Analisis Tata Kelola Teknologi Informasi Untuk Mendefinisikan Arsitektur Informasi Dengan Framework COBIT 4.1 (Studi Kasus Instalasi Rawat Jalan RSUD Prov. NTB)

Treatment for outpatient installations (IRJA) NTB provincial hospitals have used hospital management information systems, but this is still not effective. The information system is not effective because registration centred in the main hall. The centralized registration caused the accumulation of patient queues that occurred in each IRJA polyclinic, and this was due to the absence of an integrated queue number between registrations carried out in the main hall and IRJA polyclinics. Therefore, the governance of information architecture processes needs to be applied to optimize information systems. We use COBIT 4.1 to conduct governance. The aim is to get existing and expected outpatients from Prov. NTB Hospital. So, it can help to manage information architecture to perform quality and competitive outpatient services. The results showed the IT processes selected in PO2 (Determine Information Architecture) and AI4 (Activate and Use). We reach the maturity level of all IT processes at level 3 (the specified process) for conditions as they are and 5 (optimized) for conditions that will occur. The level of maturity can help the NTB Provincial Hospital to improve its services.

Addressing Dual Disorders in a Medium-Term Admission Unit

Due to the significant functional repercussions suffered by patients with dual disorder, we must evaluate which ones can benefit from intensive rehabilitative therapies in medium-stay psychiatric units. This was a retrospective study of patient medical records which intended to analyze sociodemographic and clinical variables and parameters related to the hospitalization and discharge of patients admitted to the Medium-Stay Unit (MSU) at the Castellón Provincial Hospital Consortium over 2 years (2017 and 2018), according to the presence or absence of dual disorders in these patients. Patients with a dual disorder represented 55.2% of the hospitalized patients. A higher proportion of them were male, were relatively younger, and had an earlier onset of mental illness, fewer associated medical pathologies, and shorter hospital admission times to the Short-Term Hospitalization Unit than those who did not present a dual disorder. A diagnosis on the schizophrenia spectrum with cannabis use or polyconsumption was the most common diagnosis; 98.2% of all the patients responded adequately to admission to the MSU. This work highlighted the need for higher doses of depot paliperidone in patients with dual disorders.

Pengaruh Metode Kanguru terhadap Peningkatan Berat Badan Pada Bayi BBLR

ABSTRAK Kelahiran bayi prematur merupakan salah satu penyebab kematian terbesar saat ini. Tindakan perawatan bayi lahir dilakukan dengan menghangatkan tubuh bayi, secara konvensional menggunakan inkubator namun, teknologi inkubator relatif mahal. Perawatan Metode Kanguru (PMK) merupakan salah satu teknik perawatan yang efektif bagi bayi prematur. Tujuan penelitian ini adalah untuk mengetahui pengaruh metode kanguru terhadap peningkatan berat badan pada bayi BBLR di RSUD Provinsi Kepulauan Riau. Desain penelitian ini adalah quasi eksperimen dengan rancangan one group pretest posttest dengan sampel sebanyak 16 responden, pengambilan sampel menggunakan teknik purposif sampling. Hasil didapatkan rata-rata berat badan bayi sebelum perawatan metode kanguru adalah 1718,88 gram, dan setelah dilakukan perawatan metode kanguru rata-rata berat badan bayi meningkat menjadi 1844,38 gram, dengan peningkatan berat badan sebanyak 125,5 gram dimana p value = 0.000 (α< 0.05 ). Terdapat pengaruh perawatan metode kanguru terhadap peningkatan berat badan bayi BBLR di RSUD Provinsi Kepulauan Riau. Bagi ibu-ibu untuk melakukan perawatan metode kanguru secara rutin dan pemberian ASI yang cukup terhadap bayi BBLR. Kata kunci: metode kanguru; peningkatan berat badan; bayi BBLR ABSTRACTPremature birth is one of the biggest causes of death today. The act of caring for the newborn is carried out by warming the baby's body, conventionally using an incubator, however, incubator technology is relatively expensive. Kangaroo Treatment Method (PMK) is one of the effective treatment techniques for premature babies. The purpose of this study was to determine the effect of the kangaroo method on weight gain in LBW infants at the Riau Islands Province Hospital. The design of this research was a quasi-experimental design with one group pretest posttest with a sample of 16 respondents, sampling using purposive sampling technique. The results obtained that the average baby weight before the kangaroo method was 1718.88 grams, and after the kangaroo method treatment the average baby weight increased to 1844.38 grams, with an increase in body weight of 125.5 grams where p value = 0.000 (α< 0.05 ). There is an effect of kangaroo treatment method on increasing the weight of LBW babies in Riau Islands Provincial Hospital. For mothers to carry out routine kangaroo care and adequate breastfeeding for LBW babiesKeywords: kangaroo method; weight gain; LBW infant

