E-Journal Universitas Muhammadiyah Semarang
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An Analysis of Language and Social Class in the Movie “Once Upon a Time in Hollywood”
No full textThis research was to analyze the relationship between language and social class in the movie Once Upon a Time in Hollywood. Language as communication can reflect a person's social identity and power. The research method used is a qualitative method with a literary study approach, and the theory used is Language and Social Class by Basil Bernstein. The results showed that there are factors that contain power, language style, and social identity. In conclusion, the language used in this movie shows the differences in social class and how they interact in society
The Digital Efficiency Paradox: Modeling the Trade-off Between Documentation Speed and Patient Interaction in Infrastructure-Limited EHR Ecosystems
No full textThe digitization of clinical workflows through Electronic Health Records (EHR) is a global imperative aimed at enhancing data accuracy and care coordination. However, in resource-constrained environments, the transition from paper-based systems to digital platforms often surpasses the readiness of existing infrastructure. While systems such as the Lightwave Health Information Management System (LHIMS) in Ghana offer the promise of increased efficiency, they also introduce critical dependencies on unstable power and internet connectivity. This situation creates a "Digital Efficiency Paradox," wherein the urgency to document data swiftly before a potential power outage inadvertently diminishes the quality of clinician-patient interactions. This study employs a qualitative-driven process modeling approach at Juaben Municipal Hospital (N=10). We utilize formal Business Process Model and Notation (BPMN 2.0) semantics to reconstruct clinical workflows and apply the Control-Flow Complexity (CFC) metric to quantify the cognitive load shift from manual () to digital () systems. Computational analysis reveals that while LHIMS reduced patient retrieval latency by approximately 96%, it increased structural complexity (CFC) from 3.0 to 14.0, thereby imposing a higher cognitive burden. Crucially, we identified a phenomenon of "Infrastructure-Induced Process Deadlock," where power outages result in total system paralysis (), compelling clinicians to resort to risky hybrid workarounds. Paradoxically, the anxiety of potential system failure drives staff to prioritize "screen time" over "care time," creating a tunnel vision effect. The study challenges the "always-online" paradigm in the Global South. We conclude that digital efficiency must be balanced with structural resilience, advocating for an "Offline-First" architecture that decouples clinical documentation from grid instability to preserve the human element of care
Hubungan Tingkat Pengetahuan Ibu Mengenai Gizi Balita Dan Penerapan Pola Makan Dengan Upaya Pencegahan Stunting Di Desa Melaya
No full textStunting masih menjadi tantangan serius pada balita dan berhubungan erat dengan kualitas asupan gizi serta pola makan anak. Pengetahuan ibu mengenai gizi balita dan penerapan pola makan yang tepat merupakan faktor penting dalam upaya pencegahan stunting. Studi ini bertujuan mendeskripsikan hubungan tingkat pengetahuan ibu tentang gizi balita dan pola makan dengan upaya pencegahan stunting. Desain penelitian korelasional dengan pendekatan potong lintang melibatkan 93 ibu balita yang dipilih menggunakan teknik purposive sampling. Tiga kuesioner digunakan untuk menilai tingkat pengetahuan gizi, pola makan balita, dan upaya pencegahan stunting. Hasil analisis menunjukkan bahwa ibu dengan tingkat pengetahuan gizi yang lebih baik cenderung melakukan upaya pencegahan stunting yang lebih optimal. Penerapan pola makan yang baik juga berhubungan dengan meningkatnya upaya pencegahan stunting pada balita. Secara keseluruhan, pemahaman gizi yang baik membantu ibu mengenali kebutuhan nutrisi anak dan risiko apabila kebutuhan tersebut tidak terpenuhi sehingga mendorong pengambilan keputusan yang lebih tepat dalam pemilihan makanan, pengaturan pola makan, dan jadwal makan balita
Kepingan Es Sebagai Cryotherapy untuk Mengobati Mukositis Pada Pasien Kanker Kolon Yang Menjalani Kemoterapi Regimen Fluorouracil (5FU)
