Sapporo Medical Journal

Abstract : Abstract— Currently, Non-Communicable Diseases (NCDs) are the main cause of death for 36 million (63%) of all deaths that occur in worldwide, of which around 29 million (80%) actually occur in developing countries (WHO, 2010). The increase in deaths due to NCDs in the future is projected to continue to occur by 15% (44 million deaths) with a time span between 2010 and 2020. The purpose of this study was to determine the effect of the family support model and control card for non-communicable disease risk factors (NCDs) as a media for health promotion on the practice of controlling NCDs risk factors. The research design used was a quasi-experimental design. The research location was in the South Jakarta area. The time of the research was August to October 2018. Sampling used purposive sampling technique. The average pre-test NCDs risk factor control practice in the intervention group increased after the intervention/health education (post-test) was given and there was also a significant change in risk factor control practice between the pre-test and post-test. The results of statistical tests obtained p value = 0.001 so it could be concluded that there was a change in the practice of controlling NCDs risk factors between the pre test and post test. Another factor related to the practice of controlling NCDs risk factors was the level of knowledge. Respondents who have good knowledge have 23 times the opportunity to carry out the practice of controlling NCDs risk factors compare

Abstract : Foreign body impaction in the oesophagus is a relatively common emergency. The most frequently implicated objects include dentures, fish bone and metallic objects and are usually accidental. Voluntary ingestion of whole Kola nut (Cola nitida) and its subsequent oesophageal impaction has rarely been reported by few authors. Oesophagoscopy remains the gold standard for the diagnosis and management of oesophageal foreign body impaction. Failed endoscopic retrieval is an indication for surgical intervention. Late presentation and delay in the removal of the impacted object is associated with the development of complications which can lead to significant morbidity and possible mortality. This case report highlights the rare occurrence of ingestion and subsequent impaction of kola nut in the oesophagus and the mortality that may be seen with delayed presentation and intervention.

Abstract : Abstract Objectives: The 2019 coronavirus disease (COVID-19) is a highly communicable and contagious virus worldwide, and it is a public health emergency of international concern and poses to psychological resilience. This study aimed to survey the general public to understand their mental health status during Malaysia's Movement Control Order (MCO). Method: From Mar 18 2020, to Jun 9 2020, we conducted an online survey using the Google form sampling platform. The online survey data were collected on demographic data, physical and psychological conditions, general lifestyle, and additional information required concerning COVID-19. Results: Mental health impact was used Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Duke-UNC Functional social support Questionnaire. Results from anxiety shown the mild form of anxiety (19.14 %), moderate (11.70%), and severe (3.49%), very severe (1.46%). 64.17% have possessed no anxiety during movement control order (MCO) at home due to the COVID-19 outbreak. The overall mental health of the respondent is good (44.3%), whereas 9.8% and 1.0% give their response as fair, poor and respectively, during the movement control order (MCO) in Malaysia. Discussion: Our findings identify the alarming prevalence of anxiety among the general population during MCO in the COVID-19 pandemic in Malaysia. Strong social support was observed among the individual from their parents during MCO in Malaysia that showed an absence of depression.

Abstract : Telemedicine is defined as the utilization of medical information that is transmitted electronically from one location to another to improve patient health. To improve the quality of health services in Indonesia is to reduce the gap in access to health, so that it is available to all people equally. Telemedicine is one of the modalities that can be used to achieve this goal. This study aim is descibe the development of telemedine in Indonesia especially in National Health Insurance System (JKN). From the Literature review, we can find although the telemedicine provided by JKN provides significant convenience to access to health services, there are limitations in the implementation of telemedicine, both as a whole and the obstacles faced by JKN. Doctors and patients who conduct teleconsultation have limitations only on history taking and physical examination, while doctors are taught to do a thorough physical examination before making a diagnosis and providing therapy for patients. This obstacle poses a greater risk of misdiagnosis compared to direct examination. Supportive examinations and therapies other than drugs still need to come to health facilities, so telemedicine cannot completely replace conventional health services. Telemedicine cannot stand alone because it still requires adequate facilities to access adequate health services. Advances in infrastructure and human resources in particular have an important role in the smooth operation of telemedicine.

Abstract : Pandemic turbulence in health services forces hospitals to be able to implement several areas of change. Universitas Indonesia Hospital as one of the covid-19 referral hospitals must respond to very dynamic changes, management must carry out financial management based on accurate financial information which is used as a basis for operational decisions designed to maintain the financial performance. This study aims to determine the pattern of hospital financial management in dealing with pandemic turbulence. The method used in this study is analysis of financial statements through trend analysis and common size analysis analysis. Highest number of visits in December 2020 was 8,949. The largest component of expenditure in November 2020 was 12% including employee costs and cost of goods sold which includes personal protective equipment, medicines, and others. The largest revenue for all services is in Covid inpatient services, and the highest in January 2021 was 22%. The higher number of visits will affect the hospital's cash flow in terms of income and expenses. Financial management strategy is needed to maintain the balance of cash flow, hospital income during the pandemic experienced an imbalance and tended to be more dependent on covid-19 services, while non-covid-19 services decreased.