Total Sample Research Articles

PENGARUH BEBAN KERJA DAN KELELAHAN PERAWAT TERHADAP PERAWATAN INFUS DI RUANG PERAWATAN KELAS IIIRSUD SUKOHARJO

Nurses have a big role in infusion installment and care according to the Standard Operating Procedure. Infection or other problems that may emerge during infusion installment can be minimized or avoided as long as the operating standard is met. Quantity work load, qualitative workload, physical workload, psychological workload, social workload and nurses’ fatigue are the major causes of infection due to working errors. This research aims at finding out the effect of nurses’ workload and fatigue on infusion care. This is a quantitative research using cross-sectional approach. The population consists of all nurses working in the third class of RSUD Sukoharjo. Using total sampling, the sampling consists of 28 nurses. Nurses’ workload that influenced infusion care comprises qualitative workload (p 0,000; B -1,847), nurse workload that did not influence infusion care comprised quantitative workload (p 0,109; B -0,243), physical workload (p 0,124; B -0,612), psychological workload (p 0,109; B -0,294), and social workload (p 0,875; B -0,053). There is no effect of nurse fatigue on infusion care (p 0,209; B -0,135). Quantitative workload did not influence nurse fatigue (p 0,196; B -0,367), qualitative workload did not influence nurse fatigue (p 0,053; B -1,331), physical workload did not influence nurse fatigue (p 0,171; B -1,061), and psychological workload did not influence nurse fatigue (p 0,980; B 0,021). The hardest nurse workload that had influenced infusion care in the third class of RSUD Sukoharjo is a qualitative workload. The more a qualitative workload that nurse felt, the worse infusion care they will treat. The workload has no effect on nurse fatigue.

Factors Associated with Nursing Professionalism: Insights from Tertiary Care Center in India

BackgroundProfessionalism among nurses plays a critical role in ensuring patient safety and quality care and involves delivering competent, safe, and ethical care while also working with clients, families, communities, and healthcare teams.Aims and objectivesTo assess the level of nursing professionalism and the factors affecting professionalism among nurses working at a tertiary care center in India.MethodsA descriptive cross-sectional study was conducted from October 2022 to March 2023 using a total enumeration sampling technique. Following institutional ethics committee approval, standardized tools were administered consisting of Nursing Professionalism Scale and socio-demographic, personal, and organizational characteristics.ResultsA total of 270 nurses participated, with a response rate of 93.7%. The mean age of the participants was 27.33 ± 2.75 years, with the majority being female (82.6%) and belonged to the age group of 23–27 years (59.6%). More than half of the nurses exhibited high professionalism (53%), with the highest and lowest median scores for professional responsibility (29.0) and valuing human beings (13.0) respectively. Multivariate regression analysis demonstrated that, compared with their counterparts, nurses with a graduate nursing qualification (AOR = 4.77, 95% CI = 1.16–19.68), up-to-date training (AOR = 4.13, 95% CI = 1.88–9.06), and adequate career opportunity (AOR = 33.91, 95% CI = 14.48–79.39) had significant associations with high nursing professionalism.Conclusion/Implications for practiceThe majority of the nurses had high professionalism, particularly in the domains of professional responsibility and management. Hospitals and healthcare institutions can use these findings to develop policies and prioritize opportunities for nurses to attend conferences and workshops to enhance their professional values, ultimately leading to improved patient care outcomes.Patient and public contributionNo patient or public contribution.

Individual Learning Plan (ILP) Effectiveness: EFL Islamic Students’ Writing Skill Enhancement

This study investigates the efficacy of implementing Individual Learning Plan (ILP) to enhance the writing skills of eleventh-grade students at , (Madrasah Aliyah Swasta) Guppi Mamuju, an Islamic private senior high school in West Sulawesi, Indonesia. Conducted through a pre-experimental approach, the research population comprised eleventh-grade students from MAS Guppi Mamuju, totaling one class. Utilizing total sampling, one experimental class of eight students was selected. The study employed a writing test as the primary research instrument, assessing various aspects including content, organization, vocabulary, language use, and mechanics using Jacobs' scoring scale. Data analysis was conducted using Microsoft Excel's Automatic Data Analysis tool. The results indicated a notable improvement in students' writing ability following the implementation of ILP, as evidenced by the significant increase in mean scores from the pre-test (57.00) to the post-test (70.63), with a range of 13.37 points. Statistical analysis using the t-test supported the rejection of the Null Hypothesis (H0) and acceptance of the Alternative Hypothesis (H1). In conclusion, the integration of ILP effectively enhanced the writing skills of eleventh-grade students at MAS Guppi Mamuju.

