Open Journal Unimal (e-Jurnal Universitas Malikussaleh)
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Strategi Pemasaran Untuk Meningkatkan Jumlah Jamaah di PT. Bimalyndo Hajar Aswad Cabang Aur Kuning Kota Bukittinggi
Get PDFThe problem in this research is the ineffective marketing strategy, such as the limited variety of products, the high cost of Umrah packages, and the lack of public awareness about PT Bimalyndo Hajar Aswad, Sumatera Barat Branch, due to minimal advertising. Additionally, there is a shortage of resources in the marketing department. The purpose of this study is to analyze the marketing strategies implemented by PT Bimalyndo to increase the number of Umrah pilgrims. The company is still inefficient and lacks sufficient workforce due to increasing competition with the growing number of Umrah travel agencies in Bukittinggi. This research employs a descriptive qualitative method, utilizing both primary and secondary data. The study found that the current marketing strategies are not entirely effective and still have several shortcomings. For instance, the product variety is insufficient, prices are higher than competitors, promotional efforts are ineffective, and the marketing department lacks dedicated personnel to focus on promoting Umrah packages
Trauma Thorak
Get PDFTrauma toraks merupakan penyebab mortalitas dan morbiditas yang signifikan. Kesulitan penanganan pasien dengan trauma tumpul toraks disebabkan keterlambatan terdeteksinya Acute Respiratory Distress Syndrome (ARDS). Thorax Trauma Severity Score (TTSS) yang diperkenalkan oleh Pape dkk pada tahun 2000 mencakup usia, parameter fisiologik, dan penilaian radiologik toraks. Penelitian ini bertujuan untuk menilai kemampuan TTSS dalam memrediksi kejadian ARDS pada pasien dengan trauma tumpul toraks. Analisis statistik menggunakan Receiver Operating Characteristic (ROC) curve. penyakit akibat trauma sering ditelantarkan sehingga trauma merupakan penyebab kematian utama pada kelompok usia muda dan produktif di seluruh dunia. Angka kematian ini dapat diturunkan melalui upaya pencegahan trauma dan penanggulangan optimal yang diberikan sedini mungkin kepada korbannya. Perlu diingat bahwa penanggulangan trauma bukan hanya masalah di rumah sakit, tetapi mencakup penanggulangan menyeluruh yang dimulai di tempat kejadian, dalam perjalanan ke rumah sakit dan di rumah sakit
Article Review : Sarcopenia Geriatric Syndrom
Get PDFSarkopenia merupakan suatu sindrom yang ditandai oleh kehilangan progresi massa otot dan kekuatan otot yang berkaitan dengan penuaan. Sarkopenia merupakan penentu utama risiko jatuh dan gangguan kemampuan untuk melakukan aktivitas kehidupan sehari-hari, yang sering kali menyebabkan kecacatan, hilangnya kemandirian, dan kematian. Penyebab sarkopenia diduga multifaktorial termasuk: faktor lingkungan, penyakit, aktivasi jalur inflamasi, disfungsi mitokondria, hilangnya sambungan neuromuskular, berkurangnya jumlah sel satelit dan perubahan kualitas fungsi hormonal. Diagnosis sarkopenia dikonfirmasi oleh adanya kuantitas atau kualitas otot yang rendah. Ketika kekuatan otot rendah, kuantitas/kualitas otot rendah dan kinerja fisik rendah semua terdeteksi, maka sarkopenia dianggap parah. Pendekatan nonfarmakologis meliputi latihan ketahanan dan nutrisi yang adekuat. Beberapa pendekatan diet seperti asupan protein, vitamin D, nutrisi antioksidan, dan asam lemak tak jenuh ganda rantai panjang yang adekuat telah terbukti memiliki efek positif terhadap sarkopenia. Saat ini, belum ada obat khusus yang disetujui oleh Badan Pengawas Obat dan Makanan untuk pengobatan sarkopenia. Namun, beberapa agen, termasuk hormon pertumbuhan, steroid anabolik atau androgenik, modulator reseptor androgenik selektif, agen anabolik protein, stimulan nafsu makan, inhibitor miostatin, obat pengaktif reseptor II, penghambat reseptor β, inhibitor enzim pengubah angiotensin, dan aktivator troponin, direkomendasikan dan telah terbukti memiliki efikasi yang bervariasi
Therapeutic Plasma Exchange pada Toxic Epidermal Necrolysis
Get PDFNekrolisis Epidermal Toksik (TEN) jarang terjadi dan dapat mengancam jiwa pasien. Penatalaksanaan yang tepat pada pasien TEN dapat memberikan hasil yang optimal dan mencegah terjadinya komplikasi. Salah satu modalitas pengobatan untuk TEN adalah Therapeutic Plasma Exchange (TPE), yang jarang tersedia pada kebanyakan kasus dengan TEN berat. Kami melaporkan keberhasilan pengobatan TEN parah dengan TPE. Laporan kasus : seorang laki-laki berusia 54 tahun yang mengkonsumsi analgetik (analsik) dan kemudian demam serta timbul ruam hampir di seluruh tubuh. Kulit pasien mengelupas disertai bintik-bintik merah dan ruam disekujur tubuh selama seminggu. Selama pemeriksaan, pasien compos mentis, dan skor SCORTEN adalah 2 dengan risiko kematian sebesar 12,1%. Pemeriksaan dermatologis pada wajah, badan dan ekstremitas menemukan erosi yang luas, bula longgar berisi cairan bening, kerak coklat, dan distribusi umum dengan lebih dari 30% epidermolisis. Pasien didiagnosis dengan nekrolisis epidermal toksik yang disebabkan oleh terapi analgetik. Pasien dirawat dengan menghentikan obat yang dicurigai dan memberikan kortikosteroid, tetapi tidak ada perbaikan yang diamati. Pasien menjalani satu siklus TPE dengan albumin 5%, menghasilkan 3,8 liter pertukaran plasma. Re-epitelisasi diamati setelah tiga hari, dan pasien dipulangkan pada hari ke-8. Laporan kasus ini menyoroti peran penting TPE dalam merawat pasien TEN. Namun, sebuah studi dengan ukuran sampel yang lebih besar diperlukan untuk memvalidasi kemanjuran TPE pada TEN
