bluuebunny/crossref_metadata_2025 huggingface dataset:
Preventive Effect of Pretreatment with Intravenous Metoclopramide on Incidence of Post Laparoscopic Surgery Nausea and Vomiting
Authors: Hasan Shaimaa Hamid , Marof Kawa Muhammad Ameen , Ahmed Vanna Salim , Salim Rojin Abdulaziz Mohamed , Ali Marwa Nasrat , Hussen Sarab Kakil
Published: July 2024

Introduction: Common complications following anesthesia include Postoperative nausea and vomiting (PONV), which leads to patient dissatisfaction and discomfort. The incidence of PONV after inhalational general anesthesia is up to 30% [1]. When anesthetics are used with no prophylaxis, and in certain high-risk patients, the incidence of PONV can reach up to 70% [2]. Furthermore, laparoscopic surgeries are associated with an even higher incidence of PONV (40%-75%) [3]. This makes PONV one of the most prevalent post-operational complaints [4].Methods: This case control study includes 79 patients with high PONV risk scores scheduled for laparoscopic cholecystectomy under general anesthesia in Duhok hospitals. 40 patients received 8 mg (2ml) metoclopramide intravenously as pretreatment, while 39 patients received normal saline (2ml) as the control group. After 48 hours, we called patients and asked them about the incidence and severity of PONV.Result: statically insignificant differences in the incidence of PONV between both groups (p-value 0.91). The incidence of PONV in this study was (27.8%) which correlates with the PONV risk score mean (2.48) and was statistically significant with a p-value of less than 0.01 and a 95% confidence score (2.13, 18.32).Conclusion: PONV risk score is effective in the prediction of the incidence of PONV, and Metoclopramide is ineffective as a single drug in the prevention of PONV in high-risk patients.
The Effect of Advertising on Increasing Sales of Food Products
Authors: Hadi Raad Hamza , Hasham Aseel Hamid , Hussein Hussein Mohan , Hamza Abdullah Ibrahim , Shakir Anne Mumtaz , Hamid Noor Hassan
Published: July 2024

Reducing the consumption of unhealthy food is a major public health priority. Food marketing is part of the collateral environment that influences children’s food preferences and diet. The food, beverage, and restaurant industries are the biggest individual product advertisers. As such, there is a large concern that advertising can lead to obesity, which may lead to various health problems. The food advertising that children are exposed to falls into two main categories. The first consists of food advertising, and the second consists of food product packaging, which includes television advertising as well as packages of food sold at the supermarket. Advertising is a major business expense that affects certain food product sales. Well-targeted advertising helps to successfully promote food products. The main objective of any for-profit company, like any advertising campaign, is to create sales, and this study is directly interested in examining the impact that food advertising has on food sales. The main purpose of this paper is to determine the factors that more heavily affect the increase of sales of food products, taking into account that advertising has a positive influence.
Pengaruh Profitabilitas, Solvabilitas, Ukuran Perusahaan, dan Opini Auditor Terhadap Audit Delay Pada Perusahaan Properti dan Real Estate
Authors: Putra Afuan Fajrian , Achmad Antonolovy , Riantika Reny Lia
Published: July 2024

Latar Belakang: Laporan keuangan memiliki peranan penting untuk menilai tingkat kinerja yang dilakukan. Setiap perusahaan yang telah terdaftar di Bursa Efek Indonesia (BEI) wajib untuk mempublikasikan dan menyampaikan kepada Otoritas Jasa Keuangan (OJK). Laporan keuangan yang di publikasikan yakni laporan keuangan yang telah di audit oleh auditor dan telah disusun bedasarkan SAK. Suatu laporan keuangan akan dianggap layak dan memenuhi kegunaannya apabila disajikan dengan akurat dan tepat waktu. Ketepatan waktu pelaporan keuangan sangatlah dibutuhkan oleh pihak internal dan eksternal perusahaan.
Tujuan: Penelitian ini bertujuan untuk menguji apakah profitabilitas, solvabilitas, ukuran perusahaan, dan opini auditor dapat berpengaruh terhadap audit delay pada perusahaan properti dan real estate.             
Metode Penelitian: Penelitian ini merupakan penelitian kuantitatif dengan menggunakan populasi dari perusahaan properti dan real estate yang listing di BEI periode 2019-2022 dan teknik pengambilan sampel menggunakan purposive sampling sedangkan analisis data menggunakan regresi liniear berganda..
Hasil Penelitian: Hasil penelitian ini menunjukkan bahwa profitabilitas dan opini audit tidak berpengaruh terhadap audit delay, sedangkan solvabilitas dan ukuran perusahaan berpengaruh terhadap audit delay.
Keaslian/Kebaruan Penelitian: Memberikan dampak secara empiris atas covid-19 terhadap kualitas laporan keuangan audited.
Faktor-faktor yang Mempengaruhi Kinerja Karyawan KSPPS BMT Pusat Kube Karanganyar
Authors: Praptiestrini  , Rohwiyati  , Sulistya  , Danarwati Yanti Sri
Published: July 2024

