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The high cost of colloid fluids and the large number of patients are concerns in determining which treatment standard should be chosen from several treatment alternative, where the total cost for 43 cases with a combination of crystalloid colloid fluids is IDR 209.370.993 while the total cost for 45 cases of crystalloid fluids is only UDR 146.492.268 which causes hospital losses. This study aims to determine the difference in the cost-effectiveness between crystalloid fluids and crystalloid-colloid combinations in hospitalized dengue fever patients without shock at Tangerang City Hospital. The research design used was cross-sectional with a comparative quantitative analysis method, where cost effectiveness was analyzed using the Average Cost Effectiveness Ratios (ACER) method. There were two groups of study samples: the first group, 25 patients who received crystalloid fluids, and the second group, 23 patients who received crystalloid-colloid combination fluids. This study showed a difference in the average hospitalization costs for dengue patients between crystalloid fluid therapy and crystalloid-colloid combination therapy. Hospitalization costs for dengue patients were lower in the crystalloid fluid group, with a significant difference (p=0.000). It was also found that crystalloid fluids were more cost-effective than the crystalloid-colloid combination. The implications of the study results consist of theoretical implications and practical implications. Based on the results of the analysis carried out, the crystalloid solutions are more cost-effective than crystalloid-colloid combinations. This finding can be used as a consideration in making decisions and policies that are in accordance with quality control and cost control for patients covered by the National Health Insurance (BPJS Health insurance).

Healthcare Associated Infections (HAIs) are serious occurrences and problems that are often found in all hospital facilities. HAIs cause extended hospitalization, permanent disability, increased treatment costs, and death. Hand Hygiene has an important role in the prevention and control of HAIs. This study aims to see the compliance of nurses' hand hygiene and nurses' knowledge of healthcare associated infections (HAIs) in the intensive care unit of Santa Elisabeth Hospital Medan in 2024. The type of research design used was descriptive with a sampling technique using a total of 31 respondents. Based on the results of the study, it was found that most nurses were obedient in carrying out hand hygiene (83.9%) and knowledge that is about the prevention of HAIs was found to be a large number of nurses who had high knowledge (67.7%). It is hoped that nurses maintain compliance in performing hand hygiene so that HAIs do not occur.

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

Acute Coronary Syndrome (ACS) is an emergency condition in which a group of symptoms of acute ischemic chest pain are part of coronary heart disease (CHD) and require immediate treatment. The prevalence of CHD in Aceh is higher than the national average of 1.6% or around 20,244 people. This study is expected to describe the prevalence, number of deaths (mortality) and average length of stay (LOS) of STEMI patients during hospitalization so that this data can significantly enhance knowledge for health practitioners and be used as a warning to be more aware of STEMI incidents in Aceh. This study uses a retrospective descriptive research design with a research sample of all patients diagnosed with ACS with ST-Elevation who were hospitalized at Dr. Fauziah Hospital in June 2022-June 2023. The data collection technique is total sampling obtained from medical record data. It was concluded that the majority of patients were male, namely 80.7% (71 patients), the highest age was 45-60 years with 45 cases (51.1%). History of CHD was the dominant risk factor (62% of cases). The most dominant type of ACS with ST-Elevation was Anterior STEMI as many as 32 cases (52.3%) with onset <12 hours (51% of cases) and predominantly came with KILLIP I (62.5% of cases). The most dominant management was with conservative therapy 56 cases (61.4%). The average length of patient care was 5 days (45.1%) and the most outcomes with outpatients as many as 72 cases (81.8%).

Pets and livestock play an important role in everyday life, both economically and socially. However, both require optimal care and health to ensure their well-being and prevent potential health risks to humans. Annajah Vet Care, Pet & Poultry Shop comes as a veterinary clinic that provides comprehensive health services, such as vaccinations, hospitalization, grooming, and provision of feed for livestock and pets. Despite operating for two years, the clinic does not yet have a strong and consistent visual identity, as evidenced by the use of two similar logos that do not reflect the brand image. Promotion is also still limited to physical media and conventional methods such as word of mouth, with no utilization of social media. Surveys show that the majority of people recognize Annajah Vet Care as an animal health service provider, but brand awareness of its role as a pet shop is still low. To overcome this challenge, concept design was conducted as a strategic effort to strengthen brand identity through the application of a consistent and representative visual identity. In addition, the use of social media was optimized to reach a wider audience and support effective promotional efforts. Rebranding is expected to increase brand awareness, improve public perception of the services offered. With the right branding approach, Annajah Vet Care is expected to be able to compete in the market.

