Bangour Village Hospital

Mobile JKN is a digital platform launched by BPJS Health to simplify access to healthcare services, particularly through its online queue registration feature. Despite its benefits, many users still struggle to operate the application due to limited digital literacy. This community service program aimed to enhance public competency in utilizing the Mobile JKN app for outpatient registration at RSUD Bangil. The activity involved direct health education, live app demonstrations, and personal guidance for patients and their families. Effectiveness was evaluated through pre- and post-activity questionnaires measuring knowledge improvement. The results indicated a significant increase in participants’ ability to independently use the online queue function. This initiative is expected to contribute to digital transformation in healthcare services and improve the efficiency of outpatient registration procedures.

ABSTRACTMycoplasma pneumoniae (MP), primarily a respiratory pathogen, can cause extra‐pulmonary manifestations including cold agglutinin syndrome (CAS). We conducted a national, multicenter, observational, ambispective study to describe the characteristics, risk factors, and outcomes of MP‐associated CAS. Adult patients hospitalized for a MP‐infection with CAS (hemolytic anemia with hemoglobin < 10 g/dL and C3 positive direct anti‐globulin test) were included. Recovery was defined as hemoglobin > 10 g/dL off therapy. We also compared MP‐infected patients with or without CAS. Sixty patients (51.7% of females; median age of 48.5 years) were included. CAS was diagnosed a median of 10 days after MP‐infection symptoms onset. At diagnosis, the median hemoglobin level was 6.9 g/dL, and 71.7% of patients received red blood cell transfusions. Intensive care unit (ICU) admission was required in 45% of patients, and 16.7% experienced a venous thromboembolic event (VTE). Seventeen patients (28.3%) received glucocorticoids alone, while 40 (66.7%) did not receive any specific treatment for CAS. After a median follow‐up of 56 (30–83) days, 90% of patients achieved recovery, while 2 patients (3.3%) died from sepsis and pulmonary embolism. Glucocorticoid use did not significantly impact the rate or timing of recovery. Compared with MP‐infected patients from the MYCADO cohort study (n = 1267), CAS patients had significantly more VTE (p < 0.0001) and ICU admissions (p = 0.03). MP‐associated CAS typically occurs 10 days after the first symptoms of MP infection and is associated with ICU admissions and VTE. Overall, the prognosis of CAS is good, and glucocorticoids do not appear to influence outcomes.

HPLC Determination and Pharmacokinetics of Pipothiazine After Depot Injection D A Ogden, D A Ogden Department of Pharmacy, Heriot-Watt University, Edinburgh and Bangour General and Bangour Village Hospitals, Broxburn, West Lothian Search for other works by this author on: Oxford Academic Google Scholar D A Bolton, D A Bolton Department of Pharmacy, Heriot-Watt University, Edinburgh and Bangour General and Bangour Village Hospitals, Broxburn, West Lothian Search for other works by this author on: Oxford Academic Google Scholar R B Rankin, R B Rankin Department of Pharmacy, Heriot-Watt University, Edinburgh and Bangour General and Bangour Village Hospitals, Broxburn, West Lothian Search for other works by this author on: Oxford Academic Google Scholar A A McKechnie, A A McKechnie Department of Pharmacy, Heriot-Watt University, Edinburgh and Bangour General and Bangour Village Hospitals, Broxburn, West Lothian Search for other works by this author on: Oxford Academic Google Scholar J A Clements J A Clements Department of Pharmacy, Heriot-Watt University, Edinburgh and Bangour General and Bangour Village Hospitals, Broxburn, West Lothian Search for other works by this author on: Oxford Academic Google Scholar Journal of Pharmacy and Pharmacology, Volume 38, Issue Supplement_12, December 1986, Page 114P, https://doi.org/10.1111/j.2042-7158.1986.tb14342.x Published: 12 April 2011

have metastases at laparotomy. This would appear to mean a false negative rate of (again) 56 per cent.

Equine Veterinary EducationVolume 6, Issue 5 p. 245-248 Stress fractures of the hind limb in 2 Thoroughbreds A. Nelson, A. Nelson Valley Equine Hospital, Upper Lambourn Road, Lambourn, Berks RG16 7QG, UK Ordidge and Pritchard, Rainbow Farm, Old Malton, Malton, North Yorkshire Y017 0SGSearch for more papers by this author A. Nelson, A. Nelson Valley Equine Hospital, Upper Lambourn Road, Lambourn, Berks RG16 7QG, UK Ordidge and Pritchard, Rainbow Farm, Old Malton, Malton, North Yorkshire Y017 0SGSearch for more papers by this author First published: October 1994 https://doi.org/10.1111/j.2042-3292.1994.tb01146.xCitations: 1 AboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume6, Issue5October 1994Pages 245-248 RelatedInformation

In a series of 143 necropsies on aged subjects, age range 90 to 100, 20 patients were found to have died of malignant disease and a further 16 patients had a total of 20 non-fatal malignant tumours. The rate of clinical recognition was lower than would be expected in other age groups. Adenocarcinomas of the digestive system predominated in the fatal group. This study confirms previous reports of a high incidence of non-fatal tumours and a diminished tendency to metastasis in both fatal and non-fatal cases. These features are not thought to imply diminished aggressiveness of malignant tumours in extreme old age, since analysis of individual cases provided other explanations such as death from unrecognised local complications of the tumour or the intervention of an unrelated cause of death. There was, however, an unexpectedly high number of cases of long survival after excision of a malignant tumour, including a case of spontaneous regression.

It is known that not all thin malignant melanomas have an excellent prognosis and that the specific features identifying the patients at risk of metastasis have not been fully elucidated. We have looked at thin malignant melanomas (less than 1.5 mm) in the East of Scotland that had proven metastasis and death, and compared the clinical and histological features with a similar group (less than 1.5 mm) that have had no further recurrence after a minimum of 6-year follow-up. We identified 26 patients with thin melanomas who had developed histologically proven metastasis and/or died following adequate surgical treatment of their primary lesion. When compared with the control group, factors found to be significantly different between the two groups and present in the group that did badly were (a) histological regression, (b) lesion size, (c) Clark level IV and (d) depth of the uninvolved dermis.

An introduction summarizes the history of the development of flap surgery and puts the discovery of the fasciocutaneous flaps into historical perspective. The anatomical work underlying this discovery is presented and the way in which it has led to improved designs of flaps on the limbs is then described. Finally, the increased refinement and sophistication in the application of all types of flaps is demonstrated by a description of recent advances in the use of microsurgical free tissue transfer in 3 key areas of reconstructive surgery.

The results of a recently reported consumer survey were further examined by means of a factor analysis. Two factors emerged: the major one reflecting the general perceived helpfulness of the day hospital, and a secondary one which correlated positively with the rated helpfulness of talking to nurses and negatively with the helpfulness of medication. Day attenders who rated talking with nurses as more helpful showed a greater tendency to be married with children.