Medicine and Health Sciences Commons^™

Managing Excess Inventory Of Stores In A Hospital, Naveen Kumar

Manipal Journal of Medical Sciences

Inventory costs in hospitals vary from 30 to 40 percent of the hospital operating costs per year. Inventories are materials and supplies that a hospital carries for patient care. Often, they are a substantial part of the total assets of a hospital. Quick liquidation is imperative in real-time scenarios like value recovery, getting rid of excess material or bringing down logistics cost. Due to poor handling of finances by purchase managers without prior retail management education – the ordering systems, vendor payments management of the hospitals will not be ideal, which will affect vendor relations. In this scenario, this study …

Role Of Statins In Covid-19, Bharti Chogtu

Manipal Journal of Medical Sciences

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Metastatic Genital Crohn’S Disease: Visceral Devil In The Details- A Case Report, Soumya Kanti Datta

Manipal Journal of Medical Sciences

Crohn’s disease (CD) is a chronic inflammatory bowel disease (IBD) commonly associated with extraintestinal manifestations such as arthritis, uveitis, deep venous thrombosis and erythema nodosum. Asymmetrical labial swelling and edema are the most common presentations of genital CD in females. Vulval CD can appear before or after gastrointestinal (GI) CD or it may occur simultaneously with an independent course of disease and response to treatment. Here we discuss an atypical case of metastatic vulvar CD presenting as perineal and perianal ulcers and erosions successfully treated with oral doxycycline and topical corticosteroids hence making it an exciting new treatment avenue to …

Level Of Disability And Limitation Of Shoulder Motion In Post Mastectomy At Hasan Sadikin Hospital Bandung In 2019, Nadya Rachmawati, Tertianto Prabowo, Fathurrachman Fathurrachman

Jurnal Penyakit Dalam Indonesia

Introduction. Post-mastectomy complications in breast cancer patients can be a long-term disabilities such as limitation of shoulder function that only appears after several months to years after surgery and may remain for the rest of the patient’s life. This study aims to describe the level of disability and limitation of the shoulder joint’s range of motion in breast cancer patients following mastectomy at Hasan Sadikin Hospital, Bandung 2019. Methods. This research was conducted by using descriptive method with cross-sectional study design. Sampling technique using consecutive sampling method during one-month study period. Samples were post-mastectomy breast cancer patients who came to …

The Impact Of “Code Stemi” Program Implementation On Door To Balloon Time And Major Adverse Cardiac Events Of Patients With St Elevation Myocardial Infarction, Prijander L B Funay, Ika Prasetya Wijaya, Eka Ginanjar, Hamzah Shatri

Jurnal Penyakit Dalam Indonesia

Introduction. Delay in the management of ST Elevation Myocardial Infarction (STEMI) patients is a cause of high mortality and the incidence of major adverse cardiac events (MACE). Efforts that can be made in health facilities with primary percutaneous coronary intervention (PCI) capability are achieving timely reperfusion of STEMI patients. Various strategies were carried out to achieve timely reperfusion including implementation the CODE STEMI program. This study aimed to determine the effect of the implementation of the CODE STEMI program on Door to Balloon Time (D2BT) and MACE of STEMI patients undergoing primary PCI. Methods. This was a retrospective cohort study …

Low Serum Irisin As A Risk Factor Of Sarcopenia In Elderly, I Gust Putu Suka Aryana, I.B. Putrawan, Ni Ketut Rai Purnami, R.A. Tuty Kuswardhani, I Nyoman Astika, Ketut Suastika, I Putu Gede Adiatmika, I Made Jawi, I Nyoman Wande

Jurnal Penyakit Dalam Indonesia

Introduction. Sarcopenia is a condition characterized by a decrease in muscle mass accompanied by a decrease in strength and/or function. Sarcopenia is closely related to the aging process, but the mechanism of its occurrence is still not fully understood. Skeletal muscle is the largest organ in the human body, so the myokine produced through muscle contraction opens a new paradigm regarding the central role of muscles in regulating metabolism and other organ functions. One of the myokines that are currently found to affect physical activity is Irisin. This study aims to determine the role of low Irisin levels in serum …

