Sumatera Utara Research Articles

Clinical Leadership of Nurse at Inpatient Room University of Sumatera Utara Hospital in 2023

Clinical leadership is an appropriate competency for nurses in improving quality and patient safety through innovation and creativity in nursing practice. Unoptimal clinical leadership skills are a problem for hospital management and affect the low quality of service. Based on interviews in a preliminary survey with eight nurses at inpatient room University of Sumatera Utara Hospital, it was found that the implementation of clinical leadership has not been effective. This study aims to describe clinical leadership (demonstrating personal qualities, working with others, managing services, improving services, and setting direction) of nurses at inpatient room University of Sumatera Utara Hospital in 2023. This research is a descriptive analysis research using quantitative research methods with a cross-sectional research design. A total of 58 respondents were selected by total sampling. Data collection was collected through interview method with direct interview technique guided by semi-structured questionnaire. Data were analyzed by univariate analysis. The results showed that the clinical leadership ability of nurses at inpatient room University of Sumatera Utara Hospital was classified as good, with a value in the range of 172.6. The clinical leadership skills were distributed in 1 indicator with a very good category (working with others), 3 indicators with a good category (demonstrating personal qualities, managing services, and improving services), and 1 indicator with a not good category (setting direction). The conclusion of this study is that nurses at inpatient room University of Sumatera Utara Hospital do not all have good clinical leadership. Based on the results of the study, it is recommended to the University of Sumatera Utara Hospital to provide management support to improve nurses clinical leadership abilities. Keywords: Clinical Leadership, Nurses

Analysis of the Storage of Solid Medical Hazardous and Toxic Waste (B3) in Enhancing the Performance of Type C Hospitals: A Case Study at Universitas Sumatera Utara Hospital

The Universitas Sumatera Utara Hospital’s waste management system, based on Regulation 56 of 2015, has been criticized for unsanitary conditions and lack of proper waste labeling. A study focusing on three locations revealed that the majority of B3 waste originates from infectious properties and sharp objects. The hospital's waste management involves segregating waste based on its characteristics, using appropriate containers, and transporting it to the B3 waste Temporary Storage for storage. The hospital is implementing a multi-stage approach to manage B3 waste, including sorting, containerization, internal transportation, and storage. The waste is segregated and contained within designated containers, transported daily using trolleys or wheeled containers, stored in facilities shielded from direct sunlight, and designed to prevent access by animals, insects, and birds. Regular cleaning is also essential. The hospital aims to improve waste management efficiency by implementing proper waste disposal, packaging, and transportation.

Enhancing Machine-Translated Tourism Texts: Post-Editing Practices of Indonesian Students

This study investigates practices among students majoring in the English Education Study program at Universitas Muhammadiyah Sumatera Utara Indonesia in post-editing machine-translated tourism texts. Utilizing a descriptive qualitative approach, we analyzed the post-editing practices of these students. The texts postedited were authentic Indonesian tourism texts sourced from lonely planet website. The findings revealed machine translation errors in three main areas: lexico-semantic errors, grammatical errors, and syntactic errors. Lexico-semantic errors often involved incorrect word choices and mistranslations of nuanced terms. Grammatical errors were prevalent in the misuse of tense, agreement, and article usage. Syntactic errors included improper sentence structure and word order, leading to awkward or unclear translations. As a result of these errors, it was observed that students did some corrections to polish the machine translated text, from the most dominant type of correction to the least dominant, including correcting lexical choices, correcting word form, correcting word order, omissions, additions and deleting. It is recommended that future studies involve more diverse participants with different text types so as to generate a more comprehensive finding.

