scholarly journals The Impact of a Policy-Based Multicomponent Nutrition Pilot Intervention on Young Adult Employee’s Diet and Health Outcomes

2018 ◽  
Vol 33 (3) ◽  
pp. 342-357 ◽  
Author(s):  
Désirée Schliemann ◽  
Michelle McKinley ◽  
Jayne V. Woodside
Keyword(s):  
Young Adult ◽  
P Value ◽  
Insurance Company ◽  
Diet Intervention ◽  
Work Related ◽  
Paired Samples ◽  
Before And After ◽  
Strict Diet ◽  
Pilot Intervention ◽  
The Impact

Purpose: Evaluate the effect of a policy-based, multicomponent workplace diet intervention on young adult employees’ diet and health. Design: A 6-month, single-armed pilot study with before and after assessments. Setting: Insurance company in Belfast, Northern Ireland. Participants: Employees who worked at the company throughout the intervention period were included. Employees were excluded if pregnant, breast-feeding, or following a strict diet. Intervention: Multicomponent diet intervention: ban of unhealthy foods brought into the premises, free fruit, education, individual advice, and further support. Measures: Mixed-methods approach: Diet-, health-, and work-related measures were assessed quantitatively. The campaign was evaluated quantitatively (via questionnaire) and qualitatively (via semistructured interviews). Analysis: Changes in measures were analyzed using paired samples t tests. Interviews were analyzed using thematic analysis. Results: Sixty (75.9%) staff completed all assessments. Males reduced their sugar intake on working days (−8.7% of total energy standard deviation [SD]: 20.1; P value <.01). Systolic blood pressure reduced in males and females (−3.3 SD: 9.9; P value <.05 and −8.0 SD: 7.7; P value <.001, respectively); 85.2% of staff strongly agreed/agreed that they appreciated the healthy eating ethos. This was supported by the qualitative analysis which furthermore suggested that the education, team support, individual advice, and free fruit were beneficial. Conclusion: Influencing workplace policies and offering additional dietary support could lead to meaningful changes in employees’ diet and health and may change workplace culture.

scholarly journals effects of anemia education using web-based she smart to improve knowledge, attitudes, and practice in adolescent girls

2022 ◽  
Vol 5 (1) ◽  
pp. 44-49
Author(s):  
Ernawati Ernawati ◽  
Yusring Sanusi Baso ◽  
Healthy Hidayanty ◽  
Syafruddin Syarif ◽  
Aminuddin Aminuddin ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Statistical Tests ◽  
Sampling Technique ◽  
P Value ◽  
Growth Disorders ◽  
Normal Numbers ◽  
Web Based ◽  
Before And After ◽  
Smart Education ◽  
The Impact

Anemia is a state of hemoglobin levels in the bloodless than normal numbers according to the sex and age group. The impact of anemia in adolescents is a decrease in achievement and learning spirit and can cause symptoms such as paleness, lethargy, decreased appetite, and growth disorders. Anemia has an impact not only on the health of adolescent girls but can have a long impact on the health of the mother and fetus. You can see the influence of anemia education on knowledge, attitudes, and practice. Uses the Pre-experimental method with the design of one group pretest and posttest. Sampling technique using purposive sampling with the number of 47 adolescent girls. The research was conducted at Senior High School 12 Makassar in September-October 2021. Data analysis using the McNemar test. From the results of statistical tests showed that there was an influence on the use of web-based she smart education model on the use of adolescent girls about anemia with p-value = 0.000 (p<0.05), attitude p-value = 0.016 (p<0.05) and action p-value = 0.001 (p<0.05). Anemia education using web-based she smart can improve knowledge, attitudes, and practice before and after an intervention.

scholarly journals PEMBERIAN SUPLEMEN KOLAGEN TERHADAP ELASTISITAS DAN WARNA KULIT WANITA MENOPAUSE

2021 ◽  
Vol 7 (1) ◽  
pp. 65-72
Author(s):  
Lhedys Angela ◽  
Sri Dinengsih ◽  
Risza Choirunissa
Keyword(s):  
Skin Color ◽  
Statistical Test ◽  
P Value ◽  
Skin Elasticity ◽  
Paired Samples ◽  
Menopausal Women ◽  
Before And After ◽  
Quasi Experimental ◽  
Color Background ◽  
Quasi Experiment