Tumor Necrosis Factor Alpha Snp Variant In Promoter Region G308a, Cause Preeclampsia During Pregnancy In Pakistani Women, A Case Control Study, Azizah Ziauddin, Sadia Ahmad, Asad Iqbal, Abdul Majid Khan, Shahid Mahmood Baig

Journal of Bioresource Management

Preeclampsia (PE) is a very common critical condition during pregnancy. As PE is a high-risk condition during pregnancy, occurring in 25% of all pregnancies, worldwide. In women with PE there is an increase in hypertension and albuminuria. Elevated blood pressure can be life-threatening after 20^th week of pregnancy. Single nucleotide variation in gene sequence can be disease causing, among these pathogenic SNPs, a variant in TNF-α, G308A is analyzed in many studies as a causative variant to cause preeclampsia. In this case control study fifty patients and fifty healthy individuals were enrolled for analysis of TNF-α promoter region …

Impact Of The Covid-19 Pandemic On Mental Health And Well-Being Of Communities: An Exploratory Qualitative Study Protocol, Anam Shahil Feroz, Naureen Akber Ali, Noshaba Akber Ali, Ridah Feroz, Salima Nazim Meghani, Sarah Saleem

Community Health Sciences

Introduction: The COVID-19 pandemic has certainly resulted in an increased level of anxiety and fear in communities in terms of disease management and infection spread. Due to fear and social stigma linked with COVID-19, many individuals in the community hide their disease and do not access healthcare facilities in a timely manner. In addition, with the widespread use of social media, rumours, myths and inaccurate information about the virus are spreading rapidly, leading to intensified irritability, fearfulness, insomnia, oppositional behaviours and somatic complaints. Considering the relevance of all these factors, we aim to explore the perceptions and attitudes of community …

Unusual Cardiac Presentation Of Covid-19 With Significant Sinus Pauses, Tarique S. Chachar, Salman K. Slais, Abdulrahman Almadani, Adel K. Hamad

Journal of the Saudi Heart Association

There is growing evidence of cardiac complications due to corona virus disease 2019 (COVID 19). Our case is a case of a young patient with COVID-19 and symptomatic sinus pauses.

A Multiloculated Left Ventricular Thrombus, Dinkar Bhasin, Gaurav K. Arora, Anunay Gupta, Hermohander S. Isser, Sandeep Bansal

Journal of the Saudi Heart Association

No abstract provided.

An Esoteric Case For The Scientific Study Of Meditation, Vish Chatterji

The Transdisciplinary STEAM+ Journal

The science of meditation has served to help overcome ego-related obstacles in meditation, and has enable the propagation of a powerful tool for the increased consciousness, health and peace of humanity.

Specimens, Sara Kapadia

The Transdisciplinary STEAM+ Journal

A short rumination on specimens

Medical School Watercooler Newsletter - December 30, 2020, Lindsey Lyle

Watercooler Newsletter

This is the December 30, 2020 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Results from ovarian cancer study at MCI published in The Lancet Oncology

London-Surgeon-Dr-Vivian-Mcalister-Appointed-To-The-Order-Of-Canada, Mike Stubbs

Data and Test Instruments

No abstract provided.

2020-12-30_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

2020-12-30_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Hospitals. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

2020-12-30_Michiganoverview_Covidoutbreak, Michigan Department Of Health & Human Services

Michigan COVID-19 Outbreak Reports

The Outbreak Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_102057---,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by local health departments. Data is updated every week.

COVID-19 outbreaks are generally defined as two or more cases with a link by place and time indicating a shared exposure outside of a household. Local health departments report the number of new and ongoing outbreaks they are investigating by the setting of the outbreak. New outbreaks are those outbreaks that were first identified during the current reporting week. Ongoing outbreaks are …

2020-12-30_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

2020-12-30_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

London-Ont-Surgeon-Officer-Of-Order-Of-Canada, Sawyer Bogdan

Data and Test Instruments

No abstract provided.

