Description of Extraordinary Events of Dengue Hemorrhagic Fever In Belu Regency, East Nusa Tenggara Province 2020

Belu Regency is located in the province of East Nusa Tenggara (NTT), Indonesia and is an endemic area for dengue fever. Nationally, until June 2020, there were 16,320 cases of dengue fever with a CFR of 0.009%, while in Belu Regency there were 820 cases recorded until June 2020 with a CFR of 0.97%. This study aims to describe the outbreak of DHF by person, place and time as well as the distribution of cases in Belu Regency. this research is descriptive observational with case series design. The source of research data is secondary data on dengue cases obtained from the 2016-2019 Dengue Hemorrhagic Fever (DHF) Report and the DHF outbreak report in January-June 2020, the Belu District Health O ce. DHF cases in Belu Regency until June 2020 were 820 cases with symptoms of fever 2-7 days by 100% and supported by laboratory platelet examinations of 73%. The highest IR rate until June 2020 is 367 per 100. 000 residents with a CFR of 0.97% spread over 12 sub-districts of Belu Regency. The highest IRs (>20 per 10,000 population) are Atambua city, South Atambua, East Tasifeto, West Atambua, Kakuluk Mesak and West Tasifeto subdistricts. The majority of DHF in the age group 5-14 years 521 cases (27.1%) with female sex as many as 495 cases (51.51%). DHF cases were found since the first epidemiological week at the beginning of the year with peak cases at the 13th week. Belu Regency Is a dengue endemic area with an IR of 367/100,000 population with a CFR of 0.97%. The highest cases were in the 5-14 year age group and spread across 12 sub-districts of Belu Regency.

PSYCHIATRIC HOSPITALIZATIONS AND IMPLEMENTATION OF CAPS IN RIO GRANDE DO SUL

The CAPS was created with the objective of offering care that prioritizes the rehabilitation and psychosocial reintegration of the mentally ill individual. However, psychiatric hospitalization remains a widely used resource. This study aims to evaluate the rates of psychiatric hospitalizations and the implementation of CAPS in the state of Rio Grande do Sul, from 2008 to 2018. The study has an ecological time series design. As a result, we found a 42% increase in psychiatric hospitalizations. The CAPS coefficient was 0.64 in 2008 and increased to 0.85 (34% higher). The correlation between the CAPS coverage coefficient and the rate of psychiatric hospitalizations in RS exhibited a positive and statistically significant coefficient. These data diverge from what is found in the literature, which indicates a reduction in psychiatric hospitalizations in recent years. Thus, it is possible to conclude that there was an increase in hospitalizations and an increase in CAPS during the study period.

