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Perception of healthcare personnel in interprofessional collaborations: A study in two “type c” hospitals in East Java 医护人员对跨专业合作的看法:在东爪哇两家" c型"医院进行的研究
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.344348
Khurin In Wahyuni, Yunita Nita, Elida Zairina
Background: The World Health Organization (WHO) describes Interprofessional Collaboration (IPC) as a comprehensive service provided by several health workers from different professional backgrounds, collaborating with patients, families and communities to provide quality services. Objective: To investigate the relationship between professions, gender, length of employment and age with IPC. Method: A cross-sectional study was conducted in two type C hospitals in East Java from June to July, 2022. The total sampling technique used involved doctors, pharmacists, nurses and nutritionists. Informed consent was given to all study participants. The Collaborative Practice Assessment Tool (CPAT) questionnaire used a five-point Likert scale which comprising eight domains. Results: From the lowest average results for each domain, significant differences were found in the education group with the domain "team relations with the community, namely the pharmacist profession". Conclusion: Doctors, pharmacists, nurses and nutritionists have different levels of IPC perception in eight domains but there were no significant differences.
背景:世界卫生组织(世卫组织)将跨专业协作(IPC)描述为由来自不同专业背景的几名卫生工作者与患者、家庭和社区合作提供优质服务的综合服务。目的:探讨职业、性别、工龄、年龄与IPC的关系。方法:于2022年6 - 7月在东爪哇两家C类医院进行横断面研究。采用的总抽样技术涉及医生、药剂师、护士和营养学家。所有研究参与者都获得了知情同意。协作实践评估工具(CPAT)问卷使用五点李克特量表,包括八个领域。结果:从各领域的最低平均结果来看,“与社区的团队关系,即药剂师职业”领域的教育组存在显著差异。结论:医生、药师、护士和营养师在8个领域的IPC感知水平不同,但差异无统计学意义。
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引用次数: 0
Regulations of the distribution of pharmaceutical services (pharmacies) locations in Indonesia: A review 印度尼西亚药品服务(药房)地点的分布规定:综述
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.274278
None Catur Dian Setiawan, Arief Wibowo, Umi Athiyah
Background: Regulations for managing the distribution of pharmacies have been established in several countries, including Indonesia. The guidelines for establishing pharmacies have been published at some levels of government. However, the location of pharmacies in Indonesia is still uneven. Objective: to observe the regulations for determining the location of pharmacies in Indonesia Method: This paper documents several rules issued by the government, food and drug regulatory agencies, and pharmacists’ professional organisations that are related to the distribution of pharmacies in Indonesia. Result: There were no specific regulations governing the location of pharmacy distribution in Indonesia. Elaboration of laws about location distribution only regulates environmental waste management. Conclusion: The three factors that make it possible to improve the accessibility of pharmacies in Indonesia are 1) regulation of pharmacy ownership; 2) space between pharmacies; and 3) incentives for pharmacies in remote areas
背景:包括印度尼西亚在内的一些国家已经建立了管理药房分销的条例。各级政府已经发布了设立药店的指导方针。然而,印尼药店的分布仍然参差不齐。目的:考察印度尼西亚确定药店选址的规定。方法:本文记录了印度尼西亚政府、食品药品监管机构和药剂师专业组织颁布的与印度尼西亚药店分布有关的几项规定。结果:印尼尚无具体的药品经营地点规定。关于地点分布的法律的制定只规范了环境废物的管理。结论:提高印尼药店可及性的三个因素是:1)对药店所有权的监管;2)药店之间的空间;3)鼓励偏远地区的药店
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引用次数: 0
Intersectoral leadership on family planning programme performance: A prospective longitudinal study 计划生育方案执行情况的部门间领导:前瞻性纵向研究
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.154158
Anif Prasetyorini, None Muhadi, None Puryanti, Thinni Nurul Rochmah, Fendy Suhariadi
Background: There had been no research on shared leadership at the team level in diverse organisation. Aims: This study aimed to investigate the effect of shared intersectoral leadership on family planning programme’s performance. Method: This was an observational study with a prospective longitudinal time series design. This study distributed questionnaires to 30 teams which were taken by simple random sampling to provide agreed answers. The measurement of the impact of shared leadership on performance was carried out three times. Linear regression was then used to analyse the data. The shared leadership team qualified as adequate. Result: The beta coefficient value indicated that shared leadership had a strong impact on the team’s performance of the family planning programme with a value of 0.817 - 0.824 (p = 0.000). Conclusion: Once the shared leadership approach is effectively utilised, the team performance of family planning programmes will improve.
