Univariate Data Research Articles

Compliance With Safety and Self-Isolation Among Nursing Students Living in Dormitories During Pandemic

Compliance is an attitude or behaviour as an effort to carry out requests or orders from others. Self-isolation also applies to students living in Western Indonesian Private University dormitories. It is intended for people with symptoms of COVID-19, such as coughing, shortness of breath, fever, sore throat, runny nose, other respiratory diseases, and a history of contact with suspected patients. Research This study aims to identify a description of nursing students' compliance in independent isolation in a dormitory at a private university in Western Indonesia. This study uses a retrospective type of research that takes data from March to September 2021 using quantitative research methods and a descriptive approach with sampling using the Purposive Sampling technique. The population in this study were final-year students with a sample size of 88 respondents. The measuring instrument in this study is a questionnaire with 11 questions. This questionnaire was tested for validity and reliability by 30 respondents who were final-year students. Researchers used univariate data analysis to describe student compliance in self-isolation. The results show that the level of compliance of the respondents was 59.1%, and non-compliance was 40.9%. In conclusion, most of the students were obedient in carrying out self-isolation. However, implementing health protocols should be maintained as preventive action for COVID-19.

HUBUNGAN PEMAKAIAN KB SUNTIK 3 BULAN DENGAN PERUBAHAN SIKLUS MENSTRUASI DI BPM ANIK DESA SIDODADI

Injectable contraception is a type of hormonal birth control that contains estrogen and progesterone preparations which have several impacts that are most complained about by injecting birth control acceptors, namely changes in the menstrual cycle. The purpose of this study was to analyze the correlation between acceptors of 3-month family planning injections who experienced changes in the menstrual cycle at Anik independent midwife practice in Sidodadi. The research design was an analytic survey with a cross sectional approach. The population of this study were all women of childbearing age who used the 3-month injection at Anik independent midwife practice in Sidodadi totaling 50 people. The data used are primary and secondary data. The instrument used is a questionnaire. Univariate and bivariate data analysis techniques. Data were analyzed by conducting Chi-square test analysis. The results of the study from 50 respondents who experienced regular menstrual cycles were 13 people (26%), who experienced irregular menstrual cycles were 37 people (74%). The result of the chi-square test is p-value = 0.000. The conclusion in this study is that there is a relationship between the use of 3-month injections and the menstrual cycle at Anik independent midwife practice. It is recommended that midwives provide counseling and counseling to new acceptors regarding the side effects and risks that occur with the use of 3-month injectable birth control.

Compliance of Nurses in the Use of Personal Protective Equipment (PPE) During the COVID-19 Pandemic in a Private Hospital in Western Indonesia

Background: Corona Virus Disease (COVID-19) is a respiratory disease caused by SARS-CoV-2, which spreads through droplets, aerosols, and contact with the eyes, nose, or mouth with hands contaminated by the virus. One preventive measure is the use of personal protective equipment (PPE). Nurse compliance in using PPE can have positive impacts on nurses. The research objective is to assess the overview of nurse compliance in the use of PPE during the COVID-19 pandemic.
 Objectives: This research aims to determine nurse compliance with the use of Personal Protective Equipment (PPE) during the COVID-19 pandemic.
 Methods: The research method employs a quantitative approach with an analytical descriptive research design. A Purposive sampling technique was used to select 49 nurses as the research sample. The instrument used was a questionnaire, and univariate data analysis was conducted. The study was conducted from March 30 to April 13, 2022.
 Results: The findings of this research indicate that the level of nurse compliance in using PPE during the COVID-19 pandemic falls into the compliant category, with all 49 nurses (100%) exhibiting compliance.
 Conclusion: Nurses demonstrate compliance in using PPE during the COVID-19 pandemic.