Moraceae diversity in the Universitas Sumatera Utara’s arboretum

The arboretum of the Universitas Sumatera Utara (USU) is an area for collecting and conserving tree species in North Sumatra. One of dominant family found in USU Arboretum is Moraceae. The objective of this reserach was to determine Moraceae diversity in the USU Arboretum. The census approach of vegetation analysis was used to determine the identity and abundance of Moracea. The research found 9 (nine) Moraceae species belongs to two genera in the USU arboretum, those were Ficus microcarpa, Ficus elastic, Artocarpus heterophyllus, Ficus padana, Ficus fistulosa, Artocarpus altilis, Ficus benjamina, Ficus ampelas and Ficus hispida. The species with the highest density value (57.92%) is Ficus hispida. The diversity index, richness index, and species dominance index were all quite low in the research location, with values of 1.455, 1.226, and 0.370, respectively. Meanwhile, the species evenness index at the research location is 0.662, which is classified into moderate. To improve the diversity of Moraceae in the USU arboretum, species enrichment activities are needed.

Identification of Dominant Factors Affecting Study Time and Waiting Time of Mathematics Undergraduate Using the Least Absolute Shrinkage And Selection Operator (LASSO)

Higher education is a level of education that is able to produce and prepare graduates so that college graduates are able to compete and are ready to face the world of work. The aim of this research is to determine the dominant factors that influence the study period and waiting time for undergraduates in Department of Mathmatics FST UIN Sumatera Utara Medan until they get their first job in less than 9 months. The Least Absolute Shrinkage And Selection Operator (LASSO) method was used in this research, where this method is expected to be able to provide high accuracy results in terms of determining the most dominant factors. From the results of calculations using the LASSO method, the three most dominant factors that greatly influence the study period and waiting time for undergraduates are working status (X3), organizational participation (X5), grade point average (X2), final assignment position (X2). By producing this most dominant factor, it is hoped that mathematics study programs will care more about their students by making major and minor improvements to future accreditation

The Influence Of Persuasive Communication Competence And Librarian Performance On User Satisfaction At The Universitas Sumatera Utara Library

Research Aims: This study aims to measure the influence of Persuasive Communication Competence on User Satisfaction at the Universitas Sumatera Utara Library, to measure the influence of Librarian Performance on User Satisfaction at the Universitas Sumatera Utara Library, Design/methodology/approach: This research employs a quantitative correlational method to understand the relationships between the variables. The Elaboration Likelihood Model (ELM) communication theory by Robert Cialdini is used in this study. The population for this study includes all individuals who have visited the Universitas Sumatera Utara Library. The sampling technique used is Accidental Sampling. The instrument used is a digital questionnaire distributed via Google Forms to 392 respondents. Research Findings: The results indicate that significant positive influence of both persuasive communication competence and librarian performance on user satisfaction at the Universitas Sumatera Utara Library. Persuasive communication and librarian performance can explain 58.4% of the influence on customer satisfaction, which according to the Guilford scale falls into the moderate/medium category and has a fairly high influence. The remaining 41.6% is influenced by other unmeasured variables such as physical facilities, collection availability, service systems, information technology, and human resources Theoretical Contribution/Originality: The results of this research can be used as a basis for further research on a larger scale or in a different context such as research in more general libraries. In addition, the researcher recommends that future researchers can carry out further research by conducting a more detailed investigation into the persuasive communication competencies of librarians and their role. Diverse approaches can provide a more comprehensive understanding of how librarians' persuasive communication competencies and performance influence library use.

Ecosystem red listing and identification of Mursala Island as the first important plant area in Indonesia

Important plant area (IPA) is one of the global approaches to conserving threatened species and their habitats in situ. In the present study, we assess the risk of ecosystem collapse of Mursala Island and identify the island’s potential as the first IPA site in Indonesia. Mursala Island is located on the west coast of the Sumatera Utara Province and is known as one of the hotspots for dipterocarps species diversity. Our compiled data records at least 178 species of plant on Mursala Island, which belong to 47 families. A total of 104 species have been assessed for their conservation status according to the IUCN Red List, of which 27 (25.96%) are threatened with extinction with the category of Critically Endangered (CR; 4), Endangered (10), and Vulnerable (13). The majority (24 or more than 88%) of these threatened species are from the Family Dipterocarpaceae. Following the IUCN Red List of Ecosystems protocol, we propose CR B1c as the risk category of Mursala Island’s ecosystem. Under this category, the ecosystem is considered to be at an extremely high risk of collapse. Furthermore, our assessment shows that Mursala Island qualifies as an IPA under criteria Ai and Aii. Increasing the protection level of the island is recommended to conserve the ecosystem and its plant diversity.

