bluuebunny/crossref_metadata_2025 huggingface dataset:
Review of the employee performance evaluation system at the Directorate General of Taxes
Authors: Basalamah Anies Said , Widiatmanti Herru
Published: October 2023

This quantitative research seeks to determine the effectiveness of the Directorate General of Taxes (DGT) performanceevaluation system, measure how satisfied the employees are, and to prove differences among different categories ofemployees. This research is an extension of the study by Widiatmanti (2020) on 1,587 DGT employees. Analysis ofVariance (ANOVA) and Exploratory Factor Analysis (EFA) were used to analyze the data in addition to descriptive dataanalysis. Generally, respondents feel the system is quite effective, and they are quite satisfied, except for three variablesthat most respondents strongly disagree with and relate to the performance status of SABCD and the level 1 and level2 ranking sessions. ANOVA method indicates that there are indeed differences among different categories of employees,while EFA method reveals that despite seven insignificant variables, none of them suggests the need to change DGTRegulation 12/PJ/2018, including its SABCD performance status. However, the need for change or adjustments arisesbecause there are provisions at higher levels of regulation: Government Regulation and two ministerial decrees.Therefore, we suggest that the use of forced rank in the SABCD performance status is abolished and replaced mainlydue to excellent, moderate, and poor performances.
Determinants of tax morale
Authors: Daneshwara Rama , Riandoko Riko
Published: October 2023

One of the reasons Indonesia's tax ratio has yet to reach its target is the informal sector and tax avoidance. The individual's desire to pay or avoid taxes is related to tax morals. This study aims to determine the effect of trust in the government, trust in tax administration, national pride, the likelihood of being caught in tax evasion efforts, and the level of punishment on tax morale. The research object is the owner of the micro, small, and medium enterprises (MSMEs) in Java. The research approach used is quantitative research. The data used are primary data consisting of 395 respondents' answers collected. Data analysis used the Ordinary Least Squares (OLS) method. The test results state that trust in the government, trust in tax administration, national pride, likelihood of being caught in tax evasion efforts, and the level of punishment simultaneously and partially have a significant positive effect on tax morale.
Knowledge and Implications of Cemetery Policies among Workers of Baguio City Public Cemetery, Philippines
Authors: Dizon Kurt Zeus L.
Published: October 2023

Cemeteries in the Philippines are usually under the jurisdiction of local government units (LGUs). Among their jurisdiction is managing cemetery workers. The cemetery workers being part of the informal sector are a concern for LGUs since activities within the sector areunknowledgeable to government policies and prone of noncompliance to it. Thus, the study is anchored on determining if cemetery workers of Baguio know the policies governing cemeteries. The study employed both a quantitative and qualitative design, particularly through surveyquestionnaires and interviews. The data shows that the respondents are moderately knowledgeable on the identified cemetery policies. This is because attached offices of Baguio LGU have a constant practice of communicating and orienting the workers on the cemetery policies. Although workers are moderately knowledgeable and the LGU exerts effort and initiatives in communicating with the cemetery workers, some problems still persist due to misinterpretation and stubbornness among the workers.
Predicting Islamic Banks Performance During the Covid-19 Pandemic through CAMEL Ratio Strategy
Authors: Fitriyah Siti , Devy Happy Sista , Safii Muhammad Aris , Alias Norma
Published: October 2023

The Covid-19 pandemic, which has spread to almost all countries in the world, is currently causing the social and economic life of the community to shake so that it is thought to affect the financial performance of Islamic banks. This study aims to determine the financial performance of Islamic banks before and during a pandemic. The study was conducted by comparing financial reports with CAMEL analysis. The results of the study show that there is no significant difference between the financial performance of Islamic banks before and during the outbreak. Despite the global crisis due to the Covid-19 pandemic, the financial performance of Islamic banks has remained stable. This can be seen in the increase in financial ratios such as CAR and ROA, while the BOPO and NPF ratios tend to decrease, which indicates the efficiency of funds operated by the bank. Even though there was an increase in the amount of credit issued, the increase was still safe.
Launching Fuel Oil According to The Perspective of Positive Law and Sharia Economy (Study of Pelangsir in Palangka Raya City)
Authors: Abidin Zaenal , Mufidati Khusnul , Khairunnisa Khairunnisa , Bakar Abu , Muslimah Muslimah
Published: October 2023

Fuel oil is currently the main need of the community in supporting various activities to drive the economy. Starting from providing electrical resources at home, motorized vehicles, and to trade as a source of income. To ease the burden on society and increase the wheels of the economy, the Government made a policy by providing subsidies for fuel. So that the price of fuel is not too high and affordable for the community. However, subsidized fuel is prone to misuse and even frequent irregularities, one of which is the practice of shifting. Shifting or known as ‘Melangsir” to the people of Palangkaraya city means buying subsidized fuel at gas stations and selling it at retail. This is qualitative research in which research data is obtained through observation, interviews, and documentation with suppliers or retailers, consumers. Furthermore, the data that has been collected is analyzed using descriptive analysis method. From the results of this study, it is explained that, according to the positive law regulated by Oil and Gas Law of Indonesian Law number 22 of 2001, Melangsir and buying and selling of retail fuel in Palangkaraya is a criminal act that is prohibited by the government, this is stated in Article 53. In Islamic Economic Practice shifting and buying and selling of retail fuel is permitted as long as it applies Islamic economic principles and aims for the benefit of all parties.
Opportunities and Challenges of Poverty Alleviation and Independence of The Kubu Tribe Community in Merangin Regency
Authors: Lukman Lukman
Published: October 2023