PENGARUH GAYA KEPEMIMPINAN DAN KEPUASAN KERJA TERHADAP KINERJA PERAWAT DI RUANG RAWAT INAP A RSUP DR. SOERADJI TIRTONEGORO KLATEN

Inpatient services of RSUP Dr. Soeradji Tirtonegoro Klaten is a complex set of services and giving major contribution in determining the quality of service. Nurses play an important role as the spearhead of the longest and energy dealing with patients. Nurses activities reflect the image of the hospital, nurses' performance is inseparable from leadership and job satisfaction. The purpose of research is knowing the influence the effect of leadership style and job satisfaction toward performance. The type of research is quantitative research with a cross sectional design. Independent variable leadership style and job satisfaction, the dependent variable is the performance of nurses. The registered nurse population as a civil servant ( PNS ), amounting to 75 people, collecting sampling techniques total sampling. Analysis techniques of Multiple linear regression. The results is Significance value of leadership style of 0.022 (Sig.< 0,05) and job satisfaction 0.132 (Sig.> 0,05). Test results of F 15.779 with significance level of 0.000. Adjusted R2 coefficient of 28.5 %. The conclusion is 1) leadership style effect a significant toward the nurses performance, 2) job satisfaction variable does not affect the nurses performance, and 3) Leadership Style And Job Satisfaction simultaneously influence toward the nurse performance of inpatient ard A RSUP Dr. Soeradji Tirtonegoro Klaten.

Evaluation of Stability and Accuracy Compared to the Westergren Method of ESR Samples Analyzed at VES-MATIC 5.

The Erythrocyte Sedimentation Rate (ESR) is a diagnostic estimator of systemic inflammation as a reflection of acute phase proteins circulating in the blood. The purpose of this manuscript is to evaluate the blood stability at room temperature (RT) and at 4 °C to avoid ESR diagnostic errors, as well as the accuracy of the VES-MATIC 5 analyzer. The ESR stability evaluation at RT for 24 h (4 h "T1", 6 h "T2", 8 h "T3", 10 h "T4", 24 h "T5") and at 4 °C (24 h, 36 h, 48 h) was carried out using 635 total samples, starting with T0 (2 h of venipuncture). For method comparison, 164 patients were analyzed using VES-MATIC 5 and then the Westergren reference method. The sample at RT is established by a significant gradual decrease in correlation R = 0.99 (T0 vs. T1), R = 0.97 (T0 vs. T2), R = 0.92 (T0 vs. T3), R = 0.87 (T0 vs. T4), and R = 0.40 (T0 vs. T5). The stability at 4 °C after 24 h, 36 h, and 48 h showed a regression of R = 0.99, R = 0.97, and R = 0.95, respectively. Therefore, ESR measurements on RT samples beyond 6 h after collection cannot be carried out, but the ESR can be measured until 36 h for samples stored at 4 °C. Moreover, the VES-MATIC 5 accuracy performance compared to the Westergren method (R = 0.96) is confirmed.

