Journal Widya Mandala Catholic University Surabaya / Jurnal Universitas Katolik Widya Mandala Surabaya
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DINAMIKA PENCARIAN MAKNA HIDUP PADA AYAH TUNGGAL KARENA KEMATIAN
The death of a life partner is one of the hardest and stressful events, especially for singe fathers who also experience a change in their role as parents. This can lead single fathers to question the meaning of their lives. Meaning in life is the direction or goal sought by an individual, as well as a subjective and dynamic assessment of life as meaningful or meaningless. The purpose of this study is to scientifically examine the dynamics search for meaning in life among single fathers due to death, using a qualitative research method and a phenomenological approach. Data collection was carried out through semi-structured interviews with 3 single fathers who were then analyzed using inductive thematic analysis techniques. The results obtained were then validated communicatively and argumentatively. The results of this research show that there is a great loss and acute reactions as a form of psychological experience regarding the death of his wife. In the process of searching the meaning in life, the process of searching for the meaning of the wife's death, finding the meaning of the wife's death, responding to the wife's death, searching for self-meaning, and finding self-meaning. Next, there is a process of discovering the meaning in life, realizing the meaning in life, and experiencing a meaningful life. Apart from that, several factors were also found that could influence the dynamics of single fathers' search for meaning in life due to death, namely spirituality and social support from family, friends and children
ESG DISCLOSURE, RELATED PARTY TRANSACTIONS, AND EXECUTIVE CHARACTERISTICS ON TAX AVOIDANCE
Research Purpose. This research aimed to gather empirical evidence on the impact of Environmental, Social, and Governance Disclosure, related-party transactions, and executive characteristics on tax avoidance, with company size and company age as control variables.
Research Method. Secondary data was analyzed using multiple linear regression with SPSS. This research focuses on LQ45 companies listed on the Indonesia Stock Exchange from 2019 to 2022. The study includes a sample of 24 companies selected based on specific criteria through purposive sampling.
Research Result and Findings. The findings reveal that Environmental, Social, and Governance Disclosure negatively impact tax avoidance; related-party transactions positively influence tax avoidance, while executive characteristics do not significantly affect tax avoidance. The model explains 38.8% of the tax variation, and the research implications support Agency Theory and Legitimacy Theory. The research implications, as such, suggest that companies make deliberate decisions on environmental, social, and governance disclosure and related-party transactions to improve their governance structures. This research also suggests that future researchers should provide additional factors such as deferred tax burden, dividend policy, or compensation for fiscal losses and test other objects such as the JII70 Index, IDX 80, or Kompas 100
Analisa Praktik Keperawatan Healing Touch Dengan Story Telling Dalam Manajemen Ansietas Pada Pasien Penumonia Di Intensive Care Unit
Pendahuluan: Kecemasan merupakan manifestasi yang sering muncul pada pasien Pneumonia. Kecemasan yang tidak tertangani dengan baik akan berdampak pada kecemasan yang akan meningkatkan hormon epinefrin dalam tubuh karena dapat meningkatkan oksigen dan glukosa ke otak dan otot dengan cara meningkatkan denyut jantung. Sehingga akan memperburuk prognosis pasien yang sedang dirawat. Terapi alternatif sebagai salah satu bentuk intervensi nonfarmakologi diperlukan untuk mengatasi kecemasan yang terjadi pada pasien. Melalui story telling dan healing touch dapat mengontrol epinefrin dan menurunkan kecemasan. Tujuan: Penelitian ini bertujuan untuk menganalisis implementasi masalah kecemasan. Metode: Penelitian ini menggunakan desain studi kasus dengan pendekatan proses asuhan keperawatan yang meliputi pengkajian, diagnosa keperawatan, perencanaan, implementasi dan evaluasi. Subjek dalam studi kasus ini adalah Pasien Pneumonia yang dirawat di ruang ICU RSUD Dr. Kanujoso Djatiwibowo Balikpapan. Jumlah sampel dalam penelitian ini sebanyak 2 pasien. Intervensi yang diberikan dalam menurunkan skala kecemasan menggunakan HARS yang diukur sebelum dan sesudah intervensi Healing Touch dan story telling selama 3 kali intervensi. Hasil: Evaluasi intervensi keperawatan teknik sentuhan penyembuhan dan bercerita menunjukkan adanya perubahan pada skala kecemasan. Kesimpulan: Terapi healing Touch dan story telling yang dilakukan dapat menurunkan efek ketegangan. Kulit merupakan organ terkuat yang dapat menerima rangasangan pada tubuh manusia, dan ketika reseptor sensoriknya dirangsang, hormon oksitoksin (yang membuat tubuh merasa lebih baik) dilepaskan dan pada saat yang bersamaan kortisol (hormon stress) berkurang.