IMPLEMENTASI MODEL PEMBELAJARAN NOVICK UNTUK MENINGKATKAN HASIL BELAJAR FISIKA SISWA SMA

Active student involvement in the learning process is the main thing, but the situation in the field shows different things. Students tend to be passive and only accept the information conveyed so that students are less likely to explore the information they receive. As a result, physics learning outcomes are very low. To overcome these problems, the Novick Learning Model can be used as an alternative learning model that is applied, because in this learning model students are required to express their initial conceptions and can draw conclusions so that it is hoped that the understanding of the concept will be better. The purpose of this study was to determine the increase in students' learning outcomes of Physics after the Novick Learning Model was implemented.). The research design used was one group pretest posttest time series design. This research was conducted in one of the public high schools in Karawang with a research sample of class XI science. From the research, it was found that after the Novick Learning Model was implemented, there was a significant difference between the pretest and posttest scores with the gain value in each series, namely 48.47 points for the learning series I and 56.56 points for the learning series II. And the effectiveness of the Novick Learning Model as seen from the size of the normalized gain score for each learning series I and II, respectively, is 0.62 and 0.68. Both values ??are included in the medium category. Thus, it can be concluded that the Novick Learning Model is quite effective in improving high school students' physics learning outcomes. ABSTRAKKeterlibatan siswa secara aktif dalam proses pembelajaran merupakan hal yang utama, akan tetapi keadaan di lapangan menunjukkan hal yang berbeda. Siswa cenderung pasif dan hanya menerima informasi yang disampaikan sehingga siswa kurang menggali informasi yang diterimanya. Akibatnya, hasil belajar Fisika sangatlah rendah. Untuk mengatasi permasalahan tersebut, Model Pembelajaran Novick dapat dijadikan salah satu alternatif model pembelajaran yang diterapkan, karena dalam model pembelajaran ini siswa dituntut untuk menungkapkan konsepsi awal mereka dan dapat menarik kesimpulan sehingga diharapkan pemahaman konsep menjadi lebih baik. Tujuan penelitian ini adalah untuk mengetahui peningkatan hasil belajar Fisika siswa setelah diimplementasikan Model Pembelajaran Novick.). Desain penelitian yang digunakan adalah one group pretest posttest time series design. Penelitian ini dilakukan di salah satu SMA Negeri di Karawang dengan sampel penelitian kelas XI IPA. Dari penelitian didapat bahwa setelah diimplementasikan Model Pembelajaran Novick, terdapat perbedaan yang signifikan antara skor pretest dan posttest dengan nilai gain pada setiap seri yaitu sebesar 48,47 point untuk seri pembelajaran I dan 56.56 point untuk seri pembelajaran II. Dan efektivitas Model Pembelajaran Novick yang dilihat dari besarnya skor gain ternormalisasi untuk setiap seri pembelajaran I dan II secara berturut – turut adalah 0,62 dan 0.68. Kedua nilai tersebut termasuk ke dalam kategori sedang. Dengan demikian, didapat kesimpulan bahwa Model Pembelajaran Novick cukup efektif dalam meningkatkan hasil belajar Fisika siswa SMA.

Effect of problem-based learning on severity classification agreement by triage nurses

Background Differences in the classification results among triage nurses in the emergency room can be improved by training or applying an algorithm. This study aimed to confirm whether the agreement among triage nurses could be improved through learner-led problem-based learning. Methods This study had a single-group time series design to investigate the effect of problem-based learning led by triage nurses on the agreement of Korean Triage and Acuity Scale classification results for patients who visited the emergency department. We extracted 300 patients each in May and August 2018 before learning began and 300 patients each in May and August 2019 after learning. Results After problem-based learning was applied, the self-efficacy of triage nurses for emergency patient classification increased statistically significantly compared to before learning (7.88 ± 0.96, p < .001), and the weighted kappa coefficient was also found to be almost perfectly agreement (0.835, p < .001). Conclusions In this study, problem-based learning improved the inter-rater agreement of Korean Triage and Acuity Scale classification results and self-efficacy of triage nurses. Therefore, problem-based learning can contribute to patient safety in the emergency department by enhancing the expertise of triage nurses and increasing the accuracy of triage classification.

COVID-19 mortality and lethality in the State of Pará, legal Amazon, Brazil

Introduction: the growth of coronavirus indices in the North region highlights the region’s historical social inequalities and the problems in accessing citizenship. Objective: to analyze the mortality and lethality of COVID-19 in the state of Pará, Brazil. Methods: this is an ecological study with a time series design of secondary data. All registered cases and deaths reported by COVID-19 in the period from March 2020 to June 2021, in the state of Pará, Brazil, were considered. The incidence and mortality and lethality rates were used. The daily percentage variation and their respective 95% confidence intervals were estimated. Results: the total number of confirmed cases and deaths from COVID-19 in the state of Pará was 552,937 and 15,469, respectively, from March 2020 to June 2021. Incidence and mortality rates from March 2020 to June 2021 were, respectively, 6,407.9 and 179.3 per 100,000 inhabitants and the lethality was 43.3. Regarding the analysis of the daily trend of rates in the period from March 2020 to June 2021, both mortality and incidence increased. Conclusion: it was found that the behavior of the trend of rates in the first wave was increasing in the incidence of confirmed cases and the lethality decreasing, and in the second wave, the mortality and lethality rates were increasing.

