13 research outputs found
Evaluasi Rasionalitas Penggunaan Obat Anti Inflamasi Non Steroid (OAINS) Di Puskesmas Poli-Polia Kabupaten Kolaka Timur
No full textNyeri didefinisikan sebagai perasaan tidak menyenangkan bagi sebagian orang akibat dari kerusakan jaringan, sehingga pasien melakukan pengobatan dan kebanyakan masih berpusat pada terapi farmakologis seperti penggunaan Obat Anti Inflamasi Non Steroid (OAINS). Adanya efek samping yang bisa terjadi maka perlu ditunjang dengan penggunaan yang rasional khususnya pada fasilitas kesehatan. penelitian ini bertujuan untuk mengetahui gambaran rasionalitas penggunaan OAINS di Puskesmas Poli-Polia Kabupaten Kolaka Timur. Jenis penelitian ini merupakan penelitian non eksperimental dengan desain deskriptif retrospektif. Sampel diambil dengan cara total sampling dari populasi yang memenuhi kriteria inklusi yaitu OAINS tunggal maupun kombinasi yang digunakan pasien periode Januari – Maret 2020 dan memiliki data rekam medik lengkap. Jumlah sampel yang diperoleh yaitu sebesar 72 pasien dan datanya dikumpulkan dalam lembar pengumpul data yang memuat identitas pasien, nama obat, dosis, dan aturan pakai. Analisis rasionalitas penggunaan OAINS dinilai dari aspek ketepatan pemilihan obat, ketapatan jumlah, dan ketepatan dosis dan frekuensi yang disajikan secara deskriptif. Hasil penelitian menunjukkan bahwa rasionalitas penggunaan OAINS di Puskesmas Poli-Polia Kabupaten Kolaka Timur tidak seluruhnya tepat. Pada aspek tepat pemilihan obat diperoleh sebesar 86%, tepat dosis dan frekuensi pemberian sebesar 83%, dan tepat jumlah obat mencapai 100% dan secara keseluran bahwa OAINS yang digunakan di Puskesmas Poli-Polia Kabupaten Kolaka Timur belum rasional
FAKTOR RISIKO KEJADIAN TB PARU BTA POSITIF DI DAERAH PESISIR DAN DAERAH PEGUNUNGAN: STUDI KOMPARASI PUSKESMAS BENU-BENUA DAN ANGGABERI
No full textTuberkulosis masih merupakan masalah kesehatan di Indonesia, khususnya di Wilayah Kerja Puskesmas Benu-Benua Kota Kendari (daerah pesisir) dan Wilayah Kerja Puskesmas Anggaberi Kabupaten Konawe (daerah pegunungan). Tujuan penelitian ini untuk mengetahui perbedaan faktor risiko kejadian TB paru BTA Positif di Daerah Pesisir dan Daerah Pegunungan. Jenis penelitian adalah observasional analitik menggunakan studi perbandingan dengan rancangan Cross Sectional Study dari bulan September-Oktober 2019. Populasi penelitian ini adalah 57 kasus, dengan tehnik penarikan sampel secara Random Sampling, jumlah sampel sebanyak 32 kasus di daerah pesisir dan 25 kasus di daerah pegunungan. Metode analisis menggunakan uji Statistik Mann-Whitney Test. Hasil penelitian menunjukkan ada perbedaan faktor risiko kebiasaan tidur kejadian TB paru BTA positif di daerah pesisir dan daerah pegunungan dengan p-value= 0,003 < α = 0,005), tidak ada perbedaan faktor risiko kebiasaan membuang dahak dengan p-value = 0,253 > α = 0,005, dan ada perbedaan faktor risiko kebiasaan membuka jendela kejadian TB paru BTA positif di daerah pesisir dan daerah pegunungan dengan nilai p-value = 0,003 < α = 0,005. Saran dalam penelitian ini menjadi bahan masukan bagi pengelola program pencegahan dan penanggulangan penyakit khususnya penyakit TB
PENGARUH PENYULUHAN ISPA MELALUI MEDIA FILM TERHADAP PENINGKATAN PENGETAHUAN TENTANG ISPA PADA MASYARAKAT DI WILAYAH KERJA PUSKESMAS KAMPOBALANO KECAMATAN SAWERIGADI KABUPATEN MUNA BARAT
No full textISPA pada umumnya dialami oleh masyarakat, penderita ISPA di Puskesmas Kampobalano tahun 2015 tercatat 238 orang (48,1%), tahun 2016 sebanyak 346 orang (66%) dan tahun 2017 (periode Januari-September) meningkat menjadi 576 orang (84,1%). Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan ISPA melalui media film terhadap peningkatan pengetahuan masyarakat tentang ISPA.Jenis penelitian ini adalah Pre Experimental Design dengan pendekatan one group pre test-post test design.Populasi dalam penelitian adalah seluruh masyarakat yang menderita ISPA di Wilayah Kerja Puskesmas Kampobalano Kecamatan Sawerigadi sebanyak 576 orang dan sampel sebanyak 65 orang yang diambil secara Simple Random Sampling. Metode analisis menggunakan uji Shapiro wilk dan uji wilcoxon sign rank test.Hasil penelitian menunjukkan bahwa dari 65 sampel, pengetahuan sebelum penyuluhan 58,5% kurang dan 41,5% cukup dan pengetahuan sesudah penyuluhan 89,2% cukup dan10,8% kurang. Hasil uji wilxocon sign rank test didapatkan nilai p value 0,000 p<0,05, sehingga ada pengaruh penyuluhan ISPA melalui media film terhadap peningkatan pengetahuan tentang ISPA