Does the intensity of pain and disability affect health-related quality of life of older adults with back pain? Multilevel analysis between Brazil and Netherlands: a cross-sectional study of the BACE consortium

BackgroundThe prognosis of back pain (BP) in the older adults is less favorable than in younger adults and progress to adverse outcomes and consequent worsening of health-related quality of life (HRQoL). The present study aimed to verify the association between BP intensity, disability and HRQoL in older adults residents in Brazil and Netherlands, and to evaluate whether the country of residence influences the associations.MethodsData were collected from 602 Brazilian and 675 Dutch participants with a new episode of BP from the Back Complaints in Elders (BACE) consortium. For the present study, a cross section was used. Pain intensity and disability were assessed using the Numerical Rating Scale (NRS) and the Roland-Morris Disability Questionnaire (RMDQ), respectively. HRQoL was assessed using the Short Form Health Survey (SF-36) quality of life questionnaire. Age, sex, and education were descriptive variables. Pain intensity (NPS score) and country were the independent variables and quality of life assessed by each SF domain − 36 was the dependent variable. Analysis of models at the individual level was performed to verify the association between pain and disability, also HRQoL in Netherlands and Brazil in the total sample. The multilevel model was used to verify whether the older adults person’s country of residence influenced this relationship.ResultsThe average age of the participants was 67.00 (7.33) years. In the total sample, linear regression analysis adjusted for sex and age showed a significant association between BP intensity scores and HRQoL, for all domains. There was no association between disability and HRQoL. In the multilevel analysis, there was an association between BP intensity and HRQoL in all domains and an association between the country of residence and HRQoL, influencing the effect of pain, in all domains, except for the physical functioning.ConclusionSocioeconomic and cultural aspects of different countries can affect the perception of the elderly about their HRQoL in the presence of BP. Pain and disability in Brazilian and Dutch older adults ones are experienced differently in relation to their HRQoL.

Unveiling quality, clinical, and financial Impacts of Pulmonary Tuberculosis Clinical Pathway Implementation in Magelang Public Hospital, Indonesia

Tuberculosis (TB) is a popular endemic disease in Indonesia with increased risk outcomes. The clinical pathway (CP) is crucial to enhancing healthcare services and resource efficiency despite discrepancies in service variability reduction, clinical outcomes improvement, and cost saving. Therefore, this study aimed to assess pulmonary TB CP and evaluate its impacts on clinical and financial results, as well as barriers to implementation at Tidar Hospital in Magelang, Indonesia. A sequential explanatory mixed-method design was used from July 2022 to January 2023. The study began with a retrospective analysis of medical records of TB patients (total sampling, n=92). In-depth interviews (IDIs) were conducted with healthcare workers including the quality and medical committee, case manager, CP team, inpatient and non-inpatient nursing sub-coordinators, and pulmonary specialists. In addition, eight multidiscipline healthcare professionals attended the focus group discussions (FGDs). The audio recordings were transcripted verbatim and subjected to thematic analysis. The results showed that the quality and content of CP based on TB evaluation using the Integrated Clinical Pathway Assessment Tool (ICPAT) was 62.6%. Four themes were obtained: 1) CP implementation techniques, 2) supportive factors in the success of CP, 3) organization support in CP implementation, and 4) TB patient outcomes. Furthermore, procedure compliance after CP implementation was 33%. There were no significant differences in the length of stay (p=0.77), diagnosis investigation and therapy appropriateness (100%), mortality (4 vs 3 patients; p=0.589), and cost efficiency with an average cost of care (Rp 6.994.508,- vs Rp 5.521.091,-; p=0.083) before and after CP implementation. Readmission rates were low before and after deployment (1 vs. 2 patients). This study found no significant clinical or financial benefits in TB CP implementation. These results imply the need for hospital leadership and a multidisciplinary team to overcome CP implementation hurdles.

The Use of Bingo Game in Teaching Vocabulary to The Seventh Grade Students

This research aimed to discover the use of the Bingo game on the students’ vocabulary of MTs Al-Jihad Pontianak. This research took a preexperimental study. The sample of this research was 22 grade 7a students with total cluster sampling method. The data on this study were gathered through a written test in the form of multiple choice consist of 20 items for both pretest and posttest. As a procedure, the researcher divided the students into four groups, then gave the students picture bingo. The researcher mentioned the name of the word of the pictures twice, the groups of students have to write the name of vocabulary that the researcher said. The group who has finished write vocabulary in every picture should shouts “Bingo”. The result of t-test was 22.20, higher than t-critical (22.20 > 2.051). It revealed that the null hypothesis (H0) was rejected and the alternative hypothesis (Ha) was accepted. Finding also showed that the score of the effect size of the treatment was 1,77, categorized as “strong” effect. It can be concluded that Bingo game has a strong significant effect on vocabulary achievement of grade 7 students of MTs Al Jihad Pontianak. Keywords: Bingo game, Pre-Experimental Research, Vocabulary

