Introduction: A hospital's patient safety culture affects surgical outcomes. Operating room has been overlooked despite the importance of safety. The AHRQ's Hospital Survey on Patient Safety Culture (HSOPSC) used worldwide to assess and enhance culture. This study examined how infection prevention effect in Room (OR). Methods: observational an online survey included 143 OR workers. Descriptive statistics multilinear regression were examine level Results: Most responders worked...

This study examined how health staff in Indonesian hospitals perceived open disclosure of patient safety incidents (PSIs).This employed a mixed method explanatory sequential approach. We surveyed 262 workers and interviewed 12 workers. Descriptive statistical (frequency distributions summary measures) analysis was performed to assess the variables using SPSS. used thematic for qualitative data analysis.We discovered good level practice, system, attitude toward process, according harm...

Background: Globally, spinal cord injury (SCI) results in a big burden, including 90% suffering permanent disability, and 60%-69% experiencing neuropathic pain.The main causes are oxidative stress, inflammation, degeneration.The efficacy of the stem cell secretome is promising, but role human neural (HNSC)secretome pain unclear.This study evaluated how mechanism HNSC-secretome improves locomotor function SCI rat models through antioxidant, anti-inflammatory, anti-matrix degradation,...

Globally, complete neurological recovery of spinal cord injury (SCI) is still less than 1%, and 90% experience permanent disability. The key issue that a pharmacological neuroprotective-neuroregenerative agent SCI regeneration mechanism have not been found. secretomes stem cell are an emerging neurotrophic agent, but the effect human neural cells (HNSCs) secretome on unclear.To investigate effects HNSCs-secretome subacute post-laminectomy in rats.An experimental study was conducted with 45...

Experimental animal study.This study aims to investigate the effects of treatment with human neural stem cell (HNSC) secretomes on subacute spinal cord injury (SCI) post-laminectomy by analyzing interleukin-10 (IL-10), matrix metalloproteinase 9 (MMP9), transforming growth factor-β (TGF-β), and Basso-Beattie-Bresnahan (BBB) score locomotors as expressions neurological recovery.In United States, SCI has a recovery rate 0.08%, tetraplegia 58.7%, paraplegia 40.6%. Therapeutic approaches have...

Treatment of respiratory distress in fat embolism syndrome (FES) often ends death. FES is generally associated with orthopedic trauma, the highest incidence long bone fractures.

Deaths from tuberculosis (TB) in Indonesia are nearly 200,000 per year and higher than those COVID-19. The problems associated with spinal TB vitamin D deficiency, neurological deficit, disruption of daily living activities long-term anti-TB treatment (24 months). Vitamin acts as an anti-inflammatory, maintains vascular health, increases calcium levels.

Background: Spondylolisthesis is a vertebral slip condition that compromises the body’s axial alignment and structures such as ligamentum flavum. The flavum thickening may play role in spondylolisthesis. purpose of this study was to investigate correlation between slippage body (spondylolisthesis) with tissue response regarding increased mechanical stress.Methods: An analytical retrospective radiological observational used cross-sectional from results MRI examination Dr. Soebandi Hospital,...

Background: Spinal cord injury is not only caused by trauma but also non-trauma, such as spinal epidural abscess (SEA). Tuberculous SEA a rare infectious disorder, delayed diagnosis associated with morbidity and mortality. The problems of tuberculous infection neurological deficit, axial back pain, pathological fracture, deformity, socioeconomic psychogenic problem. There are few cases Mycobacterium tuberculosis, mostly Staphylococcus aureus decreasing body’s defense mechanism deficiency...

ABSTRACT
 Ventilator-Associated Pneumonia (VAP) is pneumonia in patients who use mechanical ventilator. The empirical antibiotic therapy given to VAP based on bacterial mapping and its sensitivity. aim of this study determine identification sensitivity at RSD dr. Soebandi Jember. This a retrospective study, the data collected from medical record September October 2019. All samples that meet inclusion exclusion criteria was recruited study. Data analysis Microsoft Excel 2010. obtained 15...

Background: Animal spinal cord injury (SCI) models have shown to be invaluable in better understanding the mechanisms related traumatic SCI and evaluating effectiveness of experimental therapeutic interventions. The use clip compression can produce contusion–compression rats with clinical features form total paralysis, retention micturition, defecation. This study aimed validate effects duration Yasargil aneurysm application on formation analyzed neuropathic pain, locomotor function,...

Introduction:  Open surgery can cause many complications. Currently, micro endoscopic discectomy (MED) is providing effective treatment, less muscle and local damage, better cosmetics, decreased pain operative time, faster recovery after surgery. We report quality of life clinical outcome lumbar disc disease post- MED. Methods:  45 consecutive patients underwent MED. The were observed for 12-24 months. results evaluated by using VAS Macnab criteria. All operated a single spine surgeon with...

Background and purpose: Air quality is an important determinant of a healthy life. One indicator air pollutants in the room fungi, which hospital setting may cause nosocomial infection. This research aims to find out correlation between physical characteristics indoor environment  toward concentration fungi inpatient rooms dr. Soebandi Regional Hospital Jember, East Java.Methods: uses cross-sectional method with total four rooms. We measured including temperature, humidity, light intensity,...

Background: Neuropathic pain is one of the quality life problems after spinal cord injury (SCI) that caused by lack neurotrophic agents modulate regeneration process. The neural stem cell (NSC)-secretome has potential as a agent for palliative treatment SCI. effect NSC-secretome still unproven. aim this study to investigate on neuropathic pain. Methods: In experimental study, ten male rats were divided into two groups. first group did not receive NSC-secretome. second was injected with (30...

Surgical site infection (SSI) in open fracture is often caused by bacterial contamination the management of fracture. Because that, one most important thing handling debridement. Prophylactic antibiotics given are Cephalosporin and Aminoglycosides. Post-debridement culture predicting incidence infection. One bacteria that found post-debridement Klebsiella spp. which can produce ESBL to fight β-lactam class antibiotics. The purpose this study was determine antibiotic sensitivity against cases...

Background and purpose: Air quality is an important determinant of a healthy life. One indicator air pollutants in the room fungi, which hospital setting may cause nosocomial infection. This research aims to find out correlation between physical characteristics indoor environment toward concentration fungi inpatient rooms dr. Soebandi Regional Hospital Jember, East Java. Methods: uses cross-sectional method with total four rooms. We measured characteristicsincluding temperature, humidity,...