Matrix variate receiver operating characteristic curve for binary classification

In recent years, the study of Receiver Operating Characteristic (ROC) curve analysis has gained significant attention as a means of accurately assessing test performance and determining optimal cutoff points. Traditionally, ROC models have been developed for bi-distributional univariate and multivariate data, such as Bi-normal, Bi-Exponential, Multivariate ROC models, and so forth. However, in current practical scenarios, the prevalence of high-dimensional matrix variate data poses a challenge for accurate test evaluation. To address this issue, this paper presents a novel ROC model that incorporates matrix variate normal distribution to effectively explain the accuracy of a test in the context of matrix data. Further, the accuracy measure, Area under the Curve (AUC) is derived, which helps in explaining the variability of the curve and provides the sensitivity at a particular value of specificity and vice versa. The proposed methodology is supported by a real data set and simulation studies.

Exploring the dynamics of monkeypox transmission with data-driven methods and a deterministic model.

Mpox (formerly monkeypox) is an infectious disease that spreads mostly through direct contact with infected animals or people's blood, bodily fluids, or cutaneous or mucosal lesions. In light of the global outbreak that occurred in 2022-2023, in this paper, we analyzed global Mpox univariate time series data and provided a comprehensive analysis of disease outbreaks across the world, including the USA with Brazil and three continents: North America, South America, and Europe. The novelty of this study is that it delved into the Mpox time series data by implementing the data-driven methods and a mathematical model concurrently-an aspect not typically addressed in the existing literature. The study is also important because implementing these models concurrently improved our predictions' reliability for infectious diseases. We proposed a traditional compartmental model and also implemented deep learning models (1D- convolutional neural network (CNN), long-short term memory (LSTM), bidirectional LSTM (BiLSTM), hybrid CNN-LSTM, and CNN-BiLSTM) as well as statistical time series models: autoregressive integrated moving average (ARIMA) and exponential smoothing on the Mpox data. We also employed the least squares method fitting to estimate the essential epidemiological parameters in the proposed deterministic model. The primary finding of the deterministic model is that vaccination rates can flatten the curve of infected dynamics and influence the basic reproduction number. Through the numerical simulations, we determined that increased vaccination among the susceptible human population is crucial to control disease transmission. Moreover, in case of an outbreak, our model showed the potential for epidemic control by adjusting the key epidemiological parameters, namely the baseline contact rate and the proportion of contacts within the human population. Next, we analyzed data-driven models that contribute to a comprehensive understanding of disease dynamics in different locations. Additionally, we trained models to provide short-term (eight-week) predictions across various geographical locations, and all eight models produced reliable results. This study utilized a comprehensive framework to investigate univariate time series data to understand the dynamics of Mpox transmission. The prediction showed that Mpox is in its die-out situation as of July 29, 2023. Moreover, the deterministic model showed the importance of the Mpox vaccination in mitigating the Mpox transmission and highlighted the significance of effectively adjusting key epidemiological parameters during outbreaks, particularly the contact rate in high-risk groups.

Prognostic impact of resection margin status on survival after neoadjuvant treatment for pancreatic cancer: systematic review and meta-analysis.

A greater than 1mm tumour-free resection margin (R0 >1mm) is a prognostic factor in upfront-resected pancreatic ductal adenocarcinoma. After neoadjuvant treatment (NAT); however, the prognostic impact of resection margin (R) status remains controversial. Randomised and non-randomised studies assessing the association of R status and survival in resected pancreatic ductal adenocarcinoma after NAT were sought by systematic searches of MEDLINE, Web of Science and CENTRAL. Hazard ratios (HR) and their corresponding 95% CI were collected to generate log HR using the inverse-variance method. Random-effects meta-analyses were performed and the results presented as weighted HR. Sensitivity and meta-regression analyses were conducted to account for different surgical procedures and varying length of follow-up, respectively. Twenty-two studies with a total of 4929 patients were included. Based on univariable data, R0 greater than 1 mm was significantly associated with prolonged overall survival (OS) (HR 1.76, 95% CI 1.57-1.97; P<0.00001) and disease-free survival (DFS) (HR 1.66, 95% CI 1.39-1.97; P<0.00001). Using adjusted data, R0 greater than 1 mm was significantly associated with prolonged OS (HR 1.65, 95% CI 1.39-1.97; P<0.00001) and DFS (HR 1.76, 95% CI 1.30-2.39; P=0.0003). Results for R1 direct were comparable in the entire cohort; however, no prognostic impact was detected in sensitivity analysis including only partial pancreatoduodenectomies. After NAT, a tumour-free margin greater than 1mm is independently associated with improved OS as well as DFS in patients undergoing surgical resection for pancreatic cancer.

