bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN LAMA DAN POSISI DUDUK DENGAN KELUHAN NYERI PUNGGUNG BAWAH PADA PENJAHIT BAJU DI PASAR SENTRAL POLEWALI DAN PASAR WONOMULYO KAB. POLEWALI MANDAR
Authors: Aprilia Asri , Tantriani Tantriani
Published: April 2022

Nyeri punggung merupakan gangguan muskuloskeletal yang paling sering didalam aktivitas kerja. Nyeri punggung adalah rasa nyeri yang terjadi di daerah punggung bagian bawah dan dapat menjalar ke kaki terutama bagian belakang dan samping luar. Duduk lama dapat mengakibatkan ketegangan dan keregangan ligamentum dan otot tulang belakang sehingga mengakibatkan keluhan Nyeri Punggung Bawah. Selain lamanya duduk, posisi duduk turut mempengaruhi risiko Nyeri Punggung Bawah. Posisi duduk statis yang kurang ergonomis seperti duduk dalam posisi membungkuk dapat memicu kerja otot yang kuat dan lama tanpa cukup pemulihan dan aliran darah ke otot terhambat. ini untuk mengetahui hubungan lama dan posisi duduk dengan keluhan nyeri punggung bawah pada penjahit baju di Pasar Sentral Polewali Dan Pasar Wonomulyo Kabupaten Polewali Mandar. yaitu studi korelasi. Cara pengambilan sampel menggunakan total sampling dengan jumlah sampel 35 orang. diperoleh Uji Statistik menggunakan rumus Chi-Square, dan dipatkan hasil bahwa ada hubungan lama duduk dengan keluhan nyeri punggung bawah ?-value=0,002. Ada hubungan posisi duduk dengan keluhan nyeri punggung bawah p-value=0,006Kata kunci : Nyeri Punggung Bawah, Lama Duduk, Posisi DudukL
Technological and sensory potential of creole cowpea: a study for consumption appreciation
Authors: Heberle Thauana , Ávila Bianca Pio , Silveira Larissa Riberas , Antunes Irajá Ferrreira , Gularte Márcia Arocha
Published: April 2022

Os grãos crioulos são oriundos de sementes selecionadas pelos agricultores, as quais devido à rusticidade e ampla variabilidade genética mostram capacidade de adaptação às condições locais, o que torna possível a autonomia dos agricultores. O objetivo deste trabalho foi avaliar o feijão-caupi crioulo quanto às propriedades físico-químicas, tecnológicas e sensoriais, buscando o resgate e a valorização do consumo desses grãos. Os acessos de feijão-caupi ‘Argentino 148’ e ‘Mamoninha 79’ foram cultivados em área experimental da Embrapa Clima Temperado, no estado do Rio Grande do Sul, Brasil. O ‘Mamoninha 79’ pode ser considerado um alimento rico em proteína que mostra uma rápida hidratação. O ‘Argentino 148’ mostra um tempo de cocção de seis minutos e menor dureza, parâmetro muito importante quanto à textura e quanto à aceitação pelo consumidor. As amostras do ‘Argentino 148’ apresenta maiores médias quanto aos atributos sensoriais de maciez, ruptura do tegumento, gosto adocicado e característico, cor uniforme e viscosidade do caldo. Assim, os grãos crioulos são uma alternativa promissora para aumentar o fornecimento de compostos bioativos na dieta humana, além de mostrar características sensoriais positivas, como sabor agradável ao paladar e textura macia.
Alarm about Childhood Vaccinations: A Persistent Panic?
Authors: Martin Brian
Published: April 2022

Some threats to the social order, such as crime, drugs and terrorism, give rise to ongoing alarms. To understand both the alarms and their persistence, it is useful to draw on two bodies of theory. Moral panic theory addresses alarms about groups or activities that transgress social norms, proposing several characteristic features, but does not explain why a moral panic would persist. Several concepts from studies of scientific controversies, including the lack of impact of new evidence, help to explain how a moral panic might continue indefinitely. To illustrate the combined use of moral panic and controversy theory, the case study of the alarm over unvaccinated children and criticisms of childhood vaccines is used. Persistent panics potentially have several negative consequences, especially for groups targeted as causing a danger.
Life Is Pointless—Good Point...and How Do You Feel about That?
Authors: Cowan Nelson
Published: April 2022

This essay is in response to R. Weinberg, whose title well-summarizes the article: “Ultimate Meaning: We Don’t Have It, We Can’t Get It, and We Should Be Very, Very Sad.” This response accepts the idea that life is pointless but argues against the non sequitur that we should be very, very sad. There is a question as to whether “should” means that being sad is the appropriate thing to do, or whether it is a prediction about what will happen if people understand the pointlessness of life. Either way, from the perspective of cognitive psychology, clearly the implied causal path from thought to feeling does not always hold; considerable evidence suggests that, often, causation goes the other way around, that feelings influence thoughts. A person’s feeling sad or depressed might increase the likelihood that the person will conclude that life is pointless, or that the person will worry about it. Nobody has proven that the pointlessness of existence is incompatible with satisfaction in one’s life, or that not feeling sad means one is overlooking the pointlessness of life, or that feeling sad is more appropriate or better in some way. In sum, I wish people happiness and urge them to try to construct a meaning in their life.
Replies to Critics
Authors: Weinberg Rivka
Published: April 2022

This article responds to the two replies, published in this issue, to my article “Ultimate Meaning: We Don’t Have It, We Can’t Get It, and We Should Be Very, Very Sad,” published in the first issue of this journal. In the first reply, Turp, Hollinshead, and Rowe present an internalist challenge to my account of value, and a relational conception of the self as a challenge to my premise that leading a life includes everything you do and aim at within the project, effort, or enterprise of living and leading a life. I respond to the internalist challenge by showing it does not succeed in inserting values into acts. I respond to the relational conception of the self by noting that, regardless of the nature of the self, the project of leading a life includes all the things you do and aim at within that project, effort, or enterprise. Thus, we can accept a relational account of the self and allow for other-regarding values but that does not change the location of our pursuit of those values: they remain located within the meta-project of leading a life, leaving the meta-project of leading and living a life with nowhere to reach for a point. In the second reply, Cowan argues against feeling sad about life’s pointlessness. In response, I argue that sad facts warrant sadness. I further argue that there are reasons other than happiness to value truth, including the very, very sad truth about the ultimate pointlessness of our lives.
FIRST REPORT IN IRAQ : AMINO ACID SUBSTITUTION IN PMRCAB GENES AND THERE CORELLATION WITH COLISTIN RESISTANCE AMONG A.BAUMANNII ISOLATES
Authors: H. S Rusul. , S. M Suhad.
Published: April 2022

