Influence of Natural Disasters on Social Conditions in Village Communities in Indonesia

Natural disasters have a negative impact on various aspects of life. Through natural disasters, the order of life in an area will be disrupted. The social condition of society is one component that has a negative impact. Therefore, this research aims to determine the negative impact of natural disasters on the social aspects of society. The data used in this research comes from 2021 Podes data and the 2022 and 2023 Social Resilience Index. The method used in this research is multiple linear regression. The results of this research indicate that natural disasters have a negative impact on social aspects. Of the three independent variables in this study, it is known that volcanic eruptions have the deepest significant negative impacts, both 1 year after the event and 2 years after the event. Through this research, it is known that the social aspects of society will be negatively impacted by natural disasters. For this reason, an extra role is needed from the government to carry out evacuations when a disaster occurs, and also carry out mitigation from the start in order to minimize negative impacts. Keywords: Mitigate; volcanic eruptions; disaster risk; disaster management

Enterprise Risk Management and Supply Chain Management: The Mediating Role of Competitive Advantage and Decision Making in Improving Firms Performance

The complexity of risk management and supply chain optimization in the business context, especially in financial institutions such as banking, highlights several factors that require special attention. In the banking sector, where risk and operational smoothness are crucial, risk management and supply chain optimization play pivotal roles in maintaining stability and competitiveness. The objective of this research is to explore the extent to which the implementation of ERM (Enterprise Risk Management) and SCM (Supply Chain Management) can create a competitive advantage, influence decision-making, and ultimately impact company performance. The research methodology employed is quantitative. Data collection was conducted through the distribution of Likert-scale questionnaires with a score range from 1 to 5. The sample selection process utilized random sampling techniques, involving managers and staff working in State- Owned Enterprises (SOE/BUMN) in Indonesia. The study analyzed 263 samples, with data collected from February 2023 to June 2023. Structural Equation Modeling (SEM) with SmartPLS software facilitated data analysis. The results indicate that ERM significantly influences competitive advantage and decision-making, but it does not directly impact company performance. Similarly, SCM has a significant positive impact on competitive advantage and decision-making but does not directly affect company performance. Competitive advantage, in this study, did not prove to enhance firm performance or act as a mediator connecting ERM and SCM to company performance. However, decision-making significantly influences company performance and serves as a significant mediator in the relationship between ERM and SCM concerning company performance. Keywords: Enterprise Risk Management Supply Chain Management Competitive Advantage Decision Making Firm Performanc

Service quality and supply chain value on customer loyalty: The role of customer relationship management

Intense business competition urges companies to continually enhance their marketing strategies to retain and attract customers. Therefore, a profound understanding of factors influencing customer loyalty becomes crucial. Service quality, customer satisfaction, and supply chain value are considered key factors affecting customer loyalty. However, the relationships between these variables and the role of Customer Relationship Management (CRM) as a mediator need further investigation, especially in the context of Indonesian companies. Hence, this research aims to contribute a deeper understanding of the interconnection between service quality, customer satisfaction, supply chain value, and customer loyalty, as well as to explore the role of CRM as an essential link in this dynamic. The research methodology employed is quantitative, utilizing a Likert scale questionnaire distributed online to managers and employees in the automotive sector listed on the Indonesia Stock Exchange (IDX). Out of 400 distributed questionnaires, 261 were successfully collected, with 14 incomplete responses, resulting in a final sample size of 247. Data collection took place from June to August 2023. In data analysis, the study applied the Structural Equation Modeling (SEM) approach using the SmartPLS analysis tool. The research findings indicate that service quality significantly influences CRM, while it does not have a direct significant impact on customer loyalty. Customer satisfaction significantly affects both CRM and customer loyalty. Supply chain value significantly influences CRM but does not have a direct impact on customer loyalty. Customer Relationship Management proves to mediate the relationships between service quality and customer loyalty, customer satisfaction and customer loyalty, as well as supply chain value and customer loyalty. Keywords: Service Quality Customer Satisfaction Supply Chain Value Customer Loyalty Customer Relationship Management (CRM

Analisis Manajemen Risiko pada Pasien Rawat Inap di Rumah Sakit X Jakarta Selatan

