Microbial Pattern and Antibiotic Sensitivity Test Among Eye Infection Patients at Bali Mandara Eye Hospital Bali

Infection disease of the eye usually found in health care facilities and can caused by viral,bacterial, parasite and fungi. Bali Mandara Eye Hospital was special hospital for eye disease in Bali. In this hospital infection disease of the eye dominated by bacterial conjunctivitis, viral conjunctivitis, corneal ulver, and endophtalmitis. This study was a restropective descriptive study using patient who are take eye secret culture in Bali Mandara Eye Hospital and sample were take from 2019 till 2020 It can be seen that was found seven microba and dominated disease was corneal ulcer 26 sample (86%) followed by endophtalmitis 4 sample (14%). The most microba were Pseudomonas aeruginosa. Pseudomonas aeruginosa found resistant in almost antibiotics and sensitive tolevofloxacin, gentamycin dan ceflazidime Keywords: infection, eye, culture, antibiotics

Advantages and disadvantages of patients’ hospitalization in Intensive Care Units

Background: An Intensive Care Unit (ICU) is a special hospital department with many advantages and disadvantages for the patient.Aim: The aim of the present systematic review was to explore the advantages and disadvantages of hospitalized ICU patients.Material and Method: A literature review in international databases (Pubmed, Cinahl, Google Scholar, Cochrane Library) was conducted. A time limited criteria was applied with respect to the publication of articles (articles published in the last 15 years). Ten articles were found that met the criteria for participation in the present review.Results: Results thematic analysis revealed the following advantages and disadvantages of ICU hospitalization: Advantages related to patients care in ICU and advantages related to team work. Disadvantages related to the ICU environment (noise, lighting) that complicate the patient's hospitalization status and cause the patient's sleep disturbances and / or delirium. Additionally, it was found that financial cost of hospitalization is a very significant disadvantage for both patient and health care providers.Conclusions: Preparation and successful implementation of significant strategies will convert disadvantages of ICU hospitalization into advantages in daily clinical practice through increased use of protocols, the maintenance of a checklist, evidenced based practice, data recording, development of interdisciplinary groups and finally the extensive application of technology for patient’ s benefit.

Masterplan review Kendari heart special hospital-Southeast Sulawesi

Health problems are a serious problem for all regions in Indonesia, in this case the provision of adequate health facilities to special / specialist hospital services, which have not been evenly distributed to the districts. To overcome this problem, the Southeast Sulawesi Regional Government plans to build a special heart hospital in the city of Kendari, starting from June 2018 to January 2020 through the Southeast Sulawesi Provincial Government’s Regional Budget. The aim of the construction of the Kendari Heart Special Hospital is to provide health facilities in the capital city of Southeast Sulawesi Province, namely Kendari, specifically for heart disease, which will then become a Class A special government hospital in the Southeast Sulawesi Province area. The hospital planning concept is environmentally sustainable development. A review of the hospital’s master plan has been made, starting from the planning stage to land use, space utilization and resource utilization and the survival of the surrounding ecosystem. This research is intended to see the fulfilment of hospital standards that are appropriate as provincial level hospitals, as well as to assess development standards, health standards, environmental standards and review development concepts that refer to the concept of sustainable development.

Clinical Treatment Experience in Severe and Critical COVID-19

Compared with other deadly diseases, the coronavirus disease 2019 (COVID-19) is highly infectious with a relatively low mortality rate. Although critical cases account for only 5% of cases, the mortality rate for the same is nearly 50%. Therefore, the key to the COVID-19 treatment is to effectively treat severe patients and reduce the transition from severe to critical cases. A retrospective study was carried out to evaluate outcomes of treatment in patients with severe and critical COVID-19 admitted to a COVID-19 special hospital in Wuhan, China. A total of 75 severe and critical COVID-19 patients were admitted and treated with immunomodulation as the main strategy combined with anti-inflammatory therapy and appropriate anticoagulation. Leukocyte levels in patients with 7-14 days of onset to diagnosis were significantly lower than in those with >14 days. Higher levels of globulin and D-dimer and lower lymphocyte levels were found in the older age group (>65 years) than in the middle-aged group (50-64 years). Patients with comorbidity had higher levels of inflammatory indicators. After treatment, 65 (86.67%) patients were cured, 7 (9.33%) had improved, and 3 (4.00%) had died. Median hospitalization duration was 23 days. Fatal cases showed continuously increased levels of globulin, dehydrogenase (LDH), hypersensitive C-reactive protein (hs-CRP), D-dimer, and cytokines during treatment. Time from onset to diagnosis, age, and comorbidity are important influencing factors on treatment effects. The occurrence of immunosuppression, “cytokine storm,” and thrombosis may be an important cause of death in severely infected cases. In conclusion, high cure rate and low mortality suggested that immunomodulation combined with anti-inflammatory therapy and appropriate anticoagulant therapy is a good strategy for treatment of patients with severe and critical COVID-19.

Intraventricular haemorrhage

Like other problems of preterm infants, cerebral bleeding was barely known before special hospital units for ‘weaklings’ were established. Its symptoms were unspecific, the infants were considered miscarriages, and autopsies were rarely performed. Based on those postmortem findings, the theory arose at the end of the 18th century that brain haemorrhages in preterm infants result from birth trauma. Such mechanical explanations persisted for two centuries, even when it became ever more evident that this brain disorder was associated with postnatal respiratory distress. When in vivo imaging techniques (computed tomography, ultrasound scanning through the fontanelle) became available in the 1970s, the view changed and respiratory insufficiency was acknowledged as the major causative factor. Relying on these imaging techniques, Pape and Wigglesworth developed a model that explained the origin of periventricular haemorrhage and ischaemia in 1978. With the understanding of pressure-passive perfusion and cerebral flow dependent on carbon dioxide tension, the stage was set for effective preventive strategies.