ABSTRACT GIVING COLLAGENT SUPPLEMENTS ON ELASTICITYAND MENOPAUSE WOMEN'S SKIN COLOR Background: Physical changes that are generally more visible when a person reaches menopause are changes in skin elasticity and skin color. Reduced water and oil content in the skin will result in reduced skin elasticity resulting in fine lines and wrinkles on the skin and factors that cause skin discoloration are the use of drugs, use of unsafe cosmetics or absorption of ultraviolet (UV) rays. that comes from sunlight. This is caused by reduced collagen production by cells. Due to the reduced amount of collagen, there will also be a reduction in the amount of reduced glycosaminoglycans which then results in reduced skin turgor.Purpose: The purpose of this study was to determine the effect of collagen consumption on skin elasticity and skin color in menopausal women in Cikande, Serang District, Banten Province.Methods: This study used quantitative descriptive statistics with a Quasi-Experimental research design with a One-Group Pretest-Posttest Design approach, which is a quasi-experiment where a group is measured and observed before and after the treatment (treatement). The sample of this research was 20 menopausal women in July in Cikande Village, Serang Regency, Banten Province.Results: Based on the results of the Paired Samples statistical test before and after collagen consumption on skin elasticity, a P value of 0.0118 was obtained from the significance value α => 0.05, this indicates that there is no effect between collagen consumption on skin elasticity. Based on the results of the Paired Samples statistical test before and after collagen consumption on skin color, the P value was obtained of 0.603 from the significance value α => 0.05, this indicates that there is no effect between collagen consumption on skin color.Conclusion: There is no effect of collagen consumption on skin elasticity and skin color in menopausal women in Cikande Village, Serang Regency, Banten Province. Suggestion:It is hoped that further researchers can carry out further research on the effect of collagen consumption on skin elasticity and skin color and for future researchers to be able to continue this research, as well as become a reference in conducting further research and can be developed again, especially on variables that have not been studied. Keywords: Menopause, Collagen, Skin elasticity, Skin color ABSTRAKLatar Belakang:Perubahan fisik yang umumnya lebih terlihat nampak ketika seorang sampai pada masa menopause adalah perubahan terhadap elastisitas kulit dan warna kulit.Berkurangnya kadar air dan minyak didalam kulit akan mengakibatkan berkurangnya elastisitas kulit sehingga timbul garis-garis halus dan kerut-kerut pada kulit dan faktor yang menyebabkan terjadinya perubahan warna kulit adalah penggunaan obat-obatan, penggunaan kosmetik yang tidak aman atau penyerapan sinar ultraviolet (UV) yang berasal dari cahaya matahari. Hal ini disebabkan oleh berkurangnya produksi kolagen yang dilakukan oleh sel. Akibat berkurangnya jumlah kolagen maka akan berkurang pula jumlah pengurangan glycosaminoglycans yang kemudian berakibat pada berkurangnya turgor kulitTujuan: Tujuan penelitian ini untuk mengetahui pengaruh konsumsi kolagen terhadap elastisitas kulit dan warna kulit pada wanita menopause di Kelurahan Cikande Kabupaten Serang Provinsi Banten.Metode: Penelitian ini menggunakan kuantitatif stastistik deskriptif dengan desain penelitian Quasi-Eksperimen dengan pendekatan One-Group Pretest-Posttest Design yang merupakan quasi-experiment dimana sebuah kelompok diukur dan diobservasi sebelum dan setelah perlakuan (treatement).Sample penelitian ini adalah 20 wanita menopause pada bulan Juli di Kelurahan Cikande Kabupaten Serang Provinsi Banten.Hasil Penelitian:Berdasarkan hasil uji Paired Samples statistik sebelum dan sesudah konsumsi kolagen terhadap elastisitas kulit diperoleh nilai P value sebesar 0,0118 dari angka kemaknaan α = > 0,05 hal tersebut menunjukkan tidak ada pengaruh antara konsumsi kolagen terhadap elastisitas kulit. Berdasarkan hasil uji Paired Samples statistik sebelum dan sesudah konsumsi kolagen terhadap warna kulit diperoleh nilai P value sebesar 0,603 dari angka kemaknaan α = > 0,05 hal tersebut menunjukkan tidak ada pengaruh antara konsumsi kolagen terhadap warna kulit.Kesimpulan:Tidak ada pengaruh konsumsi kolagen terhadap elastisitas kulit dan warna kulit pada wanita menopause di di Kelurahan Cikande Kabupaten Serang Provinsi Banten.Saran:Diharapkan bagi peneliti selanjutnya dapat melakukan penelitian lebih lanjutmengenai pengaruh konsumsi kolagen terhadap elastisitas kulit dan warna kulit dan bagi peneliti selanjutnya agar dapat melanjutkan penelitian ini, serta menjadi sebuah acuan dalam melakukan penelitian selanjutnya dan dapat dikembangkan lagi terutama pada variabel-variabel yang belum diteliti. Kata Kunci:Menopause, Kolagen, Elastisitas kulit, Warna kulit.