A Veteran Neurologist’S Book Offers Tools For Navigating The 'Turbulent World' Of Huntington's Disease, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

Analisis Biaya Satuan Pelayanan Sectio Caesaria Dan Upaya Efisiensinya Di Rsd Kol. Abundjani Bangko, Tetriadi Tetriadi, Atik Nurwahyuni

Jurnal Ekonomi Kesehatan Indonesia

This study discusses the semester 1 report of 2018 with the difference in income from the caesaria section BPJS service with the hospital rate of Rp 508,932,651. In 2019 UHC (Universal Health Caverage) will be implemented while health BPJS according to Law no. 24 of 2011 was appointed by the government as the health insurance management body. Hospitals need to calculate service costs using unit costs so that they experience devisit. The purpose of this study was to create unit cost services for caesarean sectio cases and their efficiency at RSD Kol. Abundjani Bangko. The research method is a quantitative …

Determinan Sosial Ekonomi Terhadap Berat Badan Lebih Dan Obesitas Di Indonesia: Analisis Data Ifls 2014, Fajar Nugraha, Riki Relaksana, Adiatma Y. M. Siregar

Jurnal Ekonomi Kesehatan Indonesia

The phenomenon of overweight and obesity has become a serious problem in various countries, especially in Indonesia. According to WHO in 2016 there were 2.8 million people who died due to the problem of overweight and obesity, while according to the Indonesian Ministry of Health the prevalence of overweight and obesity in Indonesia in 2018 reached 13,6% and 21.8%. One of the factors that cause overweight and obesity is socio-economic status. However, there are often differences regarding the effect of socioeconomic status on obesity in developing and developed countries. This study aims to identify the determinant factors of socioeconomic status …

Genetic Variants In Immune Related Genes As Predictors Of Responsiveness To Bcg Immunotherapy In Metastatic Melanoma Patients., Romela Irene Ramos, Misa A Shaw, Leland Foshag, Stacey L Stern, Negin Rahimzadeh, David Elashoff, Dave Hoon

Articles, Abstracts, and Reports

Adjuvant immunotherapy in melanoma patients improves clinical outcomes. However, success is unpredictable due to inherited heterogeneity of immune responses. Inherent immune genes associated with single nucleotide polymorphisms (SNPs) may influence anti-tumor immune responses. We assessed the predictive ability of 26 immune-gene SNPs genomic panels for a clinical response to adjuvant BCG (Bacillus Calmette-Guérin) immunotherapy, using melanoma patient cohorts derived from three phase III multicenter clinical trials: AJCC (American Joint Committee on Cancer) stage IV patients given adjuvant BCG (pilot cohort; n = 92), AJCC stage III patients given adjuvant BCG (verification cohort; n = 269), and …

Theoretical Validity Of Problem Focused-Coping Skill Guideline To Develop Students’ Critical Thinking Skills, Nur Hidayah, Anis Tri Yuliana, Husni Hanafi

Jurnal Kajian Bimbingan dan Konseling

Critical thinking skills are central for students to become human resources with character. The process of developing thinking skills is currently done contextually within the implementation of learning materials, while critical thinking skills are also needed in everyday life situations. Developmental counselling services through the Problem Focused-Coping Skill (PFCS) strategy are an alternative to foster critical thinking skills through contextual situations in students’ daily lives. Anchored by a research and development model through preliminary studies, product development, and expert validation, the present study unraveled the theoretical validity of PFCS strategy to enhance students’ critical thinking skills. Participants involved were evaluators …

Dach1 Mutation Frequency In Endometrial Cancer Is Associated With High Tumor Mutation Burden, Mckayla J. Riggs, Nan Lin, Chi Wang, Dava W. Piecoro, Rachel W. Miller, Oliver A. Hampton, Mahadev Rao, Frederick R. Ueland, Jill M. Kolesar

Obstetrics and Gynecology Faculty Publications

OBJECTIVE: DACH1 is a transcriptional repressor and tumor suppressor gene frequently mutated in melanoma, bladder, and prostate cancer. Loss of DACH1 expression is associated with poor prognostic features and reduced overall survival in uterine cancer. In this study, we utilized the Oncology Research Information Exchange Network (ORIEN) Avatar database to determine the frequency of DACH1 mutations in patients with endometrial cancer in our Kentucky population.

