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"Patient satisfaction was one thing that was very important in reviewing the quality of health services, including health center. Measuring patient satisfaction can be used to evaluate the quality of health services. In this study the dimensions related to health service user satisfaction, were in terms of reliability, assurance, tangible, emphaty and responsiveness. The purpose of this research was to know the level in district of outpatient services and inpatient care at district health center Sidoarjo."

"Indonesia merupakan negara tertinggi kasus Tuberculosis ke 2 pada tahun 2020. Dalam empat tahun terakhir angka penemuan kasus di Kab. Sidoarjo masih <75%. Sehingga penelitian ini untuk menganalisis capaian penemuan kasus TBC paru di Puskesmas dengan angka penemuan kasus tertinggi dan terendah di Wilayah Kabupaten Sidoarjo tahun 2021. Jenis penelitian ini merupakan penelitian kualitatif dengan desain studi kasus. Dilaksanakan pada bulan Juni-Juli 2021. Hasil penelitian dari sisi input memiliki tenaga kesehatan yang cukup, sarana prasarana dan pendanaan yang memadai serta telah memiliki SOP pada setiap pelaksanaannya, namun untuk pelatihan SDM pada puskesmas penemuan kasus terendah 2 PJ program TB masih belum mendapatkan pelatihan dikarenakan baru memegang program TB. Dari sisi proses terdapat strategi pada kegiatan promosi kesehatan, penemuan kasus dengan menggunakan strategi pasif dan aktif, serta pencatatan dan pelaporan yang telah menggunakan SITB berbasis web yang ditunjang dengan formulir baku, namun terdapat kelemahan kurangnya sosialisasi kepada para kader TBC pada puskesmas dengan angka penemuan kasus terendah. Sisi Output cakupan penemuan kasus pada triwulan 1 masih jauh dari target yang ditentukan. Hasil penelitian menyarankan perlu adanya sosialisasi kembali terhadap para kader, adanya pemetaan kembali bagi tenaga kesehatan yang belum mendapatkan pelatihan, serta melakukan penyuluhan kepada masyarakat tanpa bertemu secara langsung.

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Indonesia was the country with the second highest Tuberculosis case in 2020. In the last four years the case finding rate in Kab. Sidoarjo was still <75%. So this study is to analyze the achievement of pulmonary Tuberculosis case finding at the public health center with the highest and lowest case finding rates in the Sidoarjo Regency in 2021. This type of research is a qualitative research with a case study design. Held in June-July 2021. The results of the research from the input side have sufficient health personnel, adequate infrastructure and funding and already have a standart operational prosedur for each implementation, but for training human resources at the public health center, the lowest case finding 2 person of responsible in Tuberculosis program still has not received training because they are new to join the program. From the process side there are strategies for health promotion activities, case finding using passive and active strategies, as well as recording and reporting that have used web-based SITB supported by standard forms, but there is a weakness in the lack of socialization to Community health worker TB at the Public health center with lowest case finding rates. The output side of the coverage of case finding in the first quarter is still far from the specified target. The results of the study suggest that there is a need for re-socialization of Community health worker TB, re-mapping for health workers who have not received training, and conducting outreach to the community without meeting in person.

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"Program magang dapat menjadi ajang rekrutmen dan seleksi yang memberikan data mengenai kemampuan calon karyawan dalam menghadapi pekerjaan sehari-hari. Penelitian ini bertujuan untuk memahami faktor-faktor yang dapat mempengaruhi intensi mahasiswa magang untuk melamar pekerjaan sebagai karyawan tetap pada perusahaan tempat ia magang setelah ia lulus dari perguruan tinggi. Dengan mengadopsi kerangka teoretik the theory of planned behavior, penelitian ini bertujuan untuk menguji variabel kepuasan magang, norma subyektif dan efikasi diri sebagai prediktor intensi mahasiswa melamar di perusahaan magang. Hasil data dari 261 mahasiswa/i di Indonesia menunjukkan bahwa kepuasan magang dan norma subyektif memprediksi secara positif dan signifikan intensi mahasiswa melamar pekerjaan di tempat magang. Sementara efikasi diri tidak ditemukan kemampuan prediksinya terhadap intensi konversi. Implikasi dan saran kemudian dibahas untuk penelitian selanjutnya serta implikasi praktis untuk organisasi.