In the present study,out of 120 samples were collected from different clinical sites from patients who admitted to different hospitals in Baghdad city,only 65 samples were detected as A. baumannii.The antibiotics susceptibility test showed that the bacteria were resistant to piperacillin (92.31%), cefotaxime (87.69%),trimethoprimsulfamethoxazole(73.85%).While Meropenem (70.77%)and gentamycin(67.69 %).The resistance rate to imipenem and tetracycline were 58.46% and 43.08% respectively. Eventually, just(20%)among all isolates are resistant to levofloxacin. While the percentage of colistin resistance was performed among 23 isolates and the results showed that all isolates were reported resistance in a percentage 100% with MIC values ≥ 16 µg/100µl.The results of pmrCAB genes detection and sequencing among seven A.baumannii isolates, which were choices because they were resistant to all antibiotics even colistin, were showed that the entire region of the pmrC containing fourteen missense mutations. Out of twelve detected mutations in pmrA, only one of them was found to exhibit a missense mutations. While the results of pmrB gene showed three missenses mutations.
RECURRENT OF TMPRSS2 GENETIC POLYMORPHISM AND ITS ROLE IN IRAQI PATIENTS WITH PROSTATE CANCER
Authors: K. A. Ammar , Altaee M. F.
Published: April 2022

The role of transmembrane protease serine 2(TMPRSS2) in prostate carcinogenesis relies on overexpression of ETS transcription factors. The aim of this article was to investigate the association of TMPRSS2 polymorphism (rs12329760 (C\T)) with prostate cancer (PCa) in sample of Iraqi patients. One hundred and two individuals were involved in this study for the period from February – 2019 to February – 2020. The sample type was formalin fixed paraffin embedded tissue samples (FFPE), which involved  fifty-six samples of pre-diagnosed patients with prostate cancer, aged between 48 and 86 years, and forty-six samples were found to be controls (healthy group) dependent on Prostate Gland integrity, which is the same age as in a group of patients. Analysis of Hardy Weinberg equilibrium (HWE) exposed that the genotypes were compatible with equilibrium in both PCa and control samples with no significant differences among frequencies of (observed and expected) in which (p > 0.05). Surveying for the relation of (rs 12329760) with both allele and genotype frequencies appeared that there were no major differences between patients and controls frequencies, although there were decreasing and increasing in the percentage of C allele (67 vs 72.8 %) and T allele (33 vs 27.2 %) respectively.
EFFECT OF BRASSINOLIDE ON SOME GROWTH TRAITS AND BIOLOGICAL YIELD OF BREAD WHEAT
Authors: J. B Sura , Al-Hilfy I. H. H.
Published: April 2022

A field experiment was conducted at the experimental farm, Dept. of Field Crop, Coll. of Agriculture of Engineering Sciences, University of  Baghdad, Al-Jadiriya, Iraq during the winter seasons of 2018-2019 and 2019-2020, to study the effect of brassinolide on some vegetative growth traits of  the bread wheat Triticum aestivum L. variety Rasheed by determining the best soaking periods and the spraying stage to production efficiency. A split plot arrangements were carried out according to RCBD design with three replicates, where the main plots contained three soaking periods of brassinolide (concentration 1 mg L-1 ) 6,12,18 hours, as well as comparison of 18hour distilled water and dry seeds. While the sub plots contained three spraying stages the same of brassinolide concentration (S1: tillering + elongation stage, S2: booting + 100% anthesis stage, S3:100% anthesis + grain formation stage) and tap water was sprayed on plants as control treatment. The results showed that soaking wheat seeds with 12 hours of brassinolide gave highest means for growth traits and biological yield 13.76 and 13.90 Mg ha-1 for both seasons. In addition, the results showed that the spraying stage (tillering + elongation) recorded highest averages in the studies traits above for the both seasons. The interaction between two factors was significant in most studied traits. Therefore we recommend soaking of wheat seeds 12 hour with brassinolide and sprayed with the stage of )tillering + elongation( to obtain the highest vegetative growth and biological yield.
GEN ACTION OF SOME AGRONOMIC TRAITES IN MAIZE BY HALF DIALLEL CROSS AT TWO LOCATIONS IN SULAIMANI -IRAQ
Authors: F. M Lawand , I. Towfiq S. , Abdulkhaleq D. A.
Published: April 2022

This research was aimed to study combining ability for growth, kernel yield, and its components, for maze (Zea mays L.) inbred lines, which evaluated in 8×8 diallel crosses. At two locations, Dukan and Qlyasan, at the Sulaimani region.  Significant genetic variability was found in all genotypes for all characters except no. of ears/plant. Highest significant general and specific combining ability were observed for most characters, revealing the importance of both additive and non-additive gene action, at the same time a low ratio of Ϭ2GCA/ Ϭ2SCA was recorded for all traits at both locations vice versa the average degree of dominance was more than one, this indicates to the high contribution of a non-additive gene effect. Heritability in broad sense was found to be high, while a narrow sense, it was low for all traits at both locations. Significant differences were noticed between both locations for kernel yield and most of its components, confirming the exceeding Dukan location.
Drinking Covid-19 away: wine consumption during the first lockdown in Italy
Authors: Gastaldello Giulia , Mozzato Daniele , Rossetto Luca
Published: April 2022