Latar Belakang: Kinerja karyawan adalah faktor yang krusialdalam menentukan kesuksesan sebuah organisasi. Terdapat beberapa faktor yang dapat mempengaruhi kinerja pegawai seperti etos kerja, budaya organisasi, dan kesejaahteraan. Pemahaman terhadap pengaruh dari faktor-faktor ini diperlukan karena dapat membantu untuk mengoptimalkan kinerja karyawan di KSPPS BMT Pusat Kube Karanganyar.
Tujuan: Penelitian ini bertujuan untuk menguji pengaruh etos kerja, budaya organisasi, dan kesejahteraan terhadap kinerja karyawan KSPPS BMT Pusat Kube Karanganyar baik secara parsial ataupun bersama-saama.
Metode Penelitian: Penelitian ini menggunakan metode kuantitatif data primer dengan melibatkan 32 responden. Analisis regresi linear berganda, uji t, uji f, dan uji koefisien determinasi digunakan dalam menganalisis data yang telah terkumpul.
Hasil Penelitian: Etos kerja, budaya organisasi, dan kesejahteraan berpengaruh positif secara signifikan terhadap kinerja karyawan KSPPS BMT Pusat Kube Karanganyar. Berdasarkan nilai koefisien variabel, seluruh variabel sebesar 84% mampu menjelaskan pengaruhnya terhadap kinerja karyawan.
Keaslian/Kebaruan Penelitian: Penelitian ini memberikan kontribusi terhadap literatur mengenai faktor-faktor yang berpengaruh terhadap kinerja karyawan pada konteks BMT yang masih perlu dieksplorasi.
A quality managerial approach on the relationship between the digital development level and the cyber security index
Authors: Ceko Enriko
Published: July 2024

The main goal for the realization of this study was to verify the level of relations between digitalization and cyber security. The path followed for the realization of this study was the creation of the idea for the study and the relationship between the issues that were considered, the search for the most appropriate and freshest literature, the collection of data for this study, the raising of hypotheses, the processing of data and performing the regression analysis, extracting the results, verifying the main hypothesis, and from them reaching the relevant conclusions and recommendations. The main recommendation of this study is that investment in digitalization also affects investments in cyber security and both together help the development of countries and their integration between each other and beyond, while the relations between digitalization, cyber security and quality management are embodied at ISO standards, especially at ISO 38500, and ISO 27000 family of standards.
Revolutionizing enterprise resource planning: A transformation journey in the Albanian telecommunication industry
Authors: Caushi Eralda , Caushi Klejda , Halilaj Malvina
Published: July 2024

This paper explores the critical aspects of ERP (Enterprise Resource Planning) transformation in the Albanian telecommunications industry. The focus is on SAP tools that include asset modules, the platform for managing ERP stock and inventory, and a new frontline platform for selling device and accessories for all the channels by supporting both mobile and fixed devices. The telecom industry has evolved significantly, and the need for efficient operations, better integration, enhanced security, and improved user experiences has become dominant. Cloudification of the SAP solution running in GCP is part of the revolution. The technical implementation is strongly related to the advantages of an ERP transformation within the telecommunications industry. These benefits include enhanced efficiency and productivity, seamless integration, and impeccable data accuracy, bolstered security and compliance, and an overall enhancement in user experiences. Furthermore, this implementation also navigates the challenges and critical considerations essential in this transformative journey. Re-usability is a key component since the successful implementation in a single market for a single local market, can be replicated in the other markets as well by justifying the high implementation cost of 3 million Euros and the involvement of 32 local stakeholder and 45 global stakeholders.
MENTAL HEALTH CONDITIONS IN SOCIAL MEDIA ADDICTION
Authors: Hidayat Dede Rahmat , Wulandari Afifah , Yulianti Indah Dwi , Febriyanti Kenny , Fahroni Nana Agus , Maulida Siti Aisyah
Published: July 2024

Teenagers are active users of social media, especially Instagram. Based on research conducted by (Sakti &; Yulianto), as many as 59% of online users aged 18-29 years use Instagram. This study aims to explore the mental health conditions of students who are indicated to experience social media addiction where respondents are aged 18-22 years in the Jabodetabek area. Respondents were randomly selected who met the criteria, namely aged 18-22 years and were S-1 students at Jabodetabek University, filled out questionnaires distributed via google form and filled out questionnaires on social media addiction and mental health. Based on the results of the study, out of 50 existing respondents, there were 7 respondents who indicated social media addiction. With an average of 85.04 and a standard deviation of 15.51. Of the 7 respondents who indicated social media addiction, it can be seen that after filling out the instrument (MHI-38), 3 of them have good mental health. This is because the higher the score possessed by respondents in filling the MHI-38 instrument, the better their mental health condition. The results of the study complement previous studies where overall mental health conditions in social media addiction have not been widely studied.
What makes you feel motivated? Examining Vroom's expectancy theory in the Tunisian banking sector
Authors: E. Sobaih Abu Elnasr , Benameur Dahinine , Gharbi Hassane , Aliane Nadir
Published: July 2024

