bluuebunny/crossref_metadata_2025 huggingface dataset:
THE INCREASE OF BPJS CLAIMS AT HOSPITAL AFTER CHANGING TO E-MEDICAL RECORDS: CASE ANALYSIS AND MITIGATION STRATEGY
Authors: Winarsih Sharah Aulia , Widjanarko Bagoes , Agushybana Farid
Published: April 2024

With the advancement of digital transformation, EMR has become an important step towards operational efficiency and better care. Through Permenkes No.24 of 2022, all health facilities in Indonesia are expected to have implemented the EMR system by the end of 2023. This is a mixed-methods study that combines primary data from interviews with 5 respondents and secondary data regarding BPJS claims during the period before and after EMR implementation, from January to August 2023. Secondary data analysis will be conducted using tables, graphs, and descriptive statistics such as mean, median, and standard deviation to detail and explain changes in BPJS claims patterns before and after EMR implementation. Qualitative data will be analysed. The results showed that EMR implementation increased the number of cases (11.27%) and the nominal amount of BPJS claims (15.04%). In addition, this study identified several factors that became challenges after the change to EMR. These factors include data errors, lack of staff training, technical constraints, and changes in operational processes that have not been fully integrated with the EMR system. Mitigation strategies include staff training, periodic monitoring and evaluation, internal claim audits, improvement of claim business processes, and monitoring and evaluation from management. Based on the results of the study, it can be concluded that the change to electronic medical records (EMR) at Sultan Agung Islamic Hospital has increased starting from the number of patients, the number of cases and the nominal amount of BPJS claims. Despite the increase in the nominal amount of BPJS claims, there are still challenges and problems that need to be overcome after the implementation of EMR.
KAP – Knowledge, Attitude, and Practice & Prevalence Study of Diabetes Mellitus among Morning Walkers in the City of Ahmedabad
Authors: Chandrethia Roshani
Published: April 2024

Background: Growing evidence from knowledge, attitude, and practice (KAP) studies indicates an urgent need to improve diabetes awareness, early diagnosis, risk factor control, and management & disease burden.
Objective of this present study is to know awareness of the diabetes risk factors & management among morning walkers of the city of Ahmedabad and to know the prevalence of diabetes cases among the general population of Ahmedabad.
Methodology: The present study is a cross-sectional study based in the Ahmedabad district of Gujarat. After obtaining signed informed consent at first & Data will be collected according to a standard protocol using an interview-based questionnaire, and random blood sugar will be checked using an instant glucometer and strips.
Result: The mean ±SD scores of the study population regarding the knowledge, attitude, and practice outcomes were 4.04 ± 1.03 ,2.20 ± 0.90, 3.80 ± 0.85. prevalence of Diabetes Mellitus found in this study is 43.49% which is predicted by value of Random Blood sugar 100-125 and ≥ 125 mg/dl.
Conclusion: Variables other than knowledge and attitude have a role in illness management. Poor self-management, a lack of desire, insufficient social support, or a lack of resources needed for sustained lifestyle adjustment behaviour are all potential explanations.
COMPARATIVE EVALUATION OF MIDAZOLAM AND KETAMINE WITH MIDAZOLAM ALONE AS ORAL PREMEDICATION IN CHILDREN”
Authors: Modi Shreya , Patel Dr Subhash
Published: April 2024

Introduction: The main aims of preanesthetic medication in children are to reduce anxiety associated with the unfamiliar environment, facilitate the separation of the child from their parent and allow smooth induction of an-esthesia. Both oral midazolam and oral ketamine fulfil many of these char-acteristics and are useful.
Method: As 48 patients of ASA grade 1 and 2, aged between 2-10 years un-dergoing elective surgery were allocated to one of two study groups using random numbers: Group 1 received midazolam 0.5mg/kg and group 2 re-ceived midazolam 0.25 mg/kg with ketamine 3 mg/kg. The medications were prepared and mixed with 25% dextrose up to a maximum volume of 0.3 ml/kg.
Result: Uniform and acceptable sedation scores were seen in both the groups, without any serious side effects. However, the combination offered significantly more children in an awake, calm and quiet state, who were eas-ily separated from their parents. The induction scores, Recovery room characteristics and time to achieve satisfactory Aldrete score were also comparable between the two groups.
Conclusion: Oral midazolam alone and a combination of midazolam with ketamine provide equally effective anxiolysis and separation characteristics. However, the combination provided more Benefits.
SALIVARY GLAND MALFUNCTION
Authors: Chaudhry Sharjeel , Ehtesham Zarmina
Published: April 2024

This paper goes into great depth on the prevalent health issue of dry mouth. The major salivary glands secrete the total amount 0f 95% saliva. The saliva is composed of both organic and inorganic compounds. The quality of saliva is just as important as quantity when it comes to oral health and well-being. There will be extensive coverage on the many functions and qualities of saliva as well as its role in oral health as well as the important factors that influence salivary production. In this study saliva's role in the development of caries and the formation of bacterial plaque will be examined. There is an initial definition of dry mouth and then an investigation of its prevalence. Following is a list of the most prevalent causes of dry mouth. We will go into why dry mouth is such an issue in the following part. Finally, we will go through how to diagnose and treat dry mouth.
NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD) AMONG OBESE PATIENTS IN A TERTIARY CARE HOSPITAL
Authors: Banerjee Shubhrangshu , Bhattacharjee Manabendra , Sarker Uttam Kumar , Banerjee Shitangshu
Published: April 2024

Background: Non-alcoholic fatty liver disease (NAFLD) commonly results in cirrhosis and liver related death. Obesity is associated with an increased risk of non-alcoholic fatty liver disease. NAFLD has become an important public health problem throughout the globe. The aim of this study was to see frequency of NAFLD among obese patients admitted at the Department of Medicine of Mymensingh Medical College Hospital.