The Relationship between Quality of Sleep with Hypertension Rate in among Elderly

Background: The quality of sleep is a crucial determinant of overall health and well-being, particularly among the elderly population. A person who has reached the age of 60 is considered to be elderly. One of Indonesia's indices of human development is the increase in life expectancy. Several factors, including irregular sleep, a lack of exercise, and stress, contribute to the recurrence of hypertension in the elderly with elevated blood pressure symptoms. Hypertension is an increase in blood pressure in the arteries. Hyper means excessive pressure or tension. Hypertension is a blood pressure or heart rate that is higher than normal because of narrowing arteries or other disorders. The aim of this study was to examine the relationship between sleep quality and the recurrence rate of hypertension in the elderly. Methods: The research design is correlational, using cross-sectional methods. The study randomly selected 83 participants from the population of all hypertension patients in the working area of the Jampangkulon Health Centre in the Sukabumi Regency. The univariate and bivariate data analyses employed the chi-square test. Results: The results showed that the P value of 0.000, which means &lt;0.05, indicates a relationship between sleep quality and the recurrence rate of hypertension in the elderly in the working area of the Jampangkulon Health Centre, Sukabumi Regency. Conclusion: The study results indicate that there is a relationship between sleep quality and the rate of recurrence of hypertension in the elderly. The present study will help elderly individuals who experience recurrences of hypertension to maintain and improve their healthcare to achieve optimal health.

Knowledge, attitude and practice toward diabetes among the public in the Kingdom of Saudi Arabia: a cross-sectional study.

The increasing adoption of sedentary lifestyles and cultural shifts has fostered unhealthy habits and decreased physical activity, consequently exacerbating the prevalence of diabetes. Diabetes is currently one of the top 10 diseases worldwide, contributing significantly to both mortality and morbidity. Since diabetes hinges on self-care, possessing the right knowledge, attitude, and habits related to the disease is paramount. This study, therefore, aims to examine the knowledge, attitude, and practice of diabetes among the population of Saudi Arabia. The study utilized data from a cross-sectional study conducted via an online self-reported questionnaire among the general population of Saudi Arabia. The study primarily used univariate and multivariable regression data analyses. Univariate analysis was employed to compile social and demographic statistics frequencies, while One-way analysis of variance (ANOVA) was used to assess mean differences in knowledge, attitudes, and practices scores. Furthermore, a multivariable linear regression analysis was executed to identify factors associated with knowledge, attitudes, and practices. The mean score for diabetes knowledge was 17.79 (SD = 5.39, range: 0-29), with an overall accuracy rate of 61.34%. The mean attitude score for diabetes was 2.33 (SD = 1.91, range: 0-7), while the mean score for diabetes practices was 2.58 (SD = 1.28, range: 0-4). The multivariate analyses reveal distinct variations in knowledge, attitudes, and practices of diabetes among participants based on their gender, education, marital status, income, diabetes patient status, and having a medical field-related education. High knowledge scores do not necessarily equate to positive attitudes and practices related to diabetes. There is need for intensified care and the implementation of specialized educational programs that emphasize the importance of having the right attitude and engaging in the good diabetes practices.

Reducing firearm access for youth at risk for suicide in a pediatric emergency department.

