Articles

Health Management and Disease Control of Layers in Pullet Phase with a Box Cage System at Tandjaja Farm Kediri

/in /by

Laying hens have a longer production phase than other poultry, so they require strict health care. The purpose of this study was to determine how far a farm provides comfort to livestock in terms of health in order to maximize their productivity in the form eggs that are safe for consumstion by consumers. Therefore, research was conducted at Tandjaja Farm Kediri to find out how health management and disease control are there. This type of research is qualitative. There are two data collected, namely primary data and secondary data. The primary data was obtained from interviews and observations, while the secondary data came from the SOP/manual book of the company’s maintenance management. Data were analyzed by descriptive method. The results showed that Tandjaja Farm Kediri implemented biosecurity, medication, and vaccination programs for laying hens in the pullet phase. So this research shows that Health Management and Disease Control at Tandjaja Farm Kediri has been going well.

Leveraging Electronic Health Records (EHR) for Enhanced Patient Care

/in /by

This study analyzes how electronic health records (EHR) can be utilized to enhance patient care. The objectives of the study are to; design predictive models to recognize patients are risk of developing some specific conditions; evaluate the effect of EHR systems on patient care outcomes; ascertain the impact of EHR systems on physicians’ work; and develop a framework for incorporating EHR analysis into hospital systems, thus enabling real-time decision-making by healthcare specialists. This study adopts a qualitative research using semi-structured interviews, which was directed to physicians who had at least a year experience at Primary Health Care Centres (PHCs) to gather information about the current content and scope of Electronic Health Record Systems. Most of the respondents interviewed said that the health information system’s adaptation and the availability of Electronic Health Records influenced encounters for patients positively in their PHCs. They talked about the many benefits of EHR in terms of effectiveness, which include the availability of patient information and accuracy of patient documentation; these are often hard to find in their paper documents. The interviewees also indicated that EHRs allow eprescribe of medication, which is a huge plus to the old system of prescribing and administering medicine to patients. The physicians stressed the need for private clinics and primary healthcare centres to share and link their systems to enhance the functionality of the EHR. The study recommends that; there is need for the PHC EHR system to integrate across other government and private institutions. There is also a need for increased capacity to support patients with physical activity and nutrition.

Prescription Pattern of Cholelithiasis at Surgery Ward in Tertiary Care Hospital

/in /by

Background: Cholelithiasis is a chronic recurrent disease of the hepatobiliary system. The impaired metabolism of cholesterol, bile acids and bilirubin are characterized by gallstone formation.The number of surgical procedures for cholelithiasis has risen markedly in developed countries since 1950. An estimated 90% of cholecystectomies are now performed by the laparoscopic approach worldwide.

Objectives: The aim of the study was to study prescription pattern of Cholelithiasis at surgery ward in B&C medical college teaching hospital and research Centre Pvt. Ltd.

Materials and Methods: A Retrospective study was conducted and data of Cholelithiasis cases admitted at Surgery ward from 2077/01/01 BS to 2077/12/31 BS were collected. Coding of data , result and interpretation of data were drawn using SPSS version 16 and MS Excel 2016 .

Result: The present study included 137 patients.Among them,80.3% were females and 19.7% were males. The high incidence of cholelithiasis was found in the age group 30-39 years (27%). 98.5% of total hospitalized patient were prescribed with antibiotics followed by Proton Pump inhibitors (93.4%) and NSAIDS(92%) .Among antibiotics, Ceftriaxone (65.7%) were the most prescribed one. During discharge , antibiotics (98.5%) were the most prescribed group of medicine followed by Proton Pump Inhibitors (88.3%) and NSAIDS(67.9%). And among antibiotics, Cefixime (52.6%) were mostly prescribed. While analyzing prescription pattern of discharge medication it was found that percentage of drugs prescribed by generic name was 13.86% and percentage of drugs prescribed from essential drug list was 43.36%.

Conclusion: The present study revealed that there was greater incidence of Cholelithiasis in females (80.3%) than in males and in the age group 30-39 years (27%) .The results obtained from this study showed that most commonly prescribed medicines were antibiotics. Prescription through generic name and essential drug list was low. Therefore, prioritization on prescribing drugs by generic name and from essential drug list needs to be encouraged.