In Italy, wine is an integral part of most people’s habits and lifestyles. The advent of a traumatic event like the Covid pandemic brought profound changes to people’s lives: economic instability and normality disruption led consumers to revise their priorities and modify their consumption and purchase behavior. This study analyses the impact of socio-demographic, psychological, and context-related modifications induced by the pandemic on wine consumption and purchase patterns. Participants completed an online, structured survey, and the sample is constituted by Italian wine consumers. Logistic regression and descriptive techniques are applied to analyze data. Results highlight that wine consumption is a deeply rooted habit among Italian consumers, which resisted the great context modifications that occurred with the pandemic. Moreover, changes in wine consumption are connected to that of other alcoholic beverages. Significant short-term and potential long-term effects are discussed. Information collected is paramount to understanding wine consumers’ reactions and behavioral changes induced by the pandemic and effectively plan marketing strategies during new infection peaks.
The evolution of organic market between third-party certification and participatory guarantee systems
Authors: Iannucci Gianluca , Sacchi Giovanna
Published: April 2022

Quality assurance is a dominant feature of organic production and, currently, third-party certification is recognized as the official authenticity assurance strategy by the majority of worldwide organic regulations. This model, however, is less accessible to smallholders because it is costly and its application time-consuming. Furthermore, this certification system has been accused on several fronts to be responsible for the standardization of the organic production process leading to a “conventionalization” of organic productions. Contextually, in several countries, groups of small producers have started to implement alternative quality assurance systems for their organic products, better known as Participatory Guarantee Systems. Research to date has not yet determined how these models can survive within a highly competitive market such as that of certification. In this framework, the paper aims to theoretically unveil and explain the alternative certification phenomenon and its coexistence with third-party certification by applying an evolutionary game (rationally bounded agents that adopt the more rewarding strategy). The results of simulations suggest that symbolic attributes such as localness, healthiness, quality, producers and consumers embeddedness can differentiate products guaranteed by alternative schemes, meeting consumers’ preference. The discussion of findings provides an assessment of the performance of both quality assurance systems, explain their coexistence within the organic market, identify critical aspects, and suggest some policy implications.
The Bioeconomy in economic literature: looking back, looking ahead
Authors: Viaggi Davide , Bartolini Fabio , Raggi Meri
Published: April 2022

The objective of this paper is to provide a review of recent economic literature related to the Bioeconomy, in particular aimed at identifying relevant pathways for future research in this field. The paper is organised in four main parts. First, we illustrate the economic role of the Bioeconomy and its key statistics in the EU. Second we review economic topics related to the Bioeconomy production in a mainly private (company, consumer, market) perspective. Then we extend our attention to the review of wider social and environmental aspects with a focus on ecosystem services. Finally, we discuss the interplay of the above topics and cross cutting issues in the attempt to identify the most promising pathways for further research. While the economic literature is growing fast in all the fields of the Bioeconomy, we highlight in particular the need of more economic research focusing on transitions and innovation. However, we also highlight the need to take a system perspective and accounting explicitly for the trade-offs among the many objectives that the Bioeconomy is expected to target and to better account of the costs and benefits affecting different stakeholder groups.
Mediterranean agriculture facing climate change: Challenges and policies
Authors: Arfini Filippo
Published: April 2022

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The long-term fortunes of territories as a route for agri-food policies: evidence from Geographical Indications
Authors: Vaquero-Piñeiro Cristina
Published: April 2022

Once the EU has perceived the strategic importance of local peculiarities to support rural development and high-quality productions, it has emphasized the need for more place-sensitive agri-food policies. The importance of socio-economic, historical and cultural factors as transfers of intangible value-added is particularly evident in the agri-food sector. Place-blind and sectorial-oriented approaches have indeed not succeeded in dealing with the territorial heterogeneity of agri-food systems. By delving into the longstanding debate on the conceptualizations of territory and focusing on the territories of origin of the most economically performant Italian Protected Designation of Origins (PDOs), this paper empirically investigates what are the contextual conditions that have mainly contributed in the economic success of local productions. Drawing on an original geo-referenced database, the analysis is conducted on a panel of Italian municipalities and exploits non-linear dynamic panel models. Findings point out the heterogeneity of affecting territorial factors. Imbalances come from both socio-economic conditions (food PDOs) and socio-cultural knowledge (wine PDOs). This paper informs the evidence-based debate on the relevance of territorially-sensitive interventions for the future of EU agri-food and rural development policies. In the case of GIs, it should consider being more place-sensitive as well as more integrated with other agricultural and regional policies to meet the EU’s socio-economic objectives.
Application of Multi-Criteria Analysis selecting the most effective Climate change adaptation measures and investments in the Italian context
Authors: Zucaro Raffaella , Manganiello Veronica , Lorenzetti Romina , Ferrigno Marianna
Published: April 2022

In the context of climate change, one of the EU’s major political efforts focus on water management. Public investment is carried out considering several drivers, from economic development to demographics, climate, and pollutants. Meanwhile, the need for evaluation methods is also increasing, so their development has grown in recent years. Among these, Multi-Criteria Analysis methodologies (MCA) have taken on great importance. This work aims to demonstrate the usefulness of MCA in addressing crucial environmental issues, such as the use of water resources for agricultural and food production. The document presents an application of MCA for the ranking and selection of projects to be financed under the Italian National Plan on Water Resources. The Plan is part of the national initiatives planned for the adaptation of the agricultural sector to climate change. The selection criteria have been identified following a participatory approach, and to respond to both the challenge of climate change and the limited availability of funds. MCA is used to select the best projects to be financed with the available amount. The Italian experience confirms the effectiveness of MCA and highlights how the involvement of both decision makers and stakeholders is necessary for a successful application of MCA to environmental issues.
Climate changes and new productive dynamics in the global wine sector
Authors: Lamonaca Emilia , Santeramo Fabio Gaetano , Seccia Antonio
Published: April 2022