背景:在不同的组织中,没有关于团队层面的共享领导的研究。目的:本研究旨在探讨部门间共同领导对计划生育方案绩效的影响。方法:采用前瞻性纵向时间序列设计的观察性研究。本研究以简单随机抽样的方式向30个团队发放问卷,以获得一致的答案。对共享领导对绩效的影响进行了三次测量。然后使用线性回归分析数据。共同的领导团队是足够的。结果:贝塔系数值表明,共享领导对团队计划生育项目绩效有较强的影响,其值为0.817 ~ 0.824 (p = 0.000)。结论:一旦共享领导方法得到有效利用,计划生育项目的团队绩效将得到改善。
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引用次数: 0
The impact of antimicrobial stewardship on reserve antibiotic use and procuring cost 抗菌药物管理对储备抗生素使用和采购成本的影响
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.149153
Mariyatul Qibtiyah, Joni Wahyuhadi, Junaidi Khotib
Background: Antimicrobial Stewardship (AMS) is an intervention designed to optimise the appropriate use of antibiotics is expected to reduce selective pressure on microbes, control antimicrobial resistance, improve patient clinical outcomes, and cost reduction. Objective: The aim of this study is to analyse the impact of antimicrobial stewardship on "reserve" antibiotics use and procuring cost of antibiotics in hospitals. Method: The study was conducted at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. A retrospective observational design study to analyse trends of "reserve" antibiotics use and procuring cost before AMS implementation (January 2018-December 2019) and after AMS implementation (January 2020-December 2021). Results: The total meropenem consumption before AMS intervention in January 2018-December 2019 was 9950 DDD, and after AMS intervention in January 2020-December 2021 was 4639 DDD, showing a decrease of 53 %. Procuring Meropenem cost in 2018-2019 was Indonesian Rupiah (IDR) 1.490 billion and IDR 309 million between 2020 to 2021. Cost reduction positively impacts saving procurement costs in hospitals of IDR 1.18 billion (79%). Conclusion: The impact antimicrobial stewardship programs can reduce reserve antibiotic use with meropenem indicator and have a sustainable economic impact, saving the cost of procuring antibiotics in hospitals.
背景:抗菌药物管理(AMS)是一项旨在优化抗生素合理使用的干预措施,有望减少微生物的选择压力,控制抗菌药物耐药性,改善患者临床结果,并降低成本。目的:分析抗菌药物管理对医院“储备”抗菌药物使用及抗菌药物采购成本的影响。方法:本研究在印度尼西亚泗水Soetomo博士综合学术医院进行。一项回顾性观察性设计研究,分析辅助医疗服务实施前(2018年1月- 2019年12月)和实施后(2020年1月- 2021年12月)“储备”抗生素使用和采购成本的趋势。结果:2018年1月- 2019年12月,AMS干预前美罗培南总用量为9950 DDD, 2020年1月- 2021年12月,AMS干预后美罗培南总用量为4639 DDD,减少53%。2018-2019年采购美罗培南的成本为14.9亿印尼盾,2020 - 2021年为3.09亿印尼盾。成本降低对医院采购成本节约产生了积极影响,节省了11.8亿印尼盾(79%)。结论:影响抗菌药物管理项目可减少美罗培南指标下的储备抗生素使用,并产生可持续的经济影响,节约医院抗菌药物采购成本。
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引用次数: 0
Chemoinformatics approach to the screening and development of quassinoids from Brucea javanica as antituberculosis drugs 用化学信息学方法筛选和开发鸦胆子类抗结核药物
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.6065
Ahmad Dzulfikri Nurhan, Melanny Ika Sulistyowaty, Juni Ekowati
Background: The morbidity and mortality of tuberculosis (TB) remain high in various countries as a result of pharmacological intervention failures, such as incomplete treatment regimens and inadequate doses, triggering resistance of Mycobacterium tuberculosis strains to anti-TB drugs used. This phenomenon requires innovation to explore and develop novel anti-TB drugs so that the problem of resistance is overcome and treatment of TB is more optimal. Objective: In this study, chemoinformatics investigations were carried out on quassinoids derived from Brucea javanica to be developed as anti-TB drugs. Method: Evaluation of drug-likeness with the SwissADME online tool, prediction of toxicity with the pkCSM online tool, and molecular docking studies with AutoDock Vina software were performed on 18 quassinoids from Brucea javanica. Result: The findings showed that Bruceine A, Bruceine, and Bruceine D, met the drug-likeness criteria, showed a good toxicity profile, and had better binding energy (-7.5; -7.5; and -7 kcal/mol, respectively) than isoniazid (-5.8 kcal/mol) which is a first-line anti-TB drug on enoyl acyl carrier protein reductase (InhA; PDB ID: 2NSD). Conclusion: This study found several quassinoids from Brucea javanica with the potential to be developed as anti-TB drugs.
