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Hubungan Kualitas Tidur dengan Indeks Massa Tubuh (IMT) di Fakultas Kedokteran Universitas Prima Indonesia Angkatan Tahun 2022
Get PDFKualitas tidur yang buruk dapat memengaruhi keseimbangan metabolik tubuh dan berdampak pada perubahan Indeks Massa Tubuh (IMT). Mahasiswa kedokteran merupakan kelompok yang rentan mengalami gangguan tidur akibat beban akademik yang tinggi dan pola hidup tidak teratur. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas tidur dengan Indeks Massa Tubuh (IMT) pada mahasiswa Fakultas Kedokteran Universitas Prima Indonesia angkatan tahun 2022. Jenis penelitian ini adalah kuantitatif dengan metode analitik cross-sectional. Data dikumpulkan melalui kuesioner Pittsburgh Sleep Quality Index (PSQI) untuk menilai kualitas tidur serta pengukuran berat dan tinggi badan untuk menentukan IMT. Jumlah sampel sebanyak 178 mahasiswa yang dipilih dengan metode total sampling. Analisis data dilakukan menggunakan uji Chi-Square dan uji Cramer’s V dengan bantuan program SPSS. Hasil penelitian menunjukkan bahwa 94 responden (52,8%) memiliki kualitas tidur baik dan 84 responden (47,2%) memiliki kualitas tidur buruk. Mayoritas responden memiliki IMT normal sebanyak 113 orang (63,5%), sedangkan 29 orang (16,3%) tergolong obesitas. Uji Chi-Square menghasilkan nilai p < 0,001 yang menunjukkan adanya hubungan signifikan antara kualitas tidur dengan IMT, dengan kekuatan hubungan sedang (Cramer’s V = 0,492). Kesimpulan penelitian ini adalah semakin buruk kualitas tidur seseorang, semakin tinggi kecenderungan mengalami peningkatan IMT
DESCRIPTION OF DIAGNOSTIC COVID-19 ADULT PATIENTS AT ROYAL PRIMA HOSPITAL
Get PDFAbstrak Coronavirus disease 2019 (COVID-19) adalah masalah kesehatan yang memiliki tipe virus baru yang sebelumnya tidak muncul pada manusia, yaitu virus pembawa COVID-19. Coronavirus merupakan sekelompok besar virus yang memicu kasus penyakit gejala ringan hingga parah. COVID-19 kali ini menjadi masalah paling serius di dunia. Jumlah kasusnya meningkat setiap hari dan seluruh individu terserang COVID-19 adalah dari semua usia dan jenis kelamin. Tujuan penelitian ini untuk mengetahui gambaran diagnostik pasien dewasa COVID-19 di RSU Royal Prima Medan dari bulan Oktober hingga Desember 2020 yang terdapat 164 orang. Penelitian dilakukan dengan metode deskriptif dan retrospektif. Penelitian ini mendeskripsikan gambaran diagnostik pasien dewasa Covid-19 di RSU Royal Prima berdasarkan sumber data sekunder dengan melihat usia, jenis kelamin, dan gejala yang paling sering dialami sesuai dengan data yang telah tercatat pada rekam medik di RSU Royal prima Medan, dilakukannya penelitian ini pada bulan Maret – Juni 2021. Hasil dari penelitian ini menunjukan pasien COVID-19 terbanyak adalah pasien dengan jenis kelamin laki-laki berjumlah 93 orang (56,7%) serta gejala yang paling sering dialami secara umum dan berdasarkan jenis kelamin, yaitu demam, batuk, dan sesak nafas, serta lebih banyak terjadi pada usia 26-35 tahun. Kata kunci: COVID-19; Gejala; Jenis Kelamin; Usia Abstract Coronavirus disease 2019 (COVID-19) is a health problem with a new type virus that has never been occured before in humans, the virus that carries COVID-19, namely SARS-CoV-2. Corona virus is a large family of viruses that cause illness ranging from mild to severe symptoms. COVID-19 is currently the most serious problem in the worlds. The number of cases is increasing every day and the people who infected with COVID-19 were all ages and genders. The purpose of this study was to find out the diagnostic explanation of adult COVID- 19 patients at RSU Royal Prima Medan in October-December 2020 which contains 164 people. This study was conducted using a descriptive method and a retrospective approach. This research was explaining the diagnostic explanation in adult Covid-19 patients at the RSU Royal prima Medan, based on secondary data sources by looking at the ages, genders and the most frequently experienced symptoms according to data that has been recorded in the medical record at the RSU Royal prima Medan, this research was conducted in March – June 2021. The results of this study showed that most of the COVID-19 patients were male that consist of 93 people (56,7%) and the most common symptoms and based on genders were fever, cough, shortness of breath, and more common at the age of 26-35 years
Faktor yang Mempengaruhi Kejadian Stunting pada Balita Umur 24-60 Bulan di Desa Dusun Bagot Raja
Get PDFStunting merupakan salah satu masalah gizi kronis yang masih tinggi di Indonesia dan menjadi prioritas nasinal dalam bidang kesehatan, Kondisi ini terjadi akibat kekurangan giji dalam waktu yang lama, infeksi berulang, serta pola asuh dan lingkungan yang kurang mendukung. Stunting berdampak pada pertumbuhan fisik, perkembangan kognitif, dan produktivitas anak di masa depan. Berdasarkan data Riset Kesehatan Dasar (Riskesdas) tahun 2018, prevalens stunting di indonesia mencapai 30,7% angka ini masih di atas ambang batas yang ditetapkan WHO yaitu 20%. Penelitian ini bertujuan untuk mengetahui faktor faktor yang mempengaruhi kejadian stunting pada balita usia 24-60 Bulan di Desa Dusun Bagot Raja, Kecamatan Purba, Kabupaten Simalungun.
Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Populasi penelitian adalah seluruh balita usia 24-60 bulan di Desa Dusun Bagot Raja sebanyak 41 responden yang diambil dengan teknik total sampling. Data dikumpulkan melalui wawancara menggunakan kuisioner dan dianalisis dengan Chi-Square menggunakan program SPSS. Variabel independen dalam penelitian ini meliputi berat badan lahir, asupan energi, pemberian ASI eksklusif, pola asuh, pendapatan keluarga, dan keragaman pangan
Hasil penelitian menunjukkan bahwa prevalensi stunting di Desa Dusun Bagot Raja sebesar 63%. Anaisis bivariat menunjukkan adanya hubungan yang signifikan antara kejadian stunting dengan berat badan lahir (p= 0,011), asupan energi (p=0,009),pemberian ASI eksklusif (p=0,003), pendapatan keluarga (p=0,001), dan kergaman pangan (p=0,001). Sementara itu pola asuh tidak menunjukkan hubungan yang signifikan (p=0,082). Faktor yang paling dominan mempengaruhi kejadian stunting adalah pendapatan keluarga dan keragaman pangan
Tingginya angka stunting di Desa Dusun Bagot Raja dipengaruhi oleh rendahnya pendapatan keluarga. Kurangnya keragaman pangan, aupan energi yang tidak terpenuhi, riwayar berat badan lahir rendah, dan pemberian ASI ekskusif yang tidak optimal. Upaya pencegahan perlu difokuskan pada peningkatan gizi keluarga, edukasi pola makan, gizi seimbang, serta pemberdayaan ekonomi masyarakat untuk meningkatkan kesejahteraan keluarga
Barriers to self-care among diabetes patients: A qualitative study
No full textDiabetes mellitus (DM) is a significant global health issue, with its prevalence continuing to rise in Indonesia. Self-care is a key component in managing DM, yet many patients face various obstacles in its implementation. This study aims to deeply explore the challenges faced by individuals with type 2 diabetes in managing their condition independently. Using a descriptive qualitative approach, the study analyzes the experiences of seven diabetes patients receiving care at Royal Prima Hospital. The social ecological model serves as the analytical framework to identify factors influencing self-care behavior, including individual internal factors, interpersonal relationships, healthcare systems, and the social environment. Data was collected through in-depth interviews and analyzed using thematic content analysis. The findings reveal several barriers to effective self-care in diabetes management. Firstly, at the individual level, a lack of knowledge, limited resources, non-adherence to medication, and financial constraints were major obstacles. Secondly, insufficient social support and misinformation about alternative treatments also influenced patient behavior. Thirdly, at the healthcare service level, long waiting times and inadequate social support were identified as challenges. Lastly, limited accessibility due to transportation issues and community resource constraints further hindered self-care. Patients require comprehensive education, easy access to medical tools, and psychological support to manage their condition effectively. Families and communities must be equipped with accurate knowledge about diabetes and trained to support patients. Healthcare providers should improve service quality by adopting a holistic approach and collaborating with communities to ensure optimal care. With collective efforts, it is hoped that the quality of life for diabetes patients can improve, and complications resulting from the disease can be prevented
Prevalence of chronic obstructive pulmonary disease among TB patients at Royal Prima Hospital
No full textChronic Obstructive Pulmonary Disease (COPD) is a respiratory disease characterized by a reduction in lung capacity and is the third leading cause of death worldwide. COPD is a complex disease involving various environmental and genetic factors. This study aimed to determine the prevalence of COPD among TB patients at Royal Prima Hospital in Medan. This was a retrospective descriptive study with a cross-sectional design. The population of this study was all outpatient TB medical records at Royal Prima Hospital in Medan. Purposive sampling was used, resulting in a sample size of 68 individuals. Data was analyzed univariately using descriptive statistics presented in frequency distribution tables and percentages. The results showed that most COPD patients at Royal Prima Hospital were elderly (73.5%), male (85.3%), employed (64.7%), had a junior high school education (47.1%), had suffered from COPD for less than 10 years (70.3%), and were active smokers (63.2%). Most COPD patients were categorized as having moderate disease (39.7%). It is hoped that Royal Prima Hospital will continue to develop prevention programs for Chronic Obstructive Pulmonary Disease to reduce the number of cases, and that COPD patients who frequently visit healthcare facilities will receive instructions on self-care management for their long-term condition to reduce disease severity