Climate change has the potential to impact the agricultural sector and the wine sector in particular. The impacts of climate change are likely to differ across producing regions of wine. Future climate scenarios may push some regions into climatic regimes favourable to grape growing and wine production, with potential changes in areas planted with vines. We examine which is the linkage between climate change and productivity levels in the global wine sector. Within the framework of agricultural supply response, we assume that grapevines acreage and yield are a function of climate change. We find that grapevines yield suffers from higher temperatures during summer, whereas precipitations have a varying impact on grapevines depending on the cycle of grapevines. Differently, acreage share of grapevines tends to be favoured by higher annual temperatures, whereas greater annual precipitations tend to be detrimental. The impacts vary between Old World Producers and New World Producers, also due to heterogeneity in climate between them.
Evaluasi Tingkat Kepuasan Pasien BPJS Rawat Jalan Terhadap Standar Pelayanan Kefarmasian di Rsau Lanud Sulaiman Bandung
Authors: Nurhidayah Amelia Siti , Emelia Rida
Published: April 2022

Latar Belakang: Pelayanan medis menuntut terselenggaranya pelayanan yang bermutu di bidang kesehatan. Layanan luar biasa terbukti dari tingkat kepuasan pasien. Kepuasan pasien merupakannpenilaianndari seseorang antarrkinerja pelayanan yanggdirasakan danndiharapkan. Jika pasien sering merasa tidak puas maka mutu pelayanan harus di tingkatkan.
Tujuan: Penelitiannini bertujuan untukkmengevaluasi tingkat kepuasannpasien BPJS rawat jalan terhadapppelayanan kefarmasian. Dan mengetahui hubungan anatara karakteristik responden terhadap tingkat kepuasan pasien
Metode: Metode penelitian yang digunakan adalah metode analitik untuk mencari hubungan antara variabel, Dengan menggunakan metode potong lintang. Teknik pengumpulan data menggunakan kuesioner dan resep BPJS rawat jalan yang masuk. Sampel yang dipakai sebanyak 93 responden.
Hasil: Dari penelitian ini didapatkan hasil presentase responden merasa sangat puas pada dimensi kehandalan dengan presentase sebanyak 89,7%, responden merasa sangat puas pada dimensi ketanggapan dengan presentase sebanyak 88,3%, responden merasa sangat puas pada dimensi empati dengan presentase sebanyak 88,8%, responden merasa  puas pada dimensi berwujud dengan presentase 81,6%, dan pada dimensi jaminan responden merasa sangat puas dengan presentase 88,6%. Pada karakteristik pasien (jenis kelamin, umur, pekerjaan dan edukasi) didapatkan p-value > 0,05 yang menunjukkan tidak ada keterkaitan antara karakteristik dengan tingkat kepuasan pasien.
Kesimpulan: Secara kesuluruhan kepuasan pasien BPJS rawat jalan dengan standar pelayanan kefarmasian di RSAU Lanud Sulaiman Bandung pada semua dimensi mendapatkan kategori sangat puas dengan keseluruhan persentase 87,4%. Tidak ada keterkaitan yang bermakna antara karakteristik responden dengan tingkat kepuasan pasien.
Perancangan Sistem Informasi Kelengkapan Persyaratan Klaim BPJS Rawat Jalan di Rumah Sakit Muhammadiyah Bandung
Authors: Astuti Selly Indah , Kadarusman` Depi Julvianingsih , Syahidin Yuda , Hidayati Meira
Published: April 2022

LatarBelakang : Jaminan kesehatan adalah jaminan berupa perlindungan kesehatan agar peserta memperoleh pemeliharaan kesehatan dan perlindungan kesehatan yang diberikan kepada setiap orang yaitu BPJS. BPJS merupakan badan hukum yang dibentuk untuk menyelenggarakan program jaminan kesehatan serta dibawah kordinasi langsung oleh pemerintah. Kelengkapan dalam berkas rekam medis sangat berpengaruh dalam kelancaran dan kecepatan penangihan klaim BPJS.Tujuan : Penelitian ini bertujuan untuk merancang dan mengetahui faktor kelengkapan berkas klaim BPJS rawat jalan yang di kembalikan oleh pihak BPJS kepada pihakRumah Sakit.Metode : Jenis metode penelitian yang digunakan adalah Kualitatif dengan pendekatan deskritif. Teknik Pengumpulan data yang dilakukan yaitu dengan cara Studi Pustaka, Wawancara, dan Observasi.Hasil : Dari hasil penelitian menunjukan bahwa Kelengkapan berkas rekam medis sangat berpengaruh dalam kelancaran dan kecepatan penangihan klaim BPJS. Begitu pula terdapat hubungan antara Rancangan sistem rumah sakit dan rancangan sistem BPJS kesehatan, agar memudahkan akses berjalan lancar.Kesimpulan : Pada perancangan sistem informasi klaim BPJS rawat jalan di Rumah Sakit telah tersistematis dan penginputan data dilakukan menggunakan program.Untuk membantu mengurangi ketidak lengkapan berkas maka prosedur pendaftaran pasien BPJS Rawat Jalan harus sudah sesuai dengan prosedur yang berlaku. Dokumen/ berkas persyaratan yang digunakan untuk pengklaiman harus sesuai dengan kesepakatan yang ditentukan oleh Rumah Sakit dan pihak BPJS kesehatan. Penyebab keterlambatan klaim dari aspek kelengkapan berkas pengajuan klaim BPJS sering terdapat kesalahan pada surat rujukan, tidak adanya diagnosa dokter atau tanda tangan dokter, dan tidak adanya fotocopy kartu BPJS.
Keamanan dan Kerahasiaan Rekam Medisdi Ruang Filing Rumah Sakit Bhayangkara M Hasan Palembang
Authors: Wulandari Wulandari , Wulandari Wulandari
Published: April 2022

