scholarly journals The Effect of Giving A Warm Blanket to Changes in The Central Temperature of Postoperative Patients with Subarachnoid Block Anesthesia in RSSA Malang

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Djatmi Ekorini ◽  
Sih Ageng Lumadi

Introduction: Shivering after anesthesia subarachnoid block is a common complication seen with an incidence of 40-60% after anesthesia. One of the post pharmacological shivering management is given a warm blanket. Experimental research was carried out in the Conscious Installation Room of the Central Surgical Installation of RSSA Malang. Aims: The purpose of this study was to determine the effect of providing warm blankets on changes in the central temperature of postoperative patients with subarachnoid block anesthesia. The benefits of this study are to improve the quality of care for patients with surgery, accompanied by shivering events. Methods: The research design was Quasy-Experiment with Random Sampling technique, and the sample size was 20 respondents, two groups: control and treatment. The two groups of respondents' temperature were evaluated and noted before treatment and after giving blankets every 15 minutes to 60 minutes. Result: The test results of the average temperature difference before treatment and the second 60 minutes of the two groups p = 0.0142 with α = 0.05 showed significant differences concluded that temperature changes in post-anesthesia patients subarachnoid block. Conclusions: Non-pharmacological hypothermia treatment after anesthesia subarachnoid block using an electric blanket warmer is more effective because the blanket's temperature can be maintained stable so that the heat transfer process does not decrease the temperature the blanket due to the temperature of the cold environment.

2017 ◽  
Vol 3 (2) ◽  
pp. 33-57
Author(s):  
Ivan Budi Susetyo ◽  
Frans Dione ◽  
Eko Hari

Abstract: The formulation of this study is review the influence of functional training planners to the quality planners, the influence of work motivation to the quality of planner, and the influence of functional training planners and motivation to work together to the quality of Bappenas planners. The method used in this research is descriptive method with quantitative approach. The sampling technique is using proportionate stratified random sampling with a number of sample sizes of 137 people. Furthermore, the data obtained, processed and analyzed with SPSS 19.0 for windows Program by performing statistical test, those are the t test and F test. The results of this study indicate that there is a positive influence between functional training planners to quality planners, work motivation to quality planners, and the influence of the two together to the quality planner. The dimension of functional training planners that have an influence to the quality of planners is the management and faculty training. In addition, the study is also found that the dimension of work motivation which has an influence to the quality of planners is the need for achievement and the need for power. Keywords: Training, Work Motivation, Quality Planner Abstrak: Perumusan penelitian ini mengkaji besarnya pengaruh diklat fungsional perencana terhadap kualitas perencana, pengaruh motivasi kerja terhadap kualitas perencana, dan pengaruh diklat fungsional perencana dan motivasi kerja secara bersama-sama terhadap kualitas perencana Bappenas. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian deskriptif dengan pendekatan kuantitatif. Populasi dalam penelitian ini adalah seluruh perencana di Bappenas tahun 2016. Teknik pengambilan sampel menggunakan proportionate stratified random sampling dengan jumlah ukuran sampel 137 orang. Selanjutnya, data yang diperoleh, diolah dan dianalisa  dengan bantuan program SPSS 19.0 for windows dengan melakukan uji statistik yaitu uji t dan uji F. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh positif antara diklat fungsional perencana terhadap kualitas perencana, motivasi kerja terhadap kualitas perencana, dan pengaruh keduanya secara bersama-sama terhadap kualitas perencana. Dimensi diklat fungsional perencana yang memiliki pengaruh terhadap kualitas perencana adalah pengelolaan dan tenaga pengajar diklat. Selain itu, penelitian juga menemukan bahwa dimensi motivasi kerja yang memiliki pengaruh terhadap kualitas perencana adalah kebutuhan akan prestasi dan kebutuhan akan kekuasaan. Kata Kunci: Diklat, Motivasi Kerja, Kualitas Perencana


2017 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Selviana Selviana ◽  
Elly Trisnawati ◽  
Sitti Munawarah

