputting patient data. This research method is carried out with a qualitative descriptive method approach while the method in system development uses a waterfall model. Based on the results of the following study, the application of this medical record system to conduct examinations on patients based on websites so that it is easier and more accurate. It can be concluded that the medical record system applied based on the Website can manage medical record data faster because the management process is no longer handwritten which results in very long queues so many patients have to wait for medical record examinations
Keywords : e-application; puskesmas; information system.
Abstrak: Puskesmas menjadi layanan kesehatan masyarakat yang difasilitasi oleh pemerintah. permasalahan yang terjadi pada Puskesmas Sidodadi dalam pengolahan ata rekam medis yang dilakukan dengan cara manual, karena data masih berbentuk media cetak. Tujuan penelitian ini dapat membangun dan merancang aplikasi yang dapat mengetahui proses pengelolaan rekam medis pasien, untuk merancang sistem informasi rekam medis yang dilengkapi dengan fasilitas untuk memudahkan admin dalam menginputkan data-data pasien. Metode penelitian ini dilakukan dengan pendekatan metode deskriptif kualitatif sedangkan metode dalam pengembangan sistem menggunakan model waterfall. Berdasarkan hasil penelitian berikut penerapan system rekam medis ini untuk melakukan pemeriksaan pada pasien berbasis website sehingga lebih mudah dan akurat. Dapat disimpulkan system rekam medis yang diterapkan berbasis Website dapat mengelola data rekam medis lebih cepat karena pada proses pengelolaannya tidak lagi ditulis tangan yang mengakibatkan antrian sangat panjang sehingga banyak pasien harus menunggu dalam pemeriksaan rekam medis.
Kata kunci : e-aplikasi; puskesmas; sistem informasi.