Latar Belakang : Keamanan dan kerahasiaan adalah faktor yang sangat penting dalam pengelolaan rekam medis maka dari itu tidak semua pihak diperbolehkan mengetahui keamanan penyimpanan rekam medis, untuk itu keamanan dari segi aspek fisik harus dikelola dengan baik. Keamanan penyimpanan rekam medis tidak lancar, dikarenakan masih ada beberapa dari segi aspek yang masih belum memenuhi standar.
Tujuan : Tujuan dari penelitian ini untuk mengetahui keamanan dan kerahasiaan penyimpanan rekam medis di Rumah Sakit Bhayangkara M Hasan Palembang.
Metode : Penelitian ini menggunakan metode penelitian kualitatif, alat penelitian wawancara, observasi dan penelitian kepustakaan, dan objek penelitian adalah tenaga rekam medis di bagian kearsipan yang berjumlah 7 orang. Objek penelitian yang dipakai adalah ruang penyimpanan rekam medis.
Hasil : Hasil kajian penelitian ini dilihat dari segi aspek fisik belum aman karena masih ditemukan adanya petugas lain selain perekam medis keluar masuk diruang penyimpanan dan masih terdapat pekerja makan dan minum diruang penyimpanan rekam medis.
Kesimpulan : Semua komponen tidak aman dari faktor eksternal, yaitu pihak lain dengan akses tidak sah ke gudang sehingga kerahasiaan rekam medis belum terjaga.
Evaluasi Skrining Kelengkapan Resep Pasien BPJS Rawat Jalan di RSAU Lanud Sulaiman Bandung
Authors: Rizkiyani Crisfy , Emelia Rida
Published: April 2022

Latar Belakang: Resep adalah alat paling penting yang dimiliki pasien sebelum menerima obat. Apoteker memegang peranan penting dalam pengelolaan kefarmasian dan kefarmasian, untuk itu apoteker wajib melakukan proses penyaringan resep selama proses pelayanan resep. Skrining resep atau review resep adalah kegiatan apoteker dalam menanggapi resep, termasuk review pengiriman obat, penerapan obat, dan penilaian klinis.

Tujuan: Tujuan penelitian ini merupakan untuk mengetahui kelengkapan komponen-komponen resep di RSAU Lanud Sulaiman Bandung periode Mei 2021 sesuai dengan Peraturan Menteri Kesehatan No. 72 tahun 2016.

Metode: Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode deskriptif retrospektif berdasarkan data resep dari Rumah Sakit Udara Suleiman Bandung. Pengambilan sampel menggunakan rumus Slovin menghasilkan 86 sampel. Teknik analisis data dikelompokkan dan diringkas untuk menemukan semua resep dokter yang memenuhi kriteria lengkap dan tidak lengkap, yang dievaluasi dalam penelitian ini sebagai (1) skor untuk resep lengkap dan (0) skor untuk resep tidak lengkap.

HASIL: Penelitian mencapai 86,1% hasil yang menunjukkan resep lengkap dan 13,9% resep tidak lengkap, termasuk Inscriptio, Invocatio, Prescriptio, Subscriptio, dan Pro.

Kesimpulan: Berdasarkan dari hasil penelitian evaluasi skrining kelengkapan resep pasien BPJS rawat jalan di RSAU Lanud Sulaiman Bandung, dapat disimpulkan 86,1% resep lengkap dan 13,9% resep tidak lengkap. Dalam hal inscriptio menunjukan persentase 93% resep lengkap dan 3% resep tidak lengkap, invascatio 100% resep lengkap dan 0% resep tidak lengkap, prescriptio 100% resep lengkap dan 0% resep tidak lengkap, kemudian subscriptio 79% resep lengkap dan 21% resep tidak lengkap, yang terakhir dalam hal pro 95% resep lengkap dan 5% resep tidak lengkap.
Evaluasi Pelayanan Komunikasi, Informasi dan Edukasi Swamedikasi Obat Terhadap Pasien di Apotek Cicaheum Farma Kota Bandung
Authors: Mirawati Novi , Rusmana Wempi Eka
Published: April 2022

Latar Belakang: Sebelum masyarakat memutuskan untuk mencari pertolongan ke fasilitas pelayanan kesehatan, banyak dari mereka yang melakukan cara mengobati diri sendiri atau yang disebut swamedikasi (self medication). Sesuai yang dijelaskan dalam Departemen Kesehatan Republik Indonesia Tahun 1993, swamedikasi merupakan salah satu upaya yang dilakukan seseorang dalam mengobati gejala sakit atau penyakit yang sedang dideritanya tanpa terlebih dahulu melakukan konsultasi kepada dokter.
Tujuan: Penelitian ini bertujuan untuk menilai sejauh mana palayanan komunikasi, informasi dan edukasi obat swamedikasi yang diberikan oleh Tenaga Teknis Kefarmasian di Apotek Cicaheum Farma Kota Bandung.
Metode: Metode penelitian yang digunakan adalah metode deskriptif evaluatif dengan menggunakan teknik observasi dan cheklist untuk mengumpulkan data penelitian.
Hasil: Dari hasil penelitian yang dilakukan kepada 40 pasien ditemukan sebagian besar belum mendapatkan pelayanan komunikasi, informasi dan edukasi yang efektif. Pelayanan yang diberikan hanya berfokus pada pelayanan komunikasi yang ramahtamah kepada pasien.
Kesimpulan: Berdasarkan penelitian yang dilakukan kepada 40 pasien yang membeli obat swamedikasi sebagian besar belum mendapatkan pelayanan komunikasi, informasi dan edukasi yang efektif. Pelayanan yang diberikan hanya berfokus pada pelayanan komunikasi yang ramahtamah kepada pasien.
Analisa Perubahan Kadar Hemoglobin Pada Pasien Gagal Ginjal Kronik (GGK) yang Menjalani Hemodialisa di Rumah Sakit Annisa Cikarang
Authors: Mislina Syari , Purwaningsih Aries , Melani MS Ela
Published: April 2022

Latar Belakang: Gagal ginjal kronis (GGK) didefinisikan sebagai kerusakan ginjal yang terjadi lebih dari 3 bulan, berupa kelainan struktural atau fungsional dengan atau tanpa penurunan laju filtrasi glomerulus (LFG). Hemodialisis rutin dilakukan sebagai terapi pengganti fungsi ginjal pada penderita gagal ginjal. Anemia sering ditemukan pada pasien GGK dan dapat menyebabkan penurunan kualitas hidup.

Tujuan: Tujuan dilakukannya penelitian ini adalah untuk mengetahui kadar hemoglobin sebelum dan sesudah hemodialisa pada pasien gagal ginjal kronis di Rumah Sakit Annisa Cikarang.