The Effect of Infant Massage on the Duration of Breastfeeding in Infants at Independent Midwife Practice Hutri and Independent Midwife Practice Nur Asmalindar
Get PDFInfant massage is a form of tactile stimulation that has been proven to provide physiological and psychological benefits, especially in supporting successful breastfeeding. This study aims to determine the effect of infant massage on the duration of breastfeeding in infants at Hutri Independent Midwife Practice and Nur Asmalindar Independent Midwife Practice. The research design used was a quasi-experiment with a Non-Equivalent Control Group approach. The sample consisted of 30 infants divided into two groups, namely the intervention group (infant massage) and the control group (without massage), each consisting of 15 respondents. Data were analyzed using the Wilcoxon test. The results showed that before the intervention, 43.3% of infants in the massage group had a short breastfeeding duration and none of them breastfed for a long duration. After the massage was given, 93.3% of infants increased to the long breastfeeding duration category. Conversely, in the group without massage, only 6.7% of infants breastfed for a long duration. The Wilcoxon test showed a p value = 0.000 in the massage group and p = 0.042 in the group without massage, which means there was a significant difference. These results suggest that infant massage can be an effective intervention in increasing infant breastfeeding duration
Efektivitas Media Video dan Poster terhadap Tingkat Pengetahuan dan Sikap Ibu Bayi Balita tentang Pencegahan Stunting di Wilayah Kerja Puskesmas Kombikuno
Get PDFStunting merupakan gangguan pertumbuhan pada anak balita yang disebabkan oleh kekurangan gizi kronis, dimulai sejak masa kehamilan hingga awal kehidupan anak. Kondisi ini ditandai dengan tinggi badan anak yang tidak sesuai dengan usianya. Penelitian ini bertujuan untuk mengetahui pengaruh peningkatan pengetahuan dan sikap ibu mengenai stunting melalui media video dan poster. Metode yang digunakan adalah metode kuantitatif dengan desain penelitian kuasi eksperimen, yaitu nonequivalent control group design. Penelitian melibatkan dua kelas yang berbeda sebagai partisipan, yang kemudian dibagi menjadi kelompok eksperimen dan kelompok kontrol. Hasil analisis data menunjukkan bahwa intervensi yang dilakukan secara signifikan meningkatkan pengetahuan peserta, ditunjukkan oleh nilai probabilitas (p) yang sangat rendah, yaitu 0,000, yang menandakan perbedaan yang signifikan antara sebelum dan sesudah intervensi. Kesimpulan dari penelitian ini adalah bahwa penggunaan media visual berupa video dan poster terbukti efektif dalam meningkatkan pengetahuan serta mengubah sikap ibu terhadap upaya pencegahan stunting pada bayi dan anak balita. Hal ini dibuktikan dengan peningkatan pemahaman dan perubahan pandangan ibu setelah menerima edukasi melalui kedua media tersebut. Oleh karena itu, disarankan agar penelitian selanjutnya dan tenaga kesehatan dapat terus berinovasi dalam menyampaikan edukasi kesehatan yang menarik dengan memanfaatkan teknologi digital
THE EVICTION OF SHOPS ON THE RAILWAY ROAD AND THE ECONOMIC SUSTAINABILITY OF THE MERCHANT COMMUNITY IN SAMALANGA
Get PDFThis study examines the eviction of shops on the railway road and the economic sustainability of the trading community. The main focus in this study is the reason for the local government to evict the Samalanga market and how the community\u27s economy is affected after the eviction of the Samalanga Market. This research was conducted in Samalanga District, Samalanga District, Bireuen Regency. The theory used to answer the problem in this study uses Max Weber\u27s theory of social action. This study uses a descriptive qualitative method that aims to understand and describe the phenomena experienced by the research subjects. The data collection techniques used are using observation, interview, and documentation methods. The data analysis used in this research is data reduction, data presentation, and conclusion drawn. The results of the study show that the economic condition of the community was affected after the eviction of shops on the railway road in the Samalanga district: (a) unemployment increased in the merchant community after the eviction, (b) the merchant community lost their livelihood in meeting the needs of life, (c) the community felt disadvantaged after the loss of the trading stalls, (d) the change in income in the merchant community. The motive of the local government to evict shops on the Keude Samalanga railway road, Samalanga District, (a) the main factor of further infrastructure construction, (b) minimizing the occurrence of congestion, (c) complaints from the local community, (d) preventing the risk of traffic accidents, (e) the development of the existence of dayah in Samalanga District