Role of digital education through smartphones in improving knowledge among asthma patients: A preliminary study.

Asthma is a chronic inflammatory airway disorder and is among the top ten causes of morbidity and mortality in Indonesia, highlighting the need for effective management strategies. This study aimed to evaluate changes in asthma knowledge levels before and after using the "Paru Sehat" smartphone application for digital education. A quasi-experimental study using a pre- and post-test design was conducted over three months at the outpatient clinic of Universitas Sumatera Utara Hospital, Medan, Indonesia, among asthma patients aged over 18 years. The patients completed the Patient Asthma Knowledge Questionnaire (PAKQ) before installing the "Paru Sehat" application to establish baseline knowledge. Once a week, patients received reminders to access materials covering an asthma overview, peak flow meter use, medication differences, and management techniques. After four weeks of intervention, the participants' knowledge was reassessed using the PAKQ. Data were analyzed using either paired Student's t-test or Wilcoxon test to assess the improvement in knowledge. The results showed increases in knowledge about asthma in general, asthma triggers, and asthma diagnosis domains, with the median score in each domain rising by one point (p=0.003, p=0.001, and p=0.002, respectively). The asthma management domain exhibited the largest change, with a median increase of two points (p<0.001). The total scores increased by an average of five points (p<0.001), indicating an overall improvement in patient knowledge about asthma. The "Paru Sehat" application demonstrated significant potential in enhancing asthma knowledge across multiple domains. Further research is warranted to explore the long-term effectiveness of the application in diverse populations and settings, ultimately contributing to improved asthma management and patient outcomes.

Library promotion in the development of the Universitas Sumatera Utara towards a world-class university

This article analyzes library promotion in developing the Universitas Sumatera Utara (USU) towards a World Class University (WCU). Indonesia is experiencing educational obstacles in achieving the WCU title. Several factors influence the difficulty of achieving the WCU predicate, but the most dominant is the library’s role in accommodating student literacy skills. As one of the higher education institutions, USU understands the vital role of the library in increasing the intensity of literacy to achieve the WCU predicate. The urgency of this research is to review the promotion of the USU library in achieving the WCU predicate through the library as an instrument. This article uses qualitative research with a case study approach. The data collection techniques used in this article are in-depth interviews, observation, and documentation. Primary data sources in this article are research informants, while secondary data used are books, articles, and reportage. The data collected by the author will then be analyzed using content analysis techniques. The results show that the library has various vital roles in literacy reform so that USU can achieve the WCU title. In this case, the library pursues promotional strategies including 1) Product, 2) Price, 3) Promotion, and 4) Distribution. The whole promotion model contributes to improving campus literacy in achieving WCU goals.

Education and Socialization of Mosquito Nest Erradication with 3M Plus Movement to Students and Teachers at SMA Negeri 1 Binjai District, Langkat District, North Sumatera, Indonesia

Until now, there has been a tendency for dengue fever patients to increase, and its transmission has become one of Indonesia's most common public health problems. Getting rid of mosquito nest eradication (MNE) with the 3M Plus Movement regularly, which includes draining water reservoirs, burying used items, and closing water reservoirs, which make it harder for mosquitoes to breed, can stop the spread of dengue. Even though this disease can attack all groups, several studies have shown that children and teenagers are more susceptible to dengue fever, so it is essential to make efforts to increase understanding and education for school-aged children, including high school students and teachers, who must work together to prevent dengue fever. As a result, the community service team from the Medical Faculty of Universitas Sumatera Utara carried out this activity using an outreach strategy that included questions and answers with students about MNE, Clean and Healthy Living Behavior, and other topics as well as the actual implementation of 3M Plus. A good understanding of MNE among students and teachers allows for the formation of awareness of MNE's significance in the school environment, which is the outcome of this activity.

