1,720,961 research outputs found
Relationship Between Adherence and Clinical Outcome in Type 2 Diabetes Mellitus Outpatient at PB Selayang II Health Center Medan
No full textBackground: Diabetes mellitus is a chronic disease that requires long-term
treatment which adherence will result in good clinical outcome.
Objective: To determine the level of adherence and clinical outcome, different tets
in patient’s characteristics with adherence and clinical outcome as well as the
relationship between adherence and clinical outcome in type 2 diabetes mellitus
outpatient at the PB Selayang II health center Medan.
Method: Descriptive cross-sectional study that used Medication Adherence Rating
Scale-5 (MARS-5) questionnaire and clinical outcome data from fasting blood
glucose and Body Mass Index (BMI). This research was conducted form August to
December 2023.
Results: From the results of the study, 90 patients were obtained, 35 of whom
refused to be respondents (respondent rate 72%), the majority of patients was
woman (55.6%); aged 56-65 years (41.1%); bachelor (46.7%), unemployed
(65.6%), duration of illness >5 years (48.9%); and had comorbidities (54.4%). The
majority the level of adherence was non-adherence (58.9%) with uncontrolled
fasting blood glucose (56.7%) and BMI was normal (51.1%). The Kruskal-Wallis
test showed that only age had a significant difference with fasting blood glucose.
The chi-square test showed that there was no significant relationship between the
level of adherence and clinical outcome.
Conclusion: The majority of adherence’s was non-adherence with uncontrolled
fasting blood glucose and BMI was normal. Only age characteristic had significant
different with fasting blood glucose. There was no significant relationship between
adherence and clinical outcome.123 PagesSkripsi Sarjan
Levels of Knowledge, Compliance, and Quality of Life in Outpatient Hypertension Patients at PB Selayang II Health Center, Medan
No full textBackground: Hypertension is a condition or situation where a person experiences an increase in blood pressure above normal limits which will cause illness and even death.
Objective: To determine the significant differences between respondent characteristics and knowledge, compliance, and quality of life in hypertensive patients as well as the relationship between knowledge, compliance, and quality of life in outpatient hypertensive patients at the PB Selayang II Health Center, Medan.
Methods: Cross-sectional descriptive research. used a questionnaire to assess the level of knowledge, attitudes and compliance, and quality of life in hypertensive patients. This research was conducted in July-August 2024 at the PB Selayang II Medan community health center
Results: From the results of the study obtained 101 respondents, there were 9 people who refused to be respondents (respondent rate 91.81%) the majority of patients were female 65 respondents (64.4%); aged 56-65 years 40 respondents (39.6%); college graduates as many as 51 respondents (52.6%); retired / not working / housewife 69 respondents (68.3%); long suffering from HT > 5 years as many as 53 respondents (52.5%), and had other comorbidities as many as 69 respondents (68.3%). It was obtained that the majority of knowledge level was high (86.1%); the majority of compliance was obedient (62.4%); and the majority of quality of life was good (93.1%). Based on the Kruskal Wallis test, there was a significant difference between gender and education level on knowledge. Only the length of suffering had a significant difference on the level of compliance. Meanwhile, education level, occupation, and comorbidities had significant differences in the level of quality of life of hypertensive patients (p-value <0.05). Based on Spearman's rho test, there is a relationship between knowledge and medication adherence with a low correlation (r = 0.277), while there is no relationship between adherence and quality of life with a very low correlation (r = 0.116).
Conclusion: The level of knowledge, compliance, and quality of life of hypertensive patients is mostly good. Gender and education level have a significant difference on the level of knowledge, only the length of suffering has a significant difference on the level of compliance, and the level of education, employment and comorbidities have a significant difference on the level of quality of life of hypertensive patients. Based on Spearman's rho test, there is a relationship between knowledge and medication compliance, while there is no relationship between compliance and quality of life.115 PagesSkripsi Sarjan
Levels of Knowledge, Compliance, and Quality of Life in Outpatient Hypertension Patients at PB Selayang II Health Center, Medan
No full textBackground: Hypertension is a condition or situation where a person experiences an increase in blood pressure above normal limits which will cause illness and even death.