There are two main purposes of this study. First, this research aims to analyze the strengths, weaknesses, opportunities, and challenges of poverty alleviation and underdevelopment. Second, this paper analyzes the right strategies for poverty alleviation and underdevelopment of the Kubu Tribe. Data collection used questionnaires to respondents from the Kubu Tribe community groups. Data analysis used is SWOT analysis through a series of internal factor analysis strategy (IFAS) calculations, external factor analysis strategy (EFAS), and strategy factor analysis strategy (SFAS) by taking into account the weight and rating values. Which is then formulated into a Tows matrix table. The results of the SFAS strategy that are right for poverty alleviation and underdevelopment are the SO (strength opportunities) strategy which occupies the highest score of 3.557 which is in position I, with the Rapid Growth Strategy, increasing coaching activities, counseling, and providing appropriate skills training and maximizing all opportunities and stability. Growth Strategy, namely maintaining existing progress.
Islamic Business Ethics of Small Industries in Blitar District
Authors: Nana Alfiana
Published: October 2023

Islam was revealed as a code of moral and ethical behavior for life. The sources of values ​​and ethics in all aspects of human life as a whole, including in the business world, are the Koran and Hadith. The Al-Quran provides instructions for things to be harmonious, mutually pleased, and there are no elements of exploitation. The type of research used in this research is qualitative research. The purpose of this research is to find out the analysis of the application of sales ethics in the Gadung cracker industry according to business ethics from an Islamic perspective and to find out the analysis of the application of transaction ethics in the Gadung cracker industry according to business ethics from an Islamic perspective. The results of the research state that sales ethics. In reality, all producers cannot implement all the principles of buying and selling ethics. Mrs. Nanik's home industry applies the principle of honesty or truth as a priority. From the results of observations related to the application of transaction ethics carried out in Mrs. Nanik's industry, she has implemented transaction ethics in accordance with sharia transaction principles. Even though the implementation is appropriate, the basis for the transactions carried out is the benefit. When transactions use the principle of benefit, which is the basis of this transaction principle, it covers all the principles of sharia transactions, so that Mrs. Nanik's home industry has carried out sharia transactions in accordance with Islamic law. From the results of observations related to the application of transaction ethics carried out in Mrs. Nanik's industry, she has implemented transaction ethics in accordance with sharia transaction principles. Even though the implementation is appropriate, the basis for the transactions carried out is the benefit. When transactions use the principle of benefit, which is the basis of this transaction principle, it covers all the principles of sharia transactions, so that Mrs. Nanik's home industry has carried out sharia transactions in accordance with Islamic law. From the results of observations related to the application of transaction ethics carried out in Mrs. Nanik's industry, she has implemented transaction ethics in accordance with sharia transaction principles. Even though the implementation is appropriate, the basis for the transactions carried out is the benefit. When transactions use the principle of benefit, which is the basis of this transaction principle, it covers all the principles of sharia transactions, so that Mrs. Nanik's home industry has carried out sharia transactions in accordance with Islamic law.
A3‘I have had an epiphany’ student nurses’ reflections on their carbon footprint in simulation
Authors: Ames Hannah , Spowart Lucy
Published: October 2023

Background and aim:

Healthcare delivery is a major contributor to the climate crisis, producing 4.4% of net carbon global emissions today [1]. The campaign ‘For a Greener NHS’ launched in 2020 set a road map for the National Health Service (NHS) in the UK to reach net-zero emissions for patient care by 2040 [2]. However, to achieve this, staff must be carbon literate and start by understanding the impact of their own professional practice. It follows, therefore, that carbon literacy education must be a priority for healthcare educators. There is to date no research on educating student nurses on carbon literacy or the personal carbon footprints of their practice. Using simulation could provide an innovative solution providing a system-thinking environment that could connect carbon emissions theory to actual practice and develop carbon literacy.

The aim of the study was to explore student nurses’ reflections on their carbon footprint of resources used in simulation and identify the potential role of simulation in developing carbon literacy.

Methods:

This study used qualitative phenomenographic methodology, underpinned by transformational learning theory to explore student nurses’ awareness and attitudes towards their carbon emissions from simulation. Ten participants were asked to log the clinical resources used during a venepuncture and cannulation simulation skills station. Carbon emissions were then calculated for each participant using the Centre for Sustainable Healthcare [3] carbon emissions calculation and were shown to students during one-to-one semi-structured interviews. Data analysis was conducted, discovering the different ways participants conceptualized their carbon footprint.