Bioinformatics analysis of the microRNA genes associated with type 2 cardiorenal syndrome

BackgroundMicroRNAs (miRNAs) are important regulatory factors in the normal developmental stages of the heart and kidney. However, it is currently unclear how miRNA is expressed in type 2 cardiorenal syndrome (CRS). This study aimed to detect the differential expression of miRNAs and to clarify the main enrichment pathways of differentially expressed miRNA target genes in type 2 CRS.MethodsFive cases of healthy control (Group 1), eight of chronic heart failure (CHF, Group 2) and seven of type 2 CRS (Group 3) were enrolled, respectively. Total RNA was extracted from the peripheral blood of each group. To predict the miRNA target genes and biological signalling pathways closely related to type 2 CRS, the Agilent miRNA microarray platform was used for miRNA profiling and bioinformatics analysis of the isolated total RNA samples.ResultsAfter the microarray analysis was done to screen for differentially expressed circulating miRNAs among the three different groups of samples, the target genes and bioinformatic pathways of the differential miRNAs were predicted. A total of 38 differential miRNAs (15 up- and 23 down-regulated) were found in Group 3 compared with Group 1, and a total of 42 differential miRNAs (11 up- and 31 down-regulated) were found in Group 3 compared to Group 2. According to the Gene Ontology (GO) function and Kyoto Encyclopaedia of Genes and Genomes (KEGG) pathway analysis, the top 10 lists of molecular functions, cellular composition and biological processes, and the top 30 signalling pathways of predicted gene targets of the differentially expressed miRNAs were discriminated among the three groups.ConclusionBetween the patients with CHF and type 2 CRS, miRNAs were differentially expressed. Prediction of target genes of differentially expressed miRNAs and the use of GO function and KEGG pathway analysis may reveal the molecular mechanisms of CRS. Circulating miRNAs may contribute to the diagnosis of CRS, and further and larger studies are needed to enhance the robustness of our findings.

Aggressive Behaviour Based on the Types of Agni Bala Among Young Adults

Agni is one of the main concepts that are dealt in Ayurveda. Agni is responsible for the digestion and metabolism of the ingested food. The types of Agni included are Visama agni, Tikshna agni, Manda agni and Sama agni. Aggression is often a harmful social interaction with the intention of inflicting damage or harm to others or on self. The independent variable and dependent variable is Agni bala and aggressive behaviour respectively. This study is attempted to study the difference on aggressive behaviour based on the Agni type among young adults. The hypothesis proposed was a null hypothesis which implied that there is no significance of Agni bala on aggressive behaviour among young adults. Data was collected using Agni bala assessment tool and Buss-Perry aggressive questionnaire. It is a quantitative study which has employed comparative research design. Comparative research design is used since there is a comparison among the Agni bala types (Visama agni, Tikshna agni, Manda agni and Sama agni). Random sampling was done and the total sample size is 180 young adults between the age group 18-30 years. ANOVA was the statistical test used for the study. The ANOVA test showed that there is no difference on the aggressive behaviour based on the Agni type since the significance level is 0.007. The results were calculated using Statistical Package for Social Sciences (SPSS). The hypothesis was accepted which indicate that the there is no significant difference on aggressive behaviour based on the type of Agni bala among young adults. The study concluded that there is no difference on aggressive behaviour based on the type of Agni bala among young adults.

How Much More Efficient Are Adaptive Platform Trials Than Multiple Stand-Alone Trials? A Comprehensive Simulation Study for Streamlining Drug Development During a Pandemic.