No full textMukositis oral merupakan salah satu efek samping dari pengobatan kemoterapi berupa kerusakan epitel mukosa dan barrier rongga mulut. Penatalaksanaan non farmakologi yang dapat dilakukan dengan memberikan cryotherapy dengan kepingan es. Studi ini bertujuan menerapkan pemberian cryotherapy terhadap mukositis oral pada pasien dengan kanker kolon yang menjalani kemoterapi regimen fluorouracil (5-FU). Studi ini menggunakan desain deskriptif dengan pendekatan pada asuhan keperawatan. Pengambilan data dilakukan secara accidental sampling. Kriteria inklusi meliputi pasien kanker kolon yang menjalani kemoterapi regimen fluorouracil (5-FU) dan pasien dengan skor kesehatan rongga mulut berkisar antara 1-8. Intervensi dilakukan dengan menempatkan kepingan es ke rongga mulut selama 20-30 menit dan intervensi dilanjutkan dengan menggosok gigi berbahan natrium bikarbonat selama perawatan di rumah dan sampai siklus kemoterapi selanjutnya. Instrument yang digunakan dalam studi kasus yaitu WHO mucositis scale dan VAS scale. Hasil menunjukkan adanya perbaikan kondisi mukosa mulut , penurunan skor mukositis oral dan penurunan skala nyeri pada ketiga subjek studi kasus. Skor subjek 1 sebesar 0,3 skor sedangkan rerata subjek 2 dan subjek 3 sebesar 1 skor. Kepingan es dapat memberikan rasa nyaman dan mengurangi nyeri telan di rongga mulut dibuktikan dengan perbaikan kondisi mukositis oral dan penurunan skala nyeri dari VAS 4 menjadi VAS 0 . Cryotherapy mampu mengurangi skor mukositis oral dan rasa nyeri pada pasien kanker kolon yang menjalani kemoterapi regimen fluorouracil (5-FU)
Penerapan Rendam Kaki Air Hangat Terhadap Perubahan Tekanan Darah pada Lansia Hipertensi
No full textLanjut usia rentan terkena penyakit salah satunya hipertensi saat tekanan darah lebih dari 140/90 mmHg harus ditangani agar tidak terjadi suatu komplikasi. Terapi nonfarmakologi yang mampu mengatasi tekanan darah tinggi yaitu rendam kaki air hangat, hal ini Efek air hangat mampu mengakibatkan memperbesar pembuluh darah akibatnya sirkulasi darah lancar. Tujuan dari studi kasus mengetahui perubahan tekanan darah pada penderita hipertensi dengan rendam kaki air hangat. Metode studi kasus ini adalah deskriptif dengan pendekatan proses asuhan keperawatan. Subjek sebanyak dua lansia yang memenuhi kriteria inklusif dan ekslusi. Penerapan terapi dilakukan 3 kali dalam seminggu, kaki dimasukan kedalam baskom berisi air sampai mata kaki dengan suhu 38°C selama 10 menit. Hasil studi kasus ini rata-rata tekanan darah subjek studi 1 sebelum 157/88 mmHg dan sesudah menjadi 144/81 mmHg mengalami tekanan darah turun sistoli 13 mmHg dan diastolik 7 mmHg, sedangkan subjek studi 2 sebelum 153/89 mmhg dan sesudah menjadi 145/83 mmHg mengalami tekanan darah turun sistolik sebesar 8 mmHg dan diastolik 6 mmHg, ini membuktikan bahwa rendam kaki air hangat bisa sebagai nonfarmakologi untuk perubahan tekanan darah pada lansia hipertensi
A COMPREHENSIVE EVALUATION OF HOSPITAL INFORMATION SYSTEMS BASED ON THE HOT-FIT FRAMEWORK
No full textBackground: The advancement of information technology requires hospitals to manage information systems efficiently. However, RSIGM Sultan Agung Semarang still encounters difficulties in optimizing its Hospital Management Information System (HMIS) to support daily operations and strategic decisions. This study aims to examine the influence of human, organizational, and technological factors on the net benefits of HMIS, both individually and collectivelyMethod: A mixed-methods design with convergent triangulation was employed, integrating qualitative and quantitative data. Qualitative insights were obtained through in-depth interviews with key stakeholders, while quantitative data were gathered via a structured, validated questionnaire distributed using total and stratified random sampling.Result: The results showed that organizational and technological factors had a significant positive effect on the perceived net benefit of HMIS, with organizational support identified as the most influential. In contrast, the human factor demonstrated a significant negative impact, suggesting user-related barriers to system use. Collectively, the three factors explained a considerable portion of the variance in net benefit.Conclusion: The study concluded that strengthening organizational systems and advancing technological components were essential for enhancing HMIS performance. Addressing human factors through targeted training and simplifying system interfaces was also necessary to improve user experience and satisfactio
MODELING OF FACTORS INFLUENCING GENDER DEVELOPMENT INDEX (GDI) IN PAPUA PROVINCE USING SPLINE NONPARAMETRIC REGRESSION
Get PDFThe Gender Development Index (GDI) is an index of achieving basic human development capabilities to measure success in efforts to develop the quality of human life by considering gender inequality. Papua Province is the province with the lowest GDI score when compared to the 34 provinces in Indonesia. This condition shows that there is still a development gap between the male and female genders. For this reason, it is necessary to research the factors that are suspected to influence GDI in Papua Province. In this study, the pattern of GDI data and the factors that are thought to influence it do not form a specific pattern, so we used spline nonparametric regression. Based on this study, the best model is obtained by the optimal knot point based on the smallest Generalized Cross Validation (GCV) value, which are 3-knots and six significant variables, namely, Life Expectancy , Expected Years of Schooling , Female Income Contribution , Sex Ratio , Female Labor Force Participation Rate , High School Enrollment Rate. This model has an of 99.95%. The predictor variable used has an effect of 99.95%, and other variables influence the rest