Abstract: Factors Related To Occurrence Of Diarrhea In 4-6 Year Children. Diarrhea cases in 4-6-year-old children in Desa Kalimas raised annually, from 10% in 2013 to 33% in 2014, and 35% in 2015. This study aimed at factors related to diarrhea cases in 4-6-year-old children in Desa Kalimas Kecamatan Sungai Kakap. Cross Sectional approach was used forty one sample participated in this study. They were selected by using proportional random sampling technique. The data analysis using chi-square test with a 95% confidence level. The study revealed significant correlation of hand washing (p = 0,043 ; PR = 2,175), microbial quality of drinking water storage (p = 0,016 ; PR = 1,462), availability of family latrine (p = 0,003 ; PR = 3,242), and diarrhea cases. There was no significant correlation between diarrhea cases are the habit of boiling water with the microbial quality of drinking water, the source of water for washing cutlery, and microbial of drinking water, (p > 0,05). It is hoped health authorized staffs in Desa Kalimas apply community- based total sanitation, enhance clean and healthy behaviour, and socialize healthy drinking water storage based on Regulation of Minister of Healthy No. 3/2014.Abstrak: Faktor-Faktor Yang Berhubungan Dengan Kejadian Diare Pada Anak Usia 4-6 Tahun. Angka kejadian diare pada anak usia 4-6 tahun di Desa Kalimas mengalami peningkatan setiap tahunnya. Tahun 2013 kejadian diare sebesar 10%, tahun 2014 sebesar 33% dan 35% pada tahun 2015. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada anak usia 4-6 tahun di Desa Kalimas Kecamatan Sungai Kakap. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel  45 orang yang diambil menggunakan teknik proportional random sampling. Uji statistik yang digunakan uji chi-square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara kebiasaan mencuci tangan dengan diare (p = 0,043; PR = 2,175), penyimpanan air minum dengan kualitas mikrobiologi air minum (p = 0,016; PR = 1,462), ketersediaan jamban keluarga dengan diare (p = 0,003; PR = 3,242). Variabel yang tidak berhubungan yaitu kebiasaan memasak air dengan kualitas mikrobiologi air minum, sumber air untuk mencuci alat makan/minum dan kualitas mikrobiologi air minum dengan diare (p ≥ 0,005). Disarankan agar di Desa Kalimas bisa diterapkan program STBM dan peningkatan penerapan PHBS pada masyarakat Desa Kalimas serta mensosialisasikan cara penyimpanan air minum yang baik sesuai dengan Permenkes No 3 tahun 2014.


Author(s):  
Neni Marlina Br Purba ◽  
Dian Efriyenty

Tax reporting is the responsibility of taxpayers after making tax payments. The mismatch between the number of registered taxpayers and the number of taxpayers who report taxes is a separate problem for the government in managing the tax results received. Where the number who report taxes is very small compared to the number of registered taxpayers. Based on these problems, the purpose of this study is to determine the factors that influence individual taxpayer reporting compliance. The population used by all individual taxpayers who are registered at KPP Pratama Batam Selatan. While the sample was taken through simple random sampling technique with the Slovin formula so that the sample used was 100 respondents. Data analysis techniques are data instrument test, classical assumptions, descriptive analysis and hypothesis testing with the help of SPSS. The results obtained, partially the application of e-filling and tax sanctions has a significant effect on tax reporting compliance while tax awareness and understanding have no significant effect. The f test results show that all the independent variables simultaneously have a significant effect on the dependent variable.