With the coronavirus disease 2019 (COVID-19) pandemic, there is growing interest in utilizing adaptive platform clinical trials (APTs), in which multiple drugs are compared with a single common control group, such as a placebo or standard-of-care group. APTs evaluate several drugs for one disease and accept additions or exclusions of drugs as the trials progress; however, little is known about the efficiency of APTs over multiple stand-alone trials. In this study, we simulated the total development period, total sample size, and statistical operating characteristics of APTs and multiple stand-alone trials in drug development settings for hospitalized patients with COVID-19. Simulation studies using selected scenarios reconfirmed several findings regarding the efficiency of APTs. The APTs without staggered addition of drugs showed a shorter total development period than stand-alone trials, but the difference rapidly diminished if patient's enrollment was accelerated during the trials owing to the spread of infection. APTs with staggered addition of drugs still have the possibility of reducing the total development period compared with multiple stand-alone trials in some cases. Our study demonstrated that APTs could improve efficiency relative to multiple stand-alone trials regarding the total development period and total sample size without undermining statistical validity; however, this improvement varies depending on the speed of patient enrollment, sample size, presence/absence of family-wise error rate adjustment, allocation ratio between drug and placebo groups, and interval of staggered addition of drugs. Given the complexity of planning and implementing APT, the decision to implement APT during a pandemic must be made carefully.

To Study the Prevalence of Urinary Tract Infection Its Bacteriological Profiling and the Drug Resistance Pattern of the Patients at a Tertiary Care Centre in Muzaffarpur, Bihar, India

Introduction: Urinary tract infections account for the majority of hospital visits worldwide and are a leading cause of morbidity and comorbidity in patients with underlying illnesses. Urinary tract infections (UTIs) and the spread of antibiotic resistance among uropathogenic bacteria remained major public health concerns. A targeted empirical antibiotic therapy necessitates routine evaluation of the microbiological organisms causing UTIs and their antimicrobial resistance. Aim and objective: To Study the Prevalence of Urinary Tract Infection its Bacteriological Profiling and the Drug Resistance Pattern of the patients at a Tertiary Care Centre Material and Methods: This was a Cross sectional study carried out in the Department of Microbiology, at New reliable path lab and Path Diagnostic Laboratory, Muzaffarpur, Bihar for a period of 24 months i.e, between April 2021 to April 2023. A total of 1000 urine freshly voided mid- stream urine sample were collected in a sterile wide mouth container from the individuals preliminary routine urine tests positive for pus cells and albumin. All the urine samples were processed within one hour after the collection for aerobic bacterial culture. If delayed, samples were refrigerated and processed within 4 - 6 hrs. The identification , biochemicals and the AST pattern was done according to the CLSI guidelines 2021. Results: In the present study total of 1000 urine samples were received in which 450 (45%%) urine samples were showing significant growth for UTI. The ratio of females were 284 (63.1%) more as compared to that of the males 166 (36.8%) with the maximum age of 31-40 (44.8%) years of age followed by 21-30 (26.2%) was affected the most. In the age group of 0-10 years and above 71 years was the least affected with the infection. It was observed that the maximum number of isolates were from the E.coli 180 (40%) followed by Klebsiella pneumonia 120 (26.6%), Pseudomonas aeruginosa 55 (12.2%), Acinetobacter baumanii 26 (5.6%) , and Staphylococcus aureus 30 (6.6%) for gram positive followed by Proteus 23 (5.1%) least for Enterococcus with 3.5%. The days of catheterization were observed to be the maximum in 4-7 followed by 8-12 days. It was clear that out of the total samples the comorbidity with diabetes was found to be low (16.4%). It was also observed that patients with hypertension and the kidney disease were observed to be low as compared to the healthy individuals. The maximum number of days with fever was observed to be maximum in 4-7 days, least for 1-3 days and 8-12 days In the present study the resistant rate for Ampicillin was observed to be 88.8% followed by Co-trimoxazole and cefotaxime with 89.1%. Imipenem and Nitrofurantoin were sensitive with (89.5%). Conclusion: The cost of UTI prevention can be reduced by doing the routine checks and the strict implementation of the antibiotic stewardship programs. The cost of UTI prevention can be reduced by doing these routine checks.