Methods: A total of 100 obese patients having BMI ≥25 kg/M2 were included in this cross-sectional study. Patients’ characteristics, laboratory and face-to-face interview data were analyzed.

Results: Mean age of the patients was 52.61 (SD ± 7.02) years. It was found that more patients were from 51-60 years age group (39%); followed by 41-50 years age group (28%). NAFLD was found in 79% of obese adult patients. Laboratory parameters including TG, HDL, FBG and high blood pressure were compared between NAFLD and normal obese groups. There were no significant differences between the two groups except for FBG. NAFLD patients suffered more from high blood sugar than normal obese patients. Higher intake of meat, increased smoking, lower intake of fish, higher intake of soft drinks & FBG value over 6.1 mmol/L were identified as risk factors for the development of NAFLD.

Conclusion: NAFLD is emerging as one of the most common liver disorders claiming urgent attention of the public, clinicians and researchers. Further in-depth, large scale prospective studies are necessary to dig out more information in this topic.
PREVALENCE OF NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD) AMONG CORONARY ARTERY DISEASE PATIENTS AND ITS ASSOCIATION WITH CAD SEVERITY
Authors: Amandeep  , Gupta Smita , Gupta Nakul
Published: April 2024

Background: Non-alcoholic fatty liver disease (NAFLD) is a growing concern due to its potential to lead to liver transplants and its association with cardiovascular disease (CVD). However, the relationship between NAFLD and CVD remains debated, and non-invasive diagnostic methods for NAFLD are recommended. This study aimed to estimate the prevalence of NAFLD among patients with CAD and explore the association between CAD severity and the probability of developing NAFLD.

Methodology: A cross-sectional study was conducted among CAD patients. Patients with a history of infectious liver disease, pregnant or lactating individuals, and those with excessive alcohol consumption were excluded. Coronary angiography was performed to assess CAD severity using the Gensini score. Ultrasonography and non-invasive assessments, such as the Fibrosis-4 (FIB-4) index, were used to diagnose and stage NAFLD.

Result: The study included 156 CAD patients, with 79 (50.6%) being male. Out of total, 31 (19.8%) had severe, 79(50.6%) had moderate, and 46 (29.48%) had mild NAFLD. Male patients showed a significantly higher prevalence of severe NAFLD compared to females. There was no significant difference in the mean age of CAD patients across NAFLD severities. Severe NAFLD was associated with higher mean Gensini scores and FIB-4 values compared to mild to moderate NAFLD patients. A positive correlation was found between Gensini score and FIB4, suggesting that Gensini score could be an alternative to FIB4 in diagnosing NAFLD severity among CAD patients.

Conclusion: The study revealed a high prevalence of NAFLD among CAD patients, with severe NAFLD being associated with higher CAD severity.
Precision Medicine Advances
Authors: Gharat Vaibhav
Published: April 2024

Abstract is not required
Assessment of Hepato-Renal Biomarkers in Petrol Pump Attendants: Impact of Protective Gear Usage
Authors: Kaur Walia Harpreet , Sharma Vanita , Chaudhary Vijay
Published: April 2024

Background: Petrol Pump attendants (PPA) in India wear a variety of safety gear, including as overalls, masks, and gloves. It is still entirely unknown if they can effectively protect vulnerable organs like the liver and kidney. The study's objective is to examine the hepato-renal axis' biochemical characteristics in PPA employees who wore protective gear while on duty and those who did not.

Methods: The research population was divided into three Groups. Group A consisted of 15 adults male PPAs who had consistently implemented protective measures when administering petroleum products. 32 PPA who did not wear protective gear made up Group B. A total of twenty-eight male adults who had not been exposed to petroleum products made up Group C, the control Group. For PPA selected for the research, a minimum of five years of exposure was required. Through the administration of a questionnaire, data on worker safety was gathered about the usage of self-protective gear as a standard safety procedure for personal protection. To evaluate biochemical indicators of hepato-renal functioning, serum was used. Both the Student's t test and the analysis of variance were used to find statistical differences. It was deemed significant at p 0.05.

Results: ALP, AST, ALT, creatinine, urea, albumin, and total protein activities or levels in both Group A and Group B were substantially different from control (Group C), suggesting liver impairment.

Conclusion: Data from this study indicate that none of the three protective gear options employed by PPA in Group B significantly decreased exposure.
Seroprevalence of Antibodies Against Salmonella Enterica in a Healthy Population
Authors: Akhtar Suhail , Delu Ashok Kumar , Patel Hirenkumar S
Published: April 2024

Background: In poor nations like India, enteric fever is a severe health issue. For the purpose of diagnosing enteric fever, the Widal test is frequently utilized. In the Western Region of India, this study attempted to measure the baseline antibody titres for Salmonella typhi and paratyphi A, B in healthy persons.

Methods: A total of 150 blood samples from healthy persons were taken, and the pattern of antibody titre was determined using the conventional quantitative tube method.

Results: Among 150 blood samples, 103 had shown significant antibody titres (≥ 1:20). The significant proportion (10.7%) of the individuals had anti-O titre ≥ 1:80. Similarly, 86 had anti-H titres of ≥ 1:20 to S. enteric serotype typhi, 23 had a titre of ≥1:80 and 4 had a titre of ≥1:160 respectively. We found 10% and 1.3% for paratyphi A and B, anti-H titres of ≥ 1:20respectively.

