Medicine and Health Sciences Commons^™

Diagnostic Approach And Treatment Of Dieulafoy's Lesion, Anshari Saifuddin, Kaka Renaldi, Indah Situmorang

Jurnal Penyakit Dalam Indonesia

Dieulafoy’s lesion is a rare cause of upper gastrointestinal bleeding but become an important etiology. Pathogenesis of the disease evolved from earlier of its invention till now. It has been stated in recent study that the etiology of this disease is vary, from age to genetic. Size and arteriol configuration abnormality has been known as the main pathogenesis of the disease. Endoscopic procedure become the primary diagnostic tool, which effectiveness reached more than 90%. However, in some situation, it’s difficult to find the abnormality by endoscopic procedure. Hemostatic procedure via endoscopy is the main therapy of Dieulafoy’s lesion, which has …

Mentoring Nursing Students In A Refugee And Immigrant Public And Global Health Course, Debra Edmunds

Journal of Undergraduate Research

The following excerpt from a student’s reflective journal illustrates that academic objectives were met (used with permission): “I have learned a lot from this population and this knowledge has allowed my attitudes to develop and mature in understanding of this high-risk population. Refugees are a misunderstood and, many times, forgotten population that have experienced extensive trauma. I worked with many people on my mission that came from these backgrounds but I never had the opportunity to help them in this type of a setting. I have come to realize that for many people, their story will never be truly known …

Mchd Student Health Centers Needs Analysis - Needs Assessment, Bill J. Wright, Re Buckley, Fanny Rodriguez, Jt Thompson, Kristen Dulacki, Natalie Royal Kenton

Articles, Abstracts, and Reports

No abstract provided.

School Of Nursing News, Georgia Southern University

Nursing: News & Publications (2013-2023)

• School of Nursing Receives $1.3 Million Grant

Congenital Left Ventricle-To-Coronary Sinus Fistula: A Rare Isolated Anomaly Of The Coronary Sinus., Doaa M. Aly, Nikki M. Singh, Sanket Shah

Manuscripts, Articles, Book Chapters and Other Papers

Congenital anomalies of the coronary sinus (CS) are very uncommon. They can occur either in isolation or in association with other congenital heart defects. 1 Among those anomalies, congenital fistulae connecting the left ventricle and the CS represent a very rare entity. Most reported cases of CS fistula generally originate in the right coronary artery or left anterior descending coronary artery system. 2 We describe an extremely rare case of an isolated high-pressure congenital left ventricle–to–CS fistula as an anomaly of the CS in an otherwise asymptomatic child. The initial clinical presentation and follow-up, imaging studies, and plan for management …

Mammographic Density And Ageing: A Collaborative Pooled Analysis Of Cross-Sectional Data From 22 Countries Worldwide, Anya Burton, Gertraud Maskarinec, Beatriz Perez-Gomez, Celine Vachon, Hui Miao, Martín Lajous, Ruy López-Ridaura, Megan Rice, Ana Pereira, Maria Luisa Garmendia, Rulla M. Tamimi, Kimberly Bertrand, Ava Kwong, Giske Ursin, Sudhir Vinayak, Rose Ndumia, Shivaani Mariapun

Imaging & Diagnostic Radiology, East Africa

Background:Mammographic density (MD) is one of the strongest breast cancer risk factors. Its age-related characteristics have been studied in women in western countries, but whether these associations apply to women worldwide is not known.

Methods and findings: We examined cross-sectional differences in MD by age and menopausal status in over 11,000 breast-cancer-free women aged 35–85 years, from 40 ethnicity- and location-specific population groups across 22 countries in the International Consortium on Mammographic Density (ICMD). MD was read centrally using a quantitative method (Cumulus) and its square-root metrics were analysed using meta-analysis of group-level estimates and linear regression models of …

Analisis Biaya Dan Faktor-Faktor Penentu Inefisiensi Layanan Hemodialisis Pada Pasien Gagal Ginjal Kronik Rumah Sakit Rk Charitas Palembang Tahun 2016, Noer Triyanto Rusli