Motivation is a key factor in enhancing organizational productivity, performance, and competitiveness. Despite the extensive research on this issue, motivation remains a challenge that companies seek to fully understand how they could put it into practice. In this article, we delve into Vroom's expectancy theory, which relies on the impact of valence (is it worth it?), instrumentality (what do I get out of it?), and expectancy (am I capable?) on employee motivation in Tunisia. The study was conducted at ABCD Bank, a Tunisian-based banking establishment with branches spread across Tunis and nearby towns. The research sample comprised 416 participants from various job positions. The results of SEM analysis showed that employee motivation was significantly affected by expectancy, extrinsic instrumentality, and extrinsic valence. However, both intrinsic instrumentality and valence have a positive impact, but insignificant, on employee motivation. The study provided several implications for bankers and scholars on extrinsic and intrinsic factors affecting employee motivation.
PENDAMPINGAN MEDIA POPER UNTUK MENINGKATKAN KEGIATAN NUMERASI SISWA KELAS 2 UPTD SDI KOLOKOA
Authors: Nafsia Andi , Juita Anjelina Kurnia , Nua Agustina
Published: July 2024

Kegiatan ini bertujuan untuk mendampingi siswa belajar berhitung menggunakan media pohon perkalian (poper) di  UPTD SDI Kolokoa.Pendidikan matematika yang berkualitas di tingkat dasar sangat penting untuk membangun dasar yang kuat dalam pemahaman matematika dasar  pendampingan ini menggunakan metode  observasi. Hasil  dari pendampingan ini di ikuti dengan jumlah 7 siswa.  Pendampingan ini terlaksana dengan baik dan mendapatkan antusias yang baik oleh siswa UPTD SDI Kolokoa pendampingan kegiatan ini  yang bertujuan untuk meningkatkan kemampuan berhitung siswa kelas 2 melalui penggunaan media pohon perkalian sebagai pendekatan pembelajaran yang interaktif dan menyenangkan. Pendampingan ini melibatkan kerjasama antara sekolah, guru kelas 2 dan pengabdi dalam merancang serta melaksanakan kegiatan pendampingan belajar berhitung.
Peculiarities of the speech ways of responding to victims of sexual violence, taking into account internet communication
Authors: Kudaibergenova A. Zh. , Kalymbetova E. K. , Urisbaeva A. A. , Kudaibergenova A. Zh. , Absatarova G. P.
Published: July 2024

This article displays the results of a review of scientific research on the speech methods of responding to victims of sexual violence, taking into account Internet communication. When conducting the review, the results of scientific research from different countries of the world community were used to more fully describe the topic under study, taking into account the cultural and intercultural characteristics of different regions and countries. Emphasis was also placed on other factors influencing the way a victim of violence responds in speech format, such as individual and psychological characteristics, the factor of the context of the situation, and social factors. The consequences of the response of victims of sexual violence, such as the psychological state of the victim, and the consequences for subsequent social interaction are described in detail. After a review of the literature, conclusions and conclusions were drawn that characterize the importance of the research work carried out for use by professionals providing assistance to survivors of sexual violence.
Characteristics of peripheral blood parameters in patients with COVID-19-associated pneumonia
Authors: Kazak I. K. , Dolgieva M. N. , Akhmetzhanova Sh. K.
Published: July 2024

The new coronavirus infection caused by the SARS-CoV-2 virus has become a serious problem worldwide. COVID-19 is primarily a respiratory tract infection. Viral lung damage caused by SARS CoV-2 is commonly interpreted as COVID-19-associated pneumonia. Patients with severe course of the disease have more pronounced violations of laboratory blood parameters. A general blood test of patients with COVID-19associated pneumonia refers to non-specific laboratory diagnostic methods and at the same time plays an important role in assessing the severity of the condition, as well as allows predicting the course, development and outcome of the disease. The aim of the study was to study peripheral blood counts in hospitalized patients with COVID-19-associated pneumonia. A retrospective analysis of the medical histories of patients with COVID-19 associated pneumonia was carried out. The presence of the SARS-Cov-2 virus was confirmed by polymerase chain reaction. The examination of patients was carried out according to the current protocol "Coronavirus infection COVID-19 in adults". Hematological parameters in patients with moderate and severe pneumonia were analyzed. CT-2 and CT-3 predominated in terms of lung tissue damage. The results of the study revealed changes in the general analysis of peripheral blood, such as a decrease in lymphoid cells, the absence of reactive leukocytosis to acute inflammation, and thrombocytopenia. The changes depended on the severity of pneumonia and the presence of concomitant pathologies.
Use of e-learning platforms to monitor surgical competencies in medical universities
Authors: Amanova D. E. , Bakytzhan A. D. , Zhunusov E. S. , Matyushko D. N.
Published: July 2024

The emergence of e-learning platforms as a potential means of advancement is not new, but their use has increased significantly during the COVID-19 epidemic. Distance learning presents users with not only problems but also user-centered solutions. The purpose of this study is to review the literature on e-learning platforms used in medical schools to formulate a research strategy to implement an e-learning platform for surgical competency control. To achieve the objective, a search was conducted for articles cited in PubMed, Research Gate, Google Scholar, Web of Science and Scopus databases from journals and conference proceedings published between 2015 and 2023. Literature in the study area was systematized to explore the experiences of users of e-learning platforms in medical schools to provide a basis for a methodological framework.