Firearm-related suicide is the second leading cause of pediatric firearm death. Lethal means counseling (LMC) can improve firearm safe-storage practices for families with youth at risk of suicide. This study aims to evaluate the feasibility of pediatric emergency department (ED) behavioral mental health (BMH) specialists providing LMC to caregivers of youth presenting with BMH complaints and to test for changes in firearm safety practices, pre-post ED LMC intervention, as measures of preliminary efficacy. Prospective pilot feasibility study of caregivers of youth presenting to a pediatric ED with BMH complaints. Caregivers completed an electronic survey regarding demographics and firearm safe-storage knowledge/practices followed by BMH specialist LMC. Firearm owners were offered a free lockbox and/or trigger lock. One-week follow-up surveys gathered self-reported data on firearm safety practices and intervention acceptability. One-month interviews with randomly sampled firearm owners collected additional firearm safety data. Primary outcomes were feasibility measures, including participant accrual/attrition and LMC intervention acceptability. Secondary outcomes included self-reported firearm safety practice changes. Feasibility benchmarks were manually tabulated, and Likert-scale acceptability responses were dichotomized to strongly agree/agree vs. neutral/disagree/strongly disagree. Descriptive statistics were used for univariate and paired data responses. In total, 81 caregivers were approached; of which, 50 (81%) caregivers enrolled. A total of 44% reported having a firearm at home, 80% completed follow-up at one week. More than 80% affirmed that ED firearm safety education was useful and that the ED is an appropriate place for firearm safety discussions. In total, 58% of participants reported not having prior firearm safety education/counseling. Among firearm owners (n = 22), 18% reported rarely/never previously using a safe-storage device, and 59% of firearm owners requested safe storage devices.At 1-week follow-up (n = 40), a greater proportion of caregivers self-reported asking about firearms before their child visited other homes (+28%). Among firearm owners that completed follow-up (n = 19), 100% reported storing all firearms locked at one week (+23% post-intervention). In total, 10 caregivers reported temporarily/permanently removing firearms from the home. It is feasible to provide LMC in the pediatric ED via BMH specialists to families of high-risk youth. Caregivers were receptive to LMC and reported finding this intervention useful, acceptable, and appropriate. Additionally, LMC and device distribution led to reported changes in safe storage practices.

Long Short-Term Memory (LSTM) Based Deep Learning Models for Predicting Univariate Time Series Data

Long Short-Term Memory (LSTM) Based Deep Learning Models for Predicting Univariate Time Series Data

Detecting Paleoclimate Transitions With Laplacian Eigenmaps of Recurrence Matrices (LERM)

AbstractPaleoclimate records can be considered low‐dimensional projections of the climate system that generated them. Understanding what these projections tell us about past climates, and changes in their dynamics, is a main goal of time series analysis on such records. Laplacian eigenmaps of recurrence matrices (LERM) is a novel technique using univariate paleoclimate time series data to indicate when notable shifts in dynamics have occurred. LERM leverages time delay embedding to construct a manifold that is mappable to the attractor of the climate system; this manifold can then be analyzed for significant dynamical transitions. Through numerical experiments with observed and synthetic data, LERM is applied to detect both gradual and abrupt regime transitions. Our paragon for gradual transitions is the Mid‐Pleistocene Transition (MPT). We show that LERM can robustly detect gradual MPT‐like transitions for sufficiently high signal‐to‐noise (S/N) ratios, though with a time lag related to the embedding process. Our paragon of abrupt transitions is the “8.2 ka” event; we find that LERM is generally robust at detecting 8.2 ka‐like transitions for sufficiently high S/N ratios, though edge effects become more influential. We conclude that LERM can usefully detect dynamical transitions in paleogeoscientific time series, with the caveat that false positive rates are high when dynamical transitions are not present, suggesting the importance of using multiple records to confirm the robustness of transitions. We share an open‐source Python package to facilitate the use of LERM in paleoclimatology and paleoceanography.

Utilization of Health Services by Stunting Families in Tasikmalaya

Stunting is a national issue that attracts a lot of attention. Several factors are the cause of stunting in Indonesia, namely: bad parenting, including deficit knowledge about health and nutrition before and during pregnancy and after the mother gives birth; limited health services, including ANC-Ante Natal Care services (health services for mothers during pregnancy); Post Natal Care and quality early learning: deficit nutrition; and difficulty accessing clean water and sanitation.Aim: The research aims to describe the utilization of health services by families with stunting and the factors that influence it. Methods:This research design is quantitative with descriptive methods. The population was families with stunting in the Sukamulya Village area, namely 18 people. The sampling technique is total sampling. Data collection is done directly using the univariate data analysis technique. Results:The results showed that 44.4% of families with stunting did not use health services for treatment, and 22.2% of families with stunted toddlers rarely used posyandu services. Predisposing characteristic factors that influence visits to health services in this study are age &gt; 35 years and junior high school graduates. Conclusion:In this study, the characteristic factor that influences the ability to visit health services is that the majority of family income is &lt;UMR (unit market reference), and 38.9% do not have health insurance. The factor that influenced visits to health services in this study showed that 61.2% of families with stunting had a negative perception of stunting, such as the perception that stunting was not a serious problem that did not require immediate action.

