JOS - UNSOED (Jurnal Online Soedirman - Universitas Jenderal Soedirman)
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Description of Uremic Pruritus in Chronic Kidney Failure Patients Undergoing Hemodialysis at Prof. Dr. Aloei Saboe Regional General Hospital
No full textChronic kidney disease (CKD) is a global health problem with a steadily increasing prevalence, particularly among patients undergoing hemodialysis. One of the most frequently reported complaints is uremic pruritus, defined as a chronic itching sensation that significantly affects patients' quality of life. This study aimed to describe the characteristics of uremic pruritus in patients with chronic kidney disease undergoing hemodialysis at RSUD (Regional General Hospital) Prof. Dr. Aloei Saboe, Gorontalo City. This study employed a descriptive quantitative design using a total sampling technique involving 42 CKD patients undergoing hemodialysis who presented with uremic pruritus. Data were collected using a demographic questionnaire and the 5D Itch Scale instrument. The results showed that 3 respondents (7%) experienced mild pruritus, 24 respondents (57%) experienced moderate pruritus, and 15 respondents (36%) experienced severe pruritus. The findings indicate that uremic pruritus remains a predominant clinical problem among CKD patients undergoing hemodialysis. Consequently, increased attention to assessment and management is necessary to improve patients' quality of lif
Indicators of Mothers’ Knowledge Regarding Completeness of Basic Imunization for Children Aged 0-24 Months in Kota Tengah Public Health Centre, Gorontalo
No full textImmunization is a crucial preventive measure to protect children from infectious diseases. A significant decline in coverage is often influenced by the role of mothers as the primary decision-makers in children's health.This study aimed to describe maternal knowledge indicators and their relationship with the completeness of basic immunization for children aged 0-24 months. Utilizing a quantitative design with a cross-sectional approach, the study was conducted on 42 respondents in the Kota Tengah Public Health Center work area, selected through accidental sampling. Data were collected using knowledge questionnaires and Maternal and Child Health (MCH) books, and then analyzed descriptively and using the Chi-square test. The results show that while the majority of mothers understand the definition of immunization, approximately one-third of respondents still have misconceptions regarding the types, benefits, and schedules of vaccinations. Statistical tests reveal a significant relationship between the level of maternal knowledge and immunization completeness (p=0.001), where mothers with better knowledge tend to be more compliant in completing their children's immunization status. In conclusion, maternal knowledge is a vital determinant in the success of immunization programs. More comprehensive health education strategies and continuous guidance for parents are highly necessary to raise awareness and ensure optimal child health protection at the public health center level
Cashless di Sekolah: Literasi Keuangan Digital dan Keamanan Transaksi
No full textThe adoption of cashless payments through QRIS and digital wallets (e-wallets) is increasingly common among students, but is not always accompanied by digital financial literacy and an understanding of transaction security. This Community Service activity aims to improve high school students knowledge of safe and responsible cashless transactions. The program was implemented as a practice-based training with a one group pretest-posttest design for 30 students. The intervention included an introduction to QRIS/e-wallets, transaction verification (merchant and nominal), OTP/PIN protection, phising/social engineering awareness, and contextual case studies in the school environment. The results showed a strong increase in knowledge: the mean score increased from 61.17 (SD=11.72) in the pre-test to 87.83 (SD=6.78) in the post-test (Δ=26.67 points), with 100% of participants experiencing an improvement in their scores. A paired t-test confirmed a highly significant difference (t(29)=13.76; p<0.001) with a very large effect size (Cohen’s dz=2.51); the Wilcoxon test was also consistent (p<0.001). These findings confirm that the brief, case-based simulation training effectively strengthens digital payment literacy and transaction security preparedness among students. Follow-up measures include poster/checklists in school transaction areas and simple SOPs for cooperatives/bazaar