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Internship program can be a way for companies to do a recruitment and selection process that captures applicants abilities in dealing with everyday task at work typically. This research aims to understand factors that can influence the intention to apply for a job at the company they worked before as an intern, shortened as student intern intention to convert, after they graduate from the university. Drawing on the theory of planned behavior, internship satisfaction, subjective norm, and general self-efficacy were examined as predictors of student intern intention to convert. Data from 261 university students in Indonesia showed that internship satisfaction and subjective norm predicted student intern intention to convert. Contrary to our expectation, general self-efficacy did not predict student intern intention to convert. Further theoretical and practical implications are discussed."

"Study Case For Control of The Use of Health Service By BTA Lung Tuberculosis Sufferers at Kapuas Hulu Regency Community Health Centers in The Year of 2000. Up to now, lung tuberculosis (Tb) is a major community health problem. It is estimated that one third of the world population are the victims of the disease. Most of them (95 %) come from the developing countries. The low discovery of lung Tb sufferers (33%) has caused the disease transmission chain very difficult to broken causing approximately 8 millions of the world population to suffer from the disease, and 3 millions of them die each year. Indonesia is one of the developing countries with approximately 450,000 Tb cases (prevalence rate 0.22 %) and 175,000 Tb death each year, making is the third largest Tb contributor in the world. Kapuas Hulu Regency (West Kalimantan Province) has 200,000 population. Although DOTS Strategy has been implemented gradually in the area since 1996 and adopted by all of the community health centers since 1999, there are only 33 % of estimated Tb cases can be discovered. This condition reflecting the phenomenon of community behavior towards the use of health service facility, especially the community health centers at Kapuas Hulu Regency. Thus, it induces questions about factors affecting the use of health service at the community health center by lung Tb patients. In identifying the problem, since there are many factors affecting the use of community health center, this research used case control design with Green Theory approach (1980). Cases in this research were the BTA (+) lung Tb sufferers who were encountered through field survey during the research. While controls consisted of BTA (+) lung Tb sufferers who were listed in the Tb registry of the health centers. Bipartite analysis shows that variables related to the use of health service in community health center are education with Odds Ratio 1.91, knowledge with OR 2.16, cost with OR 2.30, distance with OR 2.24, Transportation facility with OR 8.10, Health information OR 2.46, and service by health person with OR 2.41. Multivariate analysis with logistic regression shows that variables related to the use of community health center by the BTA (+) lung Tb patients based on the contribution of transportation facility, knowledge, and health information, with its logistic equation : fog it (use of health service) - 2.876 + 2.547 (transportation) + 1.180 (knowledge) + 1.083 (health information). In conclusion, knowledge, education, cost, transportation facility, distance. health information and service by health person can affect the behavior of lung Tb suffers in utilizing health service facility at the community health center. Above all, the availability of transportation facility is the most dominant factor. Result from the study recommend that the community health centers and regency health service need to increase the frequency of health education regarding lung Tb to the community, using more understandable and simple methods. The regency government is advised to build facilities to increase community access to the health service. Health service approaching to the community is the easiest way to do for the community health center. Library : 23 (1979-1999).