Author(s):  
Novi Anggraeni

Nipple blisters can be caused by trauma to the nipple during breastfeeding, but it can also cause cracks and the formation of a gap - a gap. The incidence of sore nipples caused by several factors including improper feeding techniques and lack of breast care. This study aims to investigate the relationship between breastfeeding and breast care techniques with incidence of sore nipples. This research was conducted in June 2017 and BPS BPS Meiyuni Siti Hotijah Bangkalan. This research uses a checklist approach Sectional Cros. Subjects studied were maternal postpartum primipara 1-40 day total of 36 people. The sampling technique used was simple random sampling. Statistic test used lambda. The results showed breastfeeding technique in the category of pretty 16 respondents (44.4%) and treatment of breast category fairly 18 respondents (50%), while the incidence of sore nipples in the category were 18 respondents (50%). Statistical test results showed the value of breastfeeding technique p Value (0.019) <α (0.05) means that there is a correlation technique of breastfeeding on the incidence of sore nipples, while for the treatment of breast statistical result p value Value (0.047) <α (0.05 ) means that there is a relationship to the incidence rate of breast care sore nipples. This research is expected to provide knowledge to prevent the incidence of sore nipples in a mannerappropriate feeding techniques and treatment of breast good.


2019 ◽  
pp. 103-121
Author(s):  
Mispa Adelistra Br Ginting ◽  
Anitha Paulina Tinambunan

This study aims to test and analyze the influence of socioeconomic factors and work motivation on the work performance of the CU Cinta Kasih Tigapanah Cooperative Karo District employees. The sampling technique used is Proportional Random Sampling. The data analysis technique is multiple linear regression. From the results of data processing, socioeconomic factors were found to have a positive and significant effect on the work performance of the CU Cinta Kasih Tigapanah Cooperative employees in Karo District. T test results show that the socio-economic variable variable 2,819> t table 1,668 and with a significant level of 0.009 t table 1,668.


2016 ◽  
Vol 2 (2) ◽  
pp. 407
Author(s):  
Novarin Nurjanah ◽  
Bagja Waluya

Banten is one province in Indonesia which has a variety of objects and the potential tourism. One of the tourist area is Ujung Kulon National Park. Ujung Kulon National Park is a kind of ecological tourism (ecotourism) that located in Pandeglang. This national park is very well known to foreign tourists and domestic tourists, primarily as a place of preservation of the Javan rhino (one-horned rhino and buffalo). However, tourist arrivals Ujung Kulon National Park in 2010 has decreased, therefore necessary to conduct research on aspects related to increasing the number of visits. including through programs conducted by the marketing communication manager Ujung Kulon National Park. Based on this, the researcher interested to conduct research The Influence of Marketing Communication Programs towards Visiting Decision in Ujung Kulon National Park. The problem of this study are 1). How the idea of marketing communication programs, 2). How the idea of the decision to visit, 3). How does influence marketing communication programs to the visiting decision. This study aims to obtain marketing communication description, visiting decision description and the influence of marketing communications programs to the visiting decision. The technical analysis of the data in this study is used the analysis of the path (path analysis) with a sampling technique is systematic random sampling of 100 respondents. The results of this study indicate that marketing communication programs have a significant influence on the decision to visit. Greatest effect is obtained through advertising and the smallest effect is obtained through the event and experience. This is because advertising is a means of promotion through various media such as print and electronic media that can provide more information to tourists. Suggestion for managers Ujung Kulon National Park, should further develop marketing programs through organized events and improve the quality of tourist attractions as well as provide information best time to visit the National Park Ujung Kulon.


2020 ◽  
Vol 3 (2) ◽  
pp. 304-318
Author(s):  
Achmad Nur Sholeh ◽  
Arief Budiyanto