Impact of Traditional and New Media on Smoking Intentions and Behaviors: Secondary Analysis of Tasmania's Tobacco Control Mass Media Campaign Program, 2019-2021.

Tasmania, the smallest state by population in Australia, has a comprehensive tobacco control mass media campaign program that includes traditional (eg, television) and "new" channels (eg, social media), run by Quit Tasmania. The campaign targets adult smokers, in particular men aged 18-44 years, and people from low socioeconomic areas. This study assesses the impact of the 2019-2021 campaign program on smokers' awareness of the campaign program, use of Quitline, and smoking-related intentions and behaviors. We used a tracking survey (conducted 8 times per year, immediately following a burst of campaign activity) to assess campaign recall and recognition, intentions to quit, and behavioral actions taken in response to the campaigns. The sample size was approximately 125 participants at each survey wave, giving a total sample size of 2000 participants over the 2 years. We merged these data with metrics including television target audience rating points, digital and Facebook (Meta) analytics, and Quitline activity data, and conducted regression and time-series modeling. Over the evaluation period, unprompted recall of any Quit Tasmania campaign was 18%, while prompted recognition of the most recent campaign was 50%. Over half (52%) of those who recognized a Quit Tasmania campaign reported that they had performed or considered a quitting-related behavioral action in response to the campaign. In the regression analyses, we found having different creatives within a single campaign burst was associated with higher campaign recall and recognition and an increase in the strength of behavioral actions taken. Higher target audience rating points were associated with higher campaign recall (but not recognition) and an increase in quit intentions, but not an increase in behavioral actions taken. Higher Facebook advertisement reach was associated with lower recall among survey participants, but recognition was higher when digital channels were used. The time-series analyses showed no systematic trends in Quitline activity over the evaluation period, but Quitline activity was higher when Facebook reach and advertisement spending were higher. Our evaluation suggests that a variety of creatives should be used simultaneously and supports the continued use of traditional broadcast channels, including television. However, the impact of television on awareness and behavior may be weakening. Future campaign evaluations should closely monitor the effectiveness of television as a result. We are also one of the first studies to explicitly examine the impact of digital and social media, finding some evidence that they influence quitting-related outcomes. While this evidence is promising for campaign implementation, future evaluations should consider adopting rigorous methods to further investigate this relationship.

Prevalence and Factors Associated with Teenage Pregnancy at Paynesville, Monrovia, Liberia: Facility Based Cross Section Study

Introduction: In Liberia, teenage pregnancy is a serious public health issue that causes social and economic hardship. Adolescent birth rates are among the highest in sub-Saharan Africa, according to statistics. There are significant differences in the prevalence of teenage pregnancy between and within nations. Most teenage pregnancies occur in places with poorer incomes and lower levels of education. The purpose of this research is to determine the prevalence of teenage pregnancy in Liberia and to investigate the risk factors related to it, particularly in the Paynesville city community of Duport Road cow field block "B.".
 Methods: The research that was done using the Duport Road Clinic as a resource center provided the data for this study. Fifty girls between the ages of 15 and 19 who visited the hospital and lived in the community throughout the study period were recruited as participants. Total population sampling was used to interview all 50 of the females. A population-based cross-sectional survey is used in this quantitative study to gather data, and IBM 20.0 SPSS was used for analysis.
 Results: According to the report, 50.2% of adolescent girls between the ages of 15 and 19 had started having children at the time of the survey. Teenage pregnancy in the community was significantly correlated with age (OR = 6.9; 95% CI: 4.647, 10.366, p – value 0.001), teenagers living with their parents (OR = 1.057; p > 0.001), non-use of contraception (OR = 2.53; 95% CI: 1.739, 3.683), and teenage girls who were aware of contraceptive methods (OR = 2.86, 95% CI = 0.443, 18.463).
 Conclusion: In conclusion, a number of factors, including early sexual initiation, cohabitation, lack of education, and contraceptive non-use, contribute to the high rate of teenage pregnancy in Liberia. Interventions including encouraging the use of contraception, discouraging early sexual beginning, and setting up family planning clinics are advised in order to lessen its prevalence.