Kata Kunci : Sentuhan penyembuhan dan bercerita, pneumoni
Faktor-Faktor Yang Mempengaruhi Fatigue Pada Pasien Kanker
Latar belakang : Fatigue adalah kondisi subjektif yang ditandai dengan rasa lelah yang berlangsung terus-menerus dan berkaitan dengan penyakit kanker maupun proses pengobatannya. Tujuan : menganalisa faktor yang mempengaruhi terjadinya fatigue pada pasien kanker. Metode : desain penelitian menggunakan studi literature review. Pencarian literature dengan menggunakan database yaitu PubMed, Proquest, Ebsco Host dan Science direct serta daftar referensi diambil secara manual dan ditemukan 738 artikel sesuai dengan kata kunci selama 10 tahun terakhir (2015-2025) dan kami menyaringnya untuk menilai kelayakan dan memilih 5 artikel yang relevan sebagai referensi utama. Hasil dan Pembahasan : diperoleh 5 artikel yang relevan dan sesuai dengan kriteria inklusi. Ulasan dalam artikel tersebut menyatakan beberapa faktor yang dapat menyebabkan atau memicu fatigue pada pasien kanker yaitu kadar Hb rendah, lama menderita dan stadium kanker, pengobatan kemoterapi, dan pengobatan terapi radiasi. Kesimpulan : Fatigue pada pasien kanker dipicu oleh berbagai faktor fisik, psikologis, dan efek terapi. Stres, kecemasan, dan depresi turut memperparah kondisi ini, sehingga mengganggu energi dan fungsi tubuh, serta menurunkan kualitas hidup
THE ASSOCIATION BETWEEN HBA1C LEVELS AND COGNITIVE FUNCTION IN GERIATRIC PATIENTS WITH TYPE 2 DIABETES MELLITUS
Background: Type 2 diabetes mellitus (T2DM) is a significant global health concern, particularly in Indonesia. Recent studies suggest a link between T2DM and increased risk of cognitive impairment. However, the relationship between glycaemic control, as measured by HbA1c levels, and cognitive function in elderly diabetic patients remains unclear and requires further investigation.Objective: To investigate the association between HbA1c levels and cognitive impairment in geriatric patients with T2DM.Methods: This observational analytic study with a cross-sectional approach was conducted at the Internal Medicine Clinic of Gotong Royong Hospital in Surabaya, Indonesia. Thirty-six geriatric T2DM patients were recruited using consecutive sampling. HbA1c levels were obtained from medical records, and cognitive function was assessed using the Montreal Cognitive Assessment-Indonesian Version (MoCA-INA). Data were analyzed using SPSS software, including normality tests and Spearman correlation analysis.Results: The majority of participants were female (77.8%) and aged 60-69 years (47.2%). Eleven participants (50%) of the 22 T2DM geriatric patients with good-controlled HbA1c levels had poor cognitive function (scores < 26). Meanwhile, among the 14 participants with poorly controlled HbA1c levels, 11 (78.6%) had poor cognitive function, and only 3 (21.4%) maintained good cognitive function. A significant negative correlation was found between HbA1c levels and MoCA-INA scores (p=0.013, r=-0.410), indicating that higher HbA1c levels were associated with lower cognitive function scores.Conclusion: This study demonstrates a significant relationship between HbA1c levels and cognitive function in elderly T2DM patients. Poor glycemic control is associated with a higher likelihood of cognitive impairment. These findings emphasize the importance of maintaining good glucose management to potentially prevent cognitive decline in this population. Further research with larger sample sizes and longitudinal designs is recommended to elucidate this relationship and its clinical implications
APLIKASI EDIBLE COATING BERBASIS NANOTEKNOLOGI PADA BUAH KLIMATERIK