Kejadian tidak diharapkan yaitu pasien cedera, seharusnya tidak boleh terjadi di rumah sakit, maka program manajemen risiko sangat penting untuk dilaksanakan, namun dalam pelaksanaan proses perawatan, masih saja terjadi insiden keselamatan pasien. Hal ini mengindikasikan bahwa upaya pencegahan yang ada masih belum efektif dan perlu mengembangkan mitigasi risiko yang sudah ada. Tujuan dari penelitian ini adalah mengidentifikasi risiko pada pasien di ruang rawat inap, menganalisis risiko, dan menyusun mitigasi risiko. Metode penelitian menggunakan mix methode. Prosentase risiko/KTD pada pasien rawat inap di rumah sakit X adalah 0% risiko ekstrim, 32% risiko tinggi (6 Risiko), 36% risiko moderat (7 risiko) dan 32% risiko rendah (6 risiko). 6 KTD dengan grading tinggi (skor 9) turun menjadi risiko moderat (skor 3) dan risiko rendah (skor 2) dilakukan dengan upaya : KTD 5 Risiko Jatuh dimitigasi dengan menyediakan perlengkapan makan yg lunak, Lantai dan fasilitas kamar dengan permukaan yang lunak, meningkatkan caring perawat dalam mencegah pasien jatuh dan menetapkan toleransi insiden pasien jatuh, KTD 6 Kegagalan Alat Medis dimitigasi dengan Melakukan preventif maintenance dan monitoring rutin bagi seluruh alat medis, KTD 8 Pengkajian Tidak valid dimitigasi dengan melakukan kredensial dokter spesialis, dokter umum, perawat, bidan dan tenaga kesehatan lainnya, membuat KPI asuhan kepada semua tenaga kesehatan, KTD 19 Trauma Hospitalisasi dimitasi dengan mengadakan maskot untuk menghibur anak-anak yang sedang menjalani perawatan, meminimalisir tindakan invasif yang membuat trauma, KTD 12 Kegagalan administrasi dimitigasi dengan mengadakan sistem HIS yang sesuai dengan kebutuhan rumah sakit dan Melakukan kerjasama dengan pihak ke 3 untuk melakukan penyelesaian administrasi asuransi sehingga proses ACC tindakan, ACC obat dan ACC pulang dapat dilakukan dengan cepat dan KTD 16 Risiko Rujuk dimitigasi dengan menambah alat medis dan dokter sub spesialis terutama spesialisasi layanan yang sering dirujuk. / Unexpected events (KTD), namely patient injuries, should not occur in hospitals, so risk management programs are very important to implement, but in the implementation of the care process, patient safety incidents still occur. This indicates that existing prevention efforts are still not effective and that we need to develop existing risk mitigation strategies. The purpose of this study is to identify risks to inpatient, analyze risks, and develop risk mitigation. The research method used was a mixed method. The percentage of risk or KTD in hospitalized patients at X hospital are 0% extreme risk, 32% high risk (6 risks), 36% moderate risk (7 risks), and 32% low risk (6 risks). 6 KTD with high grading (score 9) decreased to moderate risk (score 3) and low risk (score 2) with efforts: KTD 5 Fall Risk is mitigated by providing soft tableware, floors, and room facilities with soft surfaces, increasing nurses' care in preventing patient falls, and setting a tolerance for patient fall incidents. KTD 6 Medical Device Failure is mitigated by conducting preventive maintenance and routine monitoring for all medical devices. KTD 8 Invalid Assessment is mitigated by credentialing specialists, general practitioners, nurses, midwives, and other health workers, creating care KPIs for all health workers, KTD 19: Traumatic hospitalization is mitigated by holding mascots to entertain children who are undergoing treatment and minimizing invasive actions that are traumatizing, KTD 12: Administrative failure is mitigated by procuring an HIS system that is in accordance with the needs of the hospital and collaborating with third parties to complete insurance administration so that the ACC action, ACC drug, and ACC discharge process can be done quickly, and KTD 16: Referral risk is mitigated by adding medical equipment and sub-specialist doctors, especially service specialties that are often referre

The Effect of Natural Disasters on the Environmental Resilience of Rural Areas

Disasters have detrimental effects on environmental aspects. This research aims to investigate the negative impacts of earthquakes, volcanic eruptions and land drought on the environment. This research aims to determine the impact of natural disasters on environmental factors. The data used in this research was obtained from Podes 2021 and the Environmental Resilience Index (IKL)2022 and 2023. The method applied in this research is multiple linear regression. The results of this research show that natural disasters have a negative impact on environmental conditions. Of the three independent variables for natural disasters in this study, it is known that volcanic eruptions have the most significant negative effects, both one year and two years after the event occurs. The negative impacts of natural disasters are still felt by the community at least 2 years after the disaster occurs. Therefore, an extra role is needed from the government to carry out evacuations when a disaster occurs, as well as implementing mitigation measures early on to reduce negative impacts. Keywords: Natural disaster; environmental resilience; rural.Original Research Articl

Characteristics of D-Dimer Levels in Patients Confirmed Positive for COVID-19 Aged 45 – 70 Years at UKI Hospital for the Period December 2020 – September 2021

COVID-19 is a disease caused by the SARS-CoV-2 virus. COVID-19 is divided into several clinical symptoms based on a person's experiences. In severe clinical signs of COVID-19, D –Dimer will be significantly higher. This study aims to determine D-Dimer levels in COVID-19 patients aged 45 – 70 and uses a descriptive-analytic method with a retrospective cross-sectional design. The number of samples was 198 patients whose D-Dimer levels were checked and 127 patients who received anticoagulant prophylaxis. The research samples were all medical records of patients suffering from COVID-19 aged 45 - 70 years and who had checked D-Dimer levels at RSU UKI from December 2020 to September 2021 found that 145 patients (73.2%) had normal D-Dimer levels, 53 patients (26.8%) had increased D-Dimer levels. The distribution of women were 100 patients (50.5%), and men were 98 patients (49.5%), the highest range was aged 54 - 62 years with 74 patients (37.4%), clinical symptoms were being experienced by 122 patients (61.6%), and comorbid hypertension was the most common disease with 64 patients (32.3%). A significant relationship was found between D-Dimer levels and comorbidities (p=0.04). Anticoagulant prophylaxis was given to 127 patients, with mild symptoms experienced by five patients (3.6%), moderate symptoms experienced by 73 patients (57.5%), and severe symptoms experienced by 49 patients (38.6%). However, no significant relationship was found (p=0.66) between administering anticoagulant prophylaxis and D- Dimer levels in patients with mild, moderate, or severe symptoms. Keywords: D-dimer; age; covid-19; anticoagulants