The proposed structure or content analysis model can be used for further e-learning research and guide the successful implementation of e-learning and surgical competency monitoring systems in medical HEIs. An important area of focus is the study of the advantages and disadvantages of specific e-learning methods, as their benefits have not been fully explored and are mainly related to e-learning platforms. Here we consider various features of e-learning in the context of its implementation in the system of medical education in Kazakhstan and other foreign countries.
Periprosthetic joint infection after total knee arthroplasty. Lessons learned: a case report and literature review
Authors: Konkayev A. , Azimova B. , Kadralinova A. , Yeltayeva A. , Zhanarystan N. , Konkayeva M.
Published: July 2024

Introduction. The increasing proportion of the aging population and overweight people with various joint problems leads to an increased demand for joint replacements. As the number of joint arthroplasty surgeries continues to rise, the persistent incidence of periprosthetic joint infections highlights the need for a comprehensive and evolving approach. In addition to the preoperative period, it is also necessary to consider the course of the intraoperative, and to a greater extent the postoperative period, when the development of periprosthetic infection occurs. This case is indicative of the fact that underestimation of the importance of the postoperative period and control of risk factors can lead to the recurrence of infection. This negatively affects the economy due to an increase in the number of disabilities.

Case presentation. A 60-year-old female patient was diagnosed with a periprosthetic joint infection following total knee arthroplasty. The patient's premorbid background was aggravated by the presence of type 2 diabetes mellitus, arterial hypertension, secondary cardiomyopathy, and chronic iron-deficiency anemia. Single stage revision of knee arthroplasty, removal of prosthetic components, excision of degenerative tissue, prolonged antibiotic therapy as well as rehabilitation were ineffective, and the pain increased. Therefore, the patient is admitted for the two-stage revision surgery, removal of the endoprosthesis, and installation of a nonarticulating cement spacer of the left knee joint.

Conclusion. Through a relevant literature search, we believe that uncorrected chronic iron-deficiency anemia in combination with uncontrolled diabetes mellitus, both in the preoperative and postoperative period for joint replacement, may increase the risk of the development of periprosthetic infection. Moreover, focusing patients' attention on the importance of the postoperative period and strict monitoring of health indicators will help reduce the likelihood of re-prosthetics.
Marketing Management
Authors: Sathish Dr. Dhivya ,   Associate Professor  School of Management Studies Sathyabama Institute of Science and Technology Chennai, Tamil Nadu, India, Rani Dr. J. ,   Associate Professor  School of Management Studies Sathyabama Institute of Science and Technology Chennai, Tamil Nadu, India
Published: July 2024

In order to maintain a competitive edge in a rapidly changing world of marketing, students need a book that integrates the most up-to-date and cutting-edge marketing theory and tactics. Marketing Management distinguishes itself from other textbooks in the field by using a managerial approach, an analytical methodology, a multidisciplinary perspective, universal application, and comprehensive content. This version of the material has been updated to include the most current market trends. It provides new examples and a simpler structure.
Possibility of Accessing Information Via Smartphone Applications for People with Visual Impairment: A Field Study
Authors: Raja Hussein Faraj Al-Hassi
Published: July 2024

The study aims to determine the most popular smartphone applications that Benghazi residents with visual impairments use to obtain information, as well as the most popular smartphone models that meet their practical and scientific needs. To meet the research objectives, a questionnaire was given to some individuals with visual impairments via websites on the Internet and social media, and the Google Forms program was utilized to build the data that identifies the smartphone applications used to access information from the target group in the study. After the questionnaire was distributed, data was gathered and examined. The study produced several findings, including that the iPhone is the most popular smartphone model that most visually impaired people in Benghazi wish to buy because of its applications' reputation for being the easiest to use regarding information access. The most popular applications used to help people with visual impairments access information on smartphones are screen readers, with a percentage of 84.2%) and (3.5%) using screen magnification applications, while 12.3% use both. However, the high price has contributed to people with visual disabilities using another type, which is Samsung. The necessity of offering ongoing courses to enable individuals with visual impairments to stay up to date with the technological advancements that facilitate information access is one of the recommendations and proposals that will improve the accessibility of information for those with visual impairments through smartphone applications—promoting the use of technology in information centers and educational settings where some individuals with vision impairments are present.
Upaya Pengelolaan Penyakit Diabetes Melitus dengan Pendekatan Dokter Keluarga
Authors: Henny Putri Wahyuni  , Noviana Zara
Published: July 2024

A 52 year old male patient with complaints of weakness in the body. Initially the patient was brought to the Health Center with complaints of weakness since 3 days. Weakness is felt suddenly throughout the body and feels continuously. Complaints of weakness are also accompanied by a feeling of dizziness in the head. The patient also complained of frequent urination at night, urinating more than 10 times in one night. The patient also constantly feels thirsty, but his appetite has decreased since the last 2 years or so. The patient feels a loss of weight. In addition, the patient also complained of a wound on his left leg which had not healed since 1 year ago. Primary data were obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Patients and families are given education about diabetes mellitus including the symptoms and complications that will arise, education about the patient's motivation to take medication regularly as well as educating and teaching patients about foot care and diabetes exercise. An approach with family doctor intervention is able to improve habits that are influential in the treatment of diabetes mellitus.
Efektivitas Modul Modifikasi Penyusunan Strategi Komunikasi Perubahan Perilaku Terhadap Perilaku Tim Konvergensi Stunting Di Kabupaten Kampar Tahun 2022
Authors: Herman S  , Asriwati Asriwati  , Miskah Afriany
Published: July 2024