Edukasi dan Pendampingan Penerapan Buku Kas Harian bagi UMKM Pasar Perumnas Kota Cirebon
No full textThis Community Service Program aims to improve the financial management accountability of MSME traders at the Perumnas Traditional Market, Cirebon City, through the implementation of simple daily cash book recording. The program applied an educational and participatory approach tailored to the characteristics of traditional market MSME actors. The approach was implemented through several stages, including mapping the partners’ initial conditions using questionnaires, socialization on the importance of business financial records, simple accounting training, and assistance in daily transaction recording. The subjects of the program consisted of 24 market traders with diverse business backgrounds and scales. The results indicate a significant change in financial recording behavior, as reflected by a decrease in the percentage of traders who did not record transactions and an increase in the use of daily cash books and other recording media. In addition, traders began to separate business finances from household finances and developed a basic understanding of cash flow control. This program demonstrates that the implementation of simple financial recording through an educational and participatory approach can enhance transparency, accountability, and business sustainability among traditional market MSMEs
THE EFFECT OF AIUEO AND BLOWING-PIPE SPEECH THERAPY ON VERBAL COMMUNICATION DISORDERS IN STROKE PATIENTS: CASE REPORT
No full textIntroduction: Stroke is an acute clinical event in the form of a focal or global neurological disorder associated with cerebral circulation disorders that lasts more than 24 hours resulting in death without a known cause other than originating from the blood vessels. One therapy that can be given to stroke sufferers who experience speech disorders is speech therapy. Purpose: This case study aims to determine the effect of AIUEO speech therapy and blowing pipe therapy on verbal communication disorders in stroke patients. Methods: Implementation based on Evidence-based Nursing (EBN) refers to PICO by searching for related articles and journals from 2019-2023 using Google Scholar and it was found that AIUEO speech therapy and blowing-pipe are references that can be used for nursing interventions. AIUEO speech therapy intervention combined with blowing-pipe therapy was carried out one morning and one evening for 5 days. Evaluation of the results of the implementation of the therapy provided using Tikofsky's 50 Word Intelligibility Test instrument which was measured before and after therapy was given for 5 consecutive days. Keywords used: AIUEO speech therapy, blowing-pipe therapy, verbal communication disorders. Discussion: The evaluation results showed that there was a decrease in verbal communication disorders as evidenced by an increase in Tikofsky's 50 Word Intelligibility Test score from 48 to 66. This shows that the patient was able to pronounce more words clearly. Conclusion: There was a reduction in verbal communication disorders in patients after being given AIUEO speech therapy intervention and blowing pipe therapy
Strategi Integratif Ekonomi-Sosial-Lingkungan untuk Mewujudkan Kemandirian Ekonomi yang Berkelanjutan di Indonesia
No full textAbstrak: Indonesia, sebagai negara dengan kekayaan sumber daya alam yang melimpah dan penduduk yang besar, memiliki potensi besar untuk mewujudkan ekonomi mandiri yang berkelanjutan. Artikel ini membahas strategi pembangunan ekonomi mandiri berkelanjutan melalui integrasi aspek ekonomi, sosial, dan lingkungan yang saling terkait. Pendekatan yang digunakan adalah kajian literatur sistematis dari sumber terpercaya, yang mencakup teori dan praktik pembangunan berkelanjutan di Indonesia. Hasil penelitian menunjukkan bahwa pengembangan UMKM, pemberdayaan masyarakat, dan penerapan ekonomi hijau merupakan kunci utama dalam mendukung kemandirian ekonomi. Strategi utama yang ditawarkan meliputi pemberdayaan UMKM, peningkatan kapasitas sumber daya manusia, perluasan akses pembiayaan inklusif, serta pengembangan produk lokal berdasarkan potensi daerah. Selain itu, artikel menekankan pentingnya sinergi antara pemerintah, masyarakat, dan sektor swasta untuk menghadapi tantangan seperti ketimpangan sosial, keterbatasan akses modal, dan kerusakan lingkungan. Pendekatan Triple Bottom Line dijadikan landasan integratif guna memastikan pertumbuhan inklusif yang berkelanjutan menuju visi Indonesia Emas 2045.