Management of Tracheobronchial Injuries with Subcutaneous Emphysema

Background: Subcutaneous emphysema is infiltration of air under dermis layers in tracheobronchial injuries and needs to be immediately addressed for proper management. Aim: To assess the management protocols for tracheobronchial injuries with subcutaneous emphysema. Study design: Retrospective study. Place and duration of study: Dept of Thoracic Surgery, Sandeman Provincial Hospital Quetta from 01-01-2020 to 31-03-2021. Methodology: Fifty patients were assessing for their management techniques in tracheobronchial injuries with subcutaneous emphysema. Patients with conservative as well as surgical management were completely analyzed. Their data regarding traumatic injury was recorded. Results: The mean age of patients was 22.3±5.2 years with 85% being males and 15% females enrolled. Patients who had less traumatic injury and were managed by conservative treatment has better recovery rate than surgically operated cases. Conclusion: Timely management with surgical procedure in severe injuries is required for better recovery outcomes. Keywords: Tracheobronchial injury, Subcutaneous emphysema, Traumatic surgery

Pregnancy and Congenital Rubella Incidence

Background: Rubella is major cause of neonatal abnormalities and miscarriages on worldwide level. Objective: To find the incidence of rubella in congenital births by assessing antibodies against rubella. Study Design: Cross sectional study Place and Duration of Study: Department of Obstetrics & Gynaecology, Sandeman Provincial Hospital, Quetta 1st April 2019 to 31st March 2021. Methodology: Four hundred pregnant women were analyzed for their IgG and IgM levels. A complete socioeconomic, demographics and clinical information was recorded on a well designed questionnaire. Results: The mean age of pregnant women was 24.5±4.1 years. Majority of women were between 35-40 years. High IgG were seen in all patients compared with IgM. The seropositivity for IgG increased with increasing age. Conclusion: The total reported IgG positive cases were up to 16% while of IgM were 3%. Keywords: Rubella, Pregnancy, Birth defects

Translation and validation study of Quality of Life Questionnaire for Physiological Pregnancy at Sandeman Provincial Hospital, Quetta, Pakistan

Objective To examine the psychometric properties of the Urdu version of the Quality of Life Questionnaire for Physiological Pregnancy (QOL-GRAV). Methods This cross-sectional study was conducted at the Obstetrics, Gynecology department of Sandeman Provincial Hospital, Quetta. The QOL-GRAV was translated into Urdu by using a forward-backward procedure. The test-retest reliability was assessed through Cronbach’s alpha reliability analysis. The validity of the translated questionnaire was constructed by using Exploratory Factor Analysis (EFA) through principal axis factoring extraction and Oblique rotation with Kaiser Normalization. SPSS v 20.0 was used for data analysis with p<0.05 as significant. Results The Urdu version of the questionnaire (QOL-GRAV-U) exhibited acceptable alpha values of 0.780 (Test) and 0.812 (Retest) at two-time points with an overall value of 0.790 (field test). All items of the QOL-GRAV-U showed good stability with Intraclass Correlation Coefficient values of > 0.80. The Kaiser-Meyer-Olkin measure of sampling adequacy for the factor analysis was 0.812. Barlett’s Test of Sphericity was significant (Chi-square = 1032.43; p < 0.05) revealing relationships of the data and suitability of EFA. Three factors explaining the total variance of 65% were extracted whereby loading values for all nine constructs were acceptable (> 0.40). Conclusion The results of this study conclude that the translated version of QOL-GRAV-U is a valid and reliable instrument for the assessment of QoL for pregnant women in regions where Urdu is a prime language of communication. Continuous....

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETERLAMBATAN PENANGANAN KANKER PAYUDARA STADIUM III &IV DI POLIKLINIK ONKOLOGI RSUD PROVINSI NTB 2018

ABSTRACT The breast is the most common organ for cancer in women. This study aims to determine the factors associated with managing treatment delays in patients with breast cancer stage III & IV at the NTB Provincial Hospital in 2018. The study design was a retrospective correlational analysis with a sample size of 35 people. They conducted at the Oncology Polyclinic of the NTB Provincial Hospital in January 2019 by using a questionnaire. Based on the study results, know that delays occurred in respondents with elementary education as many as 11 (31.4%) with 21 (60%) socio-economic incapacity criteria. Respondents who had sufficient psychology were 29 (82.8). Respondents who received referrals ? 30 days from the examination were 18 (51.4%), and respondents who received a diagnosis of ? 30 days were 25 (71.4%). Respondents who received referrals ? 30 days from the examination were 21 (60%), respondents who received first chemotherapy ? 20 days from diagnosis were 29 (82.9%), and respondents who received time ranges from first chemotherapy to second chemotherapy ? 30 days were 26 ( 74.3%). Recommendations that can give are to do socialization/counselling to the public about this breast cancer.