Hospitalization is a disruptive experience for children that can also induce anxiety. Generally, the reactions of children undergoing inpatient care are anxiety, crying, and restlessness. Play therapy can help distract children from pain and provide relaxation. This study aims to determine the effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization. This study employs a Pre-Experimental method with a One Group Pre-Post Test Design. The population for this research is 200 children each month. The sample consists of 80 respondents who are preschool-aged (3-6 years old) and have been admitted to Rizani Paiton Probolinggo Hospital. The sampling technique used is accidental sampling. Data management involves processes such as Editing, Coding, Scoring, and Tabulating, and the data are analyzed using the Wilcoxon test.Top of FormBottom of Form The results of this study show that the average anxiety score before the squishy toy play therapy was 2.54. The average anxiety score after the therapy was 1.56. The analysis using the Wilcoxon test indicates that there is an effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization, with a p-value of 0.000. Squishy play therapy is carried out twice a day for three consecutive days, squishy play therapy is suitable for preschool children because this therapy is easy to do, does not require a lot of facilities and takes a short time. Suggestions for further researchers observe parents and closest people as one of the factors that influence the effectiveness of squishy play therapy.

The reporting system is the presentation of data in the form of the results of activities in an organization as well as data from research results which are arranged systematically, so that it is easier to understand and easier to analyze and draw conclusions from an activity. The method in this research uses secondary data observation. The aim of this study was to determine the 10 most common diseases in outpatient and inpatient care (based on gender and age characteristics) at the Regional General Hospital, dr. Fauziah Bireun, This type of research is quantitative descriptive. The population and sample in this study are medical record recap data from January to December using total sampling. The results of the study showed that the highest number of diseases, namely Urolithiasis cases, had 314 outpatients, while the highest number of inpatients was Cerebral Infarction, there were 425 patients. There were 1,866 inpatients, based on the age range of 45-64 years, there were 1,042 outpatients and 958 inpatients. It is hoped that future researchers will carry out further research on the factors that cause health problems and health problems in patients with the highest cases of disease.

The anxiety felt by children will have an impact on stress in children. Some children are unable to express their anxiety openly and quiet children usually do not have good coping skills in dealing with anxiety. Many methods have been used to approach children with the aim of reducing hospitalization, starting with play therapy, music, reading stories, drawing. Touch and talk therapy is carried out by providing touch and motivation to children. Where children feel more comfortable when touched. This study aims to find out the effect of touch and talk therapy on preoperative anxiety in school-aged children at the Bintan District Hospital. This research design is a quasi-experimental one group pretest-posttest design. The sample in this study was 30 school-aged children treated in the Gardenia Room at the Bintan District Hospital and the data were analyzed using the Wilcoxon range test. The results show that there is a significant influence between the average anxiety level score during the pre-test and post-test (mean pre-test = 60.17 to mean post-test = 26.07) with p value = 0.000 (p value <0.05). This therapy can be used as an alternative for pre-operative intervention in children at the hospital.

Ectopic pregnancy can be interpreted as a pregnancy that occurs outside the uterine cavity. If this ectopic pregnancy ruptures, it is called a disturbed ectopic pregnancy. There are several factors that cause ectopic pregnancy such as a history of previous ectopic pregnancy, a history of tubal damage, a history of previous Salphingitis infection. In this case, a 27-year-old woman with a gestational age of 8-9 weeks came with complaints of bleeding from the birth canal and accompanied by severe pain in the lower abdomen that spread to the anus which had been felt for approximately the last 2 weeks. The patient underwent exploratory laparotomy. The patient's condition improved after the procedure and hospitalization, the patient was allowed to go home on the condition of a weekly check-up to evaluate the post-operative condition.

The impact of hospitalization on children is anxiety. To reduce this, it can be done by applying atraumatic care, which focuses on family-centered care in carrying out nursing actions. This study aims to determine the relationship of the application of atraumatic care to anxiety in children experiencing hospitalization at Pertamedika Ummi Rosnati Hospital Banda Aceh. This type of research is quantitative with a correlation study analytic design. Data collection was carried out on 5 to 26 July 2024. The population in the study were all children admitted to Pertamedika Ummi Rosnati Hospital Banda Aceh and a sample of 33 respondents with sampling techniques using purposive sampling. Data analysis using chi square test showed there was a relationship between the application of traumatic care and anxiety in children at Pertamedika Ummi Rosnati Hospital Banda Aceh with a p value of 0.000 (p <0.05). So it can be concluded that there is a relationship between the application of atraumatic care and anxiety in children who experience hospitalization. It is expected that parents know how to care for children while hospitalized so that children do not experience anxiety.