Objective: To determine the significant differences between respondent characteristics and knowledge, compliance, and quality of life in hypertensive patients as well as the relationship between knowledge, compliance, and quality of life in outpatient hypertensive patients at the PB Selayang II Health Center, Medan.
Methods: Cross-sectional descriptive research. used a questionnaire to assess the level of knowledge, attitudes and compliance, and quality of life in hypertensive patients. This research was conducted in July-August 2024 at the PB Selayang II Medan community health center
Results: From the results of the study obtained 101 respondents, there were 9 people who refused to be respondents (respondent rate 91.81%) the majority of patients were female 65 respondents (64.4%); aged 56-65 years 40 respondents (39.6%); college graduates as many as 51 respondents (52.6%); retired / not working / housewife 69 respondents (68.3%); long suffering from HT > 5 years as many as 53 respondents (52.5%), and had other comorbidities as many as 69 respondents (68.3%). It was obtained that the majority of knowledge level was high (86.1%); the majority of compliance was obedient (62.4%); and the majority of quality of life was good (93.1%). Based on the Kruskal Wallis test, there was a significant difference between gender and education level on knowledge. Only the length of suffering had a significant difference on the level of compliance. Meanwhile, education level, occupation, and comorbidities had significant differences in the level of quality of life of hypertensive patients (p-value <0.05). Based on Spearman's rho test, there is a relationship between knowledge and medication adherence with a low correlation (r = 0.277), while there is no relationship between adherence and quality of life with a very low correlation (r = 0.116).
Conclusion: The level of knowledge, compliance, and quality of life of hypertensive patients is mostly good. Gender and education level have a significant difference on the level of knowledge, only the length of suffering has a significant difference on the level of compliance, and the level of education, employment and comorbidities have a significant difference on the level of quality of life of hypertensive patients. Based on Spearman's rho test, there is a relationship between knowledge and medication compliance, while there is no relationship between compliance and quality of life.115 PagesSkripsi Sarjan
Pengembangan Sistem Informasi Pengelolaan Sediaan Farmasi dan BMHP Berbasis Web di Puskesmas Kota Medan
No full textThe Industrial Revolution 4.0 has a major impact on computer proliferation, one of which is the information application system. This is greatly help the process of managing pharmaceutical preparations at Primary Health Center.
This study aimed to analyzed the effect of web-based information system that was called Primary Health Center Pharmacy Information System (SIFAMAS) and determine the level of administrators agreement at primary health center in Medan.
The research was comparative-study, assessed the effect of SIFAMAS before and after SIFAMAS was applied. The study involved 6 pharmacists in-charge of Primary Health Center Pharmacy Room. SIFAMAS was designed base on the waterfall model and was evaluated using alpha and beta tests. Respondents collected planning data, procurement, distribution, storage, administration (recording and reporting) for the prior and after 3 months SIFAMAS, then data were analyzed. SIFAMAS agreement levels were assessed based on questionnaire and measured on a Likert scale. Before using SIFAMAS, all primary health centers had not accordance the standards for accuracy of planning, low frequency of procurement, the number of expired medicines corresponding to the standard was only Mandala Primary Health Center, primary health centers sent LPLPO on time in February, March, and April were 100%; 0%; and 16.67% respectively, and all primary health centers have not matched the number of real items with the stock card. The FIFO/ FEFO system could be maintained after SIFAMAS. All primary health center sent LPLPO on time and conformity standards for real items with stock cards after using SIFAMAS. The alpha and beta test showed that SIFAMAS was acceptable and very feasible as an information system for the management of pharmaceutical preparations. SIFAMAS was highly approved by all respondents with an average agreement of 85.39%.