Results:

Students were unaware and shocked by their carbon emissions from resource use in simulation and wanted to be better educated to enable them to make an informed choice to practise sustainably. Students highlighted the crucial role of simulation educators to educate students using simulation but to role model sustainable practice and design low resource-use simulation. Finally, students were able to connect the impact of their personal clinical practice to the global climate crisis.

Conclusion:

Simulation is a powerful teaching approach to develop carbon literacy, challenging students’ pre-existing knowledge, and enabling them to link their personal practice to the global climate-change crisis.

Ethics statement:

The authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A45Developing low carbon care – using simulation to calculate and reduce carbon emissions
Authors: Ames Hannah
Published: October 2023

Background and aim:

Climate change is considered one of the most pressing global concerns for the future and the single biggest health threat [1]. Healthcare delivery is a major contributor to the climate crisis, producing 4.4% of net carbon global emissions today [2]. One of the largest contributors to NHS carbon emissions is the use of equipment, consumables and clinical care itself [2]. Therefore, clinical staff have a significant part to play in reducing carbon emissions and achieving national carbon reduction targets. However, they must be carbon literate and understand the impact of personal practice on global carbon emissions and be able to identify ways to deliver low carbon models of care [3]. Simulation could play a significant role in educating and developing sustainable practice in healthcare students through a system thinking approach. Allowing students to examine the environmental impact of healthcare delivery and support innovative solutions to reduce carbon emissions without compromising care.

The aim was to firstly increase nursing students’ awareness of the carbon emissions from the delivery of patient care. Secondly to improve clinical decision-making in the selection and implementation of interventions to enable the delivery of low carbon care.

Activity:

Undergraduate nursing students took part in a specifically designed simulation scenario. Students completed the scenario of a patient presenting to the Emergency Department with exacerbation of Chronic Obstructive Pulmonary Disease (COPD), implementing care and interventions as clinically indicated. After completion of the simulation students then calculated the carbon emissions from the clinical resources they used, using the Centre for Sustainable Healthcare carbon emissions calculation.

Findings:

Debriefing identified that students did not consider sustainability and carbon emissions in their current clinical decision-making. Students were shocked by the amount of carbon emissions generated from interventions. Students identified areas where they could reduce carbon emissions without compromising care such as inappropriate use of gloves, using dry powdered inhalers, and reducing unnecessary cannulation.

Conclusion:

Simulation could play a pivotal role in developing sustainable clinical decision-making skills in healthcare students and staff. Actively calculating carbon emissions allows students to directly see the environmental impact of their practice, increasing carbon literacy and stimulating low carbon care practice. This use of simulation should be explored further by educators across professions to support both national and global climate change policies.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A28Developing and delivering a telephone skills simulation training for non-registered NHS mental health call-handlers
Authors: Thame Anna , Hamilton Carrie
Published: October 2023

Background and aim:

Registered healthcare professionals undertake a wide range of mental health work, sometimes with little preparation and training [1]. Increasingly non-registered staff take on mental health call-handler roles, having conversations with vulnerable individuals over the phone; these staff often lack the training to effectively communicate with callers. The aim of this initiative was to design and deliver a telephone skills training program for non-registered NHS mental health call-handlers, with the hypothesis that such training would improve their communication skills and overall job performance. Studies have shown that receiving training in having supportive mental health conversations over the phone increases staff confidence and changes their attitudes [2] and has the potential to benefit staff retention.

Methods:

A mixed-methods approach was used in the design, incorporating both qualitative and quantitative data collection and based on the needs and feedback of the call-handlers themselves. Evidence shows that involving simulated patients (SPs) can be effective in telephone studies [3]; leading us to train experienced SPs in their roles as members of the community phoning the help line. All was face to face, although conducted over the phone with the SP hidden. Active participants, the SP and the observing participants all became involved in the debrief. The content covered active listening, empathy, signposting and options in handling the challenging situations. Developed over a month, the programme was delivered as part of an overall training for their roles.

Results:

The evaluation of the session indicated significant self-rated confidence in having calls with members of the public. The scenarios increased in intensity, covering topics ranging from bullying, domestic violence, gambling addiction and intent to take life. Qualitative feedback from the call-handlers showed that they felt more confident and prepared in their roles, and were better equipped to handle challenging situations. The involvement of SPs was also found to be authentic and highly beneficial by the call-handlers. Participants requested frequent practice sessions, face to face or online.

Conclusion:

Investing in providing targeted training and support for non-registered NHS mental health call-handlers, can have a positive impact on their communication skills, overall job performance and likely staff retention. This can ultimately lead to improved quality of care and patient outcomes in the mental health sector. The involvement of SPs can provide a valuable learning experience, both in role and in the debrief, for call-handlers, and help to prepare them for real-life scenarios.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A16‘Not being afraid of saying dying’: sharing key vocabulary for palliative care discussions through simulation debrief
Authors: Huggin Amy , Churm Deepta , Robinson Lucy , Massey Laura , Leng Owain
Published: October 2023

Background and aim:

Simulation as a learning platform is recognized internationally as beneficial in terms of education, training and assessment of doctors [1,2]. This study aimed to introduce and evaluate a novel Palliative Medicine simulation session as a tool for Foundation Year 2 (FY2) doctors to gain competency and confidence in the assessment and management of life-limiting illness.