The Effect of Job Satisfaction and Organizational Commitment on the Performance of the Special Hospital for Mothers and Children in South Sulawesi Province

The low performance of the Regional Special Hospital belonging to the Province of South Sulawesi illustrates the quality of consumer services that affect hospital income. This study aims to analyze the effect of job satisfaction on organizational performance, the effect of organizational commitment on organizational performance, the effect of job satisfaction on organizational commitment, and the effect of job satisfaction on organizational performance directly and indirectly through organizational commitment of the Mother and Child Hospital of South Sulawesi Province. This type of research is a quantitative study using an analytical observational study with a cross sectional study design. The sample was taken using stratified random sampling so that the sample in this study included medical, nursing, midwifery and non-medical personnel, totaling 190 respondents at the Siti Fatimah Mother and Child Hospital and Mother and Child Hospital Mother and Child Motherland, South Sulawesi Province. The results showed that there was a relationship between job satisfaction and organizational performance (0.000), there was a relationship between organizational commitment and organizational performance (0.000), there was a relationship between job satisfaction and organizational commitment (0.000), and job satisfaction was the most influential variable on performance (32, 10%) compared to organizational commitment (21.90%). Therefore, it is expected that the hospital is able to maintain and develop the supporting dimensions of job satisfaction and organizational commitment of its employees in order to achieve organizational performance as expected.

Effect of Service Experience and Perceived Value on Patients Satisfaction with Special Hospitals for Mom and Children in South Sulawesi Province

Patient satisfaction must be achieved in order to survive in the competitive hospital industry which tends to continue to grow beyond existing needs. This study aims to determine whether there is an effect of Service Experience and Perceived Value on patient satisfaction in the Inpatient Installation of the Regional Special Hospital of South Sulawesi Province (RSKD IA Pertiwi and RSKD IA Siti Fatimah). This type of research is a quantitative study using an observational study with a cross-sectional study design. The sample in this study were patients in the inpatient installation of the IA Pertiwi Regional Special Hospital (RSKD) and RSKD IA Siti Fatimah, totaling 130 respondents. The results showed that service experience based on functional clues variables, mechanic clues variables, humanistic clues variables, and perceived value affected patient satisfaction. It is recommended to every officer, both management and all employees, to maintain the dimensions of a good service experience, try to meet expectations, wants, and needs according to hospital standards, especially in the functional clues and humanistic clues dimensions by increasing the sensitivity of nurses in handling/care that can help complaints patients, there needs to be an increase in strategies in building customer value so that patients feel the pride felt by patients when they are treated in the hospital.

PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT INAP RSKG (RUMAH SAKIT KHUSUS GERIATRI) TEJA HUSADA KEPANJEN

One effort to create a healthy Indonesia is to improve the quality of services and facilities by health providers such as health centers, hospitals and clinics in Indonesia. Hospitals providing health services in Indonesia should be managed properly, in improving the quality of services. In this study, the population was patients who were undergoing treatment at the Teja Husada Kepanjen General Hospital, as many as 105 patients. This random sampling is called Simple Random Sampling. In sampling according to Husein Umar (2003:141) Slovin formula was used. So that the sample taken was 51 respondents. From the research results it can be seen that 1) From the research results it can be seen that service quality variables which include reliability (X1), responsiveness (X2), certainty (X3), empathy (X4), physical evidence (X5) simultaneously affect patient satisfaction RSKG (Geriatric Special Hospital) Teja Husada Kepanjen at RSKG (Geriatric Special Hospital) Teja Husada Kepanjen; 2) From the research results it can be seen that the service quality variables which include reliability (X1), responsiveness (X2), certainty (X3), empathy (X4), physical evidence (X5) have a partial effect on patient satisfaction of RSKG (Geriatri Special Hospital ) Teja Husada Kepanjen at RSKG (Geriatric Special Hospital) Teja Husada Kepanjen; and 3) From the results of the study it can be seen that responsiveness which is one of the service quality variables has a dominant influence on the satisfaction of the Teja Husada Kepanjen RSKG (Special Geriatric Hospital) patients at the Teja Husada Kepanjen RSKG (Geriatric Special Hospital). Keywords: Service Quality, Patient Satisfaction

Clinical pharmacoepidemiology of antibiotics usage in intensive care unit of cancer special hospital

The pattern of antibiotics use in cancer patients in the intensive care unit (ICU) of dharma is cancer special hospital (DCSH) has not been identified. The purpose of this study is to determine the pattern of antibiotics use in cancer patients treated in the ICU of DCSH from 2012-2014. This study was observational with a cross-sectional design. The data collection is done retrospectively. The inclusion criteria to recruit the subjects, i.e. Adult patients who had nosocomial infections in the ICU; Patients with medical records in the ICU who received antibiotics in the 2012-2014 periods. Patients originating from inpatients (wards); Patients with medical records were read. The exclusion criteria were postoperative patients and Patients with incomplete medical records. We collected data from medical records of cancer patients who had been admitted to the ICU in 2012-2014, medication administration records, sample submission, and laboratory records. There are 202 cancer patients including in the study. Leukemia and breast cancer were the most cancer’s diagnosis in the Subject. More than two hundred cancer patients were receiving antibiotic therapy, with more than 50% of them were diagnosed with pneumonia, followed by central infection (>20%) and urinary tract infection (>10%). The antibiotic most frequently used was meropenem, with 33.8%. The three most commonly used antibiotics from 2012 to 2014 were meropenem, levofloxacin, and ceftriaxone.