Conclusion: The study's findings suggest that the Western Development Region of India should modify the threshold values for antibody titres against S. typhi to > 1:80 for both anti-O and anti-H titres.
Peak Expiratory Flow Rate in Healthy Urban School Children (6 to 17 Years) and Its Correlation with Anthropometric Measurements
Authors: Parikh Sonal , Parekh Bhavya R
Published: April 2024

Background: The predictive normal value of peak expiratory flow rate (PEFR), in children, is correlated with height and other anthropometric measurements, however, it shows ethnic Differences. The present study was conducted to establish the normal value of PEFR in healthy school children and to know the effect of various anthropometric factors on PEFR.

Methodology: This study was conducted among 2200 students to assess their Peak Expiratory Flow Rate (PEFR) using Mini-Wright peak flow meter. PEFR values correlated with age, gender and various anthropometric measurements.

Results: Out of total 2200 students, 1122 were boys which accounted for 51%. Mean PEFR for boys was 282.53 L/min and for girls was 270/.79 L/min. In boys and girls PEFR value increase as the age advances.

Multiple regression modeling with PEFR as dependent variable and MUAC, BMI, Age, CC, Height, Weight and BSA as independent variables shows that Height, Weight, BMI, BSA, Age and chest circumference are independently associated with PEFR value. However, MUAC is not independently associated with PEFR values.

Conclusion: From this study we conclude that in children between 6 to 17 year of age group the PEFR value in higher in boys compared to girls at any age. Height has strongest association with PEFR then the other variables.
DEEP LEARNING ALGORITHM FOR CONNECTING SCIENTIFIC RECORDS AND SOCIAL PLATFORM
Authors: Budi Santoso  , Agustinus Budi Santoso  , Eko Siswanto
Published: April 2024

In the healthcare industry, professionals develop big amounts of disorganized data. The complexity of this data and the loss of computational capability lead to delays in the investigation. Nevertheless, with the advent of Deep Learning algorithms and connection to computing power such as Graphic Processor Units (GPUs) and Tensor Processing Units (TPUs), text and image processing has become usable. Deep Learning (DL) data bring about a big outcome in Natural Language Processing (NLP) and computer perception. The main purpose of this study is to build an undivided approach that can relate social platforms, literature, and scientific records to develop an approach to medicinal education for the public and experts.

This study focuses on NLP in the healthcare industry and compiles data by Electronic Medical Records (EMR), medical literature, and social platforms. The framework proposed in this study is one for connecting social platforms, medical literature, and Electronic Medical Records scientific records using Deep Learning algorithms. Linking data sources requires defining the relationships between them, and finding concepts in medical texts. The National Library of Medicine (NLM) introduced the Unified Medical Language System (UMLS) and uses this system as the basis for the proposed system. The dynamic nature of a social platform can be recognized and supervised methodologies can be applied under supervision to develop conception. Named entity Recognition (NER) enables the active eradication of data or individuals by the pharmaceutical literature.
Manajemen Positif Coping Ibu Hamil Melalui Senam Hamil
Authors: Yunikartika M. Sudin  , Margareta A. Ndi  , Ordilia Y. Viven  , Nur Dafiq  , Yosef Adrian Beo
Published: April 2024

A woman is said to be ready to get pregnant if she has gone through the process of achieving physical readiness, mental readiness, and economic readiness. Pregnant women are prone to experiencing psychological problems such as anxiety and depression which are closely related to the birthing process. Some pregnant women feel worried about the delivery process due to their previous experience of childbirth which was quite painful. This Community Service is carried out to help reduce maternal psychological problems during pregnancy by increasing positive individual coping through pregnancy exercise. This PKM is carried out using pregnant women's health interventions through counseling and pregnancy exercises. Pregnant women gain knowledge about stress management and know the techniques in pregnancy exercise. Through pregnancy exercise, it can reduce stress levels in pregnant women after covid 19.
Analisis Sanitasi Dasar Wilayah Pesisir Desa Kairatu Dusun Pakarena
Authors: Sunik Cahyawati
Published: April 2024

Basic sanitation is a community effort that focuses on controlling the physical structure, where people use it as a shelter that affects the degree of human health. The purpose of this study was to determine the description of basic sanitation facilities in Kairatu Village, Pakarena Coastal Area in 2021 which includes facilities for providing clean water, toilet and bathroom facilities, waste water management facilities and waste disposal facilities. This type of research is descriptive research, namely the research method carried out with the aim of making a description or descriptive of an objective situation. which was carried out in Kairatu Village, Pakarena Coastal Area in 2021. Provision of clean water facilities in Pakarena hamlet, there are 11 existing families, own property, odorless, colorless, tasteless while there are 4 existing families, but not their own, odorless, colorless and tasteless. On average, Pakarena hamlet residents have a latrine, the type of latrine used is goose neck and has a saptic tank of 14 families and 1 family who does not use a goose neck latrine. Waste water management facilities have not met the requirements. A total of 14 families of waste water are channeled into open sewers and 1 family has SPAL that does not pollute the water. Garbage disposal facilities do not meet the requirements, garbage boxes are not available at all and residents only throw garbage in rivers near settlements while some residents manage waste by burning so that it can pollute the environment.
Hubungan Posisi Spinal Blok Anestesi Dengan Terjadinya Retensi Urine Pasca Anestesi Di Ruang IBS RSUD dr. H. Jusuf SK Provinsi Kalimantan Utara
Authors: Prayitno Prayitno  , Happy Nurhayanti  , Eko Puji Rahayu
Published: April 2024

