USU-IR Repositori Institusi Universitas Sumatera Utara
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Healing of Tooth Extraction Wounds in Hypoalbuminemic Rats After Administration of Intra-Socket Gummy Protein Made from Albumin, Nanocollagen, Chicken Gelatin Concentrations 15:5:30 and 25:10:30
No full textHypoalbuminemia is a condition in which the body lacks blood albumin levels with albumin levels <3.5 g/dL. Hypoalbuminemia can prolong the duration of wound healing so that additional albumin intake from food or supplements is needed. One source of albumin is free-range chicken eggs which contain 95% albumin. In addition to albumin, collagen intake can also shorten the duration of wound healing. Collagen can be sourced from broiler chicken leg bones with collagen of 12.08%. This study aims to determine the effectiveness of administering intra-socket gummy protein made from albumin, nanocollagen, and gelatin with different concentrations on the duration of tooth extraction wound healing and the formation of fibroblast cells in the tooth socket tissue of hypoalbuminemic rats. This study is an experimental laboratory study with 24 male Wistar gallur rats (Rattus norvegicus) given low-protein feed as research samples divided into 3 groups. Group 1 is a control group that is not given intra-socket gummy protein, group 2 is a test group given intra-socket gummy protein with a concentration of 15% albumin, 5% nanocollagen, and 30% gelatin, while group 3 is a test group given intra-socket gummy protein with a concentration of 25% albumin, 10% nanocollagen, and 30% gelatin. Measurement of the duration of wound healing in this study was carried out by assessing signs of inflammation and measuring the number of fibroblast cells in the samples histopathologically. The results of the study were then analyzed using the Kruskal-Wallis test (p <0.05). The results of the analysis of the duration of wound healing showed that group 3 had the shortest average duration (6±0), followed by group 2 (8.33±3.20), and group 1 with the longest duration (13±2.45). The results of the analysis of the number of fibroblast cells showed that group 3 had the highest average number of fibroblasts (23.33±13.15), followed by group 2 (13.67±10.85), and group 1 with the lowest number of fibroblast cells (7.17±9.86). The conclusion of this study is that intra-socket gummy protein in group 3 has the most significant effect on wound healing of tooth extraction in hypoalbuminemic rats.104 PagesSkripsi Sarjan
The Relationship Of Social Support And Spirituality To Resilience In Chronic Kidney Disease Patients Undergoing Regular Hemodialysis At Adam Malik Hospital Medan In 2025
No full textBackground. End Stage Renal Disease (ESRD) patients undergoing hemodialysis are faced with demanding long-term therapy that often has a psychological impact. Resilience, the ability to adapt and recover from difficult situations, is an important protective factor for patients to manage medication adherence. External factors such as social support and internal factors such as spirituality were identified as aspects associated with individual resilience. Objective. To analyze the relationship between social support and spirituality to resilience in chronic kidney disease patients undergoing regular hemodialysis at Adam Malik Hospital Medan in 2025. Methods. This research is an analytic study with a cross-sectional design. Data were obtained through distributing questionnaires at Adam Malik Hospital Medan in 2025. Data were processed using Statistical Package for the Social Science (SPSS) software. Results and Discussion. Based on the results of the analysis of 50 research samples, it was found that respondents had a high (66%) and moderate (34%) distribution of resilience. Social support and spirituality have a significantly positive relationship with individual resilience levels. Conclusion. The majority of PGTA patients undergoing HD at Adam Malik Hospital have high levels of resilience. Social support and spirituality play an important role in increasing individual resilience. Therefore, good social support and spirituality are necessary in order to support treatment compliance, adaptation, and quality of life for HD patients.84 PagesSkripsi Sarjan
Management of Nursing Services and Care for the Elderly with Hypertension Problems Through the Benson Relaxation Therapy Method in Environment VIII, Pangkalan Masyhur Village, Medan Johor District