scholarly journals Effects of Extracorporeal Membrane Oxygenation Initiation on Oxygenation and Pulmonary Opacities

2021 ◽  
Vol 7 (1) ◽  
pp. 6-13
Author(s):  
Kiran Batra ◽  
Manish Mohanka ◽  
Srinivas Bollineni ◽  
Vaidehi Kaza ◽  
Prabhakar Rajiah ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
P Value ◽  
Limited Data ◽  
Hospital Survival ◽  
Membrane Oxygenation ◽  
Pulmonary Physiology ◽  
Before And After ◽  
Laboratory Variables ◽  
The Difference ◽  
The Impact

Abstract Introduction There is limited data on the impact of extracorporeal membrane oxygenation (ECMO) on pulmonary physiology and imaging in adult patients. The current study sought to evaluate the serial changes in oxygenation and pulmonary opacities after ECMO initiation. Methods Records of patients started on veno-venous, or veno-arterial ECMO were reviewed (n=33; mean (SD): age 50(16) years; Male: Female 20:13). Clinical and laboratory variables before and after ECMO, including daily PaO2 to FiO2 ratio (PFR), were recorded. Daily chest radiographs (CXR) were prospectively appraised in a blinded fashion and scored for the extent and severity of opacities using an objective scoring system. Results ECMO was associated with impaired oxygenation as reflected by the drop in median PFR from 101 (interquartile range, IQR: 63-151) at the initiation of ECMO to a post-ECMO trough of 74 (IQR: 56-98) on post-ECMO day 5. However, the difference was not statistically significant. The appraisal of daily CXR revealed progressively worsening opacities, as reflected by a significant increase in the opacity score (Wilk’s Lambda statistic 7.59, p=0.001). During the post-ECMO period, a >10% increase in the opacity score was recorded in 93.9% of patients. There was a negative association between PFR and opacity scores, with an average one-unit decrease in the PFR corresponding to a +0.010 increase in the opacity score (95% confidence interval: 0.002 to 0.019, p-value=0.0162). The median opacity score on each day after ECMO initiation remained significantly higher than the pre-ECMO score. The most significant increase in the opacity score (9, IQR: -8 to 16) was noted on radiographs between pre-ECMO and forty-eight hours post-ECMO. The severity of deteriorating oxygenation or pulmonary opacities was not associated with hospital survival. Conclusions The use of ECMO is associated with an increase in bilateral opacities and a deterioration in oxygenation that starts early and peaks around 48 hours after ECMO initiation.

scholarly journals Developing a Dashboard Software for the ICUs and Studying its Impact on Reducing the Ventilator-Associated Pneumonia

2018 ◽  
Vol 12 (1) ◽  
pp. 42-50
Author(s):  
Mohammad Fathi ◽  
Hamid Moghaddasi ◽  
Azamossadat Hosseini ◽  
Monir Ebrahimi Aghdam
Keyword(s):  
User Satisfaction ◽  
Pilot Project ◽  
Point Of View ◽  
P Value ◽  
Ventilator Associated Pneumonia ◽  
Healthcare Organizations ◽  
Survey Tool ◽  
Usability Assessment ◽  
Before And After ◽  
The Impact