Based on the International Diabetic Federation (IDF), in 2017, the number of people suffering from DM in Indonesia was 10.3 million people, Indonesia was ranked 6th with the highest number of DM patients. Foot ulcers are often the main cause of hospitalization in DM patients, and DM is the main cause of lower extremity amputation in non-traumatic cases. Currently, Indonesia does not yet have a consensus for the management of diabetic foot infections. Management of diabetic foot infections currently uses guidelines from the Infectious Disease Society of America (IDSA) and the International Working Group of Diabetic Foot (IWGDF) for empirical selection of antibiotics. The basic principles of healing diabetic ulcers are adequate arterial perfusion, proper control of infection, and offloading the ulcer area. Empirical selection of antibiotics often coincides with inadequate information regarding microbiological patterns. Choosing an antibiotic with a spectrum that is too narrow will cause pathogens to be overlooked in infections which are often caused by polymicrobial, and cause clinical deterioration in the patient. Unnecessary selection of broad-spectrum antibiotics can contribute to the increasing problem of antibiotic resistance. Mild and moderate infections can be given antibiotics with a narrower spectrum. Severe infections require parenteral administration to reach therapeutic levels immediately.

Children are the younger generation who have an important role in maintaining and continuing the ideals of the nation. Several cases of serious health complaints experienced by children require more than just outpatient treatment. If a child is hospitalized, then the child will easily experience a crisis because the child experiences anxiety due to the changes he is experiencing. Children need media that can overcome anxiety due to hospitalization and be able to work with health workers while in treatment. One of the media so that children can overcome anxiety is the skill of playing coloring pictures. Intervention play therapy coloring pictures is done 15-20 minutes every day for 2 days in a row. The level of anxiety before being given play therapy coloring pictures in subject I was 11 (severe anxiety) and subject II was 6 (moderate anxiety). The level of anxiety after being given play therapy coloring pictures in subject I is a score of 9 (moderate anxiety) and subject II a score of 4 (mild anxiety). The conclusion from the discussion of this case study is that there is a decrease in anxiety levels after the application of coloring pictures play therapy in preschool-aged children.

Acute psychotic disorder is a mental disorder characterized by the onset of one or more symptoms, among which the symptoms are delusions, hallucinations, bizarre postures and behavior, and disorganized speech. The diagnosis of acute psychotic disorder was established based on the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) criteria. It is generally considered rare, as one study of military recruits found in which the estimated DSM-III-R incidence of brief reactive psychosis was 1.4 per 100,000 recruits. Schizoaffective is a mental disorder characterized by two recurrent features, namely schizophrenia (meets criterion A for schizophrenia) and mood episodes, both major depression and bipolar. Schizoaffective disorder, occurs in 0.2% of the general population in America, 9% of people with schizoaffective hospitalization.

Anxiety is the most common feeling experienced by pediatric patients who experience hospitalization, anxiety that is often felt by children such as crying, fear of the environment and new people. The number of stressors experienced by children when undergoing hospitalization can have a negative impact on the child's development. This aim is to determine the effect of coloring play therapy on the anxiety level of preschool-aged children who experience hospitalization at the Banda Aceh Mother and Child Hospital. This study used a quantitative research design with a sample size approach of 5 respondents. The sampling technique used is purposive sampling. Data collection instruments were carried out before and after carrying out coloring play therapy using observation sheets with a percentage calculation assessment scale. The results showed that before being given coloring play therapy, there were 2 respondents who experienced moderate anxiety (40%) and 3 child respondents who experienced severe anxiety (60%). And after being given coloring play therapy there were 4 child respondents who experienced mild anxiety (80%) and 1 person who was in the moderate category (20%). It is suggested that the results of this study can be used as a reference for coloring play therapy in preschool-age child patients who experience hospitalization anxiety in the children's room at the Banda Aceh mother and child hospital in 2021.

Hospitalization is a process that requires children to undergo treatment and therapy at the hospital until they return home. The impact of hospitalization that is most often experienced by children is anxiety. Anxiety experienced by children during hospitalization can be overcome by playing therapy. The purpose of this study was to determine the effect of giving playing ball therapy to hospitalized children with anxiety before examining vital signs. This research method is a descriptive study, with a sample of 2 people in the Hospital of Temanggung Regency. The instrument used to measure anxiety levels is the Spence Children's Anxiety Scale (SCAS). Respondents were given play therapy 3 times in 3 days. The results of this study indicate that the anxiety level of hospitalized children decreased from an average score of 36, namely the moderate anxiety category, to an average score of 20, mild anxiety category.    