背景:由于药物干预失败,如治疗方案不完整和剂量不足,导致结核分枝杆菌菌株对所使用的抗结核药物产生耐药性,结核病(TB)的发病率和死亡率在许多国家仍然很高。这种现象需要创新,探索和开发新的抗结核药物,以克服耐药性问题,使结核病的治疗更加优化。目的:对拟开发抗结核药物的鸦胆子类药物进行化学信息学研究。方法:采用SwissADME在线工具进行药物相似性评价,pkCSM在线工具进行毒性预测,AutoDock Vina软件进行分子对接研究。结果:研究结果表明,马钱子碱A、马钱子碱和马钱子碱D符合药物相似标准,具有良好的毒性,具有较好的结合能(-7.5;-7.5;和-7千卡/mol)比异烟肼(-5.8千卡/mol)高,异烟肼是一线抗结核药物,对烯酰酰基载体蛋白还原酶(InhA;PDB id: 2nsd)。结论:本研究从鸦胆子中发现了几种具有开发抗结核药物潜力的类西芹类化合物。
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引用次数: 0
Pregnant women behaviours in early detection of preeclampsia warning signs based on health belief model: A structural equal modelling analysis 基于健康信念模型的孕妇行为在子痫前期预警信号早期检测中的应用:结构平等模型分析
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.7681
Dwi Rukma Santi, Dewi Retno Suminar, Shrimarti Rukmini Devy, None Mahmudah
Background: Preeclampsia is a pregnancy complication that frequently arises during the second trimester, typically after 20 weeks of pregnancy, requiring increased awareness and vigilance. Objective: The aim of this study was to analyse factors affecting pregnant women’s behaviours in early detection of warning signs of preeclampsia (PE) based on the health belief model. Method: A cross-sectional study was conducted, with 225 respondents as research subjects in Tuban Regency. The sampling technique used was stratified random sampling. Data analysis employed structural equal modelling. Results: The results demonstrated that sociodemographic factors had an indirect pathway toward detection behaviours of the PE warning signs through perceived susceptibility/severity and perceived barrier. Health belief factors, including perceived susceptibility/severity, perceived threat, perceived benefit, perceived barrier, and perceived self-efficacy, had direct pathways toward detection behaviours of the PE warning signs. Cues to action had both direct and indirect pathways toward detection behaviours of the PE warning signs. Conclusion: Improvement of promotion efforts and comprehensive health education by incorporating cognitive, physiological, and psychosocial beliefs were immensely required to enhance better detection behaviours.
背景:先兆子痫是一种妊娠并发症,经常出现在妊娠中期,通常在妊娠20周后,需要提高认识和警惕。目的:基于健康信念模型,分析孕妇在子痫前期预警信号早期检测中的行为影响因素。方法:采用横断面研究的方法,以图们江县225名调查对象为研究对象。抽样方法为分层随机抽样。数据分析采用结构相等模型。结果:社会人口因素通过感知易感性/严重性和感知障碍间接影响PE预警信号的检测行为。健康信念因素,包括感知易感性/严重性、感知威胁、感知利益、感知障碍和感知自我效能感,对PE预警信号的检测行为有直接的影响。行动线索对PE警告标志的检测行为有直接和间接的途径。结论:需要通过认知、生理和社会心理信念来加强宣传工作和全面的健康教育,以提高更好的检测行为。
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引用次数: 0
Effect of fondaparinux anticoagulants on D-dimer levels in Covid-19 patients fondaparinux抗凝剂对Covid-19患者d-二聚体水平的影响
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.233237
Bella Donna Perdana Putra, Pratiwi Asih A.N.T, Budi Suprapti, Dery P Arina, Mulya Sundari
Background: Anticoagulants can prevent thromboembolic activities, improve prognosis, and reduce the mortality rate in Covid-19 patients with coagulopathy. Objective: To analyse the effect of Fondaparinux in decreasing D-dimer levels, and to determine the correlation between patient characteristics, disease severity, and D-dimer levels. Methods: This is a single-centre retrospective cohort study using the medical records of Covid-19 in-patients who were ≥ 17 years old, on Fondaparinux 2.5 mg OD and had D-dimer measurement pre-and post-five days-Fondaparinux therapy during hospitalisation at referral general hospital in Bengkulu, Indonesia between April 2020 and December 2021. The data were assessed to evaluate the differences in the pre-post D-dimer levels, the relationship between patient characteristics and disease severity, and the relationship between disease severity and D-dimer levels. Results: A total of thirty-six patients were included in this study, of which 52.78% were males and 44.44% were aged 46-55 years old. Furthermore, 88.89% had comorbidity, and 55.55% had moderate severity. There was a significant decrease in D-dimer levels in all disease severity (p < 0.05). Patient characteristics and disease severity were not associated with D-dimer depletion (p > 0.05). Conclusion: Fondaparinux reduced the D-dimer levels in all severity of Covid-19 patients.