Metode: Penelitian ini menggunakan metode penelitian analitik observasional dengan menggunakan data sekunder dan teknik Total Sampling. Sampel yang didapatkan berdasarkan kriteria inklusi dan ekslusi pada penelitian ini berjumlah 30 pasien. Data diambil dan dicatat dari rekam medis pasien GGK di RS Annisa Cikarang periode Juni – Juli 2021.

Hasil: Rata-rata kadar hemoglobin pada pasien GGK sebelum diberikan terapi hemodialisis mengalami penurunan yaitu sebesar 8,480mg/dL. Rata-rata kadar hemoglobin setelah diberikan terapi hemodialisis mengalami peningkatan dari sebelum diberikan  terapi hemodialisis yaitu 8,857 mg/dL. Terdapat perubahan kadar hemoglobin pada pasien GGK setelah diberikan terapi hemodialysis, dengan nilai P = 0,037 < 0,05.

Kesimpulan: Berdasarkan hasil penelitian bahwa menunjukkan bahwa kadar hemoglobin pada pasien GGK sangat rendah dan dibawah batas normal kadar hemoglobin, meskipun terdapat peningkatan kadar hemoglobin setelah diberi terapi hemodialisis namun nilai tersebut masih dibawah batas normal kadar hemoglobin, nilai p lebih rendah dari nilai alpha (batas kemaknaan) dengan demikian H0 gagal diterima yang berarti terdapat perbedaan kadar hemoglobin pada pasien GGK sebelum dan sesudah diberikan terapi hemodialisis.
Analisis Faktor-Faktor Belum Terlaksananya Pemusnahan Dokumen Rekam Medis Inaktif di Rumah Sakit X Bandung
Authors: Zafira Farah , Hidayati Meira
Published: April 2022

Latar Belakang: Penyusutan berkas rekam medis ialah upaya yang dilakukan rumah sakit bertujuan mengurangi penumpukan diruang penyimpanan. Berkas rekam medis dikatakan aktif bila kunjungan terakhir masih dalam jangka waktu 3 hingga 5 tahun dari bertepatan saat ini. Berkas rekam medis in-aktif pula akan dimusnahkan bila pasien dengan nomor rekam medis tertentu tidak datang untuk berobat atau kunjungan dalam waktu 5 tahun sejak tanggal kunjungan terakhir.

Tujuan: Penelitian ini bertujuan menganalisis penyebab-penyebab belum terlaksananya retensi dan pemusnahan berkas rekam medis di RS X Bandung.

Metode: Metode penelitian yang digunakan  adalah kualitatif dengan pendekatan deskriptif serta menggunakan metode observasi dan wawancara yaitu dengan melakukan pengamatan secara langsung di dalam lapangan. Pendekatan yang dilakukan adalah pendekatan cross sectional. Populasi pada penelitan ini adalah 4 orang petugas rekam medis bagian penyimpanan rekam medis rawat jalan di Rumah Sakit.

Hasil: Hasil penelitian ini menjelaskan bahwa faktor belum terlaksananya retensi ialah pendidikan  dan  pengetahuan  petugas rekam medis masih kurang, tidak diadakan  pelatihan, jadwal retensi tidak ada, menggunakan kardus sebagai tempat menyimpan berkas serta tidak mempunyai ruangan uuntuk berkas inaktif.

Kesimpulan: Peneliti menemukan beberapa penyebab belum terlaksananya retensi di RS X Bandung yaitu tingkat pendidikan petugas sebagian belum memenuhi standar kualifikasi, pengetahuan petugas tentang retensi masih belum mengerti, belum memiliki ruangan khusus berkas inaktif dan tempat menyimpan berkas tidak menggunakan rak melainkan kardus, belum memiliki jadwal tetap retensi, SOP penyusutan sudah ada tetapi pelaksanaan di lapangan tidak semua diterapkan.
Neutrophil-To-Lymphocyte Ratio (NLR) pada Pasien Kanker Paru dengan Riwayat Merokok dan Tidak Merokok
Authors: Nurul Husna Annisa , Anang Marhana Isnin
Published: April 2022

Latar Belakang: Kanker paru-paru merupakan salah satu kanker yang paling banyak terjadi, telah menyebabkan 1/3 kematian akibat kanker pada pria. Merokok sebagai salah satu faktor risiko dapat menyebabkan respon inflamasi yang kemudian meningkatkan nilai neutrofil-limfosit rasio (NLR). Namun, tidak semua pasien memiliki riwayat perokok.

Tujuan: Penelitian ini bertujuan untuk membandingkan perbedaan nilai NLR pada pasien dengan riwayat perokok dan bukan perokok.

Metode: Penelitian ini menggunakan Uji Mann Whitney untuk mendapatkan hasil nilai NLR secara statistik setelah dilakukan pengumpulan data sekunder berupa neutrofil dan limfosit sebagai data sekunder dari rekam medis.

Hasil: Terdapat 33 pasien dengan riwayat perokok dan bukan perokok. 15 pasien (22,73%), berasal dari kelompok usia 56-60 tahun. Ada 38 pasien laki-laki dan 28 pasien perempuan. Adenokarsinoma memiliki angka kejadian tertinggi (83,33%) dan semua pasien berada pada stadium IV selama pengambilan data. Sebagian besar pasien (45,45%) mengeluh mengalami nyeri dada. Nilai NLR untuk pasien dengan riwayat perokok adalah 4,94 dan 3,76 untuk bukan perokok dengan p=0,13.

Kesimpulan: Terdapat perbedaan nilai NLR pada pasien kanker paru dengan riwayat perokok walaupun perbedaan tersebut tidak bermakna secara statistik.
Analisis Kebutuhan Sediaan Multivitamin Terhadap Pengetahuan Pasien Mengenai COVID-19 di Apotek K-24 A.H Nasution Bandung
Authors: Sari Helta , Eka Rusmana Wempi
Published: April 2022

Latar Belakang: Coronavirus merupakan virus yang dapat menyebabkan gangguan sistem pernapasan, pneumonia (infeksi paru-paru) yang bersifat akut, dan gagal ginjal. Persiapan daya tahan tubuh merupakan salah satu upaya pencegahan COVID-19 yang dapat dilakukan. Terdapat beragam upaya dari berbagai literatur yang dapat memperbaiki daya tahan tubuh salah satunya dengan mengkonsumsi multivitamin. Multivitamin memang tidak dapat dijadikan terapi dalam mengatasi infeksi virus ini, tetapi asupan multivitamin dapat meningkatkan kinerja sistem imun dalam melawan infeksi yang disebabkan oleh virus maupun bakteri, termasuk infeksi virus Corona.