Methods:

We designed the palliative care (PC) simulation session based on the FY2 curriculum. The three scenarios involved management of opioid toxicity, breaking bad news and shared decision-making with a role-play patient with a gastrointestinal bleed. Session faculty included a mix of healthcare professionals, but always included a PC specialist.

We evaluated the session using a pre- and post-session questionnaire collecting data using 5-point Likert scales and free-text comments. We analysed qualitative data using content analysis. Researcher and methodological triangulation increased the credibility of the findings.

Results:

The three prevalent themes noted from the pre-content analysis were Communication, Prognostication and the Process of complex decision-making. Comments such as ‘Senior colleagues hesitant to have escalation discussions’ and ‘I find it difficult when the patient has a very different idea of how poorly they are’ were examples of quotes given by candidates as pre-session challenges. 95.6% of our candidates felt that the session addressed these challenges, mainly through the debrief process. The main learning points articulated were in relation to prescribing and communication skills. Candidates expressed the importance of ‘picking up communication techniques and phrases’. The debrief was the most highly valued, and frequently mentioned positive element of the content analysis. ‘Open discussions’ was mentioned on numerous occasions, ‘I felt comfortable asking questions’ and ‘Discussion after SIM was very useful’, all support the importance of skilled debrief.

Conclusion:

FY2 doctors identified communication as their biggest concern when managing Palliative Care patients. Our session addressed this through open and frank debrief discussion. This allowed reflection on previous experience and peer-to-peer learning of key vocabulary when talking to patients with a limited prognosis. Further qualitative evaluation of the impact of this session on clinical practice and how peer learning could be incorporated into day-to-day skills development on the wards would be of value.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A113A pilot course amalgamating the benefits of psychological safety, civility, and human factors in a structured debriefing model in simulation-based education
Authors: Brown Radha , Lall Rajesh , Askins Laura
Published: October 2023

Background and aim:

Simulation-based education (SBE) is one of the leading teaching methods in healthcare. Debriefing is the cornerstone of effective simulation-based medical education. Debriefing is considered vital part to learning from simulation, and for the transfer of learning so that it can be applied to other situations [1]. Feedback from four simulation faculty development days identified that debriefers lacked the confidence to address conflict or use the principles of civility to enhance their debriefs. Teaching which has structured debrief covering civility and human factors are the cornerstone to deliver sessions that instil confidence and patient safety within the organization [2]. Human factor principles that employ psychological safety were introduced in the debriefing course with the purpose of upskilling the debriefers.

Activity:

There are various models of debriefing however, the focus was to provide the three-phase conversation structure. The course covered human factor principles alongside debriefing techniques using the three-phase conversation structure and interactive workshops. We enlisted the services of a specialist human factor/civility lecturer, simulation lead and a simulation lecturer to deliver the course. At the end of the course, the participants had to undertake a debrief to consolidate their learning in a supportive environment and immediate evaluation was obtained using a structured questionnaire (see Table 1-A113).

Evaluation themed responses

Additionally, a pilot study of five participants who had attended the course were randomly selected for a face-to-face interview twenty-four hours after the course. Three open-ended questions were asked. These focussed on whether the application of psychological safety and human factors enhanced their debriefing skills and suggestions for further course development.

Findings:

The results highlighted the value of the inclusion of human factor principles. Both evaluation methods were positive. Attendees commented on the value-added to their simulation training and wanted these principles to be adapted as a structured course. Acknowledging the fact that the sample recruited was small and may not be statistically significant, a future study will include a bigger sample size.

Conclusion:

Currently, this is the only organization within the North-East of England that offers standalone debriefing course. There was an overwhelming demand for a course aimed at educators who are engaged in SBE with emphasis on debriefing to consolidate learners’ experience. This course is intended to be delivered to all educators across the North-East region and beyond.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A10Pilot study looking at the benefits of Virtual Reality (VR) simulation for Physician Associates (PA)
Authors: Heffernan Carl , Rolfe Ursula
Published: October 2023

Background and aim:

Simulation is a vital part of medical education [1]. It requires many resources to run successfully [2]. Recently, following the COVID-19 pandemic, Virtual Reality (VR) simulation use has increased. There are advantages to using VR now that costs are more reasonable, saving floorspace and facilitators’ time. However, there are concerns about how useful the software is for Physician Associates (PA), the adverse effects of the headset and whether self-directed debriefing is valuable [3]. This study aims to pilot the questionnaire using VR simulation.

Methods:

As part of teaching during September 2022 and January 2023, VR simulation was incorporated into appropriate seminars. At the end of the session, Year 1 PA students were invited to complete an online questionnaire based on the Simulation Effectiveness Tool, which was modified for VR. Before the session, all students were on-boarded to use the Oculus Quest 2 and Oxford Medical Simulation software.