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Penyakit tuberkulosis paru sampai saat ini masih menjadi masalah kesehatan masyarakat. Diperkirakan sepertiga penduduk dunia telah terinfeksi penyakit tuberkolosis paru ini. Sebagian besar (95 %) dari penderita tersebut berada pada negara berkembang. Rendahnya penemuan penderita Tb paru (33%) membuat rantai penularan semakin sulit diputuskan, sehingga diperkirakan terdapat 9 juta penduduk dunia diserang Tb paru dengan kematian 3 juta orang pertahun. Indonesia merupakan salah satu negara yang sedang berkembang, diperkirakan setiap tahunnya terjadi 583.000 kasus Tb (prevalence rate 0,22 %) dan 140 ribu meninggal setiap tahunnya, sehingga menyumbang Tb paru terbesar ketiga. Kabupaten Kapuas Hulu yang terletak pada Propinsi Kalimantan Barat dengan penduduk lebih kurang 200.000 jiwa, baru dapat menemukan penderita Tb paru sekitar 33 %, walaupun sejak tahun 1996 strategi DOTS sudah digunakan secara bertahap dan tahun 1999 seluruh puskesmas sudah mengadopsinya. Rendahnya penemuan penderita Tb paru ini merupakan gambaran fenomena perilaku masyarakat dalam memanfaatkan pelayanan kesehatan khususnya puskesmas di Kabupaten Kapuas Hulu. Oleh karena itu menjadi pertanyaan faktor - faktor apa saja yang mempengaruhi pemanfaatan pelayanan kesehatan oleh penderita Tb paru di puskesmas. Untuk mengidentifikasi hal tersebut, penelitian ini menggunakan disain kasus kontrol dengan pendekatan teori Green (1984), mengingat bahwa banyak faktor - faktor yang mempengaruhi pemanfaatan pelayanan kesehatan oleh penderita Tb paru di puskesmas. Kasus dalam penelitian ini adalah penderita Tb paru BTA (+) yang ditemukan melalui survei lapangan pada saat penelitian dilakukan. Sedangkan kontrol adalah pcnderita Tb paru BTA (+) yang ditemukan dalam register pengobatan Tb paru jangka pendek. Analisis bivariat menunjukkan bahwa variahel yang herhubungan dengan pemanfaatan pelayanan kesehatan di puskesmas adalah pendidikan dengan Odds Rasio (OR) 1,91 , pengetahuan dengan OR 2,16 , biaya dengan OR 2,30 , jarak dengan OR 2,24 , sarana transportasi dengan OR 8,10 , penyuluhan dengan OR 2,46 , dan pelayanan petugas dengan OR 2,41. Analisis multivariat dengan regresi logistik mcnunjukkan bahwa variabel yang herhubungan dengan pemanfaatan pelayanan kesehatan oleh penderita Tb paru BTA (+) di puskesmas berdasarkan kontribusinya secara berurutan adalah Sarana transportasi, pengetahuan, dan penyuluhan dengan model persamaan logistiknya : Logit (pemanfaatan pelayanan kesehatan) = - 2,876 + 2,547 (transportasi) + 1,180 (pengetahuan) + 1,083 (penyuluhan). Sebagai kesimpulannya adalah faktor pengetahuan, pendidikan, biaya, transportasi, jarak, penyuluhan, dan pelayanan petugas dapat mempengaruhi perilaku penderita Tb paru dalam memanfaatkan pelayanan kesehatan di puskesmas, dan ketersediaan sarana transportasi merupakan faktor yang paling dominan. Disarankan kepada puskesmas dan dinas kesehatan kabupaten untuk meningkatkan frekuensi penyuluhan tentang Tb paru kepada masyarakat dengan menggunakan metoda yang mudah dimengerti masyarakat. Juga kepada Pemerintah Daerah disarankan untuk membangun sarana dan prasarana yang memudahkan akses masyarakat kepada pelayanan kesehatan. Mendekatkan pelayanan kesehatan kepada masyarakat merupakan alternatif yang paling mudah dilakukan oleh puskesmas. Kepustakaan : 23 ( 1979 - 1999 )"

"Siswa yang memiliki efikasi diri dalam keputusan karier akan yakin dengan kemampuannya untuk melakukan tugas-tugas yang dibutuhkan dalam memilih jurusan kuliah yang tepat. Tinggi rendahnya keyakinan siswa tidak terlepas dari peran orang tua seperti harapan dan dukungan terkait karier. Siswa cenderung mematuhi orang tua karena budaya kolektivis di Indonesia menekankan pentingnya hubungan sosial yang harmonis. Di sisi lain, kepatuhan tersebut dapat membuat siswa merasa tertekan dan terpaksa memilih jurusan yang salah. Partisipan dalam penelitian ini berjumlah 349 siswa Sekolah Menengah Atas Kelas 12. Harapan karier orang tua diukur menggunakan subskala Perceived Parental Expectation pada faktor academic achievement (PPE-AA) dari alat ukur The Living up to Parental Expectation Inventory (LPEI), kongruensi karier remaja-orang tua diukur menggunakan Adolescent-Parent Career Congruence Scale (APCCS), dan efikasi diri dalam keputusan karier diukur menggunakan Career Decision Self-Efficacy Short Form (CDSE-SF). Hasil penelitian menunjukkan bahwa persepsi siswa terhadap harapan karier orang tua dan kongruensi dengan orang tua mengenai karier dapat meningkatkan efikasi diri siswa dalam keputusan karier secara bersama-sama, F (2,346) = 41,011, p<0,001. Persepsi siswa mengenai kongruensi karier dengan orang tua lebih mampu meningkatkan efikasi diri siswa dalam keputusan karier dibanding persepsi terhadap harapan karier orang tua. Berdasarkan hasil penelitian ini, orang tua diharapkan terlibat secara aktif dan mendukung karier siswa secara kongruen untuk membantu siswa merasa lebih yakin ketika memutuskan karier.