Buah klimaterik mengalami pematangan secara alami setelah dipanen sehingga rentan terhadap kerusakan selama penyimpanan. Salah satu upaya yang dapat dilakukan yaitu dengan penggunaan edible coating berbasis nanoteknologi. Edible coating berbasis nanoteknologi dapat membentuk barrier yang efektif, menghambat laju respirasi, serta memberikan sifat antimikroba. Sintesis nanopartikel dapat dilakukan dengan metode green synthesis yang menggunakan bahan alami dan lebih ramah lingkungan. Tujuan dari makalah ini yaitu untuk mengkaji berbagai informasi tentang aplikasi edible coating berbasis nanoteknologi pada buah apel, mangga dan pisang serta pengaruhnya terhadap sifat fisiologis, antimikroba dan perpanjangan masa simpan buah. Aplikasi nano-kitosan pada apel mampu menurunkan laju respirasi dan mengurangi susut berat hingga 59%. Penambahan seng oksida nanopartikel pada alginat yang diaplikasikan pada buah mangga mampu menghambat pertumbuhan E. coli dan S. aureus. Penggunaan kitosan, gum arabic, dan seng oksida nanopartikel pada buah pisang dapat memperpanjang masa simpan buah pisang lebih dari 17 hari penyimpanan pada suhu 35 C dan RH 54%. Penggunaan edible coating berbasis nanoteknologi pada buah apel, mangga, dan pisang efektif dalam memperpanjang umur simpan, menghambat laju respirasi, mengurangi peningkatan susut berat, dan menghambat pertumbuhan mikroba.
Kata kunci : Edible coating, nanopartikel, respirasi, buah klimateri
Perbandingan Kadar Flavonoid Total Ekstrak Etanol 70% Dan Ekstrak Etil Asetat Daun Beluntas (Pluchea Indica L.) Secara Spektrofotometri Uv-Vis
Beluntas leaves (Pluchea Indica L.) can be used pharmacologically to treat various diseases. These leaves have potential as antioxidants and antibacterials because of the flavonoid compounds in them that can be used as medicine. To extract flavonoid compounds from beluntas leaves, this study used polar solvents, namely 70% ethanol and semi-polar, namely ethyl acetate. The use of different types of solvents will affect the flavonoid levels produced. This study aims to determine differences in total flavonoid levels of beluntas leaves extracted using different solvents, namely 70% ethanol and ethyl acetate quantitatively using UV-Vis Spectrophotometry. Beluntas leaf extract was obtained by maceration using 70% ethanol and ethyl acetate. Absorbance measurements were taken at a maximum wavelength of 441.6 nm. The results obtained from the study in the form of a linear regression equation y 0.0082x - 0.0238 with a correlation coefficient (r) of 0.9914. Initial qualitative testing showed flavonoid content. Quantitative testing results obtained flavonoid content of 70% ethanol extract of beluntas leaves amounted to 5,3958±0,0388%b/b QE and ethyl acetate extract amounted to 95,008±0,7749%b/b QE. Independent t-test statistical test showed significant differences between 70% ethanol and ethyl acetate.Daun beluntas (Pluchea Indica L.) secara farmakologi dapat digunakan untuk mengobati berbagai penyakit. Daun ini berpotensi sebagai antioksidan dan antibakteri karena kandungan senyawa flavonoid di dalamnya yang dapat digunakan sebagai obat. Untuk mengestraksi senyawa flavonoid dari daun beluntas, penelitian ini menggunakan pelarut polar yaitu etanol 70% dan semi polar yaitu etil asetat. Penggunaan jenis pelarut yang berbeda akan mempengaruhi kadar flavonoid yang dihasilkan. Penelitian ini bertujuan mengetahui perbedaan kadar flavonoid total daun beluntas yang diesktraksi menggunakan perbedaan pelarut yang berbeda yaitu etanol 70% dan etil asetat secara kuantitatif menggunakan Spektrofotometri UV-Vis. Ekstrak daun beluntas diperoleh dengan cara maserasi menggunakan etanol 70% dan etil asetat. Pengukuran absorbansi dilakukan pada panjang gelombang maksimal 441,6 nm. Hasil yang diperoleh dari penelitian berupa persamaan regresi linier y 0,0082x - 0,0238 dengan koefisien korelasi (r) sebesar 0,9914. Pengujian awal secara kualitatif menunjukkan terdapat kandungan flavonoid. Hasil pengujian kuantitatif didapatkan kadar flavonoid ekstrak etanol 70% daun beluntas sebesar 5,3958±0,0388%b/b QE dan ekstrak etil asetat sebesar 95,008±0,7749%b/b QE. Uji statistika independent t-test menunjukkan perbedaan yang signifikan antara etanol 70% dan etil asetat