A systematic review of COVID-19 and the presentation of avoidant/restrictive food intake disorder and avoidant/restrictive food intake disorder-like symptoms.

The adverse effects of COVID-19 and the associated restrictions on eating disorder populations have been discussed in recent literature. However, little is known about the presentation of cases with avoidant/restrictive food intake disorder (ARFID) during this period. To explore the extent of the literature on the presentation of ARFID, and ARFID-like cases, during the COVID-19 pandemic. Cochrane Library, CINAHL (EBSCO), PsycINFO (EBSCO), EMBASE (Ovid) and Medline (Ovid) were searched for publications between March 2020 and May 2023. Google Scholar and reference lists were hand searched. At least two reviewers independently screened each paper. Narrative synthesis was used. Seven papers were included: four case reports and three cohort studies (total ARFID sample of 46). Included papers were assessed as having high (n = 3) or moderate (n = 4) quality. Findings did not suggest an increase in ARFID cases during the COVID-19 pandemic, although it is unclear if this is because of a lack of impact or underrecognition of ARFID. A need for a multidisciplinary approach to differentiate between ARFID and organic causes of ARFID-like presentations (e.g. gastrointestinal effects of COVID-19) was highlighted. Publications specifically pertaining to ARFID presentations during the COVID-19 pandemic have been few. Papers found have been of small sample sizes and lack subanalyses for ARFID within broader eating disorder samples. Continued surveillance is needed to evaluate any COVID-19-specific effects on the development, identification, treatment and outcomes of ARFID.

Factors Associated with the Incident of Diarrhea among Children

Diarrhea is still a global problem with high levels of morbidity and mortality in various countries, especially in developing countries, and is one of the main causes of high rates of child morbidity and mortality in the world. The number of diarrhea sufferers found in Indonesia is estimated to be around 60 million cases every year. The number of diarrhea incidents in Dr. M. Yunus in Bengkulu Province in 2017 there were still 193 toddlers (13.3%). To determine the factors associated with the incidence of diarrhea in toddlers at RSUD Dr. M. Yunus Hospital Bengkulu Province in 2017. This research is an analytical survey with a cross sectional design. The sampling technique was carried out using a total sampling of 150 toddlers. The research instrument consisted of a questionnaire about socio-economic status and rotavirus immunization. Meanwhile, the questionnaire contains knowledge about the incidence of diarrhea. This questionnaire has been tested for validity and reliability with a Cronbach's alpha coefficient value of 0.752. Data were analyzed using univariate and bivariate analysis. From 150 samples, it was found that the largest group of respondents did not suffer from diarrhea, 113 respondents (75.3%), with 111 respondents (98.2%) having good knowledge, 81 respondents (98.8%) who had good socio-economic status. good nutritional status of 84 respondents (96.6%) and rotavirus immunization of 112 respondents (97.4%). The results of analysis using the chi-square test showed that there was a significant relationship between maternal knowledge (P= 0.000), socio-economic status (P= 0.000), nutritional status (P= 0.000), and rotavirus immunization (P= 0.000) with the incidence of diarrhea. in toddlers at RSUD Dr. M. Yunus Hospital Bengkulu Province 2017. There is a relationship between the incidence of diarrhea in toddlers at Dr. M. Yunus Hospital Bengkulu Province with maternal knowledge, socio-economic status, nutritional status, and rotavirus immunization. It is hoped that health workers can provide more education in the community to increase mothers' knowledge about diarrhea so that it can help prevent diarrhea incidents.

Implementation Of Green Practices At Ko Ko Mo Resort Gili Trawangan In Increasing Income

Green practices are very important for restaurants to do to reduce the impact of damage to the environment, but it is very unfortunate that Kokomo Resort has not fully implemented green practices for the benefit of environmental sustainability. There are also pros and cons regarding the importance of implementing green practices at Kokomo Resort which can be seen from the results of preliminary interviews conducted by the author. The location of this research was conducted at Kokomo Resort, located in Gili Indah Village, Gili Trawangan, Lombok. This research was conducted for 6 months, from January 2023 to June 2023. The object of this research is the implementation of green action and green food in increasing income at Kokomo Resort. The population in this study were Kokomo Resort managers and their staff, totaling 5 people. The sampling technique in this study used a total sampling technique, meaning that all members of the population are samples. The implementation of green practices at Kokomo Resort as a whole is quite good, with an average percentage of green action variables of 80%, green food of 82%, and green donation of 83%, all of which fall into the good category.

