JURNAL 1: CASE STUDY

Judul

The Rockcastle Project: A Case Study of Interprofessional Clinical Education and Practice in a Rural Medical Center.

Nama Jurnal Pengarang

The Internet Journal of Allied Health Sciences and Practice. Dana M. Howell, PhD, OTD, OTR/L, Lynn English, PT, MSEd, DPT, Judith L. Page, PhD, CCC-SLP, ASHA-F, ATP

Kriteria Inklusi

Personel from an Area Health Education Center and hospital practitioners in three health care disciplines (occupational therapy, physical therapy, and communication disorders).

Kriteria Eksklusi Metode

This project is described as a case study and included students and faculty from two universities .

Jumlah Sampel

Personel from an Area Health Education Center and hospital practitioners in three health care disciplines.

Hal yang Diteliti

Interprofessional Clinical Education and Practice in a Rural Medical Center.

Hasil

During a four week period, the student met regularly, performed a patient examination together, and presented result of the examination in the form of a plan of care. Scores on the IEPS increased for all three students and an overall increase of positive perceptions of the other disciplines.

Kesimpulan

Opportunities such as the Rockcastle Project foster university, clinical, and organizational partnerships within rural communities and promote interprofessional teamwork.

Komisi etik

JURNAL 2: CASE CONTROL

Judul

Clinical Characteristics of Patients in a Case Control Study of Sarcoidosis.

Nama Jurnal Pengarang

American Journal of Respiratory and Critical Care Medicine Vol 164. Robert P. BaughmaN, Alvin S. Teirstein, Marc A. Judson, Milton D. Rossman, Henry Yeager, JR., Eddy A. Bresnitz, Louis Depalo, Gary Hunninghake, Michael C. Iannuzzi, Carol J. Johns, Geoffrey Mc Lennan, David R. Moller, Lee S. Newman, David L. Rabin, Cecile Rose, Benjamin Rybicki, Steven E. Weinberger, Michael L. Terrin, Genell L. Knatterud, Reuben Cherniak, and A Case Control Etiologic Study of Sarcoidosis (ACCESS) Research Group.

Kriteria Inklusi

A total of 736 patients with sarcoidosis were enrolled in the study. Patients were included in the study if they have a

compatible history and physical examination. In addition, all pathology slides were reviewed by designated pathologist for each site, and we included only those patients in whom the biopsy was definitely consistent with sarcoidosis. Kriteria Eksklusi Seven cases were excluded because the slides were not felt to be consistent with sarcoidosis. An additional four cases were excluded because there was only skin involvement. Metode Using the ACCESS sarcoidosis assessment system, We determined organ involvement for the whole group and for subgroups differentiated by sex, race, and age. Jumlah Sampel 736 patients with sarcoidosis within 6 month of diagnosis from 10 clinical centers in the United States. Hal yang Diteliti Determined organ involvement for the whole group and for subgroups differentiated by sex, race, and age. Hasil Women were more likely to have eye and neurologic involvement (x2=4,74; p<0,05 and x2=4,60; p<0,05 respectively), have erythema nodosum (x2=7,28; p<0,01), and to be age 40 year or

over (x2=6,07; p<0,02) whereas men were more likely to be hypercal cemic (x2=7,38; p<0,01). Black subjects were more likely to have skin involvement other than erythema nodosum (x2=5,47; p<0,05) and eye (x2=13,8; p<0,0001), liver (x2=23,3; p<0,0001), bone marrow (x2=18,8; p<0,001), and extrathoracic lymph node involvement (x2=7,21; p<0,01). Kesimpulan Sarcoidosis is a multifaceted disease. Organ involvement differed according to race, sex, and age. The major determinant appeared to be race. This variability must be considered in both etiologic and therapeutic studies. Komisi etik
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JURNAL 3: COHORT

Judul

Hypnotic association with mortality or cancer: a matched cohort study.

Nama Jurnal Pengarang Kriteria Inklusi

BMJ Open Daniel F Kripke, Robert D Langer, Lawrence E Kline 10 529 patients who received hypnotic prescriptions and 23 676 matched controls with no hypnotic prescriptions, followed for an average of 2.5 years between January 2002 and January 2007.