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Students with career decision self-efficacy will believe in their capabilities to do various tasks needed in choosing the right college major. Student’s level of belief is related to their parents’ behavior such as expectations and support regarding career. Indonesia’s collectivist culture emphasizes the importance of harmonious social relations, making students tend to obey their parents. But obedience can also make students feel pressured and forced to choose the wrong major. The total of participants in this study amounts to 349 high school students in grade 12. Parental career expectations are measured by the Perceived Parental Expectation subscale on academic achievement (PPE-AA) from The Living up to Parental Expectation Inventory (LPEI), adolescent-parent career congruence is measured by Adolescent-Parent Career Congruence Scale (APCCS), and career decision self-efficacy is measured by Career Decision Self-Efficacy Short Form (CDSE-SF). The result of this study indicates that student’s perceptions towards parental career expectations and career congruence between them and their parents simultaneously can increase student’s career decision self-efficacy,

F (2,346) = 41,011, p<0,001. Student’s perceptions of career congruence with their parents are more capable of increasing student’s career decision self-efficacy when compared to student’s perceptions towards parental career expectations. Based on these findings, parents are expected to be actively involved and give congruent support in helping students to be more confident in making career decisions."

"Latar Belakang:Keterlambatan penanganan pasien STElevation Myocardial Infarction(STEMI)menjadi penyebab tingginya mortalitas dan kejadian MACE (Major Adverse Cardiac Events). Di Indonesia, pasien pasien STEMI sering mengalami keterlambatan penanganan. Upaya yang dapat dilakukan di fasilitas kesehatan dengan kemampuan Primary Percutaneous Coronary Intervention(PCI) adalah mencapai reperfusi tepat waktu pasien STEMI. Berbagai strategi dilakukan untuk mencapai reperfusi tepat waktu diantaranya dengan menerapkan program CODE STEMI. Program CODE STEMI merupakan notifikasi STEMI melalui sistem panggilan tunggal yang dapat mempercepat waktu reperfusi pasien STEMI di rumah sakit.Tujuan:Mengetahui pengaruh penerapan program CODE STEMI terhadap Door to Balloon Time (D2BT) dan MACE pasien STEMI yang menjalani PrimaryPCI di RSUPN Cipto Mangunkusumo Jakarta.Metode:Penelitian ini merupakan studi kohort retrospektif pada 255 rekam medis pasien STEMI yang menjalani PrimaryPCI di RSUPN Cipto Mangunkusumo sebelum penerapan program CODE STEMI (2015-2016) dan sesudah penerapan program CODE STEMI (2017-2018). Analisis data dilakukan secara kuantitatif dengan uji Mann whitney untuk D2BT dan chi square untuk MACE.Hasil:Terdapat 111 pasien pada kelompok Non CODE STEMI dan 144 pasien pada kelompok CODE STEMI. D2BT berkurang bermakna 110 menit dari 275 (99-2356) menit pada kelompok Non CODE STEMI menjadi 165 (67-1165) menit pada kelompok CODE STEMI (p <0.001). Kejadian MACE (48,4% vs 51,6%; p = 0,120), gagal jantung (46,6% vs 42 %; p = 0,288), syok kardiogenik (27% vs 19,4%; p = 0,152), aritmia (12,6% vs 6,2%; p = 0,079), stroke (4,5% vs 5,6%; p = 0,705) dan angka mortalitas (7,2% vs 3,5%; p = 0,179) sama antara kedua kelompok.Kejadian infark berulang dan PCI ulang berkurang bermakna pada kelompok CODE STEMI (4,5% vs 0,7%; p = 0.047, 2,7% vs 0,0%; p = 0.047).Simpulan:Program CODE STEMI memperbaiki D2BT. Program CODE STEMI tidak menurunkan kejadian MACE.

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Background: 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).In Indonesia, STEMI patients often experience delays in treatment. Efforts that can be made in health facilities with Primary PercutaneousCoronary Intervention(PCI)capability are achieving timely reperfusion of STEMI patients. Various strategies were carried out to achieve timely reperfusion including implementationthe CODE STEMI program. The CODE STEMI program is a STEMI notification through a single call system that can speed up the reperfusion time of STEMI patients in the hospital.

Objective: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 at Cipto Mangunkusumo National Central General Hospital Jakarta.