Results:

Twenty-one out of 25 students completed the questionnaire. 71.4% strongly agreed that VR simulation helped prepare them to respond to a change in the patient’s condition and felt empowered to make clinical decisions. 85.7% felt more confident in providing interventions that foster patient safety. 66.7% felt more confident using evidence-based practice to provide care. When focusing on the self-directed debriefing, 66.7% strongly agreed that it contributed to their learning, and 71.4% strongly agreed that it provided opportunities for self-reflection on their performance. Concerning the headset and software use, 28.6% found it was not easy to log into the headset, but 65% found it easy to load the scenario. 57.1% were confident in navigating the virtual environment. This was after a briefing stage to orientate students to the environment. 70.6% felt safe in the virtual world, and 11.1% felt nauseous while in the scenario. The scenarios were also run via a desktop computer. 85.7% found it easier to navigate the virtual world, with 81% strongly agreeing that they felt immersed in the environment. Surprisingly, 52% of students preferred the desktop version, while 14% favoured it via the Oculus.

Conclusion:

VR simulation is an impactful method of providing simulation-based medical education without needing a simulation suite or facilitators. Interestingly, the desktop version can provide an experience that students prefer, but this requires further investigation.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
Đề xuất khung năng lực định hướng nghề nghiệp của học sinh trung học cơ sở
Authors: Tấn Mai Xuân , Nga Nguyễn Thanh , Huy Lê Thanh , Trung Tạ Thanh
Published: October 2023

Bồi dưỡng năng lực định hướng nghề nghiệp cho học sinh trung học cơ sở là mục tiêu quan trọng trong Chương trình giáo dục phổ thông 2018. Trên cơ sở phân tích một số lí thuyết cơ bản trong giáo dục hướng nghiệp, cấu trúc của năng lực nói chung và năng lực định hướng nghề nghiệp nói riêng trong một số công trình nghiên cứu, đặc điểm tâm lí của học sinh trung học cơ sở cũng như yêu cầu cần đạt về năng lực định hướng nghề nghiệp trong Chương trình giáo dục phổ thông 2018, nghiên cứu này đã đề xuất khung năng lực định hướng nghề nghiệp của học sinh trung học cơ sở gồm 3 hợp phần (Nhận thức bản thân và các yếu tố ảnh hưởng đến bản thân trong định hướng nghề nghiệp; Khám phá thế giới nghề; Ra quyết định và thực hiện kế hoạch định hướng nghề nghiệp), mỗi hợp phần gồm 2 thành tố và mỗi thành tố chứa một số biểu hiện hành vi, tổng cộng có 6 thành tố và 30 biểu hiện hành vi. Kết quả nghiên cứu là cơ sở tham khảo để xây dựng các công cụ đánh giá cũng như đề xuất các biện pháp bồi dưỡng năng lực định hướng nghề nghiệp cho học sinh trung học cơ sở, đảm bảo việc phân luồng học sinh sau trung học cơ sở có hiệu quả.
TIẾP NHẬN 05 BÀI DI THƠ CỦA HÒA THƯỢNG THÍCH QUẢNG ĐỨC TRONG TƯƠNG QUAN KINH DIỆU PHÁP LIÊN HOA
Authors: Trung Nguyễn Thành , Acharashubho Thepa Phramaha Chakrapol
Published: October 2023

Bài viết phân tích hệ thống 05 bài di thơ của Hòa thượng Thích Quảng Đức dưới ánh sáng của Kinh Diệu pháp liên hoa. Dựa trên phương pháp văn hóa – lịch sử, phê bình huyền thoại và thi pháp học, kết quả nghiên cứu cho thấy ba đặc điểm chính của Kinh Pháp hoa gồm nhất nguyên, phổ quát và thường hằng có hiệu quả trong việc làm rõ ý nghĩa nội dung và nghệ thuật của 5 bài di thơ. Đặc biệt, nghệ thuật nổi bật của Kinh Pháp hoa có tác dụng minh định giá trị các bài di thơ cùng với giá trị cải biến xã hội miền nam mà những bài di thơ này cùng với hành động tự thiêu của Hòa thượng Thích Quảng Đức mang tới.
Managing Risks and Crises in the Logistics Sector: A Comprehensive Analysis of Strategies and Prioritization Using AHP Method
Authors: MIZRAK Filiz
Published: October 2023

In the fast-paced and intricate landscape of the logistics sector, the emergence of risks and crises presents a critical need for effective management strategies. This research undertakes a comprehensive analysis of risk and crisis management practices within the logistics industry, aiming to identify viable strategies and prioritize them using the Analytic Hierarchy Process (AHP) method. Through an in-depth literature review and insights gathered from interviews with five industry experts, this study unveils the challenges faced by logistics companies and unveils existing risk and crisis management approaches. Employing the AHP method, the research provides a systematic framework for prioritizing these strategies based on their significance and potential impact. The findings contribute to the development of a strategic risk and crisis management toolkit, empowering logistics firms to proactively address challenges, ensure adaptability, and bolster resilience amidst a dynamic business environment. The insights provided by this study will prove invaluable to logistics professionals, scholars, and policymakers, enabling them to take actionable measures that enhance operational efficiency and ensure long-term sustainability within the logistics sector.
Factors Related to Gastritis in Kendari City
Authors: Ahmad Ahmad , Sunarsih Sunarsih , Amraeni Yunita
Published: October 2023

Introduction: Based on an initial survey conducted at 15 Public Health in Kendari City, it was found that gastritis increased by 11798 (29.4%). Kendari City population data as many as 401,719 people spread over 15 sub-districts, seen from the annual report of the Kendari City Office. Thus, researchers feel the need to conduct research on factors related to the incidence of gastritis in Kendari City.