Objective: Ventilator-Associated Pneumonia (VAP), a lung infection developing in patients on a ventilator in Intensive Care Units (ICU), is the second most common nosocomial infection and a leading cause of morbidity and mortality in ICUs. To reduce the incidence rate of VAP complication, many healthcare organizations have already developed certain strategies and guidelines. However, there are still high rates of VAP infections mainly due to: conflicting guidelines from different sources, implementing the guidelines at different times and conditions, different ICU caregivers at different shifts, and of course the human mistakes. Methods: The present study aimed to develop a dashboard to help reducing VAP incidences in ICUs. To achieve the objective of the research, first, the VAP prevention guidelines were compiled. The object-oriented analysis approach was adopted for designing of the dashboard software. To assess the impact of the developed dashboard on the reduction of VAP events, a pilot hospital was selected and a pilot project was prepared. For the dashboard usability assessment based on user satisfaction, a questionnaire was developed as the survey tool. Conclusion: The dashboard was developed and put into operation in a pilot ICU. The results from the t-test (with a probable error of 0.05 percent) indicated a meaningful difference between the number of VAP patients before and after the dashboard implementation with p-value ˂ 0.02. Also, the developed software was evaluated from a usability point of view based on user satisfaction, with health professionals and caregivers of the pilot ICU as the users of the software. The total score was equivalent to 95 percent, falling within the acceptable range of 75-100 percent.

The impact of sorafenib on the treatment and survival of advanced hepatocellular carcinoma (HCC): Analysis of the National Cancer Database (NCDB) from 2004 to 2014.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e15682-e15682
Author(s):  
Aman Opneja ◽  
Gino Cioffi ◽  
Asrar Alahmadi ◽  
Nirav Patil ◽  
David Lawrence Bajor ◽  
...  
Keyword(s):  
Proportional Hazards ◽  
Single Agent ◽  
Cox Proportional Hazards ◽  
P Value ◽  
Advanced Hepatocellular Carcinoma ◽  
Advanced Hcc ◽  
Cox Proportional Hazards Models ◽  
Before And After ◽  
Time Frames ◽  
The Impact

e15682 Background: HCC is a common cause of mortality in the U.S. among men and women (5thand 7th, respectively) with overall five-year survival of ~18%. Sorafenib was the only FDA approved therapy for advanced HCC from 2007 until 2018. This study analyzes trends in the treatment and survival of advanced HCC before and after sorafenib approval. Methods: Adult patients ( > 18 years) with diagnosis of HCC treated with only chemotherapy from 2004 – 2014 were identified in NCDB database. Comparisons were made between 3 time frames: 2004 – 2007 (pre-sorafenib), 2008 – 2011 (early sorafenib) and 2012 – 2014 (late sorafenib). Patients treated with single or multi-agent chemotherapy were analyzed. Cox proportional hazards models were used for univariate and multivariable analyses. Kaplan-Meier method was used for survival analysis. Results: The NCDB contained 33,136 patients with HCC diagnosed between 2004 – 2014 and treated with chemotherapy alone. Patients were generally men (77.4%), over the age of 50 years (92.4%), with an elevated AFP at diagnosis (64.4%), and had limited co-morbidities (76.0%, Charlson/Deyo score of 0-1). The T-stages were T1 (26.3%), T2 (20.5%), T3 (25.6%), and T4 (16.2%). The number and proportion of patients treated with single agent chemotherapy increased significantly during the study period: 2,733 (45.3%) pre-sorafenib, 9,723 (72.7%) early sorafenib, and 13,502 (86.1%) late sorafenib. The proportion of all HCC patients in the NCDB receiving only chemotherapy increased from 17.2% to 26.4% to 28.3% across the 3 time frames. The survival of patients with advanced HCC treated only with chemotherapy improved significantly in the early and late sorafenib cohorts compared to the pre-sorafenib cohort (10.3 months (95% CI: 9.8-10.6) vs. 12.3 months (12.0-12.7) vs. 15.5 months (15.1-15.9), p-value < 0.001). Age > 70 years, male sex, higher Charlson/Deyo score ( > 1), elevated AFP at diagnosis, and higher T-stage were associated with worse survival (p value < 0.001). Conclusions: The approval of sorafenib has dramatically increased the use of chemotherapy for the treatment of advanced HCC and has resulted in a significant survival advantage.