Based on the description above can be concluded that SIFAMAS has a good impact for pharmaceutical preparation management in primary health center. SIFAMAS was highly approved as a web-based pharmaceutical preparation management application in health primary center.Revolusi Industri 4.0 memberi dampak besar bagi proliferasi komputer, salah satunya sistem aplikasi informasi. Sistem ini sangat membantu pengeloaan sediaan farmasi di Puskesmas.
Penelitian bertujuan menganalisis pengaruh sistem informasi berbasis web yang disebut Sistem Informasi Farmasi Puskesmas (SIFAMAS) dan mengetahui tingkat persetujuan Apoteker di puskesmas kota Medan.
Penelitian ini merupakan comparative-study, menilai pengaruh SIFAMAS sebelum dan sesudah SIFAMAS diaplikasikan. Penelitian melibatkan 6 Apoteker Penanggungjawab Ruang Farmasi Puskesmas. SIFAMAS dirancang berdasarkan model waterfall dan dievaluasi menggunakan tes alfa dan beta. Responden mengumpulkan data perencanaan, pengadaan, pendistribusian, penyimpanan, dan administrasi (pencatatan dan pelaporan) selama 3 bulan sebelum dan sesudah menggunakan SIFAMAS, selanjutnya data dianalisis. Tingkat persetujuan SIFAMAS dinilai berdasarkan kuisioner dan diukur dengan skala likert.
Sebelum menggunakan SIFAMAS, semua puskesmas belum memenuhi standar ketepatan perencanaan, frekuensi pengadaan rendah, jumlah obat kadaluarsa sesuai standar hanya Puskesmas Mandala, Puskesmas yang mengirimkan LPLPO tepat waktu bulan Februari, Maret, dan April secara berturut-turut 100%; 0%; dan 16,67%, serta semua puskesmas belum memenuhi kecocokan jumlah barang nyata dengan kartu stok. Sistem penyimpanan FIFO/FEFO dapat dipertahankan setelah SIFAMAS. Semua puskesmas mengirimkan LPLPO tepat waktu dan memenuhi standar kesesuaian barang nyata dengan kartu stok setelah menggunakan SIFAMAS. Hasil tes alfa dan beta menunjukkan SIFAMAS dapat diterima dan sangat layak sebagai sistem informasi pengelolaan sediaan farmasi. SIFAMAS sangat disetujui oleh semua responden dengan tingkat persetujuan rata-rata 85,39%.
Berdasarkan uraian di atas disimpulkan bahwa SIFAMAS memberi pengaruh baik dan sangat disetujui sebagai aplikasi pengelolaan sediaan farmasi berbasis web di puskesmas.132 HalamanTesis Magiste
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Antioxidant In Reducing MDA Conditions and Increasing SOD Conditions in White Rats (Rattus norvegicus) Wistar Strain Given a High Cholesterol Diet and Induced More Physical Activity
Full text linkSedentary lifestyles increase the risk of morbidity and infectious illnesses. Physical exercise can improve immune function but can lead to increased oxidants and reactive oxygen species (ROS), damaging cells and tissues. Crucial in mitigating the cellular damage caused by free radicals are antioxidants, including non-enzymatic antioxidants such as glutathione, vitamins C and E, and others. Moderate to high-intensity physical exercise can result in an increase in ROS and a reduction in SOD. Grape seeds are rich in antioxidants, which have been shown to neutralize free radicals and protect against inflammation, bacteria, ulcers, and cancer. These antioxidants, including phenols and proanthocyanidins, are beneficial to health and have applications in various industries, including energy production, cosmetics, and pharmaceuticals. Research is also being conducted to explore their antioxidant effects on MDA levels. Grape seed extract was tested for its impact on malondialdehyde (MDA) levels in the blood of male Wistar strain white rats. Rats' MDA levels decreased following four weeks of treatment. Rat cages, digital scales, an MDA test kit, and SPSS were some of the equipment used in the study. Grape seed extract effectively reduces MDA levels in rats with hypercholesterolemia, resulting in weight loss and a lee index below 0.3, and increases SOD levels, indicating potential for human use
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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