Background: Post spinal anesthesia complications, one of which is urinary retention, it is an inabity of the bladder to partially of completely empty urine during urination. In performing injections on the subarachnoid can be done on the patient in a sitting position on the surgery table or in a tilted/lateral decubitus position. Objective: To analyze the corellation between spinal position an the occurrence of post-anesthesia urinary retention, with the inclusion criteria of patients undergoing spinal block anesthesia in sitting position. Research Methods: The design of this research is analytical observation with a cross sectional approach, sampling using pusposive sampling technique. The number of samples as many as 42 people, the sample was taken in the Central Surgical Installation Room of RSUD dr. H. Jusuf SK. Collecting data using observation sheets that have been prepared and given instructions on how to fill them, regarding the patient’s sitting position in spinal surgery, that is the sitting position with both legs straight or sitting sitting position with both knees flexed, as well as the patient’s ability to urinate after spinal surgery, which is less than 8 hours or more than 8 hours after spinal surgery. From the study, the were 16 respondents who experienced post-spinal urinary retention, 13 respondents who received a spinal sitting position with both legs straight and 3 respondents who received a spinal sitting position with both knees flexed. Result: Statistical test using chi square, obtained P value = 0.715, thus P value > alpha (0.05), so Ho is accepted, it means that it can be concluded that there is no correllation between spinal anesthesia block position and the ccurance of post-anesthesia urinary retention.
Gambaran Tingkat Daya Ingat Berdasarkan Tes IST pada Mahasiswa Psikologi Universitas Potensi Utama Medan
Authors: Fenty Zahara Nasution  , Nadia Syafira
Published: April 2024

One of the tests that measures intelligence is the IST Test with 9 sub tests, and one of the sub tests in it is the last sub test, namely ME (Merkaufgaben). This subtest measures memory. This memory is closely related to attention and the ability to remember. Memory can be said to be sharp or dull when viewed from the accuracy, thoroughness or outline, or shallowness of the memory content. Estimates, feelings, emotions, affection, hopes and desires; Also plays a role in memory function. In this research, the researcher took only one thing, namely memory ability, the sample was carried out on psychology students in semesters 4, 6, 8, totaling 98 students. Using descriptive research methods. The aim of this research is to see a picture of the memory level of Psychology students at the Main Potential University in the morning and evening students because memory is very important for their ongoing learning process. Recall or memory is a mental process that an individual has to code, store, maintain and remember information, knowledge or past experiences in the brain which can be recalled for use some time later. This research approach uses a 6 minute test, then scoring based on morning and evening groups and based on semester level. Tests are given based on each class, the morning class is carried out during the morning class at 09.00 and the evening class is carried out at 18.00. The results obtained were that the superior level of memory was found in semester 8 students at 17.3%, semester 6 at 11.2%, semester 4 at 7.14%. High average memory level at semester 8 at 13.26% and semester 6 at 9.1% and semester 4 at 13.26%. 7 is 7.14% Average memory level is located in semester 6 with 14, namely 14.26% and semester 4 with 10, namely 10.20% and semester 8, namely 3, is 3.06%. Low Average level of memory is located in semester 6, namely 7, namely 7.14% and semester 6. of 6, namely 1.12% and semester 8 of 1 with 1.02%. The highest level of superior memory based on morning and evening classes is in semester 8 of the evening class, 17.34%. These results are useful in the future and need to be improved in upgrading memory to be able to carry out daily learning activities.
Analisis Dampak Kebijakan Pemberlakuan Pembatasan Kegiatan Masyarakat (PPKM) Bagi Pelaku Usaha Bisnis Coffee Shop di Kabupaten Rejang Lebong
Authors: Cindy Claudia Utami  , Dodi Aprianto  , Mira Yanuarti
Published: April 2024

Based on the output of "Test Statistics", it is known that Asymp. Sig (2-tailed) feasible 0.012 is smaller than <0.05, it can be said that there is an average difference between before and before the PPKM Impact, then the key H0 is rejected and H1 is accepted. In the statistical table, the calculated Z value is -2.527, while the Z table value with an alpha of 5% or 0.05 is 1.96. While the Asymp value. Sig (2 tailed) was obtained 0.012 because Z count < Z table, namely -2.527 < 1.96 or a significance value of 0.012 <0.05 according to the statistical test used, then H0 was rejected and H1 was accepted. Based on the output of "Test Statistics", it is known that Asymp. Sig (2-tailed) is feasible 0.011, smaller than <0.05, it can be said that there is an average difference that occurs at the Business Coffee Shop between before and before, it can be said that H0 is rejected and H1 is accepted. In the statistical table, the calculated Z value is -2.539, while the Z table value with an alpha of 5% or 0.05 is 1.96. While the Asymp value. Sig (2 tailed) is obtained 0.01 because Z count < Z table is -2.539 < 1.96 or
Analisis Efisiensi Pemasaran Jamur Tiram Putih (Pleurotus Ostreatus) di Kelurahan Air Rambai Kecamatan Curup Kabupaten Rejang
Authors: Fahrozi Fahrozi  , Febri Nur Pramudya  , Mira Yanuarti
Published: April 2024