The importance of behavior change communication, as shown in Pillar 2 (two) of the National Behavior Change Strategy, has been mentioned in many Government policies. Pillar 2 aims to increase public knowledge and awareness so as to trigger the implementation of positive behaviors to prevent stunting in the 1000 HPK period. The stunting convergence team of Kampar Regency has not succeeded in documenting the KPP strategy, one of which is because the KPP has not been understood so well that it is considered not to have discussed priorities. One alternative to increase capacity is to provide a modification module for the KPP strategy, it is necessary to conduct a study aimed at whether the provision of a modified module for the formulation of the KPP strategy is effective in improving the behavior of the stunting convergence team. The treatment hypothesis in this study is that the provision of a modification module for the formulation of the KPP strategy is effective in increasing the behavior of the stunting convergence team. This type of research is a Quasi Experimental Nonequivalent Control Group Design with a sample of 30 respondents (15 treatments and 15 controls) members of the stunting convergence team. Data collection techniques with pre and post. Data analysis was carried out by normality test, homogeneity test, independent t test and Normalize Gene test (N-Gain score) if there was a significant difference in the posttest value of the treatment with the control group, data presentation, and drawing conclusions. From the results of the study, the authors conclude that: there is a significant difference in the data before and after the level of knowledge from 13 respondents (43.3%) to the category of high knowledge 10 (33.3%), negative attitude changes are 14 respondents (46). ,7%) to the category of positive attitude which is 12 (40%) and the category of negative behavior is 13 (43.3%) to the category of positive attitude which is 10 (33.3%). The provision of a modified module for the formulation of an effective KPP strategy in increasing the knowledge of the stunting convergence team with the value of Sig. 0.045 and OR 0.022, presenting a modification module for the formulation of an effective KPP strategy in changing the attitude of the stunting convergence team with a Sig value. 0.022 and OR 0.063, presenting a modified module for KPP strategy formulation that is not effective in changing the behavior/actions of the stunting convergence team with a Sig value. 0.135 and OR 3.250. Modification module for the preparation of the KPP strategy can be an alternative in increasing knowledge, attitudes, but it is necessary to provide regular assistance and measurement to respondents so that changes in behavior can be seen more clearly. The limitations of the study in terms of time due to changes in behavior required measurements, longer observations and a larger number of samples to be able to see optimal results.
Gambaran Umum Penggunaan Lean Six Sigma Pada Manajemen Obat di RS
Authors: Resa Listiani  , Faza Duta Pramudyawardani  , Nabila Erinaputri  , Acim Heri Iswanto
Published: July 2024

The hospital pharmacy installation is an important unit in the hospital that is responsible for pharmaceutical activities. Pharmacy is the last unit and one of the important parts that determine patient satisfaction, to improve the service process in operations management, the method that can be used is lean six sigma to help improve service quality and patient satisfaction by minimizing errors and waiting times through organizing and managing the hospital management system. The purpose of this study is to identify an overview of the use of lean six sigma in drug management in hospitals. This research method is a literature review study with the search engine used in literature searches, namely google scholar according to the keywords of the topic to be studied, namely lean six sigma methods, hospital drug management, lean six sigma implementation, the criteria for articles used are based on publications published between 2019 and 2023. The results showed that there is waste in drug/pharmacy management in hospitals. The problems related to pharmacy include too long waiting times, overprocessing of drug prescriptions, and waste of motion in file searches. SIMRS error, lack of trained human resources, uncertainty of drug prices, still done manually are triggers for the occurrence of worthless processes. Waste reduction can be done with the lean six sigma method which can fix problems that often occur in pharmaceutical installations by being applied through standardized calculations.
Hubungan Dukungan Keluarga Dengan Kemandirian Lansia Dalam Pemenuhan Activities Daily Living (ADL) di Kelurahan Bailang Lingkungan V Kecamatan Bunaken Kota Manado
Authors: Nurlela Hi. Baco  , I Made Rantiasa
Published: July 2024

Elderly is a phase of life that will be experienced by every human as well as aging. The aging process causes various physical, biological, mental and socio- economic problems. This process as a result of a degenerative (aging) process. Therefore, non-communicable diseases often occur in the elderly. Non-communicable diseases that are often experienced by the elderly include hypertension, stroke, heart disease, diabetes mellitus and joint inflammation or rheumatism. The purpose of this study was to determine the relationship between family support and independency of elderly in fulfilling ADL in Bailang Village, Area 5, Bunaken District, Manado City.This study used a descriptive analytic design with a cross sectional approach. The sampling technique in this study is purposive sampling with number of samples in this study were 33 respondents. The research instrument for data collection used in this study is a questionnaire. Furthermore, the data that has been collected is processed using computer program SPSS version 21 and analysed using statistical tests Chi-square with a significance level (?) 0.005.The study results showed that 18 (54.5%) respondents had good family support and 15 (45.5%) respondents had lack family support. Chi-square test obtained value = 0.003 (<0.005), That means there is a significant relationship between family support and the independency of the elderly in fulfilling Activity daily Living (ADL).The conclusion of this study is there is a relationship between family support and the level of independency of the elderly in fulfilling ADL in Bailang Village, Area V, Bunaken District, Manado City. The suggestions from this study are hopefully the family can understand the problems of the elderly, give support, and appreciation if elderly are able to do the activities independently.
Hubungan Antara Kadar Kolesterol Dalam Darah dengan Kejadian Hipertensi Pada Lansia di Pkm Tabongo Kabupaten Gorontalo
Authors: Iqbal Febrianto Lesar  , Dewi Modjo  , Andi Akifa Sudirman
Published: July 2024

