International Medical Journal

Journal ID : IMJ-18-05-2020-472

Total View : 257

Title : Availability of Key Drugs at Referral Hospitals in Yogyakarta, Indonesia

Abstract : The availability of good quality,equitable,and affordable drugs in government and private health services is the target and strategic plan of the Indonesian Ministry of Health. This research also ensures safe stock levels and drug management in health facilities.The research applied a retrospective observational method. The percentage (%) of each drug availability was calculated on the day of data collection using methods suggested by the WHO HAI. A set of (50) key drug indicators was selected following the WHO HAI reference guide, which consists of 14 global, 14 regional, and 22 additional drugs. The percentage of key drugs available in public hospitals is higher, i.e., 88% compared to that of private hospitals (70%). Class A public hospitals showed the highest availability (92%) of essential drugs compared to other class of hospitals. The mean availability of drugs in class D private hospitals showed a low value of 61% with the lowest percentage (57%) of safe stock level.Atenolol 50 mg, beclometasone inhalers 50 mcg, clotrimazole cream, and enalapril 5 mg were not found in any of the hospitals studied. The availability of indicator drugs is not met 100% in all hospitals studied; this needs to be improved to ensure that health services can run well. Procurement management policies play an important element in optimizing efforts to increase drug availability;this is supported by the findings of the technical problem of drug procurement, which is a problem in all the hospitals studied.
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International Medical Journal

Journal ID : IMJ-17-05-2020-469

Total View : 252

Title : The Health of Facility Readiness in the National Health Insurance Program in Muna Regency

Abstract : The National Health Insurance Scheme is a pattern of pre-financing efforts, meaning that health financing was provide before or not in an unhealthy condition. The purpose of this study is to describe the implementation of Socialization and participation description, of Implementation of National Health Insurance Program in Muna regency. This research is a qualitative research with a phenomenological approach through in-depth interviews with informants. Informants in this study consist of five key informants and 9 regular informants who directly involved in implementation of the National Health Insurance program. The results showed that readiness of existing health facilities in the Regency in the era of National Health Insurance in Muna is is without problems because in every Regency already has a health center, there is even one Regency that has 2 health centers. In addition, in the Regency of Muna has built Village Health Post in every village. Health facilities in Muna Regency to face of the National Health Insurance is to improve itself in terms of human resources and facilities in 42 health centers, 1 hospital, 6 family physicians, 6 doctors, and 2 military/police clinics who have cooperated with national health insurance, health centers and hospitals in Muna already refers to the reference system of national health insurance listed in the Constitution. However, the hindrance that often occurs in the referral process is the transport of certain isolated regions to the referral level of health facilities.
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International Medical Journal

Journal ID : IMJ-17-05-2020-468

Total View : 2

Title : MPFL Reconstruction Using a Distally Based Superficial Quadriceps Tendon Graft for Patello-femoral Instability

Abstract :

Reconstruction of the medial patellofemoral ligament (MPFL) is the most common treatment for patellar instability. Use of the ipsilateral quadriceps’ tendon was described for reconstruction of the MPFL. The present study aimed to evaluate the clinical outcome of MPFL reconstruction using a quadriceps tendon for patellofemoral instability. This prospective study was conducted on 25 patients with patellar dislocation, patellofemoral subluxation or failed previous procedure for treatment of patellar instability. Preoperatively diagnostic arthroscopy was performed to rule out intra-articular injuries. The operative procedure was performed as previously described. Postoperatively, patients were gradually allowed to full weight bearing and were submitted to physiotherapy. At the intervals of 6 months 1 years and 2 years, patients were assessed for operative outcome using Lysholm knee score. Comparing the operative outcome at various follow up points showed significant improvement of Lysholm knee score from 6 months postoperatively onwards. The most frequently reported complications included anterior knee pain (40.0 %), haematoma (20.0 %), redislocation (4.0 %) and Sudeck's atrophy (4.0 %). In conclusion, MPFL reconstruction using a quadriceps tendon for patellofemoral instability is effective procedure with excellent safety profile.

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International Medical Journal

Journal ID : IMJ-16-05-2020-466

Total View : 366

Title : CURRENT CONCEPT MANAGEMENT OF PEDIATRIC FEMORAL NECK FRACTURE

Abstract : Femoral neck fracture is an injury that rarely occurs in children, usually occurs due to high energy trauma or violence in children. This pediatric femoral neck fracture has a high rate of complications despite proper diagnosis and management of therapy. This is partly due to differences in the anatomical structure and blood supply of mature adults. Delbet's classification classifies these fractures into 4 types, and links each type of fracture to the potential for complications of Avascular Necrosis. Other complications include physeal arrest, coxa vara, and nonunion. The wide selection of therapeutic methods, the lack of standard treatment protocols, and the high risk of complications resulting in this fracture is one of the extraordinary challenges an orthopedic surgeon must face in the past, the use of casting has always been the first choice in the treatment of these fractures, but with the high rate of complications occurring the treatment method began to change with immediate surgery. Various fracture fixation methods have been used in the goal of being able to realize anatomic reduction with stable fixation, so that we can get maximum results and minimize complications.
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International Medical Journal

Journal ID : IMJ-15-05-2020-465

Total View : 252

Title : ACTIVITY OF MIXED ETHANOL EXTRACT SELECTED BLACK TEA (Camelia sinensis L.) AND STEVIA (Stevia rebaudiana B.) AS AN ALTERNATIVE ANTI DIABETES HERBAL MEDICINE

Abstract : Metabolic syndrome is a syndrome that has the highest risk that can cause death. People who have metabolic syndrome are more prone to Diabetes mellitus (DM) type 2. In an effort to look for alternative low-risk prevention, some plant extracts have been tested for antidiabetic activity, one of which is black tea leaf (Camellia sinensis L.) which is often consumed by people especially in Indonesia. Black tea contains several chemical compounds such as alkaloids, steroids, saponins, flavonoids, tannins, and polyphenols (Sudaryat, 2016). This research was conducted with the aim of finding out the activity of a mixture of ethanol extracts of the selected formula of black tea and stevia as an alternative antidiabetic herbal medicine. The results showed that ethanol extracts of black tea and stevia have antidepressant activity in white mice. Giving ethanol extract of black tea and ethanol extract of stevia in diabetic mice dose I containing ethanol extract of black tea 50 mg/kg BW and stevia 300 mg/kg BW, dose II containing black tea extract 100 mg/kg BW and stevia 200 mg /kg BW and dose III contain 150 mg/kg BW and stevia black tea extract 300 mg/kg BW and dose I had the highest antidiabetic activity compared to other doses with a decrease in blood glucose levels of 69.75 mg/dL.
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 06 )
20 Jun 2023

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Publish On ( Vol 30 , Issue 05 )
31 May 2023