Methods: This was a retrospectivecohort study on 255 medical records of STEMI patients undergoing Primary PCI at Cipto Mangunkusumo National Central General Hospital before the application of the CODE STEMI program (2015-2016) and after the application of the CODE STEMI program (2017-2018). Data analysis was performed quantitatively by Mann Whitney test for D2BT and chi square for MACE

Results:There were 111 patients in the Non CODE STEMI group and 144 patients in the CODE STEMI group. D2BT decreased significantly 110 minutes from 275 (99-2356) minutes in the Non CODE STEMI group to 165 (67-1165) minutes in the CODE STEMI group (p <0.001). MACE events (48.4% vs 51.6%; p= 0.120), heart failure (46.6% vs 42%; p = 0.288), cardiogenic shock (27% vs 19.4%; p = 0.152), arrhythmia (12.6% vs 6.2%; p = 0.079), stroke (4.5% vs 5.6%; p = 0.705) and mortality rate (7.2% vs 3.5%; p = 0.179 ) were similar between the two groups. The incidence of reinfarction and repeated PCI was significantly reduced in the CODE STEMI group (4.5% vs 0.7%; p = 0.047, 2.7% vs 0.0%; p = 0.047).C

onclusions:The CODE STEMI program reduces D2BT. The CODE STEMI program did not reduce the overall MACE incidence but reduced the incidence of reinfarction and repeated PCI of STEMI patients undergoing Primary PCI at Cipto Mangunkusumo National Central General Hospital. "

"Acute Kidney Injury (AKI) merupakan komplikasi serius yang umum terjadi pada pasien rawat inap. Berdasarkan penelitian tahun 2005, terjadi peningkatan insiden dan keparahan AKI hingga 50% akibat penggunaan obat selama rawat inap. Salah satu tugas apoteker di RS adalah melakukan pemantauan terapi obat, terdapat beberapa obat di RSUI yang dinilai mampu menginduksi terjadinya AKI. Oleh karena itu, dilakukan pembuatan daftar obat yang dapat menginduksi terjadinya AKI serta studi kasus terjadinya AKI pada pasien rawat inap akibat penggunaan obat di RSUI pada bulan Maret 2023. Daftar obat penginduksi AKI dibuat berdasarkan studi literatur dari pustaka tahun 2005 – 2023 kemudian obat dikategorikan berdasarkan kelas terapi obat. Sedangkan, studi kasus dilaksanakan secara retrospektif menggunakan data sekunder pasien rawat inap RSUI pada bulan Maret 2023 yaitu rekam medis salah satu pasien yang memenuhi kriteria inklusi dan eksklusi. Terdapat 26 obat yang mampu menginduksi AKI di RSUI. Berdasarkan studi kasus, terapi ramipril diduga mampu meningkatkan risiko terjadinya AKI pada salah satu pasien RSUI yang dinilai berdasarkan peningkatan nilai serum kreatinin dan penurunan nilai GFR. Ramipril diduga menjadi penyebab peningkatan risiko terjadinya AKI berdasarkan angka prevalensinya sebesar 28%, adanya riwayat perbaikan fungsi ginjal saat penghentian obat, serta fungsi ginjal yang kembali memburuk ketika terapi ramipril kembali dilanjutkan. Penilaian kondisi pasien menggunakan instrumen naranjo dibutuhkan untuk mengonfirmasi insiden terjadinya AKI akibat ramipril.

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Acute Kidney Injury (AKI) was a serious complication that commonly occurs in inpatients. Based on a study in 2005, there was an increase in the incidence and severity of AKI up to 50% due to drug induce during hospitalization. One of the responsibilities of the pharmacist in the hospital was to perform drug therapy monitor and several drugs in RSUI were considered likely to induce AKI. Therefore, a list of drugs induced AKI was created, and a case study of drug-induced AKI in hospitalized patients at RSUI in March 2023 was performed. The list of drugs induced AKI was made based on a literature study from 2005 – 2023, then the drugs were categorized based on the drug therapy class. Meanwhile, the case study was carried out retrospectively using secondary data from hospitalized patients at RSUI in March 2023, which was the medical records from one of the patients who met the inclusion and exclusion criteria. There are 26 drugs-induced AKI in RSUI. Based on the case study, ramipril therapy was thought to be likely to increase the risk of developing AKI in one of the RSUI patients as assessed by the increase of creatinine serum and the decrease GFR values. Ramipril is thought to be the cause of the increased risk of AKI based on its prevalence rate which was 28%, history of improvement in kidney function when stopping the drug, and worsened kidney function when ramipril therapy is resumed. Assessment of the patient's condition using the Naranjo instrument is needed to confirm the incidence of AKI due to ramipril."