Tujuan: Untuk mengetahui tingkat kebutuhan sediaan multivitamin dan tingkat pengetahuan pasien mengenai COVID-19 diapotek K24 A.H Nasution.

Metode: Penelitian yang digunakan adalah penelitian deskriptif, data yang dikumpulkan dalam penelitian ini adalah data primer, yaitu data yang diperoleh lansung dari responden melalui pengisian kuesioner yang disebarkan menggunakan google form dengan teknik penentuan sampel jenuh di Apotek K24 A.H Nasution sebanyak 20 responden dan analisis data menggunakan analisis skala likert dan analisis kuantitatif.

Hasil: Hasil penelitian ini menunjukan responden perempuan (55%), laki-laki (45%). Dengan rentang usia 21-24 (35%), 25-35 (25%), 36-45 (25%), 46-50 (15%). Didapatkan hasil pernyataan kuesioner kebutuhan sediaan multivitamin dinilai reliable 0,761 > 0.7 dan pernyataan tingkat pengetahuan COVID 19 dinilai reliable 0.757 > 0.7.

Kesimpulan: Kebutuhan sediaan multivitamin dalam kriteria tinggi dan pengetahuan pasien mengenai COVID 19 dalam kriteria cukup.
Perbandingan Hasil Pemeriksaan Glukosa Darah Menggunakan Metode GOD-PAP dan Metode Strip Dilaboratorium Klinik Harapan Sehat Cianjur
Authors: Nur Aini Annisa , Juwita Ratna , Melani MS Ela
Published: April 2022

Latar Belakang: Glukosa Darah adalah parameter untuk mengetahui penyakit diabetes. Glukosa didalam tubuh berfungsi untuk bahan bakar bagi proses metabolisme dan sumber energi utama bagi otak. Glukosa yang terdapat didalam darah terbentuk dari karbohidrat didalam makanan dan disimpan sebagai glikogen dan otot rangka kadar glukosa darah normal <200 mg/dl. Ada faktor yang memperngaruhi meningkatnya glukosa darah yaitu : hormon insulin, stress, emosi.

Tujuan: Tujuan penelitian ini untuk mengetahui adanya perbandingan pemeriksaan glukosa darah menggunakan metode GOD-PAP dan metode Strip.

Metode:  Penelitian ini menggunakan metode cross sectional dan uji statistik yang digunakan adalah Uji Pairet T-test dari penelitiant ini adalah pasien yang memeriksa glukosa darah di klinik Harapan Sehat Cianjur dengan pengumpulan data riwayat pasien.

Hasil: Hasil penelitian menunjukan ( p=0,02 > (?) 0,05) sehingga terdapat hubungan yang signifikan.

Kesimpulan:  Pada metode GOD-PAP diperoleh hasil kadar glukosa darah dimana terdapat 19 sampel hasil pemeriksaan glukosa darah yang normal dan terdapat 11 yang tidak normal.
Analisis Peresepan Obat Tuberkulosis Terhadap Pelayanan Pasien Rawat Jalan Rumah Sakit Mitra Keluarga Periode Januari-Maret 2021
Authors: Ester Natalia Inata Sari , Eka Rusmana Wempi
Published: April 2022

Latar Belakang: Tuberkulosis semakin tidak terkendali di banyak negara berkembang hingga sepertiga penduduk dunia saat ini terinfeksi. Pengobatan TB merupakan salah satu upaya yang paling efisien untuk mencegah penyebaran kuman TB lebih lanjut.

Tujuan: Penelitian ini bertujuan untuk mengetahui kesesuaian penggunaan obat TB, data demografi pasien (umur, jenis kelamin, status pengobatan, dll) dan untuk mengetahui kepatuhan pasien dalam pengobatan TB di RS Mitra Keluarga Bekasi Timur.

Metode: Penelitian ini menggunakan metode deskriptif kuantitatif yaitu dengan mengambil data primer dari resep dokter yang menggandung obat antituberculosis di RS Mitra Keluarga Bekasi Timur. Setelah pengumpulan data selesai, data dianalisa mengunakan metode analisa deskriptif univariat.

Hasil: Hasil penelitian menunjukkan adanya kesesuaian peresepan Obat Antituberkulosis dalam bentuk kombinasi dari beberapa obat terhadap Pedoman Penanggulangan Nasional Tuberkulosis tahun 2016 dari Kementrian Kesehatan RI. Sejumlah 182 orang penderita dengan persentase sebesar 92,86 % dinyatakan mengikuti pengobatan secara lengkap. Jumlah tersebut menunjukkan bahwa jumlah penderita yang patuh dalam melaksanakan pengobatan sangat tinggi.

Kesimpulan: Dari hasil penelitian dapat disimpulkan bahwa peresepan obat-obatan Tuberkulosis telah sesuai dengan Pedoman Penanggulangan Nasional Tuberkulosis tahun 2016 dari Kementrian Kesehatan RI, dengan jumlah penderita laki-laki lebih besar dibandingkan dengan penderita perempuan dengan range usia 46-55 tahun, dengan kepatuhan pasien sebesar 92,86%.
Analisis Interaksi Obat Hiperlipidemia pada Pasien PT. Pertamina di Salah Satu Apotek Kimia Farma di Bandung
Authors: Astuti Widi , Rosmiati Meiti
Published: April 2022