Research on marketing efficiency analysis of white oyster mushrooms (Pleurotus Ostreatus) in Air Rambai Village, Curup District, Rejang Lebong Regency aims to determine marketing channels, and analysis of marketing margins, as well as to determine whether the marketing efficiency of white oyster mushrooms in Air Rambai Village, Curup District.This research was conducted in March 2022 in Air Rambai Village, Curup District, Rejang Lebong Regency with farmers in Air Rambai Village. Data analysis used in this research is marketing channel analysis, marketing margin analysis, and marketing efficiency analysis. This data analysis was used for farmers and the 12 retailer respondents in Air Rambai Village, Curup District, Rejang Lebong Regency.Based on the results of data analysis, it can be seen that the marketing channel of white oyster mushrooms in Air Rambai Village, Curup District, Rejang Lebong Regency has two marketing channel patterns where the first marketing channel pattern sells white oyster mushrooms directly to end consumers, and the second marketing channel pattern is farmers sell to traders. retailers and then traders resell to final consumers. The marketing margin in the first marketing channel is Rp. 0, while in the second marketing channel it is Rp. 11,583. and the marketing efficiency of white oyster mushrooms in Air Rambai Village, Curup District, Rejang Lebong Regency is said to be efficient.
Desain Interior Mempengaruhi Minat Pengunjung Restoran Sajian Bhinneka Di Medan
Authors: Rani Hermita  , Mislida Murti
Published: April 2024

The restaurant is the most visited place both for meeting friends orfor gathering with family to eat together. So we need a unique interior design to attract visitors. Taking into account the modern layout and interior so as to make visitors more comfortable to relax. The attractiveness of a restaurant can be made in various ways, such as a very unique and attractive interior or exterior design. The purpose of this research is to analyze the influence of interior design on the interest of restaurant visitors. Sampling in this study using simple random sampling technique. Sample random sampling is a technique where sampling is carried out directly at the place to be sampled. An example in this study is the 100 responses that were visitors to a multi-ethnic restaurant in Medan. The technique used in this study uses data analysis techniques to test the validity, reliability and regression tests to test the effect of independent variables on the dependent. Based on the results obtained from an analysis of the positive influence between interior design and the interest of visitors to a diverse serving restaurant in Medan, the better and more attractive the interior design used, the increasing number of visitors coming to a diversity serving restaurant in Medan
STRUKTUR PENULISAN NASKAH PADA SIARAN RADIO
Authors: Winda Kustiawan  , Tasya Salsabila
Published: April 2024

Radio news scripts are news scripts that are ready to be delivered or read by the broadcaster. The definition or understanding of the script itself is a story that is described in sequence from scene to scene which is equipped with a place or setting, circumstances, dialogue, and often there are characterizations in it. 94% in writing this article using the method of reading and searching for internet sources. In this study, the method used is descriptive qualitative method. News script writing plays a very important position in radio news broadcasts. In writing broadcast scripts, scriptwriters must be able to write in a conversational or spoken language style in a concise, concise, and clear manner. Broadcast Script is broadcast material that will be delivered by broadcasters in broadcasting, especially broadcasts with script reading techniques.
İSPANYOL GRİBİ PANDEMİSİNİN EKONOMİK ETKİLERİ VE KEYNESYEN BİR DEĞERLENDİRME
Authors: Tuğan Gözde , Yılmaz Genç Sema
Published: April 2024

İnsanlık tarihi kadar eski olan pandemiler, toplum sağlığı üzerinde hastalık yapıcı ve ölümle sonuçlanan etkiler yaratırken; diğer taraftan da ülke ekonomileri üzerinde yıkıcı sonuçlar doğurmaktadır. Bu bağlamda, en az günümüz pandemisi kadar ölümcül sonuçları olduğu kabul edilen İspanyol Gribi, 21.yüzyıl Koronovirüs pandemisinin kısa ve uzun vadeli olası ekonomik etkilerinin değerlendirilmesi noktasında önemli bir projeksiyon sunmaktadır. İspanyol Gribi pandemisinin, I. Dünya Savaşı yıllarına tekabül etmesi gerek savaşa dahil olan ülkelerde halkın psikolojisini korumak gerekse de teknik yetersizlikler nedeni ile kapsamlı ve sağlıklı veriye erişim noktasında kısıtlar yaratmıştır. Ancak mevcut veriler ve çalışma bulguları İspanyol Gribi pandemisinin arz ve talep kaynaklı etkilerinin kısa vadeli sonuçlarına vurgu yapmıştır. Uzun vadeli etkiler daha ziyade düşük güven düzeyi, görece düşük beşeri sermaye yatırımları şeklinde sıralanmıştır. Ancak pandeminin kısa ve uzun vadeli etkileri ülkeler, bölgeler ve sektörler arasında son derece heterojen dağılmıştır. Ve pandeminin etkilerini hafifletmek üzere devlet müdahalesi kaçınılmaz olmuştur. Özellikle ilgili yıllar itibariyle Keynesyen ekol, hakim iktisadi görüş olmasa da ekonomide canlanma yaratacak kamusal harcamalar ve parasal genişleme politikaları önemli birer dengeleyici unsur olmuştur. Artan harcamaların yol açtığı kamu borç yükünün karşılanması noktasında ise devlete gelir yaratıcı ticaret politikaları bu dönemde başvurulan müdahale araçları olarak sıralanmıştır.
PELATIHAN DAN PENDAMPINGAN PEMANFAATAN APLIKASI E-COMMERCE BERBASIS WORDPRESS BAGI WARGA CIPOCOK KOTA SERANG
Authors: Kusuma Jaka Wijaya , Hamidah Hamidah , Zahra Surti , Kusumawati Nugrahini , Fatonah Siti , Nursoleh Nursoleh
Published: April 2024