Profile of Five Types of Gynecological Bleeding Cases at UKI Hospital

This study provides an overview of cases of gynecological bleeding that occurred at RSU UKI from 01 January 2012 to 31 December 2014. The method used in the research was a descriptive study with a retrospective, exploratory, and crosssectional approach. To simplify the research process, the author only examined five types of cases that occurred at RSU UKI, namely uterine myoma, adenomyosis, polyps, cervical cancer, and endometrial cancer. Gynecological bleeding is a disease that is very often encountered today. The study's results based on the period found 69 cases of gynecological bleeding. Around 66.7% (46 cases) were sufferers of uterine myoma, 13.0% (9 cases) had adenomyosis, 11.6% (8 cases) had polyps, 7.2% (5 cases) had cervical cancer, and 1.4% (1 case) had endometrial cancer. Until now, the number of incidents has been increasing from year to year, and this is very likely based on a person's risk factors for the occurrence of a disease. Of these gynecological bleeding disorders, it was found that the highest incidence was in the 40 - 44- year age group. From the results of laboratory examinations, there is a close relationship between gynecological bleeding and the frequency of anemia; it was found that 56.5% of patients with gynecological bleeding disorders experienced anemia. The author recommends routine examination of the uterine organs to detect them as early as possible. Keywords: Gynecological bleeding, uterine myoma, adenomyosis, cervical cancer, polyps, endometrial cance

Emergency Microscope Light Modification by External Source in Absence of Power Supply

Introduction: Microscope is an instrument for visualizing fine detail of an object so that observer can observe the object being examined in detail. The object of examination vary from cells (normal or pathologic), microorganism (such as parasite and bacterium), and even non biological part. There are several types of microscope, one of the oldest forms and still used today is the light microscope. A light microscope relied on continuous light source to operate. The most common source for today's microscopes is an incandescent tungsten-halogen bulb, which is solely electric dependent, positioned in a reflective housing that projects light through the collector lens and into the sub-stage condenser. Current situations sometimes require readiness for conducting microscopic examination anytime, anywhere. Unfortunately, problem occur if the electricity goes out, most people will not be able to continue their microscopic observations. This problem raises the question of what if in an emergency it is necessary to carry out a microscopic examination but unfortunately there is no power source. Below we propose emergency modification efforts so that the microscope can still be used even in conditions without a power source. Aims: to modify an electric light microscope in such a way that it can continue to be used in the absence of an electrical power source using external source of light. Discussion: Adding an external source of light is a brilliant approach in order to make the electric dependent light microscope still useable in emergency condition. Conclusion: it is possible to modify an electric light microscope in the condition of no electric source available and make it operable. Keywords: Emergency lamp; positioning; lenses; objective; ocular; magnification; light emitting diode

The Relationship Between Citicoline Administration and the National Institute of Health Stroke Scale in Hemorrhagic Stroke Patients at Dr. Regional General Hospital Chasbullah Abdulmadjid Bekasi City in 2022

Background: Hemorrhagic stroke is a focal or generalized neurological deficit that occurs suddenly within seconds or hours caused by a ruptured blood vessel.Hemorrhagic stroke can be divided into Intracerebral Hemorrhage (ICH)and Subarachnoid Hemorrhage (SAH). The prevalence of stroke in Indonesia, according to Riskesdas, in 2018 reached 10.9%; the highest cases occurred at the age of ≥55 years and were dominated by men. Treatment of hemorrhagic stroke can use citicoline as a neuroprotectant to repair brain cell membranes. One of the tools that can be used if there is a neurological deficit is the National Institute of Health Stroke Scale (NIHSS), which is useful for assessing the state of improvementof post-stroke patients. Purpose: To determine the relationship between the administration of citicoline and the NIHSS of hemorrhagic stroke patients. Methods: Descriptive analytics with a cross- sectional design using medical record data from the Regional General Hospital dr. Chasbullah Abdulmadjid Bekasi City had 95 patients based on the inclusion criteria. Results: The data from this study were processed using the Chi-Square test, which showed a significant relationship between citicoline administration and the NIHSS in hemorrhagic stroke patients with p-value = 0.017 (p <0.05). Conclusion: The administering of citicoline therapy in hemorrhagic stroke patientsimproved the NIHSS score. Keywords: Hemorrhagic stroke, Citicoline, NIHS