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Relationship Between Nutritional Status and Hemodialysis Therapy in Patients With Chronic Kidney Disease at Adam Malik Medan Hospital, Indonesia
Full text linkBackground: One of the measures taken to control chronic kidney failure is through the hemodialysis procedure. Hemodialysis therapy can cause various side effects in patients, one of which is the risk of decreased nutritional status which can result in malnutrition. When the nutritional status of kidney failure patients worsens, the quality of life also decreases. Objective: This study aimed to determine the relationship between nutritional status and hemodialysis therapy at Haji Adam Malik General Hospital, Medan. Methods: This research was conducted from February to October 2024. This research is an analytical observational study using a cross sectional study design. The sample taken in this study was 80. Data was obtained from medical records at H. Adam Malik General Hospital, Medan. Results: The correlation test with the Chi-square test showed no relationship between Body Mass Index and several criteria, namely: Gender (p=0.645), age (p=0.410), creatinine (p=0.296), urea (p=0.296), albumin (p=0.315). Conclusion: There is no relationship between BMI and age, gender, albumin levels, creatinine levels and albumin levels in hemodialysis patients at H.Adam Malik General Hospital, Medan. The majority of patients undergoing hemodialysis at H.Adam Malik General Hospital Medan have a normal BMI (66%)
Translanguaging in Religious Speech: Practices, Evaluation, and Perception
Full text linkFew studies have examined translanguaging's uses in preaching, which is the field of religious communication, even though it has been widely studied in educational communication. The study aims to characterize, evaluate, and perceive the translanguaging practices in Sunday sermons using Simalungun, a traditional language in North Sumatra Province. The study used a descriptive qualitative method with a survey design. Sixty priests participated in the study as participants selected by using a purposive sampling technique. Simalungun language was chosen as the language of sermon delivery, and the research instrument was the Google Form platform. This study found that motivation to employ translanguaging is crucial for effective sermon delivery and understanding. This study examines the reasons for priests' use of translanguaging, including the predominant preaching genre, the language used, challenges encountered, and congregational perceptions. The findings of this study provide a comprehensive account of translanguaging in Simalungun sermons, perceptions of the translanguaging practices, and better comprehension of messages in the sermon as implications of the study. The study suggests that additional research on the content of preaching in Sunday sermons be conducted using various analytical methodologies
An Analysis of Japanese Chouon Pronunciation Among Students of Deli Husada Health Institute
Full text linkThis study aims to identify which long vowel sounds (chouon) in Japanese can be easily pronounced and which are difficult for the Deli Husada Institute of Health students in Deli Tua. This research method employs voice analysis using the Praat application to evaluate the students' pronunciation. Praat was used to analyze the duration, frequency, and intensity of participants' voices. The Praat application will record, segment, and analyze the students' voices. The data consists of voice recordings from the six participants when pronouncing vocabulary containing chouon sounds. The findings indicate that there are variations in errors in the pronunciation of certain vowels, such as the vowel /u/ in "yuumei," the vowel /e/ in "meishi" and "heiya," and the vowel /o/ in "ooku," among the students of the Deli Husada Institute of Health. Words with long sounds are also rarely pronounced correctly due to a lack of practice. Vocabulary such as "obaasan," "ojiisan," and "sakkaa" is more often pronounced correctly because they are frequently used in daily learning. Participants who allocated more time to study showed a higher degree of pronunciation similarity to native speakers. Overall, the frequency of usage and conversational learning significantly influence pronunciation ability
Community service to increase red chilli economic value with post-harvest technology at Poktan Berkah Tani, Pulau Gambar Village, Serbajadi District, Serdang Bedagai District
Full text linkIn Indonesia, especially North Sumatra, chilli is a horticultural good that the people consume extensively. The availability and demand for red chillies in society are quite erratic; when production rises, the price of red chillies is rather low; when production falls, the price of red chillies will rise because of commodity shortage. Processing fresh chillies into chilli sauce, therefore, is one way to solve this issue. Making chillies into chilli sauce improves shelf life and sales value and makes sense for consumption, tastes great and refreshing, and accentuates the flavour of meals. Training courses on food safety for the Pulau Gambar people in Serbajadi District, Serdang Bedagai Regency, concentrated on chilli sauce processing technology and comprised the community service activities. The training sought to equip the residents with the tools required to create premium chilli sauce, which can be both a source of income and a way to support local cooking customs. Improving their understanding of food safety and processing methods will help the community to guarantee that their goods satisfy health criteria and also attract a larger market. This exercise seeks to guarantee the produced chilli sauce is fit for consumption. The approach was applied sauce. Of the 37 participants in the service activities, 100% said the outcomes were favourable; 69% (15 people) said they intended to try it themselves, and 31% said they were not sure yet
Community empowerment through snakefruit diversification as fruitleather using a dough machine in the Kramat Bangkalan Village
Full text linkKramat Village is one of snakefruit plantation centre in Bangkalan Madura. Some of the processed products are produced into specific typical regional food and can be sold which lead to the improvement of the community's economy. However, in its journey, the snakefruit products are difficult to market outside the region. The purpose of this program is to create a new innovation in processing snakefruit as a culinary product and souvenir typical of Kramat Village Bangkalan. The results of the activity show that innovation in processing snakefruit into fruitleather products is quite popular and has the potential to be a superior product. The development of Kramat Village and its surroundings into a tourist village has made agrotourism actors and snakefruit processors take the initiative to develop processed snakefruit products into culinary delight of the village. However, developing processed snakefruit products into culinary and souvenirs typical of the village is not easy. It requires various kinds of knowledge ranging from processing, packaging to marketing. Empowerment program society is also done in its marketing through mentoring with improvement knowledge in digital marketing fiel