This PKM is in the form of training and mentoring. The series of activities begins with giving invitation letters to the surrounding residents. Training activities consist of 2 places, namely in the first place is a special training of mothers or women and the second place is assistance for fathers or youths. The number of participants who participated in this construction was as many as 18. The type of software used is WordPress which is accessed online through http://id.wordpress.com. All participants are very enthusiastic about participating in activities. From the questionnaire achieved, there were as many as 70% of participants successfully participated in activities without any obstacles, as many as 20% could follow the activity with a little help and guidance; lastly, as many as 10% of participants had difficulty participating in training caused by not having or carrying laptop facilities
PENANGANAN STUNTING DI DESA LARANGANLOR MELALUI PENYULUHAN DAN CLASS FOODING
Authors: Zakariya Ahmad , Setyaningsih Annisa' , Ningsih Sakti Wahyu , Nurhayati Yunika , Mustafidah Nur Hidayatul , Salsabila Qothrun Nada , Rohimah Rohimah , Salamah Reza Tri , Irzan Ahmad , Rohmadi Teguh Setyo , Lestiyanawati Rochyani
Published: April 2024

Stunting is a chronic malnutrition problem caused by a lack of nutritional intake in infants for a long time starting from pregnancy until the baby is twenty-four months old. Stunting has an impact on the inhibition of mental development, health status, and physical growth in children. In addition, stunting also has an impact on increasing children's vulnerability to diseases, both infectious and non-communicable diseases (PTM). Based on observations in Laranganlor Village, stunting is also caused by the lack of awareness of mothers attending posyandu activities and the emergence of excessive shame when stunting occurs in children. So that public knowledge about the prevention and treatment of children indicated by stunting is very low. However, it cannot be denied that the implementation of a healthy lifestyle and the fulfillment of nutrition for infants is also the reason for the high stunting rate in Laranganlor village. The solution we can offer for this problem is to carry out Stunting Handling Counseling and Class Fooding. By holding this activity, it is hoped that it will have a positive impact on the community and provide changes for the better, especially regarding the importance of maintaining healthy and nutritious food intake for infants in order to prevent stunting
PELATIHAN LABELING DAN PACKAGING BAGI PELAKU UMKM DI DESA CIHERANG KECAMATAN GUNUNG SARI, KABUPATEN SERANG
Authors: Zahra Surti , Pratama Bagaskara Aditya , Diana Diana , Novita Aditya Sri , Puspa Astin Mandela
Published: April 2024

The community of Ciherang village, Gunung Sari sub-district, several housewives to improve their family's economy carry out entrepreneurial activities. There are various kinds of entrepreneurial activities depending on the expertise/ability of each individual. One of the UMKM  in Ciherang Village is Baso aci or commonly called boci. These aci meatballs are pure meatballs made from starch dough without being mixed with ground beef. From the main ingredient of starch, or Sundanese people call it aci, it looks similar to the cilok sauce that we often encounter. The problem that was encountered after we conducted the survey was the lack of handling of packaging or packaging on the baso aci, therefore the solution we gave was to increase UMKM in Ciherang village. as well as additional menus to complement these UMKM products to make them more attractive and in demand by consumers by holding labeling and packaging training for UMKM baso aci players in Ciherang Village
DIVERSIFIKASI PRODUK OLAHAN JAMUR TIRAM DI DESA BINONG PAMARAYAN
Authors: Anggriawan Muhammad Angga , Sembiring Evi Dora , Billah Fika Alawiatul , Risky Sendy
Published: April 2024

Mangir Village is one of the villages located in Binong Village, Pamarayan District, Serang Regency. The Women Farmers Group (WFG) 'Bodas Berkah Abadi' is one of the farmer groups that specializes in developing oyster mushrooms (Pleorotus Ostreatus) in Kampung Mangir. This farmer group not only serves the sale of organic oyster mushrooms, but also sells mushroom seeds and baglog media to the public. A classic problem that is always felt by farmers when they find obstacles in selling products to the market which ultimately must end up in the hands of collectors. Of course this can cause the price to be lower than the market. Diversification of processed oyster mushroom products must be increased from just producing fresh organic oyster mushrooms to diversifying oyster mushroom processed products. Therefore, this service aims to provide knowledge transfer regarding the processing of oyster mushrooms in order to diversify products as value added so as to maximize the profits obtained. The method of activities carried out in community service includes counseling, demonstrations, exercises for making mushroom-filled cilok and cireng, discussions and questions and answers. The result achieved is that it is hoped that the housewives of Binong Village will feel inspired because they get new experiences in utilizing other biological sources as alternative food ingredients and as additional businesses in increasing family income
PENGOLAHAN COOKIES BERBAHAN PISANG PADA KELOMPOK JALAPAGOS DI DESA BUON MANDIRI KECAMATAN LUWUK UTARA KABUPATEN BANGGAI SULAWESI TENGAH
Authors: Chaniago Ramadhani , Ode Haruni , Lasamadi Rahman Dani , Lamusu Darni
Published: April 2024

Utilization of bananas so far has not been optimal, it is still limited to consumption and traditional processed fruit. Various types of snacks from bananas that are relatively popular include banana chips, banana sale, banana molen and cookies. Cookies are one type of snack that people are interested in. Cookies are known by many people, both children, teenagers and adults, who live in rural and urban areas. Cookies are cakes made from flour which are generally made from flour, powdered sugar, chicken eggs, vanilla, margarine, cornstarch, baking powder, and instant milk powder. The implementation of activities includes the preparation and implementation stages in the form of training and manufacturing practices. After the implementation of the cookie-making training activities, they can increase the knowledge and skills of the Jalapagos group mothers about the potential of banana plants and can realize the economic independence of the community in Buon Mandiri Village, North Luwuk District, Banggai Regency
EDUKASI GIZI BALITA PADA IBU NIFAS DI DESA TEGAL SARI WILAYAH PUSKESMAS WALANTAKA SERANG BANTEN
Authors: Umalihayati Umalihayati , Qonita Qonita
Published: April 2024