Discharge planning needs to be implemented from the time the patient enters the hospital until the day of discharge. Providing effective information can increase the knowledge and skills of patients and families to carry out independent care at home which is assumed to be ready for discharge so that it is hoped that rehospitalization events will not occur. This study aims to see whether there is an influence of Discharge planning model five on readiness to go home and family. The research design used a quasi experiment with a two group pre and post test using a purposive sampling approach carried out on inpatient students. The research instrument used the Readiness For Hospital Discharge Scale (RHDS) questionnaire. Data analysis used the Paired T test. The results of research on 30 respondents using the Independent T test on the average readiness to go home after (posttest) patients in the Intervention and Control groups obtained P value = 0.000 < ? (0.05) there was a difference in the average stress after (posttest) in the Intervention group with the control group. Based on this research, Discharge planning model five is able to increase patient readiness to go home and it is hoped that it can provide input to hospitals so that they can make Discharge planning model five as a method that can be given to patients when the patient is admitted until the patient wants to prepare to go home.

Background :Hospitalization is a critical condition in children, when the child is sick and is being treated in the hospital. Hospitalization can be considered as a threatening experience and becomes a stressor so that it can cause a crisis for children and families. In an effort to reduce the impact of children from hospitalization experienced by children during child care, we need a medium that can express anxiety, one of which is coloring picture therapy. Data from the Children's Room at Adjidarmo Rangkasbitung hospital found that children who were hospitalized from January to June 2022 had 979 cases of hospitalized children or an average of 163 cases per month. Writing purpose :the effect of giving play therapy coloring pictures on reducing stress due to the impact of hospitalization in pre-school-aged children at Adjidarmo Rangkasbitung Public Hospital, Banten Research methods :This study used a pre-experimental denham design with one group pretest-posttest design. One-group pre-post test design to obtain stress level data before and after the intervention. The number of samples in this study were 32 pre-school children who fit the inclusion criteria. The instrument used for data collection used a questionnaire and then the data were analyzed using the paired t test. Research result :the average stress on children due to hospitalization before the intervention was given was 21.09 pont or included in the moderate category and after the intervention became 13.13 or included in the moderate. There is an effect of giving play therapy coloring pictures to reduce stress due to hospitalization in pre-school-aged children at Adjidarmo Rangkasbitung Hospital, Banten with a p value of 0.000. Conclusions and recommendations:Image coloring play therapy can be effective in reducing stress in children due to hospitalization, therefore health workers can apply image coloring play interventions to children who are hospitalized

Management of medical actions carried out in handling patients who are ODP (people under monitoring), OTG (asymptomatic people), PDP (patient under monitoring) and positive Covid-19 patients is carried out based on assumptions, such as self-isolation, hospitalization, or special treatments in the ICU (Intensive Care Unit) room. The condition of the body in each patient is different, a patient may have same symptoms but the treatment is different, especially in elderly patients. Many problems occur in determining medical action because the patient's body condition is different. Therefore, it needs to be appointed as a research. The research method used in this study was Nive Bayes algorithm with supporting application Rapid Miner. It was applied to carry out the process of testing on patient data as much as 500 data, 25 variables or patient symptoms and 3 outputs as a form of medical action. Based on the results of the analysis carried out in this study, prediction of medical actions for ODP, PDP, OTG and positive Covid-19 patients were obtained by comparing training data with testing data using Rapid Miner application. It resulted that an accuracy rate of 76.00% was obtained

Hospitalization is a process that has planning or emergency reasons that require the child to stay in the hospital. Hospitalization at school-aged children is 6-12 years forcing children to part with their beloved environment such as family and group soisalnya causing anxiety. Anxiety is an emotional response to the assessment of something dangerous, associated with feelings of uncertainty, helplessness, fear of fear is not clear why. This case study illustrates the application of bibliotherapy to decrease the anxiety level of school-aged children during hospitalization. The case study design used is descriptive case study. The case study was conducted in RSUD Dr. Adhiyatma, MPH Semarang. result of case study got decrease of subject anxiety level I before application of bibliotherapy value of anxiety level 40 after application of bibliotherapy decrease to 34 and subject II anxiety level level before applying of bibliotherapy value of anxiety level 31 after application of bibliotherapy decrease to 26. subject of subject anxiety level decrease 6 value and subject II down 5 values.