The objectives of this study are : (1) To determine the effect of Marketing Communication on Online Purchase Site Selection Decisions, (2) To determine the effect of E-Service Quality on Online Purchase Site Selection Decisions and (3) To determine the effect of Marketing Communication and E -Service Quality on the Decision to Choose Online Purchase Sites collectively. Quantitative methods are used in this research. Data is taken from the results of a questionnaire sent via google form as well as observation and documentation. The number of respondents who were sampled was as many as 100 respondents with simple random sampling technique as a sampling technique. Data analysis assisted by SPSS 25.0 software. T (partial) and F (simultant) test results are proven to show a significant relationship between Marketing Communication, E-Service Quality and Student Decisions in Choosing E-Commerce. Abstrak Tujuan dari penelitian ini adalah : (1) Untuk mengetahui pengaruh Komunikasi Pemasaran terhadap Keputusan Pemilihan Situs Belanja Online, (2) Untuk mengetahui pengaruh E-Service Quality terhadap Keputusan Pemilihan Situs Situs Belanja Online dan (3) Untuk Untuk mengetahui pengaruh Komunikasi Pemasaran dan E-Service Quality terhadap Keputusan Pemilihan Situs Situs Belanja Online secara bersama - sama. Metode kuantitatif digunakan dalam penelitian ini. Data diambil dari hasil kuesioner yang dikirimkan melalui google form dan juga observasi serta dokumentasi. Jumlah responden yang dijadikan sampel adalah sebanyak 100 responden dengan tehnik simple random sampling sebagai tehnik pengambilan sampel. Analisis data bantuan piranti lunak SPSS 25.0. Hasil uji T (parsial) dan F (simultan) terbukti menunjukkan adanya hubungan yang signifikan antara Komunikasi Pemasaran, E-Kualitas Layanan terhadap Keputusan Mahasiswa dalam Pemilihan Situs Belanja Online. Kata Kunci : Keputusan Pemilihan Konsumen, E-Kualitas Layanan, Komunikasi Pemasaran, Situs Jual Beli Online


2021 ◽  
Vol 7 (1) ◽  
pp. 27-35
Author(s):  
Ghulam Shabir ◽  
Arif Ahmad ◽  
Imran Shah ◽  
Rana Faizan Ali

Background: Regular feelings of anxiety is a severe life and highly prevalent psychiatric disorder which becomes one of the major cause of death across the globe. Although the exact causes responsible for anxiety are not known only in Pakistan 44 % of the population is facing anxiety problems which leads to many other diseases and low quality of life. Objectives: To investigate whether the youth of Pakistan is facing anxiety problems, what are the major cause of anxiety, how anxiety can be managed, and to study the role of prayers in anxiety management.  Method: The researcher select 400 respondents from two universities of Lahore (the University of Central Punjab and Punjab University) through a systematic random sampling technique. In the first phase, the researcher filters those people who did not face an anxiety problem in the last month. Researchers collect data only from those respondents who can recall and face an anxiety problem in the last month. Results: Rate of anxiety among the youth of Pakistan is alarming, as (71 %) of the respondent said that they face anxiety problems. But there is a very significant relationship between prayers and anxiety management. Conclusion: The researcher concludes that prayers can be used to manage or reduce anxiety.


2019 ◽  
Vol 4 (1) ◽  
pp. 303-309
Author(s):  
Maya Arfania ◽  
Raden Neng Yuni Budiarti

ABSTRAK Hipertensi merupakan penyakit kronis yang memerlukan terapi. Adanya beberapa hal yang menyebabkan terjadinya penyakit hipertensi, diantaranya usia, tidak dapat mengendalikan stress, kualitas pelayanan kesehatan, polifarmasi. Salah satu penentu keberhasilan terapi adalah adanya kepatuhan minum obat pada pasien. Tujuan penelitian ini adalah untuk melihat gambaran tingkat kepatuhan minum obat antihipertensi pada pasien dewasa dan hubungan antara faktor risiko dengan jenis kelamin dan polifarmasi di RSUD Karawang. Penelitian ini merupakan penelitian Analitik dengan desain cross sectional dimana sampel diambil dengan teknik Purposive Random Sampling. Dari 115 resep yang diperoleh selama penelitian, terdapat 31 pasien (27%) laki-laki dan 84 pasien (73%) perempuan. Setelah dilakukan wawancara menggunakan kuesioner MMAS-8, didapatkan hasil sebanyak (22,6%) patuh dan (77,4%) pasien dewasa tidak patuh. Dari hasil analisis berdasarkan uji Chi Square dapat disimpulkan Jenis Kelamin (p=0,317) dan Polifarmasi (p=0,459) bukan fakor resiko terhadap ketidakpatuhan minum obat hipertensi pada pasien dewasa.  Kata Kunci: Hipertensi, Tingkat Kepatuhan, Faktor Resiko   ABSTRACT   The hypertension is a chronic disease that needs to be treated properly and continuously. There are several things that cause hypertension disease, age,  can not control the stress, quality of health services, polypharmacy .One of the critical success of therapy is medication compliance by patients. The purpose of this research is to see an overview the compliance level of adult patient’s anti-hypertention and the relationship between risk factors at gender and polypharmacy at RSUD Karawang. This is a analysis research with cross sectional where sample were taken by purposive random sampling technique. From 115 prescriptions, there were 31 male (27%) Patients and 84 female (73%) patients. After the interview using MMAS-8 questionnare, there were (22,6%) compliance and (77,4%) uncompliance adult patient. From the results of the analysis based on Chi Square test, it can be concluded that Gender (p=0,317) and Polypharmacy (p=0,459)  is not a risk factor for uncompliance in taking hypertension medication in Adult patients.  Keywords: Hipertensi, Compliance, Risk Factor