Knowledge level of students about basic life support during the COVID-19 pandemic

Basic Life Support (BLS) is a vital competency that should be possessed by everyone, especially medical students. However, the COVID-19 pandemic has made the practice of BLS more complex due to close contact, which puts helpers at risk of contracting the virus. This study aims to assess the level of knowledge of students regarding BLS during the pandemic. This research is a quantitative, descriptive study with a survey design that utilizes an online questionnaire with a sample of students from the Faculty of Medicine, Universitas Sumatera Utara, class of 2019. The results of this study show that the level of knowledge of students about BLS during the pandemic is sufficient. Among the female respondents, 22 had good knowledge (14.7%), 53 had sufficient knowledge (35.3%), and 15 had less knowledge (10%). Among the male respondents, 4 had good knowledge (2.7%), 35 had sufficient knowledge (23.3%), and 21 had less knowledge (14%). Of the respondents who had a history of participating in BLS training, 12 had good knowledge (8%), 36 had sufficient knowledge (24%), and 5 had poor knowledge (3.3%). For those without a history of BLS training, 14 had good knowledge (9.3%), 52 had sufficient knowledge (34.7%), and 31 had poor knowledge (20.7%). Even though the pandemic makes BLS practice more complex, the results show that students have sufficient knowledge about BLS during the pandemic. This knowledge was better among students who had previously participated in BLS training.

Endodontic Management of Mandibular Second Molar with Middle Distal Canal

Mandibular second molar is often associated with variations in root canal morphology. Despite the intricate association, the occurrence of middle distal canal in endodontic literature is limited, with an incidence of 0.2% to 3%. Therefore, this study presents a case report describing a clinical situation in mandibular second molar that shows four canals, opening into different apical foramens. A 30-year-old male patient came to the Rumah Sakit Gigi dan Mulut of Universitas Sumatera Utara with the main complaint of intermittent pain in the lower right tooth persisting for two days. The results of clinical examination of the lower right second molar labeled as #47, showed a temporary filling, while radiography indicated widened periodontal ligament space and termination of lamina dura. After receiving informed consent, root canal therapy was carried out, and a direct resin composite onlay was selected for final restoration. To locate and treat hidden and unusual anatomy, dentists are often required to possess a comprehensive understanding of internal dental anatomy and use modern instruments, such as the dental operating microscope and ultrasonic tips. In certain clinical, direct resin composite onlay restorations can represent a valid alternative to traditional indirect restorations. In conclusion, this study shows that a comprehensive understanding of the potential variances in the internal anatomy of human teeth is essential to achieving successful outcomes in endodontic therapy.

Epistemology Of Legal Studies: Research Method Characteristics of Theoretical Law Bearers in Indonesia

Doctorate students of legal studies programs in Indonesia use various research methods. This paper aims to analyze research methods patterns used by doctorate students of legal studies in six Indonesian universities. The authors analyzed dissertations from the Doctorate Program of Legal Studies in the following universities: Universitas Indonesia (Depok, West Java), Universitas Padjajaran (Bandung, West Java Province), Universitas Sumatera Utara (Medan, North Sumatra Province), Universitas Airlangga (Surabaya, East Java Province), Universitas Diponegoro (Semarang, Central Java Province), and Universitas Hasanuddin (Makassar, South Sulawesi Province). This philosophical method research used secondary data obtained using the literature review method in the form of dissertations from six universities that establish legal studies doctorate programs. Results showed that there are three patterns of epistemology used by doctorate program students of legal studies in Indonesia, namely those that are based on the doctrinal approach, those based on the non-doctrinal approach, and those based on the combined approach between the doctrinal and the non-doctrinal approaches. In this research, some dissertations with the epistemological pattern were also found that are is based on theoretical assumptions sourced from the teachings of the positivistic legal philosophy school of thought as taught by Austin and Kelsen.

Characteristics and management of iatrogenic urinary tract injuries in teaching hospital: A single-centered study.