No full textHypertension (high blood pressure) is a condition in which there is an abnormal increase in blood pressure (systolic blood pressure reaches 140 mmHg or more and diastolic pressure reaches 90 mmHg) which occurs continuously and several blood pressure checks. Hypertension management is divided into two, namely pharmacological management and non-pharmacological management. One of the non-pharmacological management that can be done is the Benson relaxation technique. Benson relaxation is a relaxation that combines relaxation response techniques and individual belief systems/faith factors (focused on certain expressions in the form of names of God or words that have a calming meaning for the patient himself which are repeated with a regular rhythm accompanied by an attitude of surrender). This senior practicum aims to identify and measure the success of the knowledge, attitudes, and actions of the elderly who suffer from hypertension through Benson relaxation therapy in Environment VIII, Pangkalan Mashyur Village, Medan Johor District. The methods used in the field learning practice (PBL) include interviews and data collection, as well as teaching the Benson relaxation therapy implementation method to 5 elderly people through pretest and post-test questionnaires of knowledge, attitudes, actions, and observation sheets. Based on the results of the management of nursing services and care to 5 elderly people, there was an increase in knowledge, attitudes, and the elderly were able to implement Benson relaxation. This senior practicum is expected to be an effective alternative in managing hypertension in the elderly in the community.95 pagesKarya Tulis Profes
Legal Analysis Of The Responsibility Of Airlines For The Safety And Security Of Passengers In The Implementation Of The Air Transportation
No full textThere are several objectives for organizing flights, namely to realize safe, comfortable, orderly and economical flight operations. Airlines as air transportation service providers have an obligation to realize these flight objectives. However, in practice, there are flight cases regarding the safety and security of passengers in the implementation of air transportation. Therefore, this research was conducted with the aim of knowing and explaining the responsibility of airlines to passengers in maintaining the safety and security of passengers in the implementation of air transportation, legal protection of passengers who experience losses that arise, as well as compensation to passengers who experience safety and security disturbances in the implementation of air transportation.
This research uses normative legal research methods conducted using a statutory approach and a case approach. The data collection techniques used are literature study and document study relevant to this research.
Based on the discussion in this study, aviation safety and security is a top priority that must be guaranteed by airlines in accordance with various national and international legal provisions. Law No. 1 of 2009 concerning Aviation is a law that regulates comprehensively about aviation in Indonesia today, including aviation safety and security followed by its implementing regulations. In the event of an incident that harms passengers in an air transportation operation, one form of responsibility from the airline to passengers is to compensate passengers who suffer losses for air transportation operations. The airline is responsible for ensuring that the services provided meet the standards that have been set to ensure the safety, security, and comfort of passengers in the implementation of air transportation.172 pagesSkripsi Sarjan
Effect of Humic Acid and Fulvic Acid on Growth and Production of Curly Red Chili (Capsicum annuum L.) Plants
No full textCurly red chili (Capsicum annuum L.) is one of the horticultural commodities that has high economic value, but its productivity is often disturbed by the decline in soil fertility due to the continuous use of inorganic fertilizers. This study aims to identify the effect of humic acid and fulvic acid on the growth and production of curly red chili plants. This research was conducted at the Faculty of Agriculture, University of North Sumatra at an altitude of 25 meters above sea level (masl), began from January to June 2025. This study used a non-factorial Randomized Group Design (RAK) consisting of 5 treatments: T1 (100% humic acid), T2 (100% fulvic acid), T3 (25% humic acid + 75% fulvic acid), T4 (50% humic acid + 50% fulvic acid), and T5 (75% humic acid + 25% fulvic acid), replicated four (4) times. The results showed that the application of humic acid or fulvic acid had a significant effect on plant height, stem diameter, flowering time, harvest time, number of fruits per plant and fruit weight. Humic acid 1 g produced the tallest plants, largest stem diameter, faster flowering and harvesting age, the largest number of fruits and the largest fruit weight which was not significantly different from fulvic acid 1g.84 PagesSkripsi Sarjan
Determining the Implementation of Management Accounting System Innovation on Regional Government Performance Moderated by E-Government in North Sumatra
No full textThe purpose of this study is to prove and analyze whether SIPD Design, Decentralization of Decision Making, Decentralized Management System and Employee Adaptation to Local Government Performance through Management Accounting System Innovation and whether E-Government can Moderate the Relationship between Management Accounting System Innovation and Local Government Performance.