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Enactment of JKN in hospital changes the payment system from retrospective payment (fee for service) into prospective payment (INA-CBG's). As a healthcare facility, RK Charitas Hospital has a role to provide not only quality but also to consider cost effective of services. This study aimed to analyze costs and identify the determinants of the inefficiency of hemodialysis services in patients with chronic renal failure at RK Charitas Hospital. This is a descriptive analysis research using primary and secondary data. Approach of cost analysis is Activity Based Costing (ABC) with "Bottom Up" method. ABC method is used to allocate costs by …

Intervensi Continuous Improvement Rawat Jalan Rumah Sakit Haji Jakarta, Teguh Ariotejo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The process of general patient care in the outpatient installation of Haji Hospital Jakarta when viewed from the outpatient mobility flow since registration until the patient came home seen the flow that makes the patient walk back and forth to the cashier or to the supporting room service (laboratory and radiology). This is of course a waste of time and the movement of patients. Therefore, continuous improvement is needed in the effort to improve the quality and efficiency of service to the patient in the outpatient installation of Jakarta Hajj Hospital.

Penerapan Lean Manajemen Pada Pelayanan Rawat Jalan Pasien Bpjs Rumah Sakit Hermina Depok Tahun 2017, Elisabeth Dyah Noviani

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The length of waiting time in the hospital outpatient service is important for efficient hospital service. Long waiting time leads to accumulating queue and inefficient service. This study was aimed to analyze the application of lean method on outpatient BPJS services at Hermina Depok Hospital in 2017. This qualitative research method investigated the time spent by BPJS outpatient patient by applying lean method and observing the outpatient service flow condition. The results showed that 90% service time was a non-value added activities and only 10% of value-added activities. After conducting future state analysis with the proposed improvement with simulative lean …

Understanding Gender Differences In Sports-Related Concussions Among High School Athletes: Implications For Diagnosis, Treatment, And Management, Hillary Grady-Speckhals

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Growing research on both the immediate and long-term effects of sports-related concussions (SRCs) in professional athletes has called attention not only to understanding the impact of concussions in high school athletes, but has also focused on understanding how SRCs may impact female athletes differently than male athletes (Covassin & Elbin, 2011; Kirkwood, Yeates, & Wilson, 2006). There are many studies that have highlighted the neurocognitive, academic, and socioemotional implications of these brain injuries on developing youth, but there are few studies that focus on gender differences in adolescent athletes (Daneshvar, Nowinski, McKee, & Cantu, 2011; Kirkwood, et al., 2006). Understanding …

Nursing Student Experiences Regarding Safe Use Of Electronic Health Records: A Pilot Study Of The Safer Guides, Karen Whitt, Katreena Merrill, Lacey Eden

Journal of Undergraduate Research

The purpose of this project was to mentor undergraduate nursing students through the entire research process while they worked on a study to evaluate undergraduate and graduate nursing students’ and practicing nurse practitioners’ clinical experience and awareness of safe electronic health record (EHR) practices utilizing the SAFER guide checklists. This project provided multiple mentoring and learning opportunities for the undergraduate students who worked on this project. We exceeded the original objectives of the study and included more opportunities for student research mentoring than were listed in the original proposal. The students had the opportunity for hands-on experience with all aspects …

Validation Of Four Activity Trackers And Their Influence On Activity Level In Adolescents And Young Adults, Neil Peterson

Journal of Undergraduate Research

Objectives:

1. Validate activity trackers including FitBit Surge, Basis Peak, and Apple Watch, against the validated ActiGraph GT3X+.
2. Use quantitative and qualitative means to determine the influence on these commercial exercise trackers on changing sedentary behavior (SB) and physical activity (PA) behavior.