scholarly journals The Effect Of Optimization Of The Utilization Of Mother And Child's Health Book On The Attitudes Of Midwives In The Completeness Of Filling In Kia Books

2021 ◽  
pp. 72-78
Author(s):  
Morita Wibowo ◽  
Suryo Ediyono ◽  
Heni Nur Kusumawati
Keyword(s):  
Simple Random Sampling ◽  
Total Sample ◽  
Child Health Services ◽  
Control Group ◽  
P Value ◽  
Validity And Reliability ◽  
District Health ◽  
Control Group Design ◽  
Before And After ◽  
The Impact

Background: One of the efforts that have been carried out by the Ministry of Health in supporting the acceleration of MMR reduction is optimizing PONED. Apart from being poned, the use of the MCH Handbook is one way of maintaining health and obtaining quality maternal and child health services. The purpose of this study was to determine the impact of training on the optimization of the use of the MCH book on the attitudes of the PONED midwives in completing the MCH booklet filling by village midwives in the working area of ​​the Paser District Health Center.  Methods: A Quantitative research method uses Quasy Experiment nonequivalent control group design. By involving 1 control group and 1 treatment group with a total sample size of 43 midwives in each group, using simple random sampling. Data analysis using Wilcoxon. Instrument that use can measure attitudes of midwives with good validity and reliability. Results: The results showed that there were significant differences in attitudes before and after treatment with a p-value of 0,000, but the mean value of attitudes before and after showed that training could not change the attitudes of midwives. The training held is not sufficient to change the attitude of midwives in compliance with the filling of the MCH handbook. Conclusion: It needs further and intense training for all PONED and non-PONED midwives and further identification is needed about things that can motivate the attitudes of midwives to improve poned midwives towards the implementation of optimization MCH books.

scholarly journals Bibliotherapy Strategy: Experimental Study To Reduce Hospitalization Stress In Pre-School Children

2020 ◽  
Vol 9 (2) ◽  
pp. 917-925
Author(s):  
Kili Astarani ◽  
Selvia David Richard
Keyword(s):  
Preschool Children ◽  
P Value ◽  
Test Design ◽  
Paired Samples ◽  
Data Collection Process ◽  
Average Change ◽  
Before And After ◽  
Post Test ◽  
Quota Sampling ◽  
Baptist Hospital

The research design used the Pre Experiment Design with a one-group pre-post test design. The population, preschool-aged children who experience hospitalization stress in the Karunia Room of Kediri Baptist Hospital. The sample is 15 respondents who were selected by Quota Sampling. The research variable was Bibliotherapy. The data collection process was carried out using a questionnaire. Data analysis using Paired Samples Test. The results of the research before doing bibliotherapy, stress hospitalization of preschool children were severe as 9 respondents (60.0%), mild as many as 4 respondents (26.7%), and moderate as many as 2 respondents (13.3%). The average change in stress hospitalization before and after bibliotherapy was 7.67 with a p-value of 0.000. Bibliotherapy is effective in reducing hospitalization stress in preschool children in the Karunia Room of Kediri Baptist Hospital

scholarly journals HUBUNGAN LAMA HARI RAWAT DENGAN TANDA DAN GEJALA SERTA KEMAMPUAN PASIEN DALAM MENGONTROL HALUSINASI

2019 ◽  
Vol 6 (2) ◽  
pp. 106
Author(s):  
Prastiwi Puji Rahayu ◽  
Retno Utami
Keyword(s):  
Mental Hospital ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Statistical Test ◽  
P Value ◽  
The Family ◽  
Before And After ◽  
Hospital Boards ◽  
The Impact