The Sampling Method uses the Convenience Sampling Method, which produces a total of 204 samples who are Regional Government Officials involved in the reconstruction of the design and use of the Regional Government Information System (SIPD). Data Analysis Techniques use the Structural Equation Model (SEM) Technique using smartPLS
The results of the study show that SIPD Design, Decentralization of Decision Making, Decentralized Management System have an Influence on Management Accounting System Innovation with SIPD Design having the strongest influence and Employee Adaptation having no influence on Management Accounting System Innovation. SIPD Design, Decentralization of Decision Making, Decentralized Management System, Employee Adaptation and Management Accounting System Innovation have an Influence on Government Performance with Employee Adaptation having the Strongest Influence. SIPD design is the only variable that has an influence on Government Performance through Management Accounting System Innovation, while Decentralization of Decision Making, Decentralized Management System and Employee Adaptation do not have an influence on Government Performance through Management Accounting System Innovation. E-Government is able to moderate the Innovation of Management Accounting System towards Government Performance so that the Regional Government Information System (SIPD) is able to strengthen the relationship towards Government Performance with Strong Support from the Implementation of E-Government in the Regional Government of North Sumatra305 PagesDisertasi Dokto
Analysis of Evidence Regarding Obstruction of the Investigation Process in Corruption Crimes (a Study of Decision Number : 71/Pid.Sus-Tpk/2023/Pn Sby)
No full textCorruption is one of the national problems. Criminal acts of corruption usually occur in a long vulnerable period of time. The perpetrators are people who have high authority and position. With the vulnerability for a long time, it cannot be denied that there should be a suspicion of the supervisory body in the government sector or when there is a suspicion, there are parties who help to remove the evidence and disguise it. In the decision number: 71/Pid.Sus-TPK/2023/PN Sby the defendant Laurenzius Sembiring took an act to obstruct the investigation in the case of Corruption Crimes. In the decision, the defendant made a scenario so that the client he accompanied could avoid the legal trap. Based on the description, this research will discuss the rule of law and the form of grouping of corruption crimes, then about the proof of criminal acts that hinder the investigation process in criminal acts of corruption and how the judge considers the decision number/ 71/Pid.Sus-TPK/PN Sby.
The type of research used in writing this thesis is normative juridical by using secondary data sources obtained from primary legal materials, namely laws and regulations, invitations, secondary legal materials such as books, journals, and articles, as well as tertiary legal materials, namely the big Indonesian dictionary (KBBI) and others. The data collection method used is a literature study with document study data collection tools. Then the data obtained will be analyzed with qualitative analysis.
The results of this study show that the judge in proving the defendant's actions is based on the theory of proof based on the law negatively which is in accordance with Article 183 of the Criminal Code. In proving the criminal act, the evidence as stated in Article 184 paragraph 1 of the Criminal Code has been fulfilled. So that in sentencing the defendant, the judge has given legal considerations that are acceptable and do not contradict the existing legal rules.144 PagesSkripsi Sarjan
Association Between Glycaemic Control and Cardiac Function in Children and Adolescent with Diabetes Mellitus
No full textBackground: Cardiovascular disease is one of the most common comorbidities of Diabetes
Mellitus (DM) in young adults. HbA1c levels are used to monitor glycemic control, which is a
strong independent risk factor for cardiovascular disease and therefore can be a relevant
biomarker for cardiovascular disease prevention. Echocardiography is a key test in assessing
myocardial function and can provide important information for identifying individuals at risk for
cardiovascular disease.