Methods: This type of quantitative research with a cross sectional design has a population of all patients who come for treatment at 15 Kendari City Health Centers totaling 11798 and a sample of 385 patients.

Result: The results of the study stated that of the 385 respondents who declared gastritis there were 201 (52.2%) and 185 (47.8%) respondents stated that they did not have gastritis. Based on statistical tests, it showed that there was a significant relationship between stress and gastritis (p value = 0.000) and smoking on the incidence of gastritis (p value = 0.024) while the variable of diet (p value = 0.000) which means that there is a relationship between diet and the incidence of gastritis in the city of Kendari

Conclusion: There is a relationship between stress and gastritis, there is no relationship between smoking and gastritis, and there is a relationship between diet and gastritis.
Factors Relating to The Performance of Health Officers in Emergency Installations (Study at Bahteramas Hospital, Southeast Sulawesi Province)
Authors: Yuni Sucitra Artha , Sunarsih Sunarsih , Kamalia La Ode
Published: October 2023

Introduction: Hospital is part of a social and health organization with the function of providing complete services (comprehensive), disease healing (curative) and disease prevention (preventive) to the community. The performance of health workers is a problem that must be overcome, it is because health services determine the quality of hospital services. The performance of health workers can be influenced by workload, work stress, work environment, work fatigue, and the application of SOP.

Methods: This type of research uses a quantitative research design with a cross-sectional study design. The total population is 49 people, with a large sample of 44 people. The sampling technique in this study used the Cluster Random Sampling technique, using the Chi-Square Statistical test.

Results: The results showed that there was a relationship between workload and the results of the X2count = 7.079, the X2table value = 3.841, and the Phi value = 0.449, work stress with the X2count value = 8.838, the X2table value = 3.841, and the Phi value = 0.494.

 Conclusion: The performance of health officers influenced by workload, work stress, work environment, work fatigue, and the application of SOPs. It is recommended that the hospital management can pay more attention to their health workers in order to improve the performance of health workers in the ER Bahteramas Hospital, Southeast Sulawesi Province.
Relationship of Accreditation Implementation With the Quality of Health Services in South Konawe District
Authors: Harifuddin Harifuddin , Kamalia La Ode , Risky Sartini
Published: October 2023

Background: Health services are an important factor in improving health status. Accreditation data for community health centers in South Konawe Regency show that out of 25 public health centers, there are 6 community health centers (24%) with basic accreditation. This study aims to determine the relationship between the implementation of accreditation and the quality of health services at public health centers in South Konawe Regency in 2022. Methods:This type of research is quantitative, cross sectional study design. The population in this study were 288 health workers who served in 6 community health centers with basic accreditation in South Konawe Regency and a sample of 73 people obtained by Proporsionate Stratified Random Sampling.Result: The results of  Fisher's exact test obtained p value (0.022) and phi (0.341) for the implementation of management administration. Then for the implementation of SMEs obtained p value (0.000) and phi (0.588) and the implementation of Individual Health Efforts obtained p value (0.000) and phi (0.572). Conclusion: There is a relationship between the implementation of management administration, the implementation of public health efforts and individual health efforts with the quality of health services at the community health center in South Konawe Regency.
Factors Related to Smoking Behavior Based on Social Learning Theory in School Students Upper Middle in The District of Bonegunu North Buton District
Authors: Anwar Muhammad , Tasnim Tasnim , Asri Andi
Published: October 2023

Background: Data from the North Buton District Health Office in 2021 that Clean and Healthy Life Behavior related to indicators of not smoking in the house is 62.3%. Where out of 10 (ten) health center in the working area of the District Health Office. North Buton Coverage Data for Households who do not smoke in the house, the highest is Kulisusu Health Center at 92.9% and coverage data for Households who do not smoke in the house, the lowest is Bonegunu Health Center at 9.7%.

Method: This research uses cross sectional study approach. This research has been carried out for 30 days. The population is 105 people. The research sample is 47 samples behavior smoke teenager class XI and XII. The sampling technique in this study is Simple Random Sampling. Data is processed using test square chi.

Results showed that there was a relationship between cognitive X2Count (8.096) and X2Table (3.841), incentive X2Count (10.597) and X2Table (3.841), environment X2Count (20.529) and X2Table (3.841) on smoking behavior of high school students in the District Bonegunu. There is no relationship between Expecta ncy X2Count (0.568) > X2Table (3.841).