Despite its rarity, iatrogenic urinary tract injury can cause severe morbidity and mortality. The purpose of this study was to determine the frequency of urinary tract injuries caused by medical treatment in a hospital in Medan, Indonesia. This retrospective descriptive study was conducted at H. Adam Malik General Hospital and Universitas Sumatera Utara Hospital in Medan from March to August 2022. Medical data of individuals who had iatrogenic urinary tract injuries in a Medan teaching hospital from 2018 to 2022 were obtained using total sampling. SPSS version 25 was utilized to analyze patient characteristics, the type of surgery, urinary tract injuries, and urologic procedures. There were 11 ureteral injuries and 23 bladder injuries in 32 iatrogenic urinary tract injuries. The average age of the patients was 40.5 ± 13.3. Patients who received obstetrical care had the highest rate of iatrogenic urinary tract injury (56.3%), followed by patients who received gynecological care (21.9%) and surgical care (21.9%). The procedure most likely to cause iatrogenic urinary tract injury was hysterectomy (40.6%). Bladder rupture (65.5%) and ureteral transection (28.1%) were common types of iatrogenic bladder and ureteral injuries. Majority of iatrogenic urinary tract injuries were treated with bladder repair (68.8%). Obstetrical and gynecologic procedures, especially hysterectomy, were the most common causes of iatrogenic urinary tract injury; bladder repair was the most common treatment. Iatrogenic urinary tract injury is best managed by knowing the anatomical position of the urinary tract inside the operative field.

QUILLBOT AS AN ALTERNATIVE WRITING TOOL: EXAMINING ITS USES ON THE ACADEMIC WRITING PERFORMANCE OF EFL LEARNERS

This study aimed to assess whether the use of QuillBot enhanced the academic writing skills of EFL learners in the English Education Department at Universitas Muhammadiyah Sumatera Utara. Pre-experimental design was implemented in this research. The participants in the research were selected from a class of 20 English as a Foreign Language (EFL) learners who had recently completed their academic writing classes the previous semester. Data from the pre-test and post-test was collected and a t-test was used for analyses using SPSS 29.0 version. This test consisted of an academic writing test about things that transpired in the educational sphere. The pre-test score reached 123, while the post-test score was 285. The data demonstrates that the t-test result was 56.53. The significance level of a = 0.05. The results determined that Sig (2-tailed) 0.000 is the probability value for the pre-test and post-test data for the EFL academic writing performance by using QuillBot. H0 is rejected since the probability (Sig.) 0.000 &lt; 0.05. Furthermore, the results strongly indicate that QuillBot has greatly enhanced EFL learners' academic writing skills.

Parent’s Communication Style in Shaping Positive Self Concept in Generation Z Adolescents in Polonia Village, Medan Polonia Subdistrict, Medan City, Sumatera Utara Province

Parent’s Communication Style in Shaping Positive Self Concept in Generation Z Adolescents in Polonia Village, Medan Polonia Subdistrict, Medan City, Sumatera Utara Province

Effect of Clay Composition and Human Haircut Waste on Mechanical Properties Mechanical Properties of Epoxy Resin Composites

The impact of human haircut waste and the nature of clay soil on the mechanical characteristics of epoxy resin composites has been studied. This study utilizes clay sourced from Wonosari Village, Deli Serdang Regency. The clay was pulverized using a pestle and mortar until it reached a smooth consistency. It is then filtered through a 200 mesh screen and subjected to drying in an oven at a temperature of 105℃ for around 3 h until the water content is completely evaporated. Finally, the dried clay stored in a desiccator. The clay powder was subjected to ball milling for 40 h at 350 rpm. The resulting particle size, determined by particle size analysis (PSA), was found at 0.764 µm. Next, the human haircut waste obtained from the surrounding campus of Universitas Sumatera Utara was prepared by separating the hair from fine hair and washing it clean. Clay soil powder and human hair cut waste are used as fillers, and some variations of epoxy resin mixtures are used. Morphological SEM analysis shows that clay and human haircut waste can be distributed evenly on epoxy resin composites. Testing of water absorption and mechanical properties of the board based on SNI 01-449-2006 standards include the test of dry bending strength (MoR) and the mode of flexural elasticity (MoE) obtained the optimum composition (50: 50: 1: 1) g against the epoxy resin mixture, waste human haircut, and clay soil obtained the water absorption test results of 1.64% with a value of MoE 36789.03 kgf /cm2 and a value of MoR 664,41 kgf/cm2. Test results of mechanical properties and water absorption have fulfilled the SNI 01-449-2006 quality standards for composite boards.