Objective: To analyze the relationship between glycemic control and heart function in children
with Diabetes Mellitus.
Method: A cross-sectional study to determine the relationship between glycemic control and
heart function in children and adolescents with diabetes mellitus at Adam Malik Hospital,
Medan, from May 2025 to June 2025. All children and adolescents with diabetes mellitus at
Adam Malik Hospital, Medan, who met the inclusion criteria underwent blood tests, ECG, and
Echocardiography. The relationship between HbA1c and heart function was analyzed using the
Fischer exact test, and bivariate analysis was used to identify related variables.
Results: A total of 30 subjects were recruited in this study, there was no significant relationship
between HbA1c and heart function in children and adolescents with DM at Adam Malik
Hospital, Medan (p=1,000).
Conclusion: This study found no significant association between glycemic control and heart
function in children and adolescents with diabetes. Further research with a larger sample size,
more specific echocardiography techniques, and longer follow-up periods is needed to
understand the development of diabetes mellitus complications in children and adolescents.71 pagesTesis Magiste
Study of Microplastic Contamination in Tilapia (Oreochromis Niloticus) in Tidal Lakes (Case Study: Siombak Lake)
No full textThe increasing potential for microplastic pollution in Lake Siombak needs to be studied scientifically to understand the level of exposure to aquatic organisms, so this research aims to analyze the shape, color, size, type of polymer, and abundance of microplastics in the gills and digestion of tilapia (Oreochromis niloticus) caught in Lake Siombak, Medan City. Analyzing the influence of fish morphometric factors, rainfall, and fishing location (inlet and midlet) on the abundance of microplastics. Fish sampling was carried out using a purposive sampling method, namely the deliberate selection of samples at inlet and midlet locations based on consideration of the potential for higher exposure to microplastics. Fish harvesting is carried out during high rainfall and low rainfall at the inlet and midlet locations of the lake. Next, the gills and digestive tract were digested using 10% KOH, filtered and then subjected to microscopic observation. The research results show that fragments are the highest form of microplastic with the dominant color being black, which indicates that the source of pollution comes from domestic and anthropogenic activities around the lake with the size of the microplastics found between 45 µm - 5000 µm. The type of polymer found is Polyethylene Terephthalate (PET). There was no influence of fish morphometrics, rainfall and fish collection location on the abundance of microplastics. This research emphasizes the importance of environmental management and controlling plastic waste around Lake Siombak to minimize ecological risks to aquatic organisms.100 PagesSkripsi Sarjan
Efficacy of Peperomia Pellucida Nanoemulsion in Preventing Surgical Site Infection After Laparotomy: A Randomized Control Trial
No full textBackground: Surgical site infection (SSI) post-laparotomy significantly increases morbidity,
mortality, and healthcare costs. This study evaluates the efficacy of Peperomia pellucida
nanoemulsion cream in preventing SSI compared to standard care in laparotomy patients at Haji
Adam Malik Hospital, Medan.
Methods: A randomized controlled trial involved laparotomy patients randomized into intervention
(Peperomia pellucida nanoemulsion cream) and control groups. SSI incidence, length of stay, and
wound healing were assessed using CDC criteria over 30 days post-surgery. Statistical analysis
used chi-square and t-tests (p<0.05).
Results: The intervention group showed significantly lower SSI rates compared to controls (5% in
the intervention group (n=40) versus 25% in controls (n=40; p=0.012)). Length of hospital stay
was shorter in the intervention group (7.2 ± 2.1 days (intervention) vs. 11.5 ± 3.4 days (control;
p<0.001).Wound healing was also more rapid in the intervention group (14.3 ± 4.2 days vs. 21.1 ±
5.6 days; p<0.001). Peperomia pellucida demonstrated effective antimicrobial, antioxidant, and
wound healing properties through its bioactive compounds.
Conclusion: Peperomia pellucida nanoemulsion66 PagesTesis Magiste