International Journal of Health and Pharmaceutical (IJHP)

The Role Of Family Functions On The Quality Of Life Of Type 2 Diabetes Mellitus Patients In Primary Service Facilities Of PUSKESMAS Medan Johor

Ali Napiah Nasution, Novia Novia, Suhartina Suhartina — Mon, 21 Apr 2025 00:00:00 +0000

The global focus on non-communicable diseases (NCDs) has been growing, particularly chronic degenerative diseases such as Diabetes Mellitus (DM), which is now a serious threat to public health worldwide. According to WHO data from 2008, these diseases account for 55% of total deaths in Southeast Asia. In Indonesia, the prevalence of type 2 DM has significantly increased, with over 10 million sufferers aged 20-79 years in 2017, making it a significant health management challenge. To address this, BPJS Health launched the Chronic Disease Management Program (Prolanis) to optimize patients' quality of life while maintaining healthcare cost efficiency. Families play a crucial role in supporting DM patients in managing their disease effectively, socially, and in healthcare. This study aims to analyze the relationship between family functioning and the quality of life of type 2 DM patients at the Medan Johor Public Health Center (Puskesmas). Using a cross-sectional study design, data were collected through the WHOQOL-BREF questionnaire to measure quality of life and the Family APGAR questionnaire to assess family functioning. The results showed that most respondents were women, had a high school education, and had been suffering from type 2 DM for less than 10 years. Most family functions were classified as highly functional. Still, no significant relationship was found between APGAR scores and quality of life in the four domains (physical health, psychological, social relationships, and environment).

Analysis Of The Influence Of Human Resource Competency, Price, And Hospital Image On Patient Satisfaction In General, That Impact Patient Loyalty At Karya Husada Hospital

Irza Haicha Pratama, Ali Napiah Nasution, Nathasya Nainggolan — Mon, 21 Apr 2025 00:00:00 +0000

To increase patient satisfaction and loyalty, not only are superior human resource competence and prices appropriate to the health services provided to patients needed, but the hospital image also influences patient satisfaction and loyalty. This research aims to analyze the influence of human resource competence, price, and hospital image on general patient satisfaction, which impacts loyalty at Karya Husada Hospital. The type of research used is analytical, quantitative research. The sample used in this study was 200 patients, and the analysis used was univariate, bivariate, and multivariate. The research results showed that most patients felt satisfied with the human resources, prices, and image of Karya Husada Hospital—as many as 178 (89%), and the majority of patients felt loyal to Karya Husada Hospital, as many as 184 (92%). There is an influence of human resource competency on general patient satisfaction at Karya Husada Hospital, there is an influence of price on general patient satisfaction at Karya Husada Hospital, there is an influence of hospital image on general patient satisfaction at Karya Husada Hospital, there is an influence of human resource competency on general patient loyalty at Karya Husada Hospital, there is an influence of price on the loyalty of general patients at Karya Husada Hospital, there is an influence of hospital image on the loyalty of general patients at Karya Husada Hospital. The variable that most influences patient satisfaction is the price variable (X2). The variable that most influences patient loyalty is the hospital image variable (X3).

Analysis Of Factors Related To The Incidence Of Acute Respiratory Infection In Toddlers In The Area Of Tuntungan Community Health Center, Deli Serdang Regency 2024

Suhartina Suhartina, Santy Deasy Siregar, Sarah Oculi Zaluchu — Mon, 21 Apr 2025 00:00:00 +0000

According to the WHO (World Health Organization), acute respiratory infection (ARI) is an infectious disease of the upper or lower respiratory tract that can cause various types of diseases, from asymptomatic diseases or mild infections to severe and fatal diseases, depending on the causative pathogen, environmental factors, and host factors. Acute respiratory infection (ARI) is caused by more than 300 bacteria, viruses, and rickettsia types. The incidence, distribution, and consequences of acute respiratory infections vary based on several factors, namely environmental conditions, such as air pollution, household density, humidity, cleanliness, season and temperature; availability and effectiveness of medical care; infection prevention and control (IPC) measures to contain the spread, such as vaccines, access to health care facilities, and isolation capacity; individual factors, such as age, smoking, the ability of personal factors to transmit infection, immune status, nutritional status, previous or concurrent infections with other pathogens, and underlying medical conditions; pathogen characteristics, such as mode of transmission, transmissibility, virulence factors and microbial load (WHO, 2020). This study aims to analyze several factors related to the incidence of ARI in toddlers in the Tuntungan Health Center area, Deli Serdang Regency, in 2024. This research method uses a questionnaire containing questions to obtain primary data from respondents. The questionnaire is processed using validity, reliability, normality, and logistic regression tests. This study concludes that environmental factors, such as maternal education history, individual children, nutrition, socioeconomics, and family smoking behavior, have a relationship with the incidence of ARI in toddlers. In contrast, the results for immunization factors show no relationship with the incidence of ARI in toddlers.