Penguatan Kapasitas Metode Pembelajaran Bahasa Inggris Pada Madratsah Ibtidaiiyah Negeri 2 Kota Lhokseumawe
Get PDFStrengthening the capacity of English language teaching methods at the elementary school level is a strategic step in responding to globalization and improving the quality of education. This research was conducted at MIN 2 Lhokseumawe City, focusing on the development of innovative, interactive, and contextual teaching methods. The approaches used include communicative learning, project-based learning, and the integration of digital media to actively enhance students’ language skills. The initiative involved collaboration among UIN Sultanah Nahrasiah, UNIKI, and Malikussaleh University through teacher training, professional mentoring, and learning evaluation. The results showed increased student interest, engagement, and basic English proficiency. Teachers also became more skilled in designing adaptive and enjoyable learning strategies. This research emphasizes the importance of synergy between madrasahs and universities in developing applicable learning models. It is expected that the outcomes of this initiative will serve as a reference for other madrasahs in improving the effectiveness of English language learning at the elementary level
Adventure Time: Dilo World - An Adventure Game with Educational Elements for Kids
Get PDFThe rapid development of the gaming industry has led to the integration of entertainment and education in game design. Adventure Time: Dilo World is a 2D platformer educational game aimed at enhancing children\u27s learning through interactive and engaging gameplay. The game features three distinct levels, each representing a different season”summer, autumn, and winter”with unique challenges and enemies. Players navigate through these environments, overcoming obstacles and answering educational questions to unlock treasure chests containing rewards. Developed using the Godot game engine, the game incorporates a structured game flow, interactive controls, and visually appealing graphics to maintain engagement. The educational content focuses on mathematics, Indonesian history, and English, making it a valuable learning tool for children aged 7-12 years. The gameplay mechanics encourage problem-solving, critical thinking, and perseverance, reinforcing cognitive development in a fun and interactive manner. The results of this study highlight the effectiveness of game-based learning in improving children\u27s educational engagement. Future development may include additional levels, new enemies, multiplayer options, and expanded educational material to further enhance its impact. Overall, Adventure Time: Dilo World demonstrates that gamification can be a powerful tool in supporting educational growth, making learning an enjoyable experience
The Fragmented Landscape of Stroke Epidemiology in Indonesia
Get PDFIndonesia encounters substantial obstacles in stroke surveillance, as indicated by Riskesdas, BPJS, and hospital registries. The disconnected and inconsistent data that is gathered from these sources is the root cause of these challenges. When there are inconsistencies in case definitions, reporting, and geographical biases, it is challenging to conduct an accurate burden assessment and develop appropriate policies. The analysis of stroke epidemiology data from 2007 to 2023 in this study reveals significant deficiencies. These deficiencies encompass discrepancies in diagnostic accessibility, underrepresentation in hospital registries, and methodological inconsistencies in national surveys. One of the recommendations is the integration of a National Stroke Registry with BPJS to facilitate real-time data transmission. Additionally, the standardization of reporting through the application of WHO standards and ICD-11 classification, as well as the enhancement of rural documentation through the application of professional development and digital technologies, are additional recommendations. The resolution of these issues would enhance the precision of data, facilitate the application of evidence-based decision-making, and enhance the equity of stroke care in all of Indonesia\u27s numerous regions