Hyperlipidemia is an abnormal condition of lipid metabolism which is characterized by an increase in lipid levels in the blood. Hyperlipidemia is often accompanied by other diseases. So the treatment of hyperlipidemia is often combined with other drugs and has the potential to increase the occurrence of drug interactions. Drug interaction is a condition in which a substance or drug activity can produce an increased or decreased effect or produce a new effect. This study aims to determine the presence of hyperlipidemic drug interactions in patients with diabetes mellitus Pertamina in one of the chemical pharmacies in Bandung based on the number of patients, number of cases, interaction mechanism and severity. This study uses a non-experimental research method with a descriptive approach and data collection is taken retrospectively based on prescription sheet data for the March 2021 period. The number of samples taken is 87 prescription sheets that meet the inclusion criteria. Data were analyzed descriptively usingliterature Stockley's Drug Interaction Handbook. Of the hyperlipidemic patients, who had the potential to experience drug interactions as many as 28 Prescriptions. Based on the results of the study, it was found that the severity of drug interaction cases which stated the severity level of major interactions was 1%, Moderate was 30% and minor was 1% while those that did not interact were 68%. Based on the results of the study above, the researchers concluded that there were 28 cases of prescription sheets containing hyperlipidemia drug interactions in March 2021 at Kimia Farma Pharmacy. The level of drug interactions consisted of major, moderate and minor categories with a severity level of 1% for the major category, 30% for the moderate category, 1% for the minor category, while 68% had no interactions.
Evaluasi Kelengkapan Resep Rawat Jalan Terhadap Standar Pelayanan Farmasi di Upt Puskesmas Ibrahim Adjie Kota Bandung
Authors: Nur Istiqomah Fatihah , Eka Rusmana Wempi
Published: April 2022

The importance of reviewing prescriptions to realize medication safety in pharmaceutical services. Good Pharmacy Practice (GPP) where the professional relationship between doctors and pharmacists is in the form of prescriptions as part of the representative quality of pharmaceutical service standards. The purpose of this study was to determine the percentage of administration on prescription completeness based on 3 aspects; administration, pharmaceutical and clinical to the percentage of pharmacy service standards at UPT. Ibrahim Adjie Health Center in Bandung City is adjusted to the PERMENKES RI No. 74 of 2016. This type of research is qualitative non-experimental descriptive observational with prospective data collection using a check list form to find out whether or not they fulfill each other in a recipe. This study was conducted in July 2021 with 150 samples of prescriptions for adult patients aged 26-45 years. The percentage of results from administrative screening was 10.6% or as many as 16 complete prescriptions due to not fulfilling the patient's address, SIP and doctor's initials. The percentage of pharmaceutical screening aspects obtained 58.6% or as many as 88 prescriptions that meet. The percentage of clinical screening showed 3.3% or as many as 5 prescriptions. Meanwhile, the results of the conformity of pharmaceutical services as a whole according to the applicable regulation of the Minister of Health indicate that there are no mutually fulfilling aspects in 1 prescription sheet. So the evaluation of this research needs to be done communication in increasing awareness between doctors and pharmacists in prescribing services as representatives of applicable service standards.
Perancangan Sistem Informasi Pembuatan Surat Visum Et Repertum di Rsud Soreang dengan Menggunakan Microsoft Visual Studio 2010
Authors: Anarki Dinky Andrean , Syahidin Yuda , Gunawan Erix
Published: April 2022

Hospitals as health facilities have a very crucial role. In Indonesia, hospitals have the role of being the final reference. Functioning as a place for recovery & health care, the Hospital in this case is able to provide the best service. The best health services must be synchronized in responding to patient needs. The nursing team on duty must also be equipped with good knowledge and procedures regarding hospital management. Hospitals are required to provide quality services that are synchronized in using established standards and can be reached by all circles of society. The purpose of this paper is to produce an information system design for making Visum Et Repertum letters using Microsoft Visual Studio 2010 at RSUD Soreang. The research methodology used is qualitative using a descriptive approach. Data collection techniques were applied using field work practice procedures, interviews, and literature studies. The development research method used is the waterfall model. Microsoft Visual Studio 2010 as programming language and Microsoft Access 2019 as database. Based on the results of the study, there were problems that were found, namely: (1) the making of the Visum Et Repertum letter had used a computerized system using Microsoft Word but, it was still not effective, (2) the absence of a more effective system to facilitate the making of the Visum Et Repertum letter. Information system Making a visa et Repertum to make it easier for officers in the process of making a visa et Repertum accurately and effectively without any errors.
Pemanfaatan Google Classroom untuk meningkatkan hasil belajar IPS di masa	pandemi COVID-19 pada siswa kelas VII-5 SMPN 3 Depok
Authors: Linawati Linawati
Published: April 2022

Latar Belakang: Kondisi  pandemi covid 19  dan pemberlakuan pembatasan sosial berskala besar (PSBB) menyebabkan pembelajaran dilakukan dari rumah  (BDR). Kondisi  ini tentu saja membutuhkan  suatu  aplikasi  yang  menunjang pembelajaran dan hasil belajar siswa secara daring yang bisa dimonitor, dinilai, dan diintegrasikan  seperti Google Classrom.
Tujuan: Mengetahui ada tidaknya peningkatan hasil  belajar melalui pemanfaatan media Google Classroom selama pandemik pada siswa kelas VII-5  SMP Negeri 3 Depok,  Tahun Pelajaran 2020/2021 dalam bidang studi IPS, khususnya pada materi Lembaga Sosial.
Metode: Metode penelitian yang digunakan adalah metode Penelitian Tindakan Kelas (PTK) dengan dua siklus Data yang digunakan adalah data kuantitatif  deskriptif  yang diambil dari hasil belajar siswa sebelum dan sesudah dilakukan tindakan pemanfaatan google classroom sebagai media  pembelajaran
Hasil: Pemanfaatan google classroom pada siswa VII.5 SMPN 3 Depok menunjukkan hasil persentase   ketuntasan belajar prasiklus sebesar  65%,  siklus I  77,5%,  dan siklus II  87,5%. Hal tersebut menunjukkan adanya peningkatan secara keseluruhan sebesar 32,5%.
Kesimpulan: Dengan demikan dapat disimpulkan bahwa  pemanfaatan google classroom dapat meningkatkan hasil belajar siswa kelas VII-5 SMPN 3 Depok tahun pelajaran 2020/2021 secara signifikan.