Haunted Psychologies

The anime adaptation of the light novel franchise Bakemonogatari was released in 2009. The story revolves around the character Araragi Koyomi, a high school student in his senior year who encounters a powerful vampire during a school break and is transformed into a semi-supernatural being himself. However, this is not merely an example of a supernaturally-focused anime, but rather is a discussion on the impact of capitalism on the subjectivity of the individual. The narrative and experience of viewing Bakemonogatari is a commentary on the trauma of postmodernity and otaku consumption’s failure to remediate the objectification of consumer-capitalism. The series’ design and narrative choices is designed to attract otaku, to whose consumption these patterns are designed to appeal, and thereby give warning to otaku concerning the potential dangers posed by their approach towards media. The characters in this series are possessed by Specters who dredge up and yet simultaneously suppress this traumatic state of existence in a world without catharsis and without justice. Otaku, attracted to moe-kyara to escape the drudgery and misery of the three-dimensional world, are shown that this escape itself is a form of harm—like Araragi, they turn meaning into a form of self-flagellation and heap untold suffering on the moe-kyara towards which they are inextricably drawn.

Inter Trimester Hemoglobin Levels in Pregnant Women

Hemoglobin functions to transport all oxygen from the lungs to the tissue cells. Hemoglobin contains iron and is still present in red blood cells. In pregnant women hemoglobin levels are often abnormal. According to PMK RI No. 97 of 2014 concerning health services, it stipulates that pregnant women are checked for hemoglobin at least once in the first trimester and once in the third trimester. This is done to determine the condition of pregnant women during pregnancy. Low hemoglobin levels cause anemia. Anemia in pregnant women can affect the process of fetal growth and development in the womb. The purpose of this study was to determine the hemoglobin level between trimesters in pregnant women at the Jatilawang Health Center, Banyumas Regency in 2020. The research criteria was a descriptive study using a retrospective time series design using secondary data. The results of inter-trimester hemoglobin levels in pregnant women at the Jatilawang Health Center, Banyumas Regency in 2020 are in the first trimester 40% normal hemoglobin levels and 60% abnormal hemoglobin levels, in the second trimester hemoglobin levels are 72% normal and 28% hemoglobin levels are not normal, in the second trimester the hemoglobin levels are normal and 28% are abnormal. III 96% normal hemoglobin level and 4% abnormal hemoglobin level. Inter-trimester hemoglobin levels in pregnant women at the Jatilawang Health Center, Banyumas Regency in 2020 tend to be higher based on trimesters I, II and III.

Efficacy of Relaxation Therapy on the Breathing Pattern among Bronchial Asthma Patients

Background: Bronchial asthma (BA) is a chronic disease characterized by inflammation of the airway that triggers frequent cough, wheezing, dyspnea, and chest tightness. Bronchial asthma may be caused by exposure to multiple irritants and pollutants which include: pollen, dust mites, mold spores, pet dander, smoke, respiratory allergens.Treatment for bronchial asthma patients along with the medication for relieving the symptoms of asthma. Various alternative therapies alleviating the rate of wheezing, aiming to minimize asthma triggers. Aim: The study aim is to assess the effectiveness of selected relaxation technique on the breathing outcome among patients diagnosed with bronchial asthma. Methodology: It is an interventional evaluatory approach; time-series design will be used to conduct the bronchial asthma patients. A Non-Probability purposive sampling technique will be used to select the samples. This research study included 40 patients of AVBRH Rural hospital Sawangi (M) Wardha. Patients must select according to requirements for inclusion and exclusion criteria. The pretest-posttest will be taken with the assessment of peak expiratory flow rate, breath-holding time, and frequency of using the inhaler. After that, statistical and inferential analysis will be done. Expected Results: Outcome includes the selected relaxation technique on the bronchial asthma patients that are effective for relieving the symptoms and frequency of medication. Both relaxation method which is most effective for the bronchial asthma patients that are going to assess with the sample. Conclusion: The conclusion will be drawn from the statistical analysis.