Hubungan Tingkat Kecemasan dengan Kualitas Tidur pada Mahasiswa yang Bekerja Paruh Waktu
Get PDFMahasiswa yang memilih untuk bekerja paruh waktu memiliki alasan antara lain tingkat ekonomi, sosial dan perkembangan teknologi, mahasiswa dituntut menjadi dewasa, mandiri serta mampu bersaing dalam dunia kerja. Mahasiswa yang berperan ganda memiliki tuntutan yang lebih berat, dimana harus bisa membagi antara kuliah dengan pekerjaan, yang dapat menimbulkan kecemasan hingga berdampak pada kualitas tidur. Adapun tujuan penelitian ini untuk menganalisa hubungan tingkat kecemasan dengan kualitas tidur pada mahasiswa yang bekerja paruh waktu. Penelitian ini menggunakan desain cross sectional. Jenis penelitian ini menggunakan teknik simple random sampling dengan jumlah responden sebanyak 86 orang, kemudian disesuaikan dengan kriteria. Pengukuran variabel menggunakan e-kuesioner DASS 42 dan PSQI yang dijawab oleh responden. Analisis data menggunakan uji korelasi Spearman rho. Berdasarkan hasil uji statistik nilai signifikan ρ value = 0,022 yang lebih kecil dari nilai α yaitu 0,05, maka hasil tersebut menunjukkan ada hubungan antara tingkat kecemasan dengan kualitas tidur pada mahasiswa yang bekerja paruh waktu dan disarankan bagi responden untuk lebih mendisiplinkan diri dalam membagi waktu, memanajemen kecemasan dan memperbaiki kualitas tidur. Hasil uji statistic menunjukkan ada hubungan antara tingkat kecemasan dengan kualitas tidur pada mahasiswa yang bekerja paruh waktu
Management of Surgery to Cranioplasty Reconstruction in Meningioma Patients with Hyperostosis: Case Series
Get PDFBackground: Meningiomas, common primary brain neoplasms, become more frequent with age. They can affect osseous structures, manifesting as hyperostosis and significantly diminishing the well-being of patients. Although meningiomas' precise etiology and pathogenesis remain ambiguous, hormonal influences and other factors have been implicated in their development. This study seeks to explain surgical management and cranioplasty reconstruction to reduce recurrence and improve the well-being of patients.Objective: This case series encompasses a retrospective analysis of medical records from six patients diagnosed with meningiomas with hyperostosis, treated between December 2022 and January 2024, at Dr. Soegiri General Hospital, Lamongan. The analysis focuses on surgical interventions and cranioplasty reconstruction.Cases Presentation: Six patients had chronic cephalgia and cranial masses persisting for 3-6 years. Computed tomography imaging revealed hyperostotic changes contiguous with the neoplastic lesions, prompting craniotomy. Subsequent acrylic cranioplasty was undertaken to ensure encephalic protection and to achieve cosmetic restoration.Conclusion: For patients presenting with meningiomas and hyperostosis, symptomatic management through surgical excision and resection of the hyperostotic bone is recommended. Early implementation of cranioplasty, preferably acrylic materials, is recommended to shield cerebral structures and restore cranial morphology, given its economic feasibility and reduced infection risk compared to autologous bone graft
VIRTUAL REALITY FOR TOOTHBRUSHING TRAINING AMONG ELEMENTARY SCHOOL STUDENTS: A QUASI EXPERIMENTAL STUDY
Get PDFBackground: Virtual reality (VR) has emerged as a transformative tool in educational training across various fields, including dentistry. Several studies have shown that VR can enhance the transfer of skills learned in training to real-world applications. This study presents a virtual reality video intervention with horizontal toothbrushing technique. The aim is to assess the effect of an educational intervention program on toothbrushing practice among elementary students at public elementary school 10 in Padang City.Method: A quasi-experimental (pre-post) study design was conducted by 40 children with purposive sampling techniques. Pre-intervention and 4 weeks post-intervention assessments were conducted to assess the changes in the practices of toothbrushing properly. The measurement tool uses a 0–20-point scoring method. Wilcoxon's test was performed to investigate the differences between before and after intervention virtual reality toothbrushing training.Outcome: There was an increased performance of toothbrushing skills, mean score before intervention 9.5 (minimum 4, maximum 14 points) and after intervention 17.5 (minimum 12, maximum 20 points). A significant improvement was observed between before and after using virtual reality based toothbrushing training (p < 0.05) among study participants.Conclusion: Virtual reality-guided toothbrushing training could improve the toothbrushing skills of children. These findings suggested that virtual reality-based health promotion could be implemented among students at elementary school