Conclusion: Research shows that there are connection among cognitive, incentive and environment with behavior smoke whereas hope no there is connection with smoking behavior in high school students, Bonegunu District, North Buton Regency.
Relationship between Spirituality and Duration of Infection with the Quality of Life in People with HIV/AIDS
Authors: Sukma Komang Ayi , Sunarsih Sunarsih , Rahmawati Rahmawati
Published: October 2023

Backgrounds: HIV/AIDS has become an emergency problem throughout the world, where there is still high transmission of infection, morbidity, and mortality. Based on data obtained at the VCT Clinic at the Kendari City Hospital, over the past 5 years, there has been an increase in new cases, where at the end of 2022 it is known that the HIV/AIDS Incidence Rate is 183/100,000. This study aims to analyze the determinants of quality of life in people with HIV/AIDS at the VCT Clinic at Kendari City Hospital.

Methods: The type of research used in this research is quantitative research, using a cross-sectional study design. The population in this study was 247 people. The number of research samples is 151 people, with sampling using Simple Random Sampling. Data analysis was carried out descriptively and inferentially using the Chi-Square test.

Results: The results showed that there was a relationship between spirituality (X2count = 6.071 > X2table = 3.841), duration of infection (X2count = 6.334 > X2table = 3.841), and the quality of life of PLHIV.

Conclusion: There is a relationship between spirituality and duration of infection with the quality of life of PLWHA at the VCT Clinic at Kendari City Hospital.
Risk Factors of Malaria Incidence in the Work Area of Wakadia Health Center Muna Regency
Authors: Adryana Vita , Sunarsih Sunarsih , Nirwan M.
Published: October 2023

Backgrounds: Malaria has long been one of the highest causes of death in the world, including in Indonesia. For the last three years, Muna Regency has been the area with the highest malaria cases in Southeast Sulawesi, where in 2020 there were 102 cases, in 2021 there were 97 cases, and in 2022 there were 80 cases. This study aims to analyze the risk factors for malaria incidence in the Work Area of ​​the Wakadia Public Health Center, Muna Regency.

Methods: This research is a quantitative study using the Case Control Study method. The study population was all patients with microscopic examination results (positive for malaria) in 35 cases. The research sample consisted of a case sample and a control sample totaling 70 people. Data collection was carried out by observation and interviews using a questionnaire. Analysis of the research data was carried out descriptively and inferentially using the Odd Ratio test.

Results: The results showed that air temperature (OR= 3.545) dan habit of using mosquito-repellent drugs (OR= 3,273),

Conclusion: Air temperature and the habit of using mosquito-repellent drugs are risk factors for the incidence of malaria in the Work Area of ​​the Wakadia Public Health Center, Muna Regency.
Relationship between Parents Acceptance with Effectiveness, Risk and Procedures of Provisioning Covid-19 Vaccine in Children Aged 6-11 Years in East Kolaka Regency
Authors: Hijrana Hijrana , Kamalia La Ode , Risky Sartini
Published: October 2023

Introduction: Parents acceptance of this Covid-19 vaccination is a challenge in the success of the Covid-19 vaccination program. This study was to identify the relationship between parental acceptance (Effectiveness, Risk, and Procedure for Giving the Covid-19 Vaccine).

Methods: This research is a quantitative study with a Cross-Sectional Study approach. The population in this study were all children aged 6-11 years domiciled in East Kolaka Regency. The sampling technique was simple random sampling, with a sample of 369 respondents.

Results: The study showed that of the 369 respondents who received the Covid-19 vaccination well, 203 (55.0%) respondents and 166 (45.0%) respondents who received poor reception. Based on statistical tests, it shows that there is a significant weak category relationship between parental acceptance and the effectiveness of giving Covid-19 vaccination (p value = 0.000) and parental acceptance with the risk of giving Covid-19 vaccination (p value = 0.000) while the variable procedure for giving Covid vaccination is (p value = 0.117) which means there is no significant relationship with parental acceptance of Covid-19 vaccination.

Conclusion: Public awareness is needed to be active and participate in vaccination activities as an effort to protect themselves, their families and others. Also as a form of support for the government's efforts to suppress Covid-19 cases.
Contribution of Maternal Factors to Preterm Labor at South Konawe Regency Hospital
Authors: Hasda Hasda , Nurlila Ratna Umi , Amraeni Yunita
Published: October 2023

Secara umum kematian balita di Provinsi Sulawesi Tenggara diperkirakan lebih dari 50% kematian disebabkan oleh dampak risiko berat badan lahir rendah, asfiksia, pneumonia, diare dan kelainan kongenital. Angka kejadian BBLR dengan kasus terbanyak terdapat di Kabupaten Konawe Selatan sebanyak 266 bayi dari total 5.796 kelahiran.