The value of chromosome instability detected by low-pass whole-genome sequencing in preoperative prediction of sentinel lymph node metastasis in breast cancer.

Breast cancer is a malignancy characterized by chromosomal instability (CIN). This study aimed to examine the potential diagnostic value of chromosomal instability, detected by low-pass whole-genome sequencing (LPWGS), in the preoperative evaluation of sentinel lymph node metastasis (SLNM) in breast cancer. A retrospective investigation of clinical records from 29 patients with breast cancer revealed two distinct groups based on sentinel lymph node biopsy (SLNB) results: the SLN metastasis group (24 cases) and the SLN non-metastasis group (five cases). CIN and CIN scores were evaluated using LPWGS. An analysis of univariate data and binary logistic regression was employed to identify factors influencing SLNM, and a curve with receiver operating characteristics (ROC) was constructed to assess the diagnostic utility of CIN in predicting SLNM. A significant association between the SLNM and CIN high groups was observed in breast cancer (P=0.011). The CIN score in the metastasis group (17,665.055 ± 8,630.691) was higher than that in the non-metastasis group (9,247.973 ± 3,692.873), demonstrating a significant difference (P=0.044). Univariate binary logistic regression analysis indicated that CIN was a significant predictor for SLNM (odds ratio: 4.036, 95% CI: 1.015-16.047, P=0.048). The AUC of CIN for preoperative diagnosis of SLNM was 0.808 (95%CI: 0.635-0.982, P=0.033), with a sensitivity value of 67.0% and specificity of 100.0% at a threshold of 13,563. Detecting CIN through LPWGS demonstrates diagnostic potential in predicting SLNM in patients with breast cancer before surgery. This approach offers a novel method for assessing axillary lymph node status in clinical practice.

The Relationship Between Midwives' Knowledge and Attitudes Toward The Provision of Acupressure to Reduce Pain During Labor

Myometrial contractions, which cause labor pain, are a physiological process that varies in intensity depending on the individual. Most women who go through labor feel pain, but not all of them deal with it well. Anxiety and irregular labor might result from improper management of labor pain. It is possible to lessen labor pain by using both pharmaceutical and non-pharmacological interventions. In order to prepare moms and lower maternal anxiety during labor, non-pharmacological therapies like acupressure are thought to lessen the severity of labor pain. From August to October 2023, research using a cross-sectional study design was carried out at the Independent Midwife Practice in Padang City. Up to 40 midwives who worked or had their own independent midwifery practice in Padang City made up the research sample. Systematic random sampling was used to collect the samples. Chi square analysis test (p≤0.05) was used for both univariate and bivariate data analysis. The findings demonstrated that 47.5% of respondents had strong knowledge, and 72.5% had a positive attitude. The bivariate test results, with p values of 0.018 and 0.044, indicated a link between respondents' knowledge and attitude toward the supply of acupressure. When it comes to the providing of labor acupressure, knowledge and attitude are significantly correlated.

Evaluating the Usability of the AKUDia Mobile App for Blood Sugar Monitoring: A Feasibility Study