Kata Kunci: Ekonomi mandiri, berkelanjutan, ekonomi kerakyatan, UMKM, Triple Bottom Line
- EGS STIMULATION DE-RISKING STRATEGY
No full textHigh confinement stress and ductile failure modes frequently hinder the formation of complex fracture networks in deep Enhanced Geothermal Systems (EGS). This study proposes an operational de-risking strategy by characterizing the shallow transition zone at the Utah FORGE site. Integrating dipole sonic logs and drilling parameters from pilot well 58-32 and offset well 16A(78)-32, we applied robust P10-P90 statistical normalization to identify a mechanical "sweet spot." A highly brittle interval was defined at 3,892 ft (Brittleness Index > 0.82; Young’s Modulus > 75 GPa). Lateral validation in the offset well confirms regional continuity, evidenced by spectral uranium anomalies (> 3 ppm) and distinct drilling breaks (MSE drop < 20 kpsi), indicating a permeable natural fracture corridor. In sharp contrast to the semi-ductile deep reservoir (> 7,000 ft; BI < 0.46), this shallow brittle interval offers an optimal, lower-risk candidate for Diagnostic Fracture Injection Tests (DFIT) to calibrate stimulation parameters before targeting the high-risk deep basement
Nilai-Nilai Pendidikan Agama Islam Perspektif Integratif Inklusif Seni Humaniora Wayang Kulit
No full textPendidikan Agama Islam (PAI), sebagai bagian dari sebuah kurikulum adalah mata pelajaran yang tidak bisa terlepas dari aspek kehidupan, metode pembelajaran dan evaluasi pembelajaran. Pendekatan integrasi-interkoneksi berusaha menghubungkan antara ilmu agama dengan ilmu sosial dalam satu pola bersama sebagai satu kesatuan yang saling terkait. Keberhasilan penyebaran Islam di Indonesia disinyalir karena metode dakwah bil hikmah, dakwah mauidloh hasanah yaitu peringatan yang baik yang dapat menyentuh akal dan hati (perasaan). Ketua Lembaga Seni Budaya Muslimin Indonesia (Lesbumi) PBNU, Kyai Jadul Maula menyampaikan bahwa dakwah tanpa seni maka resonansinya tidak semasif seperti apa yang telah dilakukan wali sanga. Salah satu kesenian yang digunakan sebagai media dakwah oleh wali sanga adalah Wayang Kulit. Unesco pada tahun 2003 menetapkan wayang sebagai salah satu Masterpiece of Oral and Intangible of Humanity atau karya agung lisan tak benda warisan manusia. Pemerintah telah menetapkan tanggal 7 Nopember sebagai Hari Wayang Nasional berdasarkan Keputusan Presiden Republik Indonesia No. 30 Tahun 2018 tentang Hari Wayang Nasional.
Kata kunci : PAI, Integratif Inklusif, Seni Wayang Kulit.
 
Integrasi Pelayanan Primer Kesehatan Gigi dan Mulut dengan Pendekatan Multi-Aktor di Negara Berkembang: Studi Kualitatif di Chiang Mai, Thailand
No full textLatar belakang: Sistem Kesehatan Nasional merupakan pengelolaan kesehatan yang diselenggarakan negara untuk mencapai tujuan pemberian pelayanan pencegahan dan pengobatan bagi masyarakat. Thailand termasuk negara berkembang yang berkomitmen untuk mewujudkan sistem pelayanan kesehatan yang adil dan merata melalui Universal Health Coverage (UHC) Scheme yang telah mencakup 76% dari populasinya. Metode: Penelitian ini menggunakan pendekatan kualitatif deskriptif. Pengumpulan data primer dilakukan melalui observasi partisipatif di lapangan didukung dengan wawancara mendalam kepada civitas rumah sakit yang dipilih secara purposif. Data direduksi, disajikan dan diverifikasi melalui triangulasi teknik untuk menjamin keabsahan data. Hasil: Thailand memiliki fasilitas pelayanan kesehatan gigi dan mulut yang memadai. Kemudahan untuk mendapatkan akses pelayanan kesehatan dan dukungan pembiayaan dari pemerintah setempat yang berfokus pada pelayanan kesehatan primer melalui upaya promotif dan preventif sehingga dapat mencapai tingkatan kesadaran dan kemandirian masyarakat dalam mempertahankan kesehatan dirinya. Kesimpulan: Thailand mampu mewujudkan Sistem Kesehatan Nasional karena adanya kolaborasi yang baik antara penyelenggara, sumber daya manusia, fasilitas, serta partisipasi masyarakat untuk meningkatkan tingkat kesehatan masyarakat yang lebih baik.
Kata kunci: Sistem Kesehatan Nasional, manajemen kesehatan gigi dan mulut, negara berkembang, status kesehatan gigi, perilaku kesehatan mulu
Prevalence of Hepatitis C in Hemodialysis Patients in Indonesia
No full textHepatitis C (HCV) is a blood-borne viral infection and a major cause of global morbidity and mortality. Indonesia is one of six countries contributing to 50% of the global HCV burden, with a prevalence of 0.5% in the general population. HCV infection is more frequently observed in patients with chronic kidney disease undergoing hemodialysis due to nosocomial transmission. This study employed a literature review method by searching articles published between 2015 and 2025 in Google Scholar, PubMed, and ProQuest, yielding 11 eligible studies. The analysis shows that the prevalence of HCV among hemodialysis patients in Indonesia ranges from 3.7% to 56.3%, with the highest rate reported at H. Adam Malik General Hospital Medan (56.3%) and the lowest at Banyu Bening Hospital Boyolali (3.7%). Most infected patients are male and over 45 years of age. These variations indicate that male sex and older age serve as risk factors for HCV infection in hemodialysis patients