Deteksi Dini Peripheral Artery Disease melalui Pemeriksaan Ankle Brachial Index pada Kelompok Prolanis di Puskesmas Poasia
No full textPeripheral Artery Disease (PAD) is a complication of Diabetes Mellitus (DM). Changes in the walls of blood vessels cause a decrease in blood flow (perfusion) to the lower extremities which are marked by a decrease in the ankle-brachial index (ABI). The purpose of this study was to obtain an overview of ABI values in diabetes patients in the prolanis group at Puskesmas Poasia, Kendari City, Southeast Sulawesi. This study is a descriptive study, to get an overview of the ABI value in patients with DM who were registered as prolanis patients at Poasia Kendari health center as many as 14 people. The results of the research were obtained, namely: the average gender was 11 respondents, the average age of the respondents was 46-55 years old as many as 6 respondents, and the average length of suffering from the respondents was 0-2 years as many as 9 respondents. The results of the study obtained ABI values in 14 patients with Type II Diabetes Mellitus (DM type II), there are still many who fall into the normal category, namely 9 respondents (64.3%) and there are (35.7%) respondents who have abnormal ABI, namely in minor and moderate occlusion categories. Normal ABI in respondents is influenced by the average duration of diabetes mellitus is only a period of 5 years, this causes the ABI value in the normal range and not many have experienced disturbances.
Peripheral Artery Disease (PAD) merupakan komplikasi Diabetes Melitus (DM) Perubahan pada dinding pembuluh darah menyebabkan penurunan aliran darah (perfusi) ke ekstremitas bawah yang ditandai dengan penurunan ankle brachial index (ABI). Adapun tujuan penelitian ini adalah Mendapatkan gambaran Nilai ABI pada pasien diabetes di kelompok prolanis Di Puskesmmas Poasia Kota Kendari Sulawesi Tenggara. Penelitian ini merupakan penelitian deskriptif, mendapatkan gambaran nilai ABI pada pasien dengan DM yang terdaftar sebagai pasien prolanis di puskemas poasia kendari sebanyak 14 orang. Hasil penelitian diperoleh yaitu: rata-rata berjenis kelamin adalah perempuan sebanyak 11 responden, rata-rata usia responden 46-55 tahun sebanyak 6 responden responden, dan rata-rata lama menderita responden adalah 0-2 tahun sebanyak 9 responden. Hasil penelitian yang diperoleh nilai ABI pada 14 pasien Diabetes Melitus tipe II (DM tipe II) masih banyak yang masuk dalam kategori normal yaitu sebanyak 9 responden (64,3%) dan terdapat (35,7%) responden memiliki ABI abnormal yaitu berada di kategori oklusi singan dan sedang. ABI normal pada responden dipengaruhi oleh rata-rata lama sakit DM hanya kurun waktu 5 tahun, hal tersebut yang menyebabkan nilai ABI dalam rentang normal dan belum banyak yang mengalami gangguan.
Pengetahuan Ibu Post Partum dengan Pantang Makanan Selama Masa Nifas
No full textThis study aims to determine the relationship between postpartum mothers\u27 knowledge and food abstinence during the postpartum period. This research method uses a quantitative research type with a cross sectional study design. The population in this study was 55 people, with a simple random sampling technique with a sample size of 48 people. The analysis method uses statistical tests, namely the chi square and Cramer\u27s tests. The results of this study indicate that the knowledge of post partum mothers is moderately related to abstaining from food during the postpartum period. The value obtained is (X2 Hit= 5.802 > North Wowonii District, Konawe Islands Regency.