Feeding Concentrate and Market Waste on the Performance of Collared Crickets (Gryllus bimaculatus)

In Indonesia, crickets (Gryllus sp.) are used as feed for pet animals, especially insectivorous animals, one of which is the kalung/collared cricket. Collared crickets have a short life cycle, high egg hatchability, fast growth, low feed conversion, and have softer body skin that is preferred by birds and other insectivorous animals. Feed is very important in intensive cricket rearing, especially in hatching crickets. The feed given to crickets is generally in the form of concentrates and leaves. This study aims to determine the effect of giving concentrates and market waste (kale, cabbage, cassava leaves) on the performance of collared crickets (Gryllus bimaculatus). This research was conducted at the Livestock Biology Laboratory, Department of Animal Science, Faculty of Agriculture, Universitas Sumatera Utara, from March to April 2020. This research was conducted experimentally using a completely randomised design (CRD) consisting of 4 treatments and 5 replications. The treatments consisted of P0 = 100% market waste, P1 = 75% market waste + 25% concentrate, P2 = 50% market waste + 50% concentrate, P3 = 25% market waste + 75% concentrate. The results of this study showed that the provision of concentrate and market waste (kale, cabbage, and cassava leaves) had no significant effect on the performance of collared crickets. The average mortality in this study was 6.4%, the feed consumption value was 8.74 g/head/day, the average body weight gain was 0.43 g/head/day, and the average feed conversion was 20.71 g/head. In conclusion as there is no difference between each treatment on cricket performance, the 100% market waste treatment can be used for collared cricket feed.

Analysis Of Direct Medical Costs On Type 2 Diabetes Mellitus Outpatient With Cardiovascular Disease

T2DM is a chronic disease characterized by high blood glucose levels due to insulin resistance or insufficient insulin production. Aim of this study was to analyze the direct medical costs of outpatient T2DM management with cardiovascular disease complications. 58 T2DM patients at the Universitas Sumatera Utara Hospital, in Sumatera Utara, Indonesia were recruited in this study in April-May 2023. This study analyze based on payer prespective named as Badan Penyelenggara Jaminan Sosial (BPJS). This quantitative research was carried out by collecting data retrospectively. Result of this study show that phycian service IDR 8,715,000, drug acquisition cost IDR 13,081,242, laboratory examination IDR 2,531,000, medical execution IDR 410,000, and administration IDR 1,425,000. Conclusion of this study, that drug acquisition cost was the highest cost IDR 13,081,242.

Analysis Of Direct Medical Cost Of Insulin Treatment In Outpatient With Type 2 Diabetes Mellitus On Payer Perspective

Type 2 diabetes mellitus (T2DM) is a global health issue that affect around 643 million people in 2030. Estimated prevalence of T2DM in adults aged 20–79 years has more than tripled, from an estimated 151 million (4.6% of the global population at the time) to 537 million (10.5%) today. This study analyze direct medical costs of insulin treatment with in T2DM outpatients. This retrospective descriptive economic evaluation was conducted in April 2023 on the basis of payer (called as Badan Penyelenggara Jaminan Sosial abbreviated as BPJS) perspective, then only direct costs were included in this study. Component of direct medical cost of this research include drug acquisition costs, physician service, laboratory examination, medical execution and administration. 58 T2DM outpatients met inclusion criteria in Universitas Sumatera Utara was recruited by simple random sampling. Result of this study show that most of respondent were aged 56-65 years (58.89%). Cost/year/patient of drug acquisition costs was Rp.4,7228,970.14; physician service was Rp.1,865,172.41; laboratory examination was Rp.443,379.31; and medical execution was Rp.31,030.48 and administration was Rp.300,000.00, respectively. Drug acquisition costs was the largest cost in treating T2DM patients with insulin treatment.