Hypertension is a non-communicable disease which is a problem in the health sector and is often found in primary health care facilities. Based on data from the Gorontalo District Health Office for 2021, hypertension ranks first, with 16,999 cases. Hypertension sufferers in the elderly ?60 years, namely 6,566 people with the highest order being at the Tabongo Health Center with a total number of hypertension sufferers of 1,371 people. This study uses a descriptive quantitative research design with an analytic cross sectional study approach. The population in this study were all elderly people with hypertension in October 2022 with a total of 108 elderly people aged 60-90 years, both men and women at the Tabongo Health Center, Gorontalo Regency. Determination of the sample size was carried out using the Slovin formula, namely as many as 52 respondents. The data obtained were then analyzed univariately and bivariately using the Chi-Square test. The results showed that based on the results of the Chi-Square test, a Sig (2-sided) value of 0.021 was obtained, which means that Ho was rejected and Ha was accepted. So it can be concluded that there is a relationship between cholesterol levels in the blood and the incidence of hypertension in the elderly at the Tabongo Health Center, Gorontalo Regency.
TERAPI OKUPASI MENGGAMBAR TERHADAP PERUBAHAN TANDA DAN GEJALA HALUSINASI PADA PASIEN DENGAN GANGGUAN PRESEPSI SENSORI HALUSINASI DI RSUD TOMBULILATO
Authors: Firmawati Firmawati  , Fadli Syamsuddin  , Restivera Botutihe
Published: July 2024

Hallucinations are a symptom of mental disorders in individuals characterized by changes in sensory perception: feeling false sensations in the form of sound, sight, touch, taste and smell. Patients with hallucinations get a response about their environment without any real object of stimulation. The purpose of this study was to determine Occupational Drawing Therapy for Changes in Signs and Symptoms of Hallucinations in Patients with Hallucination Sensory Perception Disorders at Tombulilato Hospital. Pre-experimental research design with one group pretest and posttest research design. Sampling using Total Sampling with 15 respondents. Data collection used an observation sheet with the results of the study that there were 15 (100%) respondents with severe hallucinations before being given occupational drawing therapy and after being given occupational drawing therapy there were 14 (93.0%) respondents with mild hallucinations and there was 1 (7.0%) ) respondents with severe hallucinations. The results of statistical tests using the Paired T-Test showed a p value = 0.000 with ? <0.05, there was a significant effect between occupational drawing therapy on changes in signs and symptoms in patients with hallucinatory sensory perception disorders. It is hoped that changes in signs and symptoms can reduce hallucinations from patients.
Tinjauan Kebijakan Kesehatan Mental di Indonesia: Menuju Pencapaian Sustainable Development Goals dan Universal Health Coverage
Authors: Khoirunnisa Ghefira Yusrani  , Nurul Aini  , Shifa Aulia Maghfiroh  , Novita Dwi Istanti
Published: July 2024

Mental health is a harmony in life that is created between the functions of the soul and the ability to overcome problems. Mental health policies are still limited and not yet integrated. Indonesia is also committed to achieving SDGs and UHC. The purpose of this research is to review mental health policies in Indonesia and evaluate the extent to which these policies support the achievement of the SDGs and UHC. This study uses a literature study to examine different methods. The article search strategy uses an online database, namely Google Scholar and this research uses a literature review methodology. There is a need for comprehensive mental health services to be made part of the SDGs and UHC. The government continues to pursue various mental health policies in order to reduce the prevalence of mental disorders in Indonesia. However, several mental health programs that have been prepared still have deficiencies in the implementation process. The lack of availability of psychotropic drugs at the puskesmas and the existence of a report format that is not yet uniform and the presence of mental health recording and reporting officers are obstacles in the practice of mental health policy in Indonesia. Therefore, sufficient quality data is needed to formulate effective policies so that efforts to deal with mental health at the primary and secondary health service levels are far more optimal. So that continuous improvement can be carried out to reduce the prevalence of mental disorders in Indonesia.
Pemberian Terapi Guided Imagery terhadap Pasien dengan Nyeri dan Ansietas Post Operasi Fraktur Collum Humerus
Authors: Azizah Nur Khasanah  , Syahruramdhani Syahruramdhani
Published: July 2024