背景:抗凝剂可以预防新冠肺炎合并凝血功能障碍患者的血栓栓塞活动,改善预后,降低死亡率。目的:分析Fondaparinux对降低d -二聚体水平的影响,并确定患者特征、疾病严重程度与d -二聚体水平的相关性。方法:这是一项单中心回顾性队列研究,使用了2020年4月至2021年12月在印度尼西亚Bengkulu转诊总医院住院期间,年龄≥17岁、服用Fondaparinux 2.5 mg OD并在Fondaparinux治疗前后5天进行d-二聚体测量的Covid-19住院患者的医疗记录。对数据进行评估,以评估前后d -二聚体水平的差异,患者特征与疾病严重程度之间的关系,以及疾病严重程度与d -二聚体水平之间的关系。结果:本研究共纳入36例患者,其中男性占52.78%,年龄在46 ~ 55岁之间的占44.44%。88.89%有合并症,55.55%有中度严重程度。在所有疾病严重程度中,d -二聚体水平均显著降低(p <0.05)。患者特征和疾病严重程度与d -二聚体耗竭无关(p >0.05)。结论:Fondaparinux降低了所有严重程度的Covid-19患者的d-二聚体水平。
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引用次数: 0
Problems in continuity of care for patients with type 2 diabetes mellitus 2型糖尿病患者护理连续性的问题
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.238241
Agnes Christie Rinda, Umi Athiyah, Andi Hermansyah
Background: Continuity of care is an important attribute of healthcare. Problems are particularly common when many patients are discharged from hospitals to primary healthcare centres. However, data on problems in continuity of care for patients with type 2 diabetes mellitus were limited and inconclusive. Objective: This study aimed to identify problems in continuity of care in Indonesia. Method: This observational study was conducted from January to February 2022 in five selected primary healthcare centres (PHC) in Banjarmasin, Indonesia. Data were collected using a checklist of the patient’s routine visits, care planning service and follow-up during the transition. Result: Thirty patients were recruited based on their risk of type 2 diabetes mellitus. Most patients (60%) did not visit the PHC routinely as scheduled, and around 37% of patient medical records were not filled due to inconsistency in the physician assigned per visit. Only six respondents received patient books concerning medication management, while the rest did not get any. Follow-ups for HbA1C testing that were supposed to be provided biannually were not conducted, and only one patient underwent routine fasting blood glucose tests every month. Conclusion: The continuity of care for patients with diabetes mellitus in Indonesia was lacking due to non-adherence to regular treatment, inadequate documentation and absence of follow-up services.
背景:护理的连续性是医疗保健的一个重要属性。当许多病人从医院出院到初级保健中心时,问题尤其普遍。然而,关于2型糖尿病患者护理连续性问题的数据有限且不确定。目的:本研究旨在确定在印度尼西亚护理的连续性问题。方法:这项观察性研究于2022年1月至2月在印度尼西亚班加马辛的五个选定的初级卫生保健中心(PHC)进行。数据收集使用病人的例行访问清单,护理计划服务和随访期间的过渡。结果:30例患者根据2型糖尿病的风险被招募。大多数患者(60%)没有按照计划定期到初级保健中心就诊,大约37%的患者医疗记录没有填写,因为每次就诊指定的医生不一致。只有6名受访者收到了有关药物管理的患者书籍,而其余的人没有收到任何书籍。本应每半年进行一次的糖化血红蛋白检测随访未进行,每月仅有1例患者进行常规空腹血糖检测。结论:印度尼西亚的糖尿病患者由于不坚持常规治疗、文献资料不足和缺乏随访服务而缺乏护理的连续性。
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引用次数: 0
Optimisation of seed oil and powder of Momordica charantia in the formulation of body scrub cream 苦瓜籽油和苦瓜粉在身体磨砂膏配方中的优化
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.127131
Lina Winarti, Shifwatu Dzakkiyah, Eka Deddy Irawan, Erlia Narulita
Background: Momordica charantia seed oil and powder are potential ingredients for a body scrub. The seeds contain fatty acids to moisturise the skin, and the mineral content to remove dead skin cells and nourish the skin.    Objective: To determine the optimal efficiency of Momordica charantia seed oil and powder on body scrub cream produce.    Methods: The body scrub used W/O (water-in-Oil) cream base. Simplex Lattice Design was used to determine five formulas. The irritation test with the Draize Skin Test method was carried out on rats (n = three, in each formula), and the Primary Dermal Irritation Index (PDII) was calculated. Informed consent from the female participants has been obtained for the hedonic test.     Results: The body scrub cream produced appropriate organoleptic, was not irritating, and was stable after centrifugation and cycling test. The optimum formula contained five grams of oil and one gram of powder with a pH of 5.21; viscosity of 205.33 dPa.s; spreading of 6.12cm; adhesion time of 19.86 seconds; rate of washing of 20.60 seconds; a colour value of 4.04; scent value of 2.90; and texture value of 2.98.    Conclusion: The optimised body scrub cream yielded a good formula which can be developed as a body scrub preparation.