Getting To Know Veterans Through The Utah Honor Flight, Kent Blad, Ron Ulberg

Journal of Undergraduate Research

The academic objectives of the MEG proposal were met and exceeded. Specifically, students were able to serve as individual guardians for a WWII or Korea War Veteran on an Honor Flight to Washington DC to allow those Veterans to visit those sites that are in place to honor their service to our country. For most of the 25 Veterans that were sponsored by BYU College of Nursing, this was their last visit to these sites before they pass on. Examples of these sites were WWII Memorial, Korea War Memorial, Vietnam War Memorial, Navy Memorial, Air Force Memorial, Marine / Iwo …

Wic Clients And Immunizations: A Community-Wide Educational Project, Karlen E. Luthy

Journal of Undergraduate Research

Although most well-known for formula and food vouchers, the WIC Program also excels with their education programs. In fact, every three months WIC parents are required to complete authorized on-line educational modules or attend approved educational classes prior to obtaining their food vouchers for the subsequent quarter.

Improving Immunization Rates Among Pregnant Women: A Mentored Experience, Lacey M. Eden

Journal of Undergraduate Research

The purpose of this MEG to mentor nursing students through the process of implementing an education program for pregnant women regarding the importance of Tdap immunization during pregnancy, and to assist Utah County obstetric offices in improving Tdap immunization rates among their patients. Additionally, this project provided an opportunity for undergraduate students to educate the public and utilize health information-technology to empower the patient to be proactive about their care and the protection of their unborn child.

Validation Of Four Activity Trackers And Their Influence On Activity Level In Adolescents And Young Adults, Neil Peterson

Journal of Undergraduate Research

Objectives:

1. Validate activity trackers including FitBit Surge, Basis Peak, and Apple Watch, against the validated ActiGraph GT3X+.
2. Use quantitative and qualitative means to determine the influence on these commercial exercise trackers on changing sedentary behavior (SB) and physical activity (PA) behavior.

Getting To Know Veterans Through The Utah Honor Flight, Kent Blad, Ron Ulberg

Journal of Undergraduate Research

The academic objectives of the MEG proposal were met and exceeded. Specifically, students were able to serve as individual guardians for a WWII or Korea War Veteran on an Honor Flight to Washington DC to allow those Veterans to visit those sites that are in place to honor their service to our country. For most of the 25 Veterans that were sponsored by BYU College of Nursing, this was their last visit to these sites before they pass on. Examples of these sites were WWII Memorial, Korea War Memorial, Vietnam War Memorial, Navy Memorial, Air Force Memorial, Marine / Iwo …

Wic Clients And Immunizations: A Community-Wide Educational Project, Karlen E. Luthy

Journal of Undergraduate Research

Although most well-known for formula and food vouchers, the WIC Program also excels with their education programs. In fact, every three months WIC parents are required to complete authorized on-line educational modules or attend approved educational classes prior to obtaining their food vouchers for the subsequent quarter.

In Utah, WIC clients establish their eligibility for program services at the WIC location within their county of residence. The WIC Program in Utah County is one of the largest in the state, providing services for approximately 8,000 women. During 2013-2014, a troublesome trend emerged among WIC clients in Utah County – a …

Nursing Student Experiences Regarding Safe Use Of Electronic Health Records: A Pilot Study Of The Safer Guides, Karen Whitt, Katreena Merrill, Lacey Eden

Journal of Undergraduate Research

The purpose of this project was to mentor undergraduate nursing students through the entire research process while they worked on a study to evaluate undergraduate and graduate nursing students’ and practicing nurse practitioners’ clinical experience and awareness of safe electronic health record (EHR) practices utilizing the SAFER guide checklists. This project provided multiple mentoring and learning opportunities for the undergraduate students who worked on this project. We exceeded the original objectives of the study and included more opportunities for student research mentoring than were listed in the original proposal. The students had the opportunity for hands-on experience with all aspects …

Mentoring Nursing Students In A Refugee And Immigrant Public And Global Health Course, Debra Edmunds

Journal of Undergraduate Research

The following excerpt from a student’s reflective journal illustrates that academic objectives were met (used with permission): “I have learned a lot from this population and this knowledge has allowed my attitudes to develop and mature in understanding of this high-risk population. Refugees are a misunderstood and, many times, forgotten population that have experienced extensive trauma. I worked with many people on my mission that came from these backgrounds but I never had the opportunity to help them in this type of a setting. I have come to realize that for many people, their story will never be truly known …

Improving Immunization Rates Among Pregnant Women: A Mentored Experience, Lacey M. Eden

Journal of Undergraduate Research

The purpose of this MEG to mentor nursing students through the process of implementing an education program for pregnant women regarding the importance of Tdap immunization during pregnancy, and to assist Utah County obstetric offices in improving Tdap immunization rates among their patients. Additionally, this project provided an opportunity for undergraduate students to educate the public and utilize health information-technology to empower the patient to be proactive about their care and the protection of their unborn child.