Effectiveness of green betel leaf extract cream in healing cut wounds
No full textGreen betel leaf (Piper betle L.) is widely used in the healing of cut wounds. The aim of this study was to investigate the efficacy of green betel leaf extract cream in the healing of cut wounds on the skin of white Wistar rats. The design employed was a pre-test post-test with a control group design and a sample size of 20 white rats divided into four groups. Betel leaf extract was prepared using the maceration method, while a cream preparation of betel leaf extract was prepared using the oil-in-water emulsion type (M/A). Macroscopic histopathological evaluation was performed by examining fibroblast growth. A one-way analysis of variance (ANOVA) test (p < 0.05) was used to determine the difference between groups, and a post hoc least significant difference (LSD) test was used to analyze which treatment group had the greatest efficacy. Technical terms were explained upon first use, and the language used was clear, objective, and value-neutral to improve academic quality. The text was free from grammatical errors, spelling mistakes, and unnecessary jargon. A one-way analysis of variance (ANOVA) test (p < 0.05) was used to determine the difference between groups, and a post hoc least significant difference (LSD) test was used to analyze which treatment group had the greatest efficacy. The study revealed a substantial difference in the average wound healing rates between the control group (P0) and treatment groups P1, P2, and P3. This is due to the lack of active substances in the control group (P0), which aids in accelerating the wound healing process. Notably, the 15% green betel leaf extract cream demonstrated superior efficacy in healing wounds in white rats compared to the 10% and 25% green betel leaf extract creams. The results indicated no significant difference between the application of 15% and 25% green betel leaf extract cream. This is due to the fact that secondary metabolite compounds present in the extract produce a healing effect on wounds at these particular levels. However, lower concentrations only act as microorganism inhibitors, rendering them less effective for promoting wound healing
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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
Analysis of Patient Satisfaction and Loyalty Mediated by Reputation and Conduct of Public Hospital Staff Government of North Sumatra Province
Get PDFThis research investigates the pivotal role of hospitals in healthcare, categorizing them into general and specialized facilities based on resources and capabilities. Focusing on North Sumatra, the study explores the significance of hospital conditions in influencing patients\u27 choices, particularly in a competitive healthcare landscape driven by responsiveness to quality information. Employing a quantitative approach with non-probability sampling, the research follows a positivist philosophy to examine the connection and influence between independent and dependent variables. Conducted at the General Government Hospital in North Sumatra, the study spans from a preliminary survey in September 2023 to November 2023, with data collection ongoing and results to be presented in a seminar. The analysis reveals a substantial impact of Patient Satisfaction (PS) on Patient Loyalty (PL) (coefficient = 0.581), supported by a t-statistic value of 5.572 (>1.96) and a p-value of 0.000 (<0.05). PS also significantly influences Hospital Staff Behavior (HSB) (coefficient = 0.280, t-statistic = 2.630, p-value = 0.009 < 0.05) and Hospital Reputation (HR) (coefficient = 0.450, t-statistic = 4.789, p-value = 0.000 < 0.05). Hospital Staff (HS) demonstrates a notable influence (coefficient = 0.101) on PL, though the relationship is not statistically significant (t-statistic = 1.520, p-value = 0.129 > 0.05). Similarly, HR influences PL (coefficient = 0.124), but the relationship is not statistically significant (t-statistic = 1.402, p-value = 0.161 > 0.05). Furthermore, PS exhibits a mediated influence on PL through HSB (coefficient = 0.028, t-statistic = 1.221, p-value = 0.223 > 0.05) and through HR (coefficient = 0.056, t-statistic = 1.269, p-value = 0.205 > 0.05). These findings underscore the critical role of patient satisfaction in shaping loyalty, highlighting the mediating effects of Hospital Staff Behavior and Hospital Reputation. Understanding these dynamics is crucial for promoting healthcare competition and enhancing care quality in the North Sumatra region
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