A variety of ultra-invasive portable blood sugar test kits have been available on the market; these kits require drawing blood from capillaries, which can still be painful and uncomfortable and even enhance the risk of infection. To develop a non-invasive blood sugar meter that is painless and comfortable to use, innovation is required. AKUDia, a mobile application for monitoring blood sugar, was developed as a smart wearable device to help older adults with diabetes stay healthy. This study aimed to measure the usability of the AKUDia application using a usage questionnaire. In terms of a feasibility study, this was quantitative. USE Questionnaire contains a list of questions encompassing 30 questions divided into four dimensions: Usefulness, Ease to use, Ease of learning, and Satisfaction. 50 respondents were recruited for this study, meeting the inclusion criteria of DM patients who had completed a week-long training program on using the AKUDia application. Samples were selected by simple random sampling, and descriptive and univariate data analyses were performed. The AKUDia feasibility test results demonstrated a usability value of 83%, which was classified as very feasible; an ease of use value of 74 percent, which was classified as feasible; an ease of learning value of 83%, which was classified as very feasible; and a satisfaction aspect of 71% at the feasible level. The average usability value of the four categories (usability, ease of use, ease of learning, and satisfaction), which was obtained at 78 percent, indicates that the AKUDia application's usability is at a practicable level. The usability of the AKUDia application is feasible. Governments should support the use and implementation of this innovation in addition to healthcare professionals like doctors and nurses. Information technology systems have the potential to serve as an instrument for illness prevention, treatment, and rehabilitation in addition to promoting health. Future studies should be enhanced to investigate, through experimental research, how the AKUDia application supports nursing care and health management for individuals with diabetes mellitus and the general population.

Gambaran Variasi Menu dan Cita Rasa Makanan terhadap Kepuasan Makan Siswi di Asrama MAN 3 Palembang

Satisfaction is a person's level of feeling after comparing perceived performance or results (performance received and perceived performance) with their expectations. The purpose of this study was to find out the description of menu variations and food tastes on students' eating satisfaction at MAN 3 Palembang dormitory. This research was conducted in May 2023, the number of samples was 71 people. This type of research is descriptive with a cross sectional design. Data collection used a questionnaire with univariate and bivariate data results. The results of univariate analysis showed that 61 female students (85.9%) had menu variations in the non-variable category, 58 female students (81.7%) Food Color in the attractive category, 69 female students (97.2%) Food Portion in the good category, 58 female students (81.7%) Food Aroma is in the good category, 52 female students (73.2%) Food Temperature is in the good category, 71 female students (100%) Maturity Level is in the good category, 64 Food Seasonings are in the delicious category female students (90.1%).This proves that the variety of menus at MAN 3 Palembang Dormitory is not good. It is hoped that the food processor can provide a variety of food variations, so that the level of satisfaction can meet nutritional intake&#x0D;

Education intervention model on clean and healthy living habits among mothers having children less than 2 years of age border in remote areas, Indonesia

Background: Stunting in toddlers reflects a failure to grow due to nutritional deficiencies. Repeated exposure to fecal pathogens, especially prevalent in areas where open defecation practices exist, can lead to diarrhea, hindered growth, health issues, and irreversible developmental impairments.Purpose: To determine the effectiveness of Agamis Sistematis Interaktif Kreatif/ASIK (Religious, Systematic, Interactive, Creative) education model (focusing on water, sanitation, and hygiene) on clean and healthy living habit (CHLH) among toddlers at risk of stunting in the remote border areas of Enggano Island, Bengkulu Province in 2023.Method: The researcher employed a non-equivalent control group design, also known as a pre-test post-test control group design, for the experimental and control groups. This research involved a sample of 60 mothers having children less than 2 years of age, comprising 30 in the intervention group and 30 in the control group. Data collection utilized a questionnaire. Univariate and bivariate data analysis was conducted using the paired t-test statistical analysis. The results of this study revealed a difference in the mean values between the experimental and control groups concerning WAZ (weight-for-age z-scores), with values in the experimental group pre=72.7000, post=75.2667, and the control group pre=76.8167, post=78.4167.Results: The research findings indicated a difference in CHLH between the treatment and control groups (ρ=0.000, ρ&lt;0.05). The ASIK education model on CHLH among toddlers at risk of stunting is effectively applicable in the remote border areas of Enggano Island, Bengkulu Province in 2023.Conclusion: Government support in the form of budget allocation is crucial for the sustainability of continuous education aimed at stunting prevention in village communities.