Analysis Of Nursing Service Quality Strategy Indicators On The Perception Of Satisfaction Of Inpatients At Royal Prima Medan Hospital

Tri Suci, Maya Sari Mutia, Cindy Stefanie Sinaga — Mon, 21 Apr 2025 00:00:00 +0000

In conditions of tight competition, the main thing that hospitals need to prioritize is a strategy to improve the quality of service to their patients. The quality of nursing services indicates the quality of health services. Nurses determine the image of health service institutions in society. This research aims to analyze indicators of nursing service quality strategies on the perception of satisfaction of inpatients at RSU Royal Prima Medan. This type of research is quantitative descriptive. The population in this study was inpatients at RSU Royal Prima from January 2024 to February 2024, totaling 300 patients. The sampling technique in this research used an accidental sampling technique with a sample size of 300 patients. Data analysis used SEM and SPSS, including univariate, bivariate, and multivariate analysis. The research results showed that the majority of respondents in this study were 31-40 years old, 137 (45.7%); the majority were female, 215 (71.7%); and had a PT (higher education) education, 157 (52.3%). There is an influence of the reliability service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, there is an influence of the responsiveness service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, there is an influence of the assurance service quality strategy indicator on the perception of satisfaction of inpatients inpatients at RSU Royal Prima Medan, there is an influence of the empathy service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, there is an influence of the tangible service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, Service quality strategy indicator variable The most influential influence on the perception of satisfaction of inpatients at RSU Royal Prima Medan is the reliability service quality strategy indicator variable.

Partial Sternotomy Due To Intrathoracic Foreign Body Suspected Implant Migration: A Case Report

Mon, 19 May 2025 00:00:00 +0000

Intrathoracic foreign bodies pose notable surgical challenges, particularly with concerns of implant migration. This case report details a 55-year-old male admitted to the ICU, exhibiting symptoms of coughing and hematemesis following partial sternotomy due to presumed implant migration. Comprehensive clinical assessment revealed stable vital signs and leukocytosis, but no signs of infection. The management strategy included a multidisciplinary approach encompassing infection control, wound care, and pharmacologic support. Partial sternotomy was performed, allowing for effective retrieval with minimized postoperative complications. Postoperative care emphasized respiratory support and regular monitoring of laboratory parameters to detect potential complications. The case underscores the importance of integrating traditional and innovative surgical techniques while prioritizing patient safety and health outcomes. Close monitoring and a tailored care plan were essential in managing the escalating symptoms and potential complications arising from the intrathoracic foreign body.

Economy Risk Classification And Legal Principles In Insurance Coverage For Modern Insurance Practice In Indonesia

Mon, 19 May 2025 00:00:00 +0000

This study analyzes the legal principles underlying insurance coverage and economy risk classification in modern insurance practices. The principles of insurance law: utmost good faith, insurable interest, indemnity, subrogation, proximate cause, are important foundations in regulating the relationship between the insurer and the insured. On the other hand, risk classification plays a crucial role in the assessment, premium determination, risk selection, and risk management by insurance companies. The method used is a literature study with a normative approach, examining regulations, legal doctrines, scientific literature, and practices in the insurance industry. The results of the study indicate that a deep understanding of the principles of insurance law and risk classification can improve transparency, contractual fairness, moral hazard risk mitigation, operational efficiency in the insurance industry. Risks in insurance are classified into two main categories, namely pure risk which is related to the possibility of loss alone and speculative risk which involves the possibility of profit or loss. The six basic principles of insurance law, insurable interest, utmost good faith, proximate cause, indemnity, subrogation, contribution are the foundation for the formation and implementation of a valid insurance contract. The development of digital technology, the use of big data, artificial intelligence, machine learning in the insurance sector, has brought significant changes to risk classification methods, underwriting, and claims assessment processes. In conclusion, a comprehensive understanding of legal principles and risk classification is essential to ensure legal protection, increase public trust, and support the sustainability of health and general insurance practices in the modern era for Indonesia.

Optimization Of Cognitive Function And Quality Of Life In The Elderly With Hypertension Through Chair Based Exercise

Diana Pefbrianti, M. Noor Ifansyah — Mon, 19 May 2025 00:00:00 +0000

Hypertension becomes a problem in old age, Elderly people with hypertension often experience decreased cognitive function and have an impact on quality of life . Management of hypertension with problems of decreased cognitive function and quality of life can be done with non-pharmacological therapy. One of the non-pharmacological therapy that can be applied to the elderly who have hypertension is chair based exercise. The purpose of this study was to see the effect of chair-based exercise on cognitive function and quality of life in the elderly with hypertension.The design of this study used quasy experiments with pre and post control groups with a large sample of 16 respondents in each group. The sampling technique used is consecutive sampling with independent variables, namely chair based exercise, Dependent variable in this study were cognitif function and quality of life. The research instruments used are Instrumen mini mental state exam (MMSE), quality of life instrument for elderly with hypertention. The research was carried out at the Budi Sejahtera Banjarbaru Elderly Social Protection and Rehabilitation Institution (PPRSLU). The statistical test used in this study was wilcoxon signed test. The test results found that There was an effect of chair based exercise on the cognitive function of the elderly in the intervention group, but there was no effect in the control group. There was an effect of chair based exercise on the quality of life of the elderly in the intervention and control groups. In elderly with hypertension, nurses need to help the elderly so that the problem of hypertension is resolved and able to fight disability. Chair based exercised can be applied for the kognitif function and quality of life.