Kriteria Eksklusi Metode

Design: Longitudinal electronic medical records were extracted for a one-to-two matched cohort survival analysis. This study was conducted in the population served by the Geisinger Health

System (GHS), the largest rural integrated health system in the USA. Jumlah Sampel Subjects (mean age 54 years) were 10.529 patients who received hypnotic prescriptions and 23.676 matched controls with no hypnotic prescription, followed for an average of 2,5 years between January 2002 and January 2007. Hal yang Diteliti This study extends previous reports associating hypnotics with excess mortality. Hasil Patients prescribed any hypnotic had substantially elevated hazards of dying compared to those prescribed no hypnotics. Kesimpulan Receiving hypnotic prescriptions was associated with greater than threefold increased hazards of death even when prescribed <18 pills/year. Komisi etik
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JURNAL 4: CROSS SECTIONAL

Judul Nama Jurnal Pengarang

Anemia in pregnancy in Malaysia: a cross-sectional Survey. Asia Pac J Clin Nutr 2007 Jamaiyah Haniff MPH, MD, Anita Das MPH, MBBS, Lim Teck Onn FRCP, MRCP, Chen Won Sun PhD, Noraihan Mohd Nordin MRCOG, MD, Sanjay Rampal MPH, MBBS, Safiah Bahrin MPH, MD, Muralitharan Ganeslingam MRCOG, MBBS, Kumar Iswaran K. Kularatnam MRCOG, MBBS 6, Zaki Morad Mohamad Zaher FRCP, MRCP, on behalf of Malaysian Anemia Study Group

Kriteria Inklusi

The majority of the subjects were young mothers, between 20 to 30 years, with an average age of 29 years. The youngest and oldest participants were respectively 16 and 54 years old. About 5% of all pregnancies were among teenagers and about 5% were among women 40 and above. 63% of samples were Malay ethnic origin and about half (48%) were from rural residence.

Kriteria Eksklusi Metode

Two cases were excluded due to missing haemoglobin values. Multi-center, cross-sectional study was conducted from February to March 2005. Multistage stratified random sampling technique was used and 59 Ministry of Health (MOH) primary health care clinics were selected.

Jumlah Sampel Hal yang Diteliti

final dataset consisted of 1.072 antenatal mothers from 56 clinics. Prevalence, distribution of haemoglobin and the associated sociodemographic characteristics of anemia in pregnancy, among Malaysian women attending Ministry of Health (MOH) primary care facilities.

Hasil

The overall prevalence of anemia in this population was 35% (SE 0,02) if the cut off level is 11 g/dL and 11 % (SE 0,03) if the cutoff level is 10 g/dL. The majority was of the mild type. The prevalence was higher in the teenage group, Indians followed by Malays and Chinese being the least, grandmultiparas, the third

trimester and from urban residence. Kesimpulan The prevalence of anemia is 35% and mostly of the mild type and more prevalent in the Indian and Malays. Komisi etik The Ministry of Healths Medical and Research Ethics Committee of Malaysia (MREC) approved the study proposal.

JURNAL 5: RANDOMIZED CLINICAL TRIAL

Judul

Randomized Controlled Trial of Oral Antifungal Treatment for Severe Asthma with Fungal Sensitization.

Nama Jurnal Pengarang

American Journal of Respiratory and Critical Care Medicine Vol 179. David W. Denning, B. Ronan ODriscoll, Georgina Powell, Fiona Chew, Graham T. Atherton, Aashish Vyas, John Miles, Julie Morris, and Robert M. Niven

Kriteria Inklusi

Patients with severe asthma sensitized to at least one of seven fungi by skin prick or specific IgE testingwererecruited. Allhad total IgE less than 1.000 IU/ml and negative Aspergillus precipitins.

Kriteria Eksklusi Metode

Patients with severe asthma sensitized to at least one of seven fungi by skin prick or specific IgE testingwererecruited. They were treated with oral itraconazole (200 mg twice daily) or placebo for 32 weeks, with follow-up for 16 weeks.

Jumlah Sampel

Fifty-eight patients were enrolled, of whom 41% had been hospitalized in the previous year.

Hal yang Diteliti Hasil

To evaluate the response of SAFS to oral itraconazole. Total serum IgE decreased in the antifungal group (251IU/ml) but increased in placebo group (130 IU/ml) (P 5 0,001). No severe adverse events were observed, but seven patients developed adverse events requiring discontinuation, five in the antifungal group.

Kesimpulan

SAFS responds to oral antifungal therapy as judged by large improvements in quality of life in about 60% of patients.

Komisi etik

The local ethics committees approved the protocol and all patients gave written informed consent. The study is registered as a clinical study as number ISRCTN61552714 at www.controlledtrials.com.