Nutrition is still a major problem in Indonesia, so that it can lead to serious nutritional problems. Nutrition is one of the assessment indicators to determine the degree of public health in Indonesia. Good nutrition can increase the productivity of human resources. Toddlers who experience nutritional disorders have an impact on stunting and underweight. On the other hand, if the child is over-nourished, then the child can experience obesity and other diseases such as diabetes mellitus. The contributing factor is the lack of knowledge of mothers about healthy menus and how to process food. The solution taken is to provide health education to the community in the form of health counseling. This activity aims to increase mothers' knowledge about toddler nutrition. Community Service will be held in September 2021 in Tegal Sari Village, Walantaka District, Serang City, Banten. Respondents who took part in the activity were 30 mothers with toddlers. This activity consists of 3 stages, including: the preparation stage, the implementation stage and the evaluation stage. Data obtained from the results of interviews, pre-test, post-test, and discussion. The result of this activity is an increase in mother's knowledge about toddler nutrition. Pre-test results, lack of knowledge 63.3% and 36.7% good. The results of the post test showed a change, namely 30% less knowledge and 70% good knowledge
PKM PASCA PANEN UBI JALAR UNGU DAN OLAHANNYA BAGI SISWA SISWI NEGERI 1 BAWEN SEMARANG
Authors: Sagitaning Putri Aldila , Larasati Dewi , Sani Elly Yuniarti
Published: April 2024

Students of SMK Negeri 1 Bawen in gaining knowledge about postharvest handling and horticultural preparations are only given in general for horticultural crops and practicum given only certain fruits, so that postharvest handling and purple sweet potato preparations have not been given specifically. This community service activity aims to: Provide information to the community, especially at SMK Negeri 1 Bawen Semarang Regency, about the importance of handling purple sweet potato postharvest and how to process it and provide skills in processing purple sweet potatoes into purple rice and purple sweet potato ice cream. The target audience in community service is students of SMK Negeri 1 Bawen Semarang Regency who are in accordance with the Department of Agricultural Product Technology.  The results of the implementation showed that the target was students of SMK Negeri 1 Bawen increased their knowledge and understanding of the importance of post-harvest handling and tomato processing with practice. This is based on questions and answers, interviews and questionnaires distributed before and after the activity. The evaluation was carried out using questionnaires before and after the implementation given to 70 participants who participated. The results of the evaluation show that: a. Before the implementation of the activity, 80% of participants had never received counseling on post-harvest handling, b. Before the implementation 75% did not know about the processing of purple sweet potatoes and 25% knew, after the implementation 85% knew and 20.67% knew very much about the processing of purple sweet potatoes, c. 100% of participants did not know about processing purple sweet potatoes into purple rice and after counseling 3.33% did not know, 96.67% knew and 10% knew very well, d. 100% of extension participants did not know how to process purple sweet potatoes into ice cream and after counseling 86.67% knew and 13.33% knew how to process purple sweet potato becomes ice cream, e. Knowledge of the benefits of purple sweet potatoes of extension participants before the activity 66.7% did not know, 33.33% knew and 6.67% knew very well, and after the activity 73.33% knew and 26.66% knew very well, and f. Knowledge of processed purple sweet potatoes in addition to being purple rice and purple sweet potato ice ream states 100% tofu
PENINGKATAN KOMPETENSI PENGELOLA ARBORETUM GAMBUT BERBASIS EDUWISATA DI KABUPATEN BENGKALIS
Authors: Zulkarnaini Zulkarnaini , Sadad Abdul , Bedasari Hafzana
Published: April 2024

The existence of the Peat Arboretum is very important for environmental preservation, especially in areas that have extensive peatlands. It's just that its existence is less of a concern to the parties concerned. The manager has experienced a lack of income due to the absence of adequate management activities. The purpose of this community service activity is to improve the managerial competency of managing the Post-Covid 19 Pandemic Peat Arboretum in Bengkalis Regency. The implementation method used is a participatory approach and counseling and active assistance aimed at the management of the Peat Arboretum in Bukit Batu District, Bengkalis Regency. The results of the dedication show that the management of the Peat Arboretum as eco-tourism requires support from various parties. It is not enough just to rely on corporate CSR or government projects. Especially since the Covid 19 pandemic practically the activity of visiting tourists to locations has been greatly reduced. Managerial competence is felt to be important to the attention of all stakeholders in the management of the Peat Arboretum, because all team members can experience an increase in their leadership competence. Managerial competence makes coordination and communication easier, members are more open, and members feel valued and there is member attachment to the team
PENDAMPINGAN PENERAPAN SISTEM JAMINAN PRODUK HALAL PADA UMKM OMAH KUE UTI ATIK DI KOTA BALIKPAPAN
Authors: Hidayat Khansa Fitria Latifa , Rahmadi Anton , Marwati Marwati , Rohmah Miftakhur
Published: April 2024