Mitroanoff Appendicovesicostomy Procedure On Bladder Neck Stenosis: A Case Report

Mon, 19 May 2025 00:00:00 +0000

The Mitrofanoff Appendicovesicostomy (MAC) procedure is a significant surgical intervention for patients with bladder neck stenosis, particularly in cases of severe urological dysfunction. This case report presents a 34-year-old female with a history of urinary incontinence and vesicovaginal fistula (VVF) following a cesarean section. The patient underwent the MAC procedure to address her bladder neck stenosis and restore urinary continence. Preoperative assessments, surgical techniques, and postoperative outcomes are discussed, highlighting the effectiveness of the MAC procedure in providing a new pathway for urine flow and improving the patient's quality of life. This report emphasizes the importance of a multidisciplinary approach in managing urinary incontinence, considering both physical and psychological factors. It also underscores the need for timely diagnosis and tailored surgical interventions to enhance patient outcomes. Future research should focus on identifying risk factors and developing personalized treatment strategies to mitigate urinary incontinence and related complications in postpartum patients. By integrating clinical evidence and holistic care, healthcare providers can better navigate the complexities of urinary incontinence and improve the quality of life for affected individuals.

The Influence of Social Media on HIV-Aids and LGBT Cases among the Young Generation in Jakarta

Mon, 19 May 2025 00:00:00 +0000

The study focused on the purpose of finding out the effect and the roles challenges faced by activists in the JPC Jakarta Foundation community in their efforts to prevent HIV and AIDS infections among LGBT people in Jakarta. This study applies a qualitative approach to observe the activities carried out by activists in three areas in the DKI Jakarta Province of Indonesia. The activities of the activists include field and online outreach, interactive group discussions, HIV counseling and testing, distribution of condoms and pelicans for LGBT youth, and social support for people living with HIV and AIDS (PLWHA). This study uses the theory of social action and symbolic interactionism to analyze the activities carried out by activists. This study found that the activities carried out by volunteer activists of the JPC Jakarta foundation in 2023. The study shows the results of the formation of rational-instrumental social action and a symbolic interaction in the context of HIV and AIDS prevention, with the LGBT community being a group affected by the increasing deviation of social media among the younger generation, especially Gen Z.

Evaluating Chromosomal Microdeletions And Duplications: Ethical Considerations In Life Expectancy For Pediatric Bilateral Cryptorchidism – A Local Community Perspective

Wissam Saleh Hakim, Mohammed Aboud, Manal Kadhim — Mon, 19 May 2025 00:00:00 +0000

Introduction & Objectives: Cryptorchidism is one of the most frequent congenital birth defects in male children and is present in 2–4% of full-term male births. The study aims to validate the associated genomic information to pick up and catalog life expectations with our community's associated syndromes and pathologies. Materials & Methods: The study was carried out between the 1st of June 2014 and the end of December 2018. G-banding of metaphase chromosomes and high-resolution karyotype analysis was performed in all patients using 5 DNA probes, ordered in the deletion intervals, and correlated with the cytogenetic map of the chromosome and sequence tagged size (STS) in the molecular study of microdeletion and microduplication using fluorescence in situ hybridization (FISH). The data were translated to the Statistical Package for Social Science (SPSS) version 22, Excel 2016 . Results: Out of 124 managed and operated on patients, genitourinary anomalies were the most common associated pathologies in 44% of cases, and hypospadias was the most common in 21.77%. Developmental delay and intellectual disabilities with speech disorders are considered the second one 24.19%. Y chromosome microdeletions were observed in 75% of all, the most considered one Y q1.2 D in 45.16%, p-value < 0.05. X p11.2 micro duplications were observed in 8.78% of the cases. Higher ascent of the testis presented with more microdeletion (intra-abdominal 35.48% of the patients) p-value < 0.05. With the STS, sY84 & sy86, and the loci, DYS 273 & 148 the azoospermia factor A region (AZFa) was estimated in 39.51% of the patients. Conclusions: Genomic information and screening are recommended for bilateral cryptorchidism as the chromosomal microdeletions and microduplications have been associated with a spectrum of pathologies, considering this with a catalog of the multidisciplinary team and complete disease network to follow up the clinical pictures after surgery.