No abstract

Introduction. Pressure injuries remain a major burden worldwide with associated morbidity and financial implications. Patients in the ICU, such as those with severe COVID-19, are especially susceptible to PI as they remain immobile for extended durations while intubated. Objective. This report examines a case of stage 4 PI in a senior COVID-19 survivor treated with adjunct intravenous and intralesional aaPRP therapy in addition to topical hyaluronic acid/silver sulfadiazine cream and framycetin sulphate dressing. Case Report. aaPRP therapy was administered via intralesional injection and intravenous infusion 4 times with 2 weeks between therapies, while the aforementioned topical cream and dressing were applied every 2 days between visits. The patient also had controlled diabetes which may affect the wound healing process. Conclusions. This report concludes with a discussion of how COVID-19 carries important dynamics in the pathogenesis of PI and how adjunct administration of intravenous and intralesional aaPRP, which is abundant in regenerative proteins, may be beneficial in the management of PI.

Neurofibromatosis (NF) is an AD dysplasi of mesoderm and ectoderm characterized by numerous neurofibromas and cafe-au-lait spot. It can develop on cranial and cavum orbita. Additional abnormalities such as episode of seizure, learning disabilities, and speech difficultie may present. Presented a rare case that has underwent surgery by multidisciplinary team consist of neuro surgeon, plastic surgeon, and ophthalmologist. A 31 years old female patient admitted to Dr.Soetomo Hospital with mass at left face since she was 3 years old. Clinical examination shows a large plexiform mass at left hemifacial, distopia left oculi, and facial deformity. Radiological examination shows a soft tissue mass destructing the left temporal and maxillary bone, a temporal lobe herniation to frontobasal, and a suppression on left optical nerve. In the present time, the patient is satisfied with her performance and vision. The result of surgery is satisfying.

Tujuan penelitian ini untuk mengetahui pengaruh keandalan, daya tanggap, jaminan, perhatian, dan bukti fisik terhadap kepuasan masyarakat secara parsial maupun simultan. Metode pengumpulan data untuk pengujian hipotesis menggunakan pengisian kuisioner yang ditujukan 100 responden masyarakat berusia di atas 17 tahun yang menggunakan pelayanan di loket pendaftaran. Hasil analisis linear berganda bahwa dapat diketahui pengaruh dimensi kualitas pelayanan sebesar R2 = 0,346 hal ini berarti sumbangan variabel X (Kualitas Pelayanan) berperan dalam mempengaruhi variabel Y (Kepuasan Masyarakat) Sebersar 34,6%. Berdasarkan hasil uji t variabel daya tanggap dan perhatian berpengaruh terhadap kepuasan masyarakat. Dilihat dari hasil uji f kepuasan masyarakat secara bersama-sama dipengaruhi oleh variabel keandalan, daya tanggap, jaminan, perhatian, dan bukti fisik pada tingkat signifikansi alpha 10% atau tingkat kepercayaan 90%. Berdasarkan hasil uji t variabel daya tanggap dan perhatian berpengaruh terhadap kepuasan masyarakat.