Dampak adanya halusinasi dapat mengakibatkan seseorang mengalami ketidakmampuan untuk berkomunikasi atau mengenali realitas yang menimbulkan kesukaran dalam kemampuan seseorang untuk berperan sebagaimana mestinya dalam kehidupan sehari-hari. Dampak bagi keluarga halusinasi sulit diterima oleh masyarakat, individu dan dipandang negatif oleh lingkungan.Mengetahui hubungan lama hari rawat dengan tanda dan gejala serta kemampuan pasien dalam mengontrol halusinasi di RSJ Grhasia Yogyakarta. Penelitian ini menggunakan menggunakan Desain penelitian studi korelasional (Corrrelation study). Penelitian ini menggunakan teknik total sampling, Sampel yang digunakan dalam penelitian ini berjumlah 45 pasien halusinasi yang ada diruang inap Rumah Sakit Jiwa Grhasia Yogyakarta. Metode analisis yang digunakan adalah uji statistik menggunakan kendal Tau. Hasil penelitian ini menunjukkan bahwa berdasarkan lama hari rawat pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan  paling banyak lebih dari 30 hari sebanyak 42 responden, tanda dan gejala pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak kategori kurang sebanyak 30 responden, dan kemampuan pasien dalam mengontrol halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak  kategori cukup sebanyak 27 responden.Tidak ada  hubungan lama hari rawat dengan tanda dan gejala dilihat dari nilai p-value sebesar 0,170<0,05, dan terdapat hubungan lama hari rawat dengan kontrol halusinasi dilihat dari nilai p-value sebesar 0,030<0,05 dengan nilai keeratan hubungan 0,325 dalam kategori rendah. Bagi pimpinan RS agar memberikan pengembangan pelayanan kesehatan pada pasien dalam meningkatkan kualitas pelayanan, khususnya dalam lama hari rawat dengan tanda dan gejala kemampuan pasien dalam mengontrol halusinasi. Alahkah baiknya ada perbandingan antara tanda dan gejala sebelum di teliti dan sesudah di teliti. Kata kunci: Lama hari rawat, tanda dan gejala, kemampuan mengontrol halusinasi THE CORRELATION BETWEEN INPATIENT DURATION, AND SIGNS, SYMPTHOMS AND PATIENT’S ABILITY TO CONTROL HALLUCINATIONS ABSTRACTHallucinations can cause disability to communicate or recognize the reality that creates difficulties to act properly in everyday life. The impact of hallucinations on the family is hard to accept by society and individuals, and it is viewed as negative thing by the environment. The study aims to identify the correlation between inpatient duration and signs, symptoms and patient's ability to control the hallucinations at Grhasia Mental Hospital of Yogyakarta. This study used correlational study design. This study used total sampling technique. The samples were 45 hallucination patients at impatient wards at Grhasia Mental Hospital of Yogyakarta. The analytical method used statistical test using Tau constraints. The results of this study indicated that based on the hallucination of inpatient duration at Grhasia Mental Hospital of Yogyakarta, there were 42 respondents who had 30 days of inpatient duration; there were 30 respondents of hallucination patients at Grhasia Mental Hospital of Yogyakarta who have signs and symptoms in low category; there were 27 respondents at Grhasia Mental Hospital of Yogyakarta who had the ability in controlling hallucinations in moderate category. There was not any correlation between inpatient duration and signs and symptoms that can be seen from the p-value of 0.170 <0.05, and there was correlation between the inpatient duration and the control of hallucinations that can be seen from the p-value of 0.030 <0.05 with the closeness value 0.325 in low category. Hospital boards are suggested to provide the development of health services to patients in improving the quality of care, especially about inpatient duration and signs and symptoms of the patient's ability to control hallucinations. Is it better to have a comparison between the signs and symptoms before and after being studied. Keywords: Inpatient Duration, signs and symptoms, ability to control hallucinations

scholarly journals ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP PENANGANAN TERAPI OKUPASI DI INSTALASI REHABILITASI MEDIK RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Meilany D. Wongkar ◽  
Joudy Gessal ◽  
Leonard S. Angliadi
Keyword(s):  
Dynamic Condition ◽  
Medical Rehabilitation ◽  
P Value ◽  
Test Analysis ◽  
Purposive Sampling ◽  
Patients Satisfaction ◽  
Satisfaction Degree ◽  
Significant Difference ◽  
Before And After ◽  
The Impact