Keywords: Postpartum Period, Food Abstinence, Knowledg
Evaluating the Effectiveness of Apps Designed to Reduce Mobile Phone Use and Prevent Maladaptive Mobile Phone Use: Multimethod Study
No full textBACKGROUND: Mobile apps are a popular strategy for reducing mobile phone use and preventing maladaptive mobile phone use (MMPU). Previous research efforts have been made to understand the features of apps that have the potential to reduce mobile phone use and MMPU. However, there has been a lack of a comprehensive examination of the effectiveness of such apps and their features. OBJECTIVE: This paper investigated existing apps designed to reduce mobile phone use and prevent MMPU and examined the evidence of their effectiveness. The research aimed to provide a comprehensive analysis of app features that can reduce mobile phone use and MMPU, while also assessing their effectiveness. In addition, we explored users' perceptions of these apps and the various features the apps offer to understand potential adoption issues and identify opportunities. METHODS: This study used 3 methods: a review of scientific evidence, content analysis, and sentiment analysis. RESULTS: Our study comprehensively examine the common features of 13 apps designed to reduce mobile phone use. We extracted and classified the features into 7 types: self-tracking, social tracking, goal setting, blocking, gamification, simplification, and assessment. The effectiveness of these apps in reducing mobile phone use and MMPU varied from weak to strong. On the basis of content analysis, self-tracking and goal setting were the most frequently used features, whereas gamification and assessment were used the least frequently. The intervention strategies that effectively reduce mobile phone use and MMPU included using grayscale mode, app limit features, and mixed interventions. Overall, users tended to accept these apps, as indicated by sentiment scores ranging from 61 to 86 out of 100. CONCLUSIONS: This study demonstrates that app-based management has the potential to reduce mobile phone use and MMPU. However, further research is required to evaluate the effectiveness of app-based interventions. Collaborations among researchers, app developers, mobile phone manufacturers, and policy makers could enhance the process of delivering, evaluating, and optimizing apps aimed at reducing mobile phone use and MMPU.Safety and Security Scienc
Is distraction on the road associated with maladaptive mobile phone use? A systematic review
No full textMaladaptive Mobile Phone Use (MMPU) (also known as Smartphone Addiction, Nomophobia, Fear of Missing Out, or Problematic Mobile Phone Use) is a growing mental health problem. However, the health and safety consequences of MMPU remain unexplored in many real-life contexts. A potential setting where MMPU may have some negative repercussions is on the road. It is well established that road users (e.g., drivers, motorcyclists, pedestrians, and cyclists) increasingly injure themselves or others due to distractions such as phone use while on the road. Emerging research suggests that MMPU is a possible determinant of this risky behaviour. Therefore, it is essential to investigate the relationship between MMPU and mobile phone use behaviour on the road, as it could help guide and improve interventions aimed at increasing road safety. This systematic review investigated the relationship between maladaptive mobile phone use and mobile phone use behaviour on the road in terms of attitudes and risk perception, intention, phone use engagement, performance changes, and safety outcomes. A total of 44 studies were identified with 47 unique samples of road users, of which 68.1% (32/47) were comprised of drivers, 19.1% (9/47) were pedestrians, 8.5% (4/47) were unspecified road users, and there was one group of motorcyclists and cyclists. Our findings confirmed that MMPU is related to risky behaviour on the roads. In the 29 studies considering observed or self-reported behaviour, 90.9% (30/33) found that road users who scored higher in MMPU are more likely to use their phones on the road as cyclists, drivers, motorcyclists, and pedestrians. Of the nine studies that analysed performance changes, 55.6% (5/9) showed evidence that MMPU changes the performance of road users engaging in mobile phone use, meaning that there is evidence suggesting that MMPU determines the level of impairment. Of the nine studies that analysed the safety-related-outcomes, 66.7% (6/9) found that the higher the MMPU score, the more likely road users are to experience safety–critical traffic events. This review contributes to the literature by showing a pathway between the negative health consequences of MMPU and road trauma. We also identified that the quality of the studies was generally low due to study design and blinding aspects. This field of research also lacks standard practices as researchers avoid using established and well-validated questionnaires, often creating new ones to measure MMPU. This hinders the generalisability of the findings and raises questions about the construct validity and external validity of MMPU. The usefulness of future research would be enhanced by a consistent methodological approach using the same scales based on standard behavioural definitions. The cross-disciplinary nature of MMPU effects means that transport and road safety professionals need to work with healthcare professionals and technology organisations to understand and address MMPU as a contributing factor to road crashes.Safety and Security Scienc
Development Of The Village Innovation Ambassador Information System With Scrum Method