背景:苦瓜籽油和粉末是身体磨砂膏的潜在成分。种子含有脂肪酸,滋润皮肤,矿物质含量,去除死皮细胞,滋养皮肤。目的:确定苦瓜籽油粉在身体磨砂膏生产中的最佳效果。方法:身体磨砂膏采用W/O(油包水)膏底。采用单纯形点阵设计确定了五个公式。采用Draize皮肤试验法对大鼠(n = 3只,每个配方)进行刺激试验,计算初级皮肤刺激指数(Primary Dermal stimulation Index, PDII)。已获得女性参与者的知情同意进行享乐测试。结果:身体磨砂膏产生适当的感官,无刺激性,经离心和循环试验稳定。最佳配方为油5克,粉1克,pH值为5.21;粘度为205.33 dPa.s;铺展6.12cm;粘附时间19.86秒;洗涤速度20.60秒;颜色值为4.04;气味值2.90;纹理值为2.98。结论:优选的身体磨砂膏配方较好,可开发为身体磨砂制剂。
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引用次数: 0
An observational analysis of blood and urine testosterone in diagnosis of polycystic ovarian syndrome 血、尿睾酮对多囊卵巢综合征诊断的观察分析
Q4 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2023-10-10 DOI: 10.46542/pe.2023.234.259263
M.A. Hanny Ferry Fernanda, None Ashon Sa’adi, None Sudjarwo
Background: An important diagnostic tool for the diagnosis of Polycystic ovarian syndrome (PCOS) in women is elevated blood testosterone levels. The presence of testosterone in the urine is very likely to support the PCOS diagnosis; however, more investigation is required to determine whether blood testosterone levels are associated with PCOS. Objective: A total of 30 PCOS-positive women participated in this observational study using a diagnostic test approach. Method: The ELISA technique was used to measure the amounts of testosterone in the woman's urine and serum. Result: The levels of testosterone in the urine of 30 PCOS women were lower than those in the serum, with values of 2.688 nmol/L and 8.067 nmol/L, respectively. The Spearman correlation test findings revealed a value of 0.39 at a significance level of 0.05, with a cut-off value of 2.6010 nmol/L at sensitivity and specificity of 0.625 and 0.571, showing the importance of urine testosterone levels in detecting hyperandrogenic PCOS patients. Conclusion: In women with PCOS, serum and urine testosterone levels are correlated.
背景:女性多囊卵巢综合征(PCOS)诊断的重要工具是血睾酮水平升高。尿液中睾酮的存在很可能支持多囊卵巢综合征的诊断;然而,需要更多的研究来确定血液睾酮水平是否与多囊卵巢综合征有关。目的:采用诊断试验方法对30例pcos阳性妇女进行观察性研究。方法:采用酶联免疫吸附法(ELISA)测定妇女尿液和血清中睾酮的含量。结果:30例PCOS患者尿睾酮水平低于血清睾酮水平,分别为2.688 nmol/L和8.067 nmol/L。Spearman相关检验结果为0.39,显著性水平为0.05,截断值为2.6010 nmol/L,敏感性为0.625,特异性为0.571,说明尿睾酮水平对检测高雄激素性PCOS患者的重要性。结论:PCOS患者血清与尿睾酮水平存在相关性。
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引用次数: 0
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Pharmacy Education
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