Background: After the fracture surgery procedure, the patient who initially received anesthesia and a few hours later disappeared, usually the patient will feel pain, apart from pain, anxiety will arise related to changes in daily activity, where these two things are interconnected. An increased response to pain is often caused by a feeling of anxiety or vice versa the response to pain can cause anxiety. Nonpharmacological therapy that can be done by nurses to reduce pain as well as postoperative anxiety is guided imagery therapy. Purpose: This case study aims to determine the effectiveness of guided imagery therapy for pain and anxiety in patients with postoperative humeral collum fractures. Methods: The method used in writing is a case report with guided imagery therapy intervention carried out for 3 days. Results: The results of this case study show that after guided imagery intervention for 3 days there was a decrease in the Numeric Pain Scale from 7 (moderate pain) to 3 (mild pain) and a decrease in the Beck Anxiety Inventory score from 11 (mild anxiety disorder) to 5 (minimal anxiety disorder). Conclusion: Guided imagery is effective in reducing pain and anxiety in postoperative humeral collum fracture patients.
Profil Kadar Asam Urat Pada Penderita Diabetes Melitus Tipe 2 Terkontrol
Authors: Mutmainnah Abbas  , Rosdiana Mus  , Thaslifa Thaslifa  , Olvyani Tira Layuk
Published: July 2024

Type 2 Diabetes Mellitus (DM) is a metabolic disorder characterized by an increase in blood glucose due to decreased insulin secretion by pancreatic beta cells and or impaired insulin function (insulin resistance). Controlled Type 2 Diabetes Mellitus is a type 2 DM patient who takes preventive measures to avoid complications and death, such as adhering to medication, doing physical activity, controlling blood glucose levels to remain stable and implementing a healthy diet. Controlled type 2 diabetes mellitus aims to prevent complications, one of which is kidney function. One of the examinations to determine kidney function is uric acid which affects the increase in insulin levels. Uric acid is one of the metabolic that the amount should not be excessive in urine and blood. The purpose of this study was to determine uric acid levels in patients with controlled type 2 diabetes mellitus. The method in this study is a cross sectional study design with probability sampling technique. The results of the study of 30 research subjects with the lowest value of uric acid 2.29 mg/dL and the highest value of uric acid 6.92 mg/dL. The average uric acid value obtained in the research subjects was 4.58 mg/dL. These levels are still within normal levels, this can be influenced by controlling blood glucose levels, routinely doing physical activity, consuming food and drinks regularly and as recommended (healthy diet) and routinely consulting or taking medication so that the uric acid levels obtained are normal.
Analisis Faktor-Faktor Yang Memengaruhi Perilaku Pencarian Pelayanan Kesehatan Pada Program JKN Di Indonesia
Authors: Risma Pertiwi  , Aghniya Choirunnisa  , Zahra Septina  , Riswandy Wasir  , Novita Dwi Istanti
Published: July 2024

The National Health Insurance (JKN) program aims to improve access to health services and achieve universal health coverage for all Indonesians. However, there are still several issues related to access and quality of health services that have not been resolved, one of which is health service seeking behavior, which is one of the important principles of the JKN program.  The method used in this research is a literature study by collecting and processing previous research data with a range of 2018-2022, consisting of 5 national articles and 1 international article. The search process was carried out through the Central Bureau of Statistics database, Google Scholar, and PubMed. The results of this study are the factors that influence people's behavior in seeking health services in the JKN program in Indonesia are divided into 3 main factors, namely predisposing factors, enabling factors, and need factors. In addition, there are other factors such as sociocultural beliefs, perceptions of disease and its causality, cost, and accessibility and availability of health services, especially in rural areas.
Status Nutrisi dan Hemoglobin Setelah Pemberian Transfusi pada Penderita Thalasemia
Authors: Dwiyanti Purbasari  , Erida Fadila  , Meli Nur Imani
Published: July 2024

More than 5,000 babies are born suffering  thalassemia (beta thalassemia major and beta thalassemia Hb E) annually from around the world and 80% of births occur in developing countries (Kantharaj & Chandrashekar, 2018). In Indonesia alone, the frequency of beta thalassemia genes ranges from 3-10% with 2,500 babies born each year and there are 10,531 more patients experiencing thalassemia (Kemenkes, 2019). The general objective of this study was to identify the relationship between nutritional status and changes in hemoglobin levels after transfusion in children with thalassemia at RSD Gunungjati Cirebon. This research method uses descriptive correlation by using a cross sectional. The sample of this research is thalassemia in Gunung Jati Hospital, Cirebon City, totaling 35 respondents using  accidental sampling technique. The instrument used is a data and measurement recapitulation sheet. The nutritional status data recapitulation sheet containing components (gender, age, weight, TB) and measurement of Hb before and after blood transfusion using EasyTouch GCHB, as well as data analysis using the Spearman rank, was carried out on July 4-15, 2022. The results of the univariate analysis of the study This is in the category of good nutritional status as many as 18 respondents (51.4%) and an increase in hemoglobin levels of 18 respondents (51.4%) in thalassemia children at Gunungjati Hospital, Cirebon. The results of this study found that there was no relationship between nutritional status and changes in hemoglobin levels in thalassemia children at RSD Gunungjati Cirebon with a value (p = 0.252 > = 0.05).Suggestions for this study are that families and patients should strive to carry out the education provided by nurses and explore more knowledge related to thalassemia, especially nutritional intake.
Penerapan Teknik Mobilisasi Dini terhadap Penurunan Skala Nyeri pada Pasien Post Sectio Caesarea RSUD Dr. Moewardi Surakarta
Authors: Mita Putri Sugiyanto  , Anjar Nurrohmah  , Alfida Fitri Hapsari
Published: July 2024