Abstract: Medical rehabilitation aims to lessen the impact of a disability and enhance the ability of people with disabilities, therefore, they can be involved in social interaction. One of the rehabilitation treatments is occupation therapy which helps individuals by giving suggestions and enhancing independence. Quality is a dynamic condition which fills or surpass the expectations. Quality is closely related to costumers’ satisfaction. It encourages the costumers to create a strong bond of relationship. This study aimed to obtain patients’ satisfaction degree toward the implementation of occupation therapy in the Medical Rehabilitation Installation Prof. Dr. R. D Kandou Hospital, Manado. This was a descriptive observational study. Sampleds were collected by using purposive sampling. The result of the T Test analysis showed that there was a significant difference between before and after the therapy with a p value = 0.000. Based on the result of the satisfaction degree to the variable of expectation and reality, the average obatined was 7.9. Conclusion: Patients’ expectation degree was higher than the reality of service that they received.Keywords: medical rehabilitation, occupation therapy, patients satisfaction degree.Abstrak: Rehabilitasi medik bertujuan untuk mengurangi dampak keadaan cacat dan meningkatkan kemampuan penyandang cacat sampai interaksi sosial. Salah satu pelayanan rehabilitasi ialah terapi okupasi, yang membantu individu dalam memberi anjuran dan menjamin bantuan untuk meningkatkan kemandirian. Kualitas merupakan kondisi dinamis yang memenuhi atau melebihi harapan. Kualitas memiliki hubungan yang sangat erat dengan kepuasan pelanggan, yaitu kualitas memberikan suatu dorongan kepada pelanggan untuk menjalani ikatan hubungan yang kuat. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kepuasan pasien terapi okupasi di Instalasi Rehabilitas Medik RSUP. Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif observasional. Pengambilan sampel dilakukan secara purposive sampling. Hasil analisis uji t menunjukkan terdapat perbedaan bermakna sebelum dan sesudah terapi dengan nilai p = 0,000. Berdasarkan hasil uji nilai tingkat kepuasan terhadap variabel harapan dan kenyataan menunjukkan perbedaan dengan nilai rata-rata 7,9. Simpulan: Nilai harapan pasien lebih besar dari kenyataan pelayanan yang mereka terima.Kata kunci: rehabilitasi medik, terapi okupasi, tingkat kepuasan pasien

scholarly journals The Influences of Audio Visual Media And Vocabulary Mastery towards English Learning Achievement of EFL Students

2020 ◽  
Vol 7 (1) ◽  
pp. 57-65
Author(s):  
Tubagus Zam Zam Al Arif
Keyword(s):  
Visual Media ◽  
Achievement Test ◽  
P Value ◽  
Colleges Of Education ◽  
Learning Achievement ◽  
Before And After ◽  
Quasi Experimental ◽  
Efl Students ◽  
The Impact ◽  
Test Result

This study was an attempt to determine the impact of interaction between teaching media and vocabulary mastery towards students’ learning achievement in colleges of education at Jambi University. This is a quasi-experimental study with nonequivalent control and experimental group design. Based on the test for normality, homogeneity, and analysis of variance to the data students’ achievement score of experiment class can be concluded that, there are significant differences of learners’ achievement between before and after treatment in experimental class using audio-visual media. Then, there are significant differences between the learners’ vocabulary mastery on their learning achievement. The result of this study showed; 1. There is a significant effect between teaching media toward learners’ achievement. Test result obtained that p-value 0,015 (<0,05) 2. Vocabulary mastery gave the significant effect to the learners’ achievement. Test result obtained that p-value for vocabulary mastery is 0,000 (<0,05). 3. There is no interaction influence between the teaching media and vocabulary mastery towards learners’ achievement. Test result retrieved that p-value is 0,948 (>0,05).

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