The MEG funding was successfully utilized for its intended purpose (production of a mobile application to educate and remind pregnant women about needed …

Analisis Faktor-Faktor Yang Berhubungan Dengan Tingginya Rujukan Kasus Non Spesialistik Pasien Jaminan Kesehatan Nasional Pada Puskesmas Di Kabupaten Sukabumi Tahun 2015, Masykur Alawi, Purnawan Junadi, Siti Nur Latifah

Jurnal Ekonomi Kesehatan Indonesia

Public Health Center is the frontline in the basic health services that include non-specialist cases to be solved in this primary health care level. However, a report from BPJS Kesehatan in 2015 showed that there were 11.487 referral of non-specialist cases in Primary Health Cares (PHCs) in Sukabumi. This study was to determine factors associated with high referral rate of National Health Insurance’s members with non-specialist cases by PHCs in Sukabumi in 2015. The study employed cross-sectional design in 58 PHCs along with a general practitioner in each centers using a whole sampling. The result showed that there were correlation …

Faktor-Faktor Yang Mempengaruhi Net Death Rate (Ndr) Stroke Di Rsud Dr. Kanujoso Djatiwibowo Balikpapan Tahun 2014, Rosjidah Rahmawati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This study is seeking the impact of structure and process as the quality aspect according to Donabedian's theory that affecting to the Net Death Rate (NDR) Stroke disease. Selected data source are Stroke patients, consisting of Intracerebral Haemorrhage and Cerebral Infarction at Dr Kanujoso Djatiwibowo Balikpapan Hospital in the year 2014. This study is a qualitative research using descriptive analytic retrospective method. Structure and Process Factors that are influencing each other. It reveals that Structure Factors in hospitalization that are affecting sequentially are the condition of the patient, facilities, policies and human resource. On the other hand it reveals that …

Chemotherapy-Induced Alopecia And Quality-Of-Life: Ovarian And Uterine Cancer Patients And The Aesthetics Of Disease, Meredith L. Clements

USF Tampa Graduate Theses and Dissertations

This study is an examination of ovarian and uterine cancer patients’ perceptions of chemotherapy-induced alopecia and how it impacts quality-of-life over the course of chemotherapy. The chapters in this dissertation address the following research questions: How do ovarian and uterine cancer patients communicate about their experiences of alopecia over the course of chemotherapy? How does chemotherapy-induced alopecia influence patients’ understandings of quality-of-life? Longitudinal interviews were conducted with a patient population of twenty-three, and each patient was interviewed at least twice over the course of chemotherapy. The data set was composed of fifty-five interviews, and a thematic analysis was performed across …

Connecting The Brain To Itself Through An Emulation., Mijail D. Serruya

Department of Neurology Faculty Papers

Pilot clinical trials of human patients implanted with devices that can chronically record and stimulate ensembles of hundreds to thousands of individual neurons offer the possibility of expanding the substrate of cognition. Parallel trains of firing rate activity can be delivered in real-time to an array of intermediate external modules that in turn can trigger parallel trains of stimulation back into the brain. These modules may be built in software, VLSI firmware, or biological tissue as in vitro culture preparations or in vivo ectopic construct organoids. Arrays of modules can be constructed as early stage whole brain emulators, following canonical …

Analisis Karakteristik Dan Persepsi Pengguna Pelayanan Terhadap Pemanfaatan Puskesmas Sebagai Gatekeeper Di Dua Puskesmas Kota Bekasi Tahun 2016, Fitria Kusumawati Wulandari, Anhari Achadi