Background: Sectio caesarea is an effort to deliver with a surgical procedure through the technique of making incisions in the abdominal wall and uterus to remove babies with a fetus weighing more than 1000 grams or gestational age > 28 weeks Niklasson, (2020). The current trend of sectio caesarean (SC) deliveries is not only for emergencies. The trend of deliveries by caesarean section has led to an increase in caesarean sections in a number of hospitals, both in private hospitals and government hospitals. Ayuningtyas et al., (2020). Purpose: To find out the results of the implementation of whether there is a decrease in pain intensity in post sectio caesarea patients by providing early mobilization techniques at RSUD Dr. Moewardi Surakarta. Methods: Using a case study design, the subject was 1 post Sectio Caesarea mother who was treated in the ponek room of RSUD Dr. Moewardi Surakarta. Measuring instrument for the level of pain using the Numeric Rate Score (NRS) pain scale. The application is carried out for 3 consecutive days, 1 day is done once with a duration of 15 minutes. Findings: before the implementation of early mobilization exercises on pain scale 6 respondents was included in the moderate pain category, whereas after the implementation of early mobilization exercises on pain scale 2 respondents included in the mild pain category. Implication: Application of early mobilization techniques to mothers after 6-8 hours after Sectio Caesarea there was a decrease in pain scale after being given early mobilization therapy in post sectio caesarea patients at RSUD Dr. Moewardi Surakarta
Hubungan Tingkat Pengetahuan Ibu Terhadap Pemberian Imunisasi DPT Di Puskesmas Labuhan Deli Kecamatan Labuhan Deli Kabupaten Deli Serdang Tahun 2023
Authors: Sonia Novita Sari  , Rayani Nainggolan  , Nopa Isabela Napitupulu  , Yesica Geovany Sianipar  , Friza Novita Sari Situmorang  , Ariska Fauzianty
Published: July 2024

Immunization is an effort to provide immunity to infants and children by injecting vaccines into the body so that the body makes a substance to prevent certain diseases. This study aims to determine the relationship between the mother's level of knowledge and the provision of DPT immunization at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were mothers who had babies aged 6-12 months, namely 42 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was total sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a significant relationship between the mother's knowledge level and the administration of DPT immunization at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency, with a p value <0.05 (0.009).
Hubungan Self Efficacy Dengan Pelaksanaan Mobilisasi Dini Pasien Apendektomi Di Ruang Bedah RSUD H. Boejasin Pelaihari
Authors: Yohanna Hartatyaningsi  , Dyah Trifianingsih  , Aulia Rachman  , Ermeisi Er Unja
Published: July 2024

One of the nursing interventions in recovery and healing the appendectomy wounds is early mobilization exercises. One of the factors that influence the success of early mobilization is to increase self-efficacy. This research want to determine the correlation of self-efficacy and early mobilization among appendectomy patients in surgery room at H. Boejasin Pelaihari Hospital. The study conducted by utilizing quantitative research with cross sectional approach. There are 20 respondents involved in the study that selected using accidental sampling. The analysis use an spearman rank formula to determine the correlation between two variables. The results showed that the self-efficacy of patients after appendectomy. There are 12 respondents (60%) showed their self-efficacy level in moderate level. 11 respondents (55%) had a good mobilization exercise. Analysis of Spearman Rank correlation found that there was a strong significant relationship between self-efficacy and mobilization among appendectomy patient  where the value of p = 0.000.
Bedah Mikrografi Mohs
Authors: Mohamad Mimbar Topik  , Muhammad Al Farisi
Published: July 2024

Mohs micrographic surgery is a specialized form of skin cancer surgery that has the highest cure rates for several cutaneous malignancies. Certain skin cancers can have small extensions or ‘‘roots’’ that may be missed if an excised tumor is serially cross-sectioned in a ‘‘bread-loaf’’ fashion, commonly performed on excision specimens. The method of Mohs micrographic surgery is unique in that the dermatologist (Mohs surgeon) acts as both surgeon and pathologist, from the preoperative considerations until the reconstruction. Since Dr. Mohs’s initial work in the 1930s, the practice of Mohs micrographic surgery has become increasingly widespread among the dermatologic surgery community worldwide and is considered the treatment of choice for many common and uncommon cutaneous neoplasms. Mohs micrographic surgery spares the maximal amount of normal tissue and is a safe procedure with very few complications, most of them managed by Mohs surgeons in their offices. Mohs micrographic surgery is the standard of care for high risks basal cell carcinomas and cutaneous squamous cell carcinoma and is commonly and increasingly used for melanoma and other rare tumors with superior cure rates. This review better familiarizes the dermatologists with the technique, explains the difference between Mohs micrographic surgery and wide local excision, and discusses its main indications.