Capacity building of farmers in managing and utilizing local agrarian resources through the dissemination of sustainable farming techniques in Sampuran Village, Muara District, North Tapanuli Regency
Full text linkThis research focuses on Research and Community Service (PPKM) activities carried out through the collaboration of IAKN Tarutung and USU in the field of agriculture in Sampuran Village, Muara District, North Tapanuli Regency. The primary issue addressed is farmers' complaints about reduced crop productivity caused by plant pests. The main commodities cultivated by the farming community include mango, cacao, avocado, and several types of young plants. The research method used is a qualitative approach with a case study type. The evaluation of the program's impact on farmers' empowerment was conducted using measurable indicators, including the percentage reduction in pest-related damage, changes in crop yields, and the number of farmers adopting pest control techniques introduced during the program. The results show that the Community Service collaboration between IAKN Tarutung and USU contributed significantly to addressing farmers' complaints regarding plant pests. The service was carried out by involving the farming community, facilitated by Sampuran Village officials. Focus Group Discussions (FGDs) with five farmer groups were conducted to identify and address plant pest problems effectively. The program's sustainability strategy includes ongoing training sessions, the establishment of farmer self-help groups, and periodic monitoring facilitated by local agricultural extension officers
Technical guidance on making fish shredded meat for coastal communities in Kendari City
Full text linkThis community service activity aimed to provide knowledge and skills to women in coastal villages on how to make fish floss from tuna scraps, resulting in floss with a texture, aroma, and taste similar to beef floss. The activity was conducted in Abeli Subdistrict, with participants from five coastal neighborhoods in Kendari City: Abeli Village (3 participants), Lapulu Village (3 participants), Talia Village (5 participants), Nambo Village (4 participants), and Sambuli Village (4 participants), totaling 19 participants. The activity was conducted using educational sessions and demonstrations. The evaluation results showed that the community, particularly the women who participated in the training, were able to master and apply the fish floss production techniques taught. Based on observations by the program implementers, approximately 90% of the women were already able to make fish floss, as most participants had previously been accustomed to making traditional Bajabu fish floss. With this knowledge, they were able to utilize their free time productively by producing fish floss from tuna scraps
Review of Logistics Models for Perishable Goods: Comparative Analysis of Location Planning and Inventory Management under Supply Chain Disruptions
Full text linkThis study reviews and compares two logistics models tailored to perishable goods, focusing on the spatial and temporal dimensions of supply chain optimization. The first model proposes a population-density-based location planning framework that applies network centrality measures to determine optimal order fulfillment center locations. The second model introduces a two-warehouse inventory policy designed to handle disruption scenarios, such as lockdowns, by balancing demand variation and spoilage rates. Both models were evaluated for their methodological approaches, performance under disruption, and adaptability. The integrated review underscores the necessity of combining spatial efficiency with dynamic stock resilience to improve supply chain effectiveness for perishable goods. Findings suggest that hybrid models leveraging both geographic and temporal decision layers can significantly strengthen logistics adaptability
Theoretical Approach to the Management of Epidural Hematoma (EDH): Optimal Timing for Surgical Intervention
Full text linkIntroduction: Epidural hematoma (EDH) is a life-threatening condition that requires timely surgical intervention to prevent irreversible neurological damage, with early decompression within the "golden hour" being critical for better outcomes.
Case Description: Two cases were discussed: Case 1, an 81-year-old female who underwent surgery within 12 hours with significant recovery, and Case 2, a 73-year-old male who showed deterioration after delayed intervention but improved following decompression within 12 hours.
Discussion: Early surgical intervention prevents brain herniation and secondary brain injury. The "golden hour" concept emphasizes decompression within hours of symptom onset. Access to timely care in rural settings can delay intervention, worsening outcomes. The timing of surgery must consider individual patient factors, such as comorbidities and hematoma size.
Conclusion: Optimal surgical timing, especially within the "golden hour," is critical in EDH management to prevent irreversible neurological damage. Individualized treatment plans should account for access to care and patient-specific factors for the best outcomes
Efforts to increase mental toughness through cognitive behaviour modification for paser club archery athletes
Full text linkSports competitions are one of the arenas in which a country can prove its capability to manage quality human resources. Good mental ability management is one factor that influences an athlete's success rate in winning a competition. Mental toughness positively influences an athlete, one of which is fostering motivation to achieve. This study aimed to determine the effect of CBM intervention on Paser club archery athletes in Sidoarjo in terms of increasing Mental toughness. This study uses a pretest-posttest design type with a single group and experimental research methodology. Because the sample is less than 30, the sampling technique used is non-probability sampling, namely saturation sampling. The mental toughness scale is used as a data collection tool and analyzed using a paired t-test. The statistical test results showed a significance value of .0001, which means that there is an effect of CBM intervention in increasing the mental toughness of Paser club archery athletes in Sidoarjo