METHODS: We obtained clinical and genomic data for 65 patients with endometrial cancer from the Markey Cancer Center (MCC). We examined the clinical attributes of the cancers by DACH1 status by comparing whole-exome sequencing (WES), …

Comparison Of Popular Three-Dimensional Printing Materials For Oral And Maxillofacial Surgical Guidance Model, Mohammad Adhitya, Sunarso Sunarso, Abdul Muis

Journal of Dentistry Indonesia

The application of three-dimensional (3D) models in the medical field has become popular. However, the accuracy of 3D models for surgical guidance varies among different materials and 3D printing technologies, such as printing machine usage. Objectives: This study aims to obtain more information about the effect of three different materials printed using a fused deposition material printer from the same digital data source. This study also aims to compare, analyze, and test the materials’ ability. Methods: Each of the filament materials (acetylbutane stearate [ABS], polylactic acid [PLA], and high-impact polystyrene [HIPS]) are printed at two infill densities, their weight, volume, …

The Relationship Between Type 2 Diabetes Mellitus With Chronic Kidney Disease In Indonesian Population In 2014-2015 (Data Analysis Of Ifls 5), Tri Damayanti Simanjuntak, Tri Yunis Miko Wahyono

Jurnal Epidemiologi Kesehatan Indonesia

The Global Burden of Disease research in 2010 reveal that cases of chronic kidney disease increase and became a serious health problem. Indonesia Basic Health Research data in 2013 reveal that the proportion of patients with chronic kidney failure aged > 15 years old based on doctor’s diagnosis was 0,2% and 0,6% kidney stones. The study aimed to analyze the relationship be tween type 2 diabetes mellitus and chronic kidney disease in the population of Indonesia in 2014-2015. This design of research used cross-sectional and secondary data from the Indonesia Family Life Survey (IFLS) 5. The minimum sample size in this …

Faktor-Faktor Yang Berhubungan Dengan Waktu Kembalinya Menstruasi Pertama Pasca Persalinan Di Wilayah Rural, Indonesia, Nia Reni Adha, Krisnawati Bantas

Jurnal Epidemiologi Kesehatan Indonesia

Durasi kembalinya menstruasi pertama di Indonesia dinilai masih sangat cepat. Hal ini berdampak pada peningkatan kehamilan yang tidak direncanakan dan pendeknya jarak lahir. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan waktu kembalinya menstruasi pertama pasca persalinan di wilayah rural Indonesia. Penelitian ini menggunakan data Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017 dengan responden sebanyak 1701 ibu berusia 15-49 tahun, yang melahirkan anak terakhir dalam waktu 1 tahun sebelum survei. Penelitian ini menggunakan desain studi kohort retrospektif dengan analisis survival/ kesintasan, Cox Regression. Dari penelitian ini didapatkan waktu kembali menstruasi pertama pasca persalinan di Indonesia hingga 12 bulan pengamatan …

Hubungan Riwayat Komplikasi Saat Hamil Dengan Kejadian Berat Badan Lahir Rendah (Bblr) Di Indonesia, Pebrina Manurung, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

Bayi dengan Berat Badan Lahir Rendah (BBLR) berisiko mengalami banyak masalah kesehatan seperti jatuh sakit dalam enam hari pertama kehidupannya atau mengalami infeksi, serta dapat juga menderita masalah jangka panjang seperti perkembangan motorik dan sosial yang tertunda atau ketidakmampuan belajar. WHO memperkirakan BBLR sekitar 15% hingga 20% dari jumlah yang lahir, mewakili tiap tahunnya ada sekitar 20 juta kelahiran. Penelitian ini bertujuan untuk mengetahui hubungan riwayat komplikasi saat hamil dengan kejadian BBLR. Desain yang digunakan dalam penelitian ini yaitu study cross sectional dengan menganalisis data IFLS tahun 2014. Sebanyak 372 responden diikutkan dalam studi ini. Analisis chi square test untuk …