The impact of low-carbon consumption options on carbon footprints in the Nordic region

Changes in personal consumption play an important role in the reduction of greenhouse gases (GHGs) to stay within the 1.5-degree warming carbon footprint budget. Affluent countries have high carbon footprints from a consumptive perspective and therefore have a high potential to reduce emissions from personal consumption. To study this potential, we look at the consumption-based carbon footprints of respondents from a carbon footprint calculator survey from the Nordic countries to compare the carbon footprints of those who participated in selected low-carbon consumption options to those that did not. The total sample size of the survey is 8,000 households. We analysed seven low-carbon consumption options within the domains of diet, transportation and housing energy. An input-output based hybrid assessment model was used to calculate the consumption-based carbon footprints. In addition to analysing these options separately, we also analysed them in combination. The lowest carbon footprints were associated with those respondents who did not own a car or had a vegan or vegetarian diet, and the largest difference in emissions was associated with not flying and not owning a car. Rebound effects for the consumption options were largely limited and were mostly not significant. Participation rates in the low-carbon consumption options were generally low. These results underscore the need for higher rates of adopting multiple low-carbon consumption options and can inform policy on which consumption options could be the most impactful.

Effect of a group logotherapeutic program for older adults on mental health indicators

AbstractThe study aimed to evaluate a logotherapeutic program for its potential to improve mental well‐being in the elderly. Group logotherapy programs comprising eight sessions were provided to 44 older adults. Participants completed baseline, postintervention, and follow‐up questionnaires assessing mental well‐being, self‐esteem, life satisfaction, meaning in life, and psychological distress. The logotherapeutic program did not affect outcome measures when analyzed for the total sample. Separate analyses by participants scoring below or above the respective thresholds at baseline revealed increased well‐being and self‐esteem and decreased symptoms of depression, anxiety, obsessive–compulsive disorders, and somatoform symptoms, but only in individuals who were already experiencing poor well‐being, poor self‐esteem, or some level of psychological distress before the intervention. Results suggest that the logotherapy‐based group program can be particularly effective for older adults who are already experiencing psychological distress or have lower self‐esteem.

EVALUATION OF ANTIBIOTIC USE USING THE ATC/DD AND DU 90% METHODS IN OUTPATIENT PATIENTS IN PUSKESMAS RI TENAYAN RAYA

Infectious diseases are one of the health problem that threaten developing countries, including Indonesia. Riau as one of the provinces with its coastal coverage is not spared from this problem. Inaccurate use of antibiotics is found in the wider community, which can be a cause of negative risks such as antibiotic resistance. Antibiotics are drugs that are used to treat diseases caused by microbes. The improper use of antibiotics can lead to a risk of resistance. Resistance can be avoided using antibiotics. This study aimed to classify antibiotic use using ATC codes and determine the quantity of antibiotic use in outpatients by calculating the DDD. This research method was observational, with a descriptive design and retrospective data collection using secondary data by searching medical records. The sample in this study consisted of outpatients at the Tenayan Raya Inpatient Health Center Outpatient Installation between January and December 2022 who received antibiotic therapy with an ATC code and DDD value in accordance with the provisions of the WHO Collaborating Center, using a total sampling technique.The results of the study showed that based on the ATC/DDD and DU 90% methods, there were 3 antibiotics with the highest quantity of use, namely amoxicillin at 165,92 DDD/1000 KPRJ with a percentage of 67,02%, ciprofloxacin at 41,07 DDD/1000 KPRJ with a percentage of 16,59 %, and cefixime as much as 14,69 DDD/1000 KPRJ with a percentage of 5,93%. Keywords: antibiotics, ATC/DD, DU 90%, resistance