No full textBappedalitbang Bogor Regency while organize an activity Village Innovation Ambassador need to record all college student from various university with their inovation that they created as the result from this activity. There are problems that Bappedalitbang Bogor Regency faced because the amount of college student is plentiful and the data that has been registered is hard to managed as earlier they only use google form for recording the data. The purpose of this research is to solve the problems that Bappedalitbang Bogor Regency have by developing a website-based information system to record the data from Village Innovation Ambassador activitiy which later will be named as Neng Dinda. The system that will be developed by the author will be used by Bappedalitbang Bogor Regency with the requirement as to record the Village Innovation Ambassador data and then display the data as distribution map for the college studen with their inovation and after that the college student will be given an e-sertificate. This data collection system will be developed with PHP framework Laravel and will using development method Agile Development with Scrum model. System development is carried out gradually divided into 4 sprints. The result from each sprint are tested using Black-Box Testing with Equivalence Partition model to make sure every function on the system is working as it should b
Alternative frameworks for providing financial services
No full textDrawing on country experience, the authors analyze alternative frameworks for providing financial services. Scope of permissible activities: The integrated banking model (commercial banking fully integrated with other financial services, including investment banking) benefits both financial institutions and consumers. Potential costs, such as extending the safety net to non-deposit financial services, can be mitigated with safeguards and firewalls, which require regulatory enforcement and monitoring. Internationally, countries are moving toward the integrated model. The wider scope of services appears to improve financial stability and mitigate the risk of a banking crisis. Degree of competitiveness and contestability (openness to competition): Competitiveness need not only require many financial institutions; a concentrated system can be competitive if contestable. Allowing the liberal entry of foreign banks lowers the franchise value of (domestic) institutions, but the evidence suggests that on balance foreign entry provides important benefits. Systems should not be over-competitive, however. They should allow enough franchise value that future profits give institutions an incentive to behave prudently. Design of safety net: the design of the safety net is important in the tradeoff between ensuring the safety and soundness of financial institutions and allocating resources efficiently. A well-functioning safety net minimizes regulatory forbearance and gives banks incentives to act prudently. Owners of financial institutions behave more prudently if they have much at risk, in the form of capital, future expected profits, or their own jobs. The wrong safety net, especially the wrong deposit insurance, entails great moral hazard. Large deposit holders are more likely to provide market discipline if they are not covered by deposit insurance (explicit or implicit), if disclosure is extensive, and if the accounting framework is adequate. Supervision: Best international practice suggests that supervision of the financial conglomerate should probably be consolidated in one agency. Supervisors should have incentives both to monitor and to take appropriate action. Supervisory salaries should be sufficient, relative to those in the private sector, to attract and retain competent and motivated staff.Payment Systems&Infrastructure,Banks&Banking Reform,Environmental Economics&Policies,Financial Intermediation,Labor Policies,Banks&Banking Reform,Financial Intermediation,Environmental Economics&Policies,Knowledge Economy,Education for the Knowledge Economy
On Melancholy of a Celebration
No full textW swych rozważaniach nad melancholijnym wymiarem świętowania autorka poddaje analizie cztery filmy: Godziny (2002) Stephena Daldry’ego, Margot jedzie na ślub (2007) Noaha Baumbacha, Rachel wychodzi za mąż (2008) Jonathana Demme’a i Melancholię (2011) Larsa von Triera. W każdej z tych produkcji Korczarowska tropi ewidentnie melancholijne nacechowanie fabuły i rysów głównych bohaterów. Partie analityczne tekstu, odnoszące się także do warstwy ikonograficznej tych filmów, pozwalają autorce na konstatację, że choć święto potrzebuje radosnego nastroju, a w swej istocie ma łączyć wspólnotę, pozwalać jednostkom i grupom – za pomocą rytuałów – „przechodzić” bezpiecznie ze zwykłego trwania czasowego do czasu sakralnego, to jednak w trakcie świętowania z destrukcyjną siłą objawia się właśnie melancholia. Dzieje się tak prawdopodobnie dlatego, że w trakcie przyjęcia urodzinowego, weselnej fety lub uroczystego rodzinnego obiadu niespodziewanie uświadamiamy sobie, że coś odeszło od nas raz na zawsze.In her reflections on the melancholy dimension of celebration, the author analyses four films: The Hours (2002) by Stephen Daldry, Margot at the Wedding (2007) by Noah Baumbach, Rachel Getting Married (2008) by Jonathan Demme and Melancholia (2011) by Lars von Trier. In each of these productions, Korczarowska clearly identifies the melancholy character of the plot and features of the main characters. The analytical parts of the text, also referring to the iconographic layer of these films, allow the author to conclude that, although celebration needs a happy mood, and in essence it has to unite the community, and let individuals and groups - using rituals - “pass” safely from the ordinary duration of time to sacred time, it is during the celebration that melancholy manifests itself with a destructive force. This is probably because, during a birthday party, wedding fete or a solemn family dinner, we unexpectedly realize that something has passed away from us once and for all
