Publication Search

Background: Patients with Chronic Renal Failure undergoing Hemodialysis (HD) have various health problems, one of which is skin manifestations. Dry skin is described in the majority of patients with Renal Failure and is suspected to be a significant pathogenic factor in pruritus and may increase itching intensity in CRF patients. It was found that 52% of patients who underwent HD had dry skin (xerosis). Dry skin that appears in CRF patients with hemodialysis is usually caused by atrophy of the sebaceous glands, impaired external secretory function, and impaired hydration of the stratum corneum. Purpose: to increase skin moisture in patients with chronic renal failure undergoing hemodialysis Methods: This community service is carried out by providing VCO and teaching massage stroking techniques. VCO is applied to the skin twice a day for 4 weeks followed by massage. Results: Of the 53 patients, 60.37% of patients experienced an increase in skin moisture, 16.98% of patients had a decrease in skin moisture levels and 22.64% could not be evaluated Conclusion: Routinely apply VCO twice a day for 4 weeks, experience an increase in the value of skin moisture. Meanwhile, in patients who did not apply regularly, there was a slight increase compared to patients who did not apply VCO at all. Oily skin and the smell of coconut oil are the reasons for patients not to routinely give VCO.

Background: Health services have the main objective of improving health and preventing disease with the community as the main target. WHO (World Health Organization) encourages all countries to develop health insurance for all their population (Universal Health Coverage).Purpose: This Community Service aims to increase knowledge about the dimensions of BPJS service quality with patient satisfaction in the work area of ??clinic Armina Regency. . Methods: This activity was carried out by distributing leaflets, conducting counseling and evaluating activities, the implementation of this activity was carried out in the work area of ??the clinicRegency on September 23 to September 25 with a total of 40 patients.   Results: In the implementation of the activities that we carried out, there was an increase in patient knowledge after counseling about the dimensions of BPJS service quality with patient satisfaction in the clinic Armina Regency, where the average before counseling was 45 percent, increasing to 80 percent after counseling. In addition, the patient also seemed enthusiastic during the counseling session, this can be seen from the patient's response in the question and answer session Conclusion: From the results of this service activity, there was an increase in patient knowledge about the dimensions of BPJS service quality with patient satisfaction in the work area of  clinic Armina.

The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

Health efforts are carried out with an emphasis on the wider community in order to achieve optimal levels of health, without neglecting the quality of service to individuals. This study aims to determine the level of satisfaction felt by patients who come for treatment regarding comfort, staff service, service procedures and also service results at the Delitua Community Health Center, Deli Serdang Regency. This research used a cross sectional study test design with a sample size of 33 people determined through saturated sampling by conducting interviews using a questionnaire. The results of the study showed that all the variables studied showed a significant relationship with patient satisfaction at the Delitua health center, namely comfort p(0.009)<a(0.05), staff service p(0.023)<a(0.05), service procedures p (0.015)<a(0.05) and service results p(0.023)(0.05), the community health center must further improve the quality of health services which include comfort, staff service, service procedures and service results, in order to provide satisfaction for patients who use them. health services at the Delitua community health center.    

Monitoring realizes efforts to improve the quality of health services. To obtain information on patient condition data during treatment. The monitoring process is done manually. So that it has an impact on the service and condition of the patient during treatment. The design of monitoring the patient's body temperature and heart during treatment with IoT can be controlled through the NodeMCU sensor ESP8266, MLX9014, MAX30100 sensor and Arduino IDE software program. Furthermore, it can detect the patient's temperature and the patient's heart rate during treatment. And processed by the NodeMCU ESP8266, the data from the two sensors is displayed on the SSD1306 OLED LCD and also to the smartphone of the medical officer on duty via Blynk. In order for the tool to work properly and optimally, it is necessary to adjust the pin placement so that it can work optimally. The problem of internet connection interference causes delays, resulting in a mismatch between the measurement of the test equipment and the standard tool. Data values are taken with an accuracy of 70%-93% for the MAX30100 sensor, for the temperature sensor it is close to optimal with a value that is read on a standard tool with an accuracy of 97%-99%.

Clinic is a health service institution that is used to provide medical services needed by the community. The clinic aims to help improve the quality of health in the community and the clinic can be managed by the government or the private sector. In order to create good and fast service to the community, it can be supported by computerized accounting records. The purpose of this study is to determine the appropriate cash management accounting information system at DYNA Clinic in Banjarmasin, as well as to produce a Web-Based Cash Management Application Program This study found that all cash records at the DYNA clinic were still manual. The author suggests using a web-based cash management application program to help DYNA Clinic record patient data, record cash management transactions and make it easier to find information on cash receipts and disbursements.