KECERDASAN EMOSI DAN AGRESI PADA PEMAIN GAME ONLINE DI TAHAP EMERGING ADULTHOOD
Online games have become a source of entertainment for individuals across various age groups, especially for those aged 18-25 (based on surveys). Playing online games is done for enjoynment, as most online games are competitive with specific goals and rewards to achieve. However, excessive gaming can trigger a negative consequence, namely aggression. Aggression is the tendency of individuals to harm others either physically or verbally. One factor that influences aggression is emotional intelligence. This study aims to examine the negative relationship between emotional intelligence and aggression among online game players in the emerging adulthood stage. The sampling technique used in this research in non- probability incidental sampling, with the criteria being online game players aged 18-25. A total of 252 respondents were obtained for this study. The hypothesis testing results showed a significance value of r = -0,278 with significance value p = 0,000 (p < 0,05). Based on the hypothesis testing, it can be concluded that the proposed hypothesis is accepted, indicating a negative relationship between emotional intelligence and aggression among online game players in the emerging adulthood stage, categorized as a low correlation strength (≤0.3). The negative direction of the relationship means that as emotional intelligence increases, aggression decreases among online game players, and conversely, as emotional intelligence decreases, aggression increases among online game players in the emerging adulthood stage.Game online sudah menjadi sarana hiburan bagi tiap individu di berbagai kalangan usia, terutama pada individu berusia 18-25 tahun. Bermain game online dilakukan untuk mendapatkan kesenangan dimana sifat dari kebanyakan game online adalah kompetitif dengan adanya tujuan dan hadiah yang dicapai. Namun, bermain game online berlebihan dapat memicu salah satu dampak negatif, yaitu agresi. Agresi merupakan kecendrungan perilaku individu untuk menyakiti orang lain baik secara fisik maupun verbal. Salah satu faktor yang berpengaruh terhadap agresi adalah kecerdasan emosi. Penelitian ini bertujuan untuk melihat hubungan arah negatif antara kecerdasan emosi dan agresi pada pemain game online di tahap emerging adulthood. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik non probability incidental sampling dengan kriteria pemain game online berusia 18-25 tahun. Responden yang didapatkan dalam penelitian ini sebanyak 252 responden. Dari hasil uji hipotesis yang dilakukan diperoleh nilai korelasi r = -0,278 dengan nilai signifikansi p = 0,000 (p < 0,05). Dari hasil uji hipotesis yang dilakukan, dapat disimpulkan bahwa hipotesis yang diajukan penelitian diterima, yaitu terdapat hubungan arah negatif antara kecerdasan emosi dan agresi pada pemain game online di tahap emerging adulthood yang tergolong dalam kekuatan korelasi kategori rendah (≤0.3). Arah hubungan yang didapatkan negatif, berarti semakin tinggi kecerdasan emosi maka semakin rendah agresi pada pemain game online, begitu juga sebaliknya semakin rendah kecerdasan emosi makan semakin tinggi agresi pada pemain game online di tahap emerging adulthood