Jurnal Ekonomi Kesehatan Indonesia

The concept of primary health care in the era of National Health Insurance (JKN) is developed by strengthening primary health care as a gatekeeper with the concept of managed care. In this concept of managed care, one og the success story of the gatekeeper system is assessed by the visit and referral rates to the Higher Level of Health Facilities (ALHF/Fasilitas Kesehatan Tingkat Lanjut). This study aimed to determine the characteristics and perception of service users towards utilization of public health centers (PHC/Puskesmas) as gatekeeper in two PHC in City of Bekasi. This study used cross-sectional design and data collection …

Predicting Death Over 8 Years In A Prospective Cohort Of Hiv-Infected Women: The Women's Interagency Hiv Study, Deborah Gustafson, Qiuhu Shi, Susan Holman, Howard Minkoff, Mardge Cohen, Michael Plankey, Donald Hoover

NYMC Faculty Publications

OBJECTIVES: Predicting mortality in middle-aged HIV-infected (HIV+) women on antiretroviral therapies (ART) is important for understanding the impact of HIV infection. Several health indices have been used to predict mortality in women with HIV infection. We evaluated: (1) an HIV biological index, Veterans Aging Cohort Study (VACS); (2) a physical index, Fried Frailty Index (FFI); and (3) a mental health index, Center for Epidemiologic Studies-Depression (CES-D). Proportional hazards regression analyses were used to predict death and included relevant covariates.

DESIGN: Prospective, observational cohort.

SETTING: Multicentre, across six sites in the USA.

PARTICIPANTS: 1385 multirace/ethnic ART-experienced HIV+ women in 2005.

PRIMARY …

Macrolides Selectively Inhibit Mutant Kcnj5 Potassium Channels That Cause Aldosterone-Producing Adenoma, Ute Scholl, Laura Abriola, Chengbiao Zhang, Esther Reimer, Mark Plummer, Wenhui Wang, Richard Lifton

NYMC Faculty Publications

Aldosterone-producing adenomas (APAs) are benign tumors of the adrenal gland that constitutively produce the salt-retaining steroid hormone aldosterone and cause millions of cases of severe hypertension worldwide. Either of 2 somatic mutations in the potassium channel KCNJ5 (G151R and L168R, hereafter referred to as KCNJ5MUT) in adrenocortical cells account for half of APAs worldwide. These mutations alter channel selectivity to allow abnormal Na+ conductance, resulting in membrane depolarization, calcium influx, aldosterone production, and cell proliferation. Because APA diagnosis requires a difficult invasive procedure, patients often remain undiagnosed and inadequately treated. Inhibitors of KCNJ5MUT could allow noninvasive diagnosis and therapy of …

Determinan Harapan Peserta Jaminan Kesehatan Nasional Terhadap Layanan Di Klinik Pratama Kota Depok Periode Mei Tahun 2016, Baiq Qurrata Aini, Rita Damayanti

Jurnal Ekonomi Kesehatan Indonesia

The score of JKN member’s satisfaction in primary clinic in 2014 reached as high as 80%, which means that it achieved the target of Jaminan Kesehatan Nasional’s (JKN) Road Map. However, there were still many complaints coming from the BPJS customer as shown in YLKI report and in Kemenpan official website regarding unfulfillment of their expectations. This study aimed to obtain information about the determinant of member’s expectation to the service of primary clinic in Depok (May 2016). This study combined qualitative and quantitative study by sequential exploratory, which was started by qualitative study to explore the phenomena and then …

Analisis Pembiayaan Program Promotif Dan Preventif Pemberantasan Demam Berdarah Dengue (Dbd) Bersumber Pemerintah Di Kota Semarang Tahun 2013-2015, Nisa Kamila, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

In 2010–2014, Semarang was involved as the big three city with high incidence rate of dengue in Central Java province. This study aimed to analyze the financing by the local government for Dengue preventive program in 2013-2015, as well as the resources gap. The health account approach was used to analyze spending by source, function, and provider. Total local government spending for dengue in 2013 were IDR 4.018.927.020,- increased by 101% in 2014 and increased by 218% in 2015. The largest expenditure for Dengue Preventive program is epidemiological surveillance and infectious disease control. There was no gap between available resources …