2017 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Nor Efendi ◽  
Tri Yunis Miko Wahyono ◽  
Titi Sundari

Abstrak : Penelitian ini bertujuan untuk mengetahui gambaran kesintasan 2 tahun setelah diagnosis pasien ko-infeksi TB-HIV berdasarkan lokasi anatomi Tuberkulosis (TB). Penelitian ini menggunakan desain kohort restrospektif dinamik menggunakan 177 rekam medik pasien ko-infeksi TB-HIV di RSPI Prof. Dr Sulianti Saroso Jakarta yang terdaftar tahun 2010-2013, diambil secara simple random sampling Kesintasan pasien ko-infeksi TB-HIV 2 tahun setelah diagnosa dengan lokasi anatomi TB di ekstra paru sebesar 86%, lebih rendah dibandingkan dengan lokasi anatomi TB di paru sebesar 98%. Lokasi anatomi TB di ekstra paru beresiko lebih cepat mengalami kematian pada pasien ko-infeksi TB-HIV (HR 1,47, 95% CI : 0,55-3,90). Infeksi HIV mengakibatkan kerusakan sistem imunitas tubuh yang luas sehingga infeksi dan penyebaran kuman TB juga akan meluas seperti ke kelenjar getah bening, pleura dan organ lainnya. TB ekstra paru memiliki beban bakteri TB yang lebih tinggi dan menunjukkan progresifitas perjalanan penyakit semakin parah yang mengakibatkan probabilitas ketahanan hidup (kesintasan) penderitanya semakin menurun. Perlu dilakukan screening lebih intensif terhadap pasien ko-infeksi TB-HIV untuk menemukan kemungkinan TB di ekstra paru sedini mungkin agar dapat diberikan penatalaksanaan yang tepat dalam rangka meningkatkan kualitas hidup penderitanya.Abstract : The study aims to describe the overview of survival for 2 years after diagnosed of patients co-infection with TB-HIV based on the anatomical site of Tuberculosis (TB). The design of this study was dynamic retrospective cohort with 177 medical records of TB-HIV co-infection patients in the Center of infection hospital Prof. Dr. Sulianti Saroso, Jakarta, from 2010 to 2013, taken by simple random sampling technique. The survival of TB-HIV co-infection for 2 years after it was diagnosed in patients with anatomical site of TB in the extrapulmonary was 86% and it was lower compared to patient with the anatomical site in the pulmonary which was 98%. Anatomical site of TB in the extrapulmonary had risk of death faster toward TB-HIV co-infection patients (HR 1,47, 95% CI : 0,55-3,90). HIV infection cause the widespreading damage in the immunity system therefor the infection of TB microbe also spreading to other organ such as lymph nodes and pleura. Extrapulmonary TB has much more TB microbe that worsen the progressivity of the disease and decrease the probability of the patient’s survival. Intensive screening are needed for TB/HIV co-infection patients to diagnosed the possibility of TB infection in the extrapulmonary as early as possible to increase the quality of life of its patients by finding the proper treatment.


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