THE CORRELATION BETWEEN HBA1C LEVELS AND COGNITIVE FUNCTION IMPAIRMENT IN ELDERLY PATIENTS WITH TYPE 2 DIABETES MELLITUS
Background: Diabetes mellitus is a non-communicable disease formed as metabolic disease whish predicted to increase. This high-rate incidence also will increase risk of complications such as cognitive impairment. Cognitive impairment in the individuals with diabetes mellitus occurs through various mechanisms. To prevent the complications of diabetes mellitus, blood glucose control should be done. One of the parameters for measuring blood glucose is using HbA1c. Elevated HbA1c has been correlated to cognitive function impairment in the elderly. Kemenkes RI 2020 has indicates to screening cognitive disorders using MoCA.
Purpose: To determine the correlation between HbA1c levels and cognitive function impairment in elderly patients with type 2 diabetes mellitus.
Method: This research is an analytics observational study with a cross sectional approach. The used population are an elderly patient with type 2 diabetes mellitus with HbA1c, 3 months before being screened for cognitive disorder with MoCA-INA. The minimum sample required for this research is 32 respondents. Respondents who were willing and fulfil the criteria, must be screen cognitive function with MoCA-INA. Then, the obtained data must be processed using Spearman correlation test.
Result: Based on the result of Spearman correlation test, a significance scores 0,0013 was obtained (p < 0,005), which shows that there is a correlation between HbA1c levels and the MoCA-INA score, with sufficient correlation strength in the negative direction (r = -0,410).
Conclusion: There is a correlation between HbA1c levels and cognitive function impairment in elderly patients with type 2 diabetes mellitus
SPONTANEOUS OGILVIE’S SYNDROME AND CHILAIDITI SYNDROME IN AN OCTOAGENARIAN FEMALE: A STUDY OF A RARE CASE WITH LITERATURE REVIEW
Introduction : Ogilvie’s syndrome, also known as acute colonic pseudo-obstruction (ACPO), is a unique type of colonic specificially cecum and ascending colon dilatation without underlying mechanical or anatomical causes.
Case Report : Eightytwo years old female patient was taken to the ER with enlarged stomach over the last two weeks which felt bigger last two days. Yesterday, was the last time defecated and were not other complaints. The patient has a history of hypertension and consuming antidyspeptic drugs. Physical examination showed compos mentis mental status, blood pressure of 140/80 mm of mercury, O2 saturation of 92%, other vital sign was normal. Abdomen examination showed obstruction bowel sign without tenderness, hypokalemia laboratory result, and the patient was treated conservatively. To our best knowledge, this is the first-ever case reported in English scientific literature from Indonesia.
Discussion : A clinical syndrome with symptoms, signs, and a radiological appearance of a major bowel blockage without any mechanical cause is known as acute colonic pseudo-obstruction (ACPO). We disclose a rare instance of Ogilvie's syndrome that was idiopathic, spontaneous, non-traumatic, non-infectious. Senility is the most probable risk factor in this case study, mostly in males. However, our patient was a female, eight decades, with Chilaiditi syndrome.
Conclusion : Timely identification Ogilvie’s syndrome is of crucial importance. Excessive age and metabolic cause seems to be the main risk factor in this case. More research is needed to identify the pathophysiologic pathways connected to aging that predispose to Ogilvie's disease