Tujuan penelitian adalah untuk mengetahui kontribusi faktor maternal terhadap terjadinya Persalinan Prematur di RSUD Kabupaten Konawe Selatan, Metode Penelitian ini adalah kuantitatif dengan pendekatan observasional menggunakan desain Case Control Study, Penelitian ini dilaksanakan pada bulan Februari sampai Maret. 2023 di RSUD Kabupaten Konawe Selatan dengan jumlah sampel sebanyak 116 responden. Teknik pengambilan sampel kelompok kondisi (Premature Copying) yang dilakukan dalam penelitian ini menggunakan sampel probabilitas yaitu Simple random sampling

Hasil penelitian didapatkan bahwa umur ibu mempunyai resiko 5,88 kali kejadian Persalinan Prematur, Paritas beresiko 6,75 kali kejadian Persalinan Prematur, riwayat komplikasi kehamilan beresiko 14,29 kali kejadian Persalinan Prematur dan Risiko Kekurangan Energi Kronis 23 kali lipat. Perlu peningkatan peran bidan dan kader untuk meningkatkan gizi dan kesehatan ibu saat melakukan ANC
Risk Factors Foranemia in Pregnant Women in Konawe Islands Regency
Authors: Malaiji Endang Fitriyani , Tasnim Tasnim , Amraeni Yunita
Published: October 2023

Background: The prevalence rate of anemia incidence in pregnant women in Konawe Kepulauan Regency in 201was 9, namely 72.9%, in 2020 it was 69.7% while the prevalence of pregnant women who received 90 Fe tablets in the year 2018 was 49.5%, in 2019 it was 61.25% and 62.7% (Konawe Islands District Health Office 201 8-2021).  The purpose of the study was to analyze the risk factors for the incidence of anemia in pregnant women in Konawe Islands Regency.

Methods: This study used the Case Control Study approach.  The control population was 106 respondents and the control population was 562 respondents.   The Research Sample totaled 47 case samples and 47 control samples. The Sample Technique in this study is the Cluster Random Sampling Technique.  The data is processed using the Odds Ratio Test.

Result: The results showed that education OR 2,424 LL value 0.876 UL value 6.707 and Φ 0.179, family income OR 57,400 LL value 16.242 UL value 202.849 and Φ 0.766, role of midwife OR 2,343 LL value 1,823 value UL 3.011 and Φ 0.383, anemia in pregnant women in konawe district island

Conclusion: The conclusions in this study show that education and family income, midwife role are risk factors for anemia in pregnant women in Konawe Islands Regency. It is hoped that the Health Office and Puskesmas will always provide education in the form of counseling and counseling related to maternal and child health to reduce the incidence of anemia in pregnant women.
Effect of Tablet Fe on Improvement Hemoglobin in Adolescent Women Region Mining Morosi District
Authors: Muliasari Indri , Sunarsih Sunarsih , Nurmiaty Nurmiaty
Published: October 2023

Introduction: Anemia is one of the nutritional problems in adolescents, especially at the Morosi Health Center with a prevalence of anemia in June 2022 of 27.95% who have an Hb of 9-10 g/dl, 9.67% have a Hb of 7-8 g/dl and 1.07% Hb< 7 g/dl. The purpose of this study was to determine the effect of giving Fe tablets to increase hemoglobin in young women in the mining area of Morosi District.

Methods: This type of research is pre-experimental, with a one-group pre-test-post-test design. The population is part of young women in WonuaMorini Village, Besu Village, and Mendikonu Village, amounting to 72 people taken using the Proporsionatestratifed random Sampling technique. Hb level data was obtained by easy touch meter. The data were analyzed using the Wilcoxon sign rank test.

Results: Showed the average Hb level before intervention was 11,38 g/dl and after intervention was 11,38 g/dl. The second week 11,68 g/dl after the intervention. The third week after the intervention was 12.86 g/dl and the fourth week after the intervention was 12.86 g/dl.The results of the Wilcoxon sign rank test obtained a p-value (0.000) < (0.05).

Conclusion: There is no effect of giving Fe tablets in the first and there was an effect of giving Fe tablets in the Second to fourth weeks of increasing hemoglobin in young women in the mining area of ​​Morosi District. Research suggests that young women routinely consume blood-added tablets once a week.
Air Quality Conditions (NO2) Around the Konawe Industrial area and the Resulting Respiratory Problems
Authors: Rauf Rahman , Amraeni Yunita , Azizi Jayadipraja Erwin
Published: October 2023

Introduction: Air quality is strongly influenced by activities carried out by humans. This study aims to determine the NO2 air quality around the Konawe industrial area as well as community activities and respiratory disorders experienced.

Method: The data used is a linear regression statistical test to determine the relationship between NO2 air quality with community activity and respiratory disorders.

Result: This research was conducted in 6 villages around the Konawe industrial area. Most people carry out their daily activities around the industrial area, so some people experience respiratory problems. In the regression analysis, it is known that the activities of residents of the house affect the concentration of NO2 by 4% and the concentration of these pollutants affects the respiratory disorders of residents of the house by 25%.

Conclusion: The conclusion in this journal is that smoking activity in the house is not related to the concentration of NO2 in the air and respiratory problems experienced by residents of the house are also not related to the concentration of NO2 in the house. This study provides awareness that air quality in the house is important to maintain the health of residents of the house and to provide input for residents of the house to reduce activities that can interfere with air quality in closed rooms.