Indonesia requires halal certification which is regulated in Law Number 33 of 2014 concerning Guaranteed Halal Products. Making halal certificates for micro and small businesses can be done in two ways, namely through the regular mechanism and the self-declare mechanism. This activity aims to increase empathy and concern for students, so that they can contribute to developing Omah Kue Uti Atik UMKM in Balikpapan City through socialization so that the quality of the products produced is guaranteed and can survive among the many similar products being traded. The implementation method used in this activity has three stages, namely the preparation stage by conducting a survey of the conditions and needs of MSMEs. The implementation stage, namely by conducting outreach to MSMEs by providing information and education. The implementation stage, namely by assisting in the preparation of SJPH documents and the process of registering a Self-Declared halal certificate. From the results of the service, MSME actors know the importance of producing halal products, fulfilling certification criteria and obtaining halal certificates through self-declaring
A Trombectomia e o uso de trombolíticos como tratamento do acidente vascular cerebral isquêmico na emergência
Authors: Motta Ricardo Fonseca Oliveira Suruagy , Oliveira Luiz Carlos Fonseca de Azevedo , Vieira Laila Leite Pacheco , Teixeira Ana Luiza dos Santos , Vasconcelos Camila Maria Gomes de Mendonça , Vasconcelos Catarina Cavalcanti de , Gonçalves Marina Teixeira , Oliveira Daniel Fonseca
Published: April 2024

Introdução: O Acidente Vascular Cerebral (AVC) é uma causa significativa de morte globalmente, resultando da obstrução ou ruptura dos vasos sanguíneos que levam ao cérebro. O AVC isquêmico, mais comum, representa cerca de 87% dos casos. Apesar dos avanços na terapia, o AVC continua sendo uma causa importante de incapacidade e morte. O protocolo de tratamento na emergência inclui a identificação dos sintomas iniciais (ictus) e o tratamento com trombectomia mecânica e trombolíticos, buscando desobstruir os vasos e restaurar o fluxo sanguíneo cerebral. Metodologia: Uma revisão de literatura foi conduzida utilizando bases de dados como MEDLINE, SCIELO e LILACS, focando na efetividade da trombectomia e trombolíticos no tratamento do AVC isquêmico na emergência. Resultados/Discussão: A trombectomia emergiu como o padrão-ouro, envolvendo a remoção do trombo dos grandes vasos proximais, resultando em um procedimento inovador capaz de salvar milhões de neurônios. Os trombolíticos, como alteplase e tenecteplase, também são utilizados, com a tenecteplase mostrando uma maior resistência e eficácia. Existem contraindicações para o uso de trombolíticos, especialmente em casos de gestantes, pacientes com pressão descontrolada, trauma recente, ou sangramento gastrointestinal ou geniturinário. O tempo é crucial, pois quanto mais rápido o tratamento é administrado após o início dos sintomas, maiores são as chances de recuperação. Conclusão:  A combinação de trombectomia e trombolíticos melhoras significativamente os resultados, embora as contraindicações devam ser cuidadosamente consideradas.
Acessibilidade e direito aos serviços de saúde para pessoas vivendo com HIV
Authors: Farias Estrela Cecília Moreira de Holanda , Oliveira Vinícius José de , Duarte Amanda Araújo Brasil , Bezerra Deisy Rejane Barbosa , Silveira Germana Maria da , Campigotto Roberto Spadoni , Demarchi José Carlos Gomes , Cover Maryanna Santiago , Neiva Raissa Lages , Lacerda Cibelle Correia Cavalcante
Published: April 2024

A acessibilidade e o direito aos serviços de saúde são elementos essenciais para garantir o bem-estar e a qualidade de vida das pessoas vivendo com HIV. No contexto da epidemia de HIV/AIDS, o acesso a serviços de saúde adequados desempenha um papel crucial na prevenção, tratamento e manejo dessa condição crônica. No entanto, barreiras sociais, econômicas e estruturais muitas vezes impedem o acesso equitativo a esses serviços, especialmente para populações marginalizadas e vulneráveis. Este estudo tem como objetivo realizar uma revisão integrativa da literatura para examinar a acessibilidade e o direito aos serviços de saúde para pessoas vivendo com HIV. Por meio dessa análise, busca-se identificar lacunas, desafios e oportunidades para melhorar o acesso e a qualidade dos serviços de saúde oferecidos a essa população. A revisão integrativa da literatura foi conduzida por meio de uma busca sistemática em bases de dados eletrônicas, incluindo PubMed, Scopus e Web of Science. Os critérios de inclusão foram estudos que abordavam a acessibilidade aos serviços de saúde e o direito das pessoas vivendo com HIV, publicados nos últimos dez anos. A análise dos artigos incluiu a identificação de temas comuns, barreiras percebidas e estratégias de melhoria. Os resultados da revisão destacam várias questões relacionadas à acessibilidade e ao direito aos serviços de saúde para pessoas vivendo com HIV. Barreiras como estigma, discriminação, falta de informação, acesso limitado a serviços de saúde especializados e desigualdades sociais foram identificadas como desafios significativos. Além disso, a falta de políticas e programas eficazes para promover a inclusão e a equidade no acesso aos cuidados de saúde também foi observada. No entanto, foram identificadas algumas estratégias promissoras, como a integração de serviços de saúde, abordagens centradas no paciente e programas de sensibilização e educação. Assim, a acessibilidade e o direito aos serviços de saúde para pessoas vivendo com HIV são fundamentais para garantir o sucesso dos esforços de prevenção e tratamento do HIV/AIDS. É imperativo que políticas e intervenções sejam implementadas para superar as barreiras existentes e promover um acesso equitativo e universal aos cuidados de saúde. A colaboração entre governos, organizações da sociedade civil e profissionais de saúde é essencial para alcançar esse objetivo.