Relationship of Characteristics Adults Post-Stroke On Increasing Muscle Strength Rehabilitation In Bukittinggi City 2023

Introduction: Stroke is the third leading cause of death in the world. Long-term disability and paralysis becomes a burden for living stroke survivors. Disability results from muscle and nerve weakness upper and lower extremities. This research aims to identify the relationship between individual characteristics and history of stroke with muscle strength in stroke rehabilitation patients at home, Bukittinggi 2023. Materials and Methods: This research was conducted from May to June 2023. This study uses a cross-sectional descriptive analysis approach with questionnaires and Manual Muscle Testing (MMT). The total sample in this study was 42 respondents, using univariate and bivariate data. Data processing results using SPSS version 2.0 with the Qhi-Square Test. Results: based on gender showed that men were dominant at 71.4%, marital status at 69%, and in terms of education the majority was a bachelor's degree at 38.1%. self-employed jobs get 35.7% and socio-economic average 45.2% &gt; IDR 3,000,000., on muscle strength in post-stroke rehabilitation patients increased using the MMT method by 59.9%. Conclusion: there is no relationship between the characteristics of respondents (gender, marital status, education, employment and socio-economics) on increasing muscle strength in post-stroke rehabilitation patients at home with a p value greater than 0.05.

Factors that influence the Quality Dimensions of National Health Insurance Participant Satisfaction with Outpatient Services at the Community Health Center

Introduction The Teunom Community Health Center experienced a significant decrease in JKN participants at the Teunom Community Health Center by 13,099 people, in 2021 there were 12,904 people, while the number in 2022 was 12,871 people.The research method is a cross sectional study approach. accidental sampling sample. Univariate, bivariate and multivariate quantitative data through logistic regression tests.The results of the research, univariate and bivariate tests of technical competence do not affect patient satisfaction, p-value= 0.140, access to services does not affect patient satisfaction, the value is p-value= 0.647, human relationships affect patient satisfaction p-value= 0.001, comfort affects patient satisfaction p-value= 0.0001, information does not influence patient satisfaction p-value= 0.731 and timeliness influences patient satisfaction p-value= 0.037. Based on multivariate relationships between people OR= 9.459, comfort OR= 10.903 and timeliness OR= 2.875 and the most dominant factor influencing patient satisfaction is the comfort variable with a value of OR = 6.600. In conclusion, the variables of human relations, comfort and timeliness, influence patient satisfaction. The variables technical competence, access to services and information do not influence outpatient satisfaction at the Teunom Community Health Center, Teunom District. factors influence patient satisfaction, human relations, comfort and timeliness. The dominant factor in patient satisfaction is the comfort variable.It is recommended that the Health Service analyze and evaluate the quality of services at the Puskesmas. For Puskesmas to improve the performance of motivation for employees to be friendlier in responding to and responding to patient complaints.

The Effect of Homevisit on The Implementation of IVA Tests At Women in The Working Area of The Salimbatu Health Center In 2023

Homevisit is a health service in the form of visits by health workers to community residences, to obtain data and information on public health conditions, as well as environmental health efforts in a sustainable and coordinated manner. Examination with the IVA method is an examination to prevent cervical cancer, which is efficient and effective and lower cost. This study aims to see the effect of homevisit on the implementation of iva tests on wus in the region area of Puskesmas Salimbatu. Research design using quantitative research type with quasy experimental control group design research design. The intervention in this study was to make 4 homevisits. Activities carried out during the homevisit are providing education about cervical cancer, providing counseling related to IVA test screening, and family involvement. Sampling technique with probability sampling with a total sample of 45 women of childbearing age. The ratio between the intervention and control groups was 1:2 (15 wus intervention group and 30 people control group. In this study, researchers used primary data or original data, namely collecting respondents' consent sheets to take the iva test. This study used univariate data analysis and bivariate data analysis. Based on the researchers' assumptions in the success of the homevisit program on the implementation of iva tests on WUS in the Salimbatu Health Center work area in 2023, between the intervention group after 4 home visits with the control group, it was seen that in the intervention group the Sig value of the homevisit group was 0.02 smaller than 0.05 which means there is a difference between before and after the homevisit. While in the control group the significance value was 0.180. Homevisits are effective in increasing the scope of iva tests. The recommendation of the results of this study can be used as one of the models of midwifery services that are right morning wus that require focused services.