Hubungan Tingkat Pengetahuan Pasien Stagnan tentang Prioritas Pelayanan dengan Tingkat Kepuasan Layanan Di IGD RSUD Sumedang

Pelayanan di Instalasi Gawat Darurat (IGD) diberikan sesuai klasifikasi triage, sehingga waktu tanggap antara satu pasien dengan pasien lainnya berbeda. Peningkatan kunjungan ke IGD dapat menyebabkan penumpukan pasien, yang  menciptakan ketidakseimbangan antara jumlah tenaga medis dan kapasitas tempat tidur yang ada. Dampak peningkatan ini adalah waktu tunggu pasien untuk transfer ke unit rawat inap memanjang sehingga dapat mengurangi kepuasan pasien. Pasien yang menunggu transfer tersebut disebut sebagai pasien stagnan. Tujuan penelitian ini dilakukan untuk mengetahui adanya hubungan antara tingkat pengetahuan pasien stagnan tentang prioritas pelayanan dengan tingkat kepuasan layanan di IGD Rumah Sakit Umum Daerah (RSUD) Sumedang. Penelitian ini menggunakan metode  pendekatan korelasional dengan desain cross-sectional. Jumlah responden adalah 96 responden yang dipilih dengan teknik accidental sampling  dan diambil menggunakan 2 kuesioner yaitu tingkat pengetahuan dan tingkat kepuasan pasien. Hasil penelitian ini menunjukan tingkat pengetahuan pasien kategori cukup yaitu sebanyak 48 responden (50.00%) dan tingkat kepuasan pasien pada kategori puas sebanyak 72 responden (75.00%). Hasil uji spearman rho menunjukkan nilai p-value sebesar 0.005 dengan koefisien korelasi (r) sebesar -0.282. Hasil ini mengindikasikan bahwa terdapat hubungan yang signifikan antara kedua variabel tersebut namun memiliki korelasi yang lemah. Kesimpulan dari penelitian ini adalah adanya hubungan antara tingkat pengetahuan pasien tentang prioritas pelayanan dengan kepuasan layanan di IGD RSUD Sumedang

ANALISIS NILAI MORAL DALAM CERITA RAKYAT SENDANG SANI PATI

Tujuan penelitian ini yakni untuk menganalisis nilai moral yang terkandung dalam cerita Sendang Sani. Penelitian ini menggunakan metode penelitian kualitatif. Mengenai sumber data berasal dari buku berjudul “Cerita rakyat Pesisir Timur” tulisan Mohammad Kanzunnudin, terbitan CV Adhigama tahun 2024 halaman 230 dan ukuran 15,5 × 23 cm. Adapun datanya berupa penggalan cerita Sendang Sani. Teknik pengumpulan data dengan metode baca dan simak. Teknik analisis data menggunakan teori Miles dan Huberman yakni (1) pengumpulan data, (2) reduksi data, (3) penyajian data, (4) penarikan simpulan

PENYEBAB DAN PENANGANAN PLAGIARISME DI KALANGAN MAHASISWA PENDIDIKAN MATEMATIKA

This study aims to know the cause and prevent plagiarism for mathematics education students. The method in this study isqualitative with a literature study analysis technique approach. This study shows thatthe causes of plagiarism are the low self-confidence in writing works with their own thoughts, bad habits in learning, and think that doesn’t lead to learning process.

ORAL HEALTH LITERACY OF CADRES ON MATERNAL ORAL HEALTH BEFORE AND DURING PREGNANCY

Background: Dental health problems frequently encountered in pregnant women, which require immediate treatment, include gingivitis gravidarum, periodontitis, epulis gravidarum, and caries. One of the prevention efforts for these disorders is to provide assistance to mothers before and during pregnancy. This assistance can be done by empowering health cadres. It is necessary to have community empowerment cadres in the health sector. Purpose: This study aims to determine the influence of oral health literacy of cadres in delivering information on maternal oral health efforts before and during pregnancy. Method: This study employed a quasi-experimental research design. The total of samples taken in this research was 70 people. The sampling method used a purposive sampling technique. The research sample was divided into two groups, namely the control group and the treatment group. Both groups were given a pre-test. Following the pre-test, the treatment group received cadre training. Both groups were then asked to complete a post-test at the end. Data were collected using the questionnaire. Result: The p-value was 0.000 < 0.05, indicating a significant difference in the mean oral health literacy values between the treatment group and the control group. Conclusion: There is a significant difference in the value of oral health literacy and maternal dental health efforts before and during pregnancy

On-station comparative analysis of reproductive and survival performance between Red Maasai, Dorper, and Merino sheep breeds

The reproductive performance of ewes and the survivability of lambs to weaning have a critical economic impact on sheep farming worldwide. Further, knowledge of major mortality causes allows an opportunity for improved flock management to evade financial losses. The maximum likelihood estimates for generalised linear mixed models and chi-square test methods were used to examine 971 mating records, 839 and 763 lambs born and weaned (singles or twins) from the Naivasha Sheep and Goats station in Kenya for the years 2011 to 2020 consisting of Dorper, Red Maasai (RedM), and Merino breeds. The RedM (P 0.05) in litter size and multiple lambings per ewe lambing. On the one hand, Dorper significantly (P < 0.05) outperformed the other two breeds only in weaning weight per lamb born. In addition, among all the major causes of death, pneumonia appeared to be the one to which Dorper breeds were most susceptible (chi-square test, P < 0.05). According to the findings of this study, neither the Dorper nor the Merino sheep breeds were reproductively superior to the RedM in an extensive semi-arid production environment. In addition, Dorper's susceptibility to the leading causes of mortality, particularly pneumonia and sheep pox, were relatively high compared to other breeds and could be a precursor to massive economic losses for Dorper sheep producers. In contrast to the indigenous RedM breed, imported sheep breeds appeared to be more susceptible to major mortality-related under an extensive production system. Therefore, regardless of weaning weight, RedM breed production appears to be a more viable investment for small-scale farmers, particularly in semi-arid regions

Triglycerides, independent of Ferriman Gallwey Score, is a main determinant of free testosterone index in PCOS [version 1; referees: 2 approved]

Background: Polycystic Ovarian Syndrome (PCOS) is the most common endocrinopathy in women of reproductive age, affecting 5-20% of women worldwide. Hyperandrogenism, as the primary characteristic of PCOS, is not always present in every patient. The hyperandrogenic phenotype of PCOS patients is influenced by both hormonal and metabolic dysfunctions. Therefore, this study aims to determine the correlation between hormone profile, lipid profile, and clinical profile with free testosterone index in subjects with PCOS. Methods: This prospective cross-sectional study was conducted in the Dr. Cipto Mangunkusumo General Hospital between July 2014 and December 2016. The study involved 76 women with PCOS, who were classified into 2 subgroups: 39 subjects in the hyperandrogenism group and 37 subjects in the non-hyperandrogenism group. Each subject underwent physical examination, blood sample collection, and USG examination. Bivariate analysis was done using independent t-tests and Mann Whitney U-tests, while multivariate analysis was done using logistic regression. Results: Triglyceride and testosterone level showed weak (r = 0.232, p = 0.044) and moderate (r = 0.460, p ¡ 0.001) positive correlation with FTI, while SHBG level showed moderate negative correlation (r = -0.483, p ¡ 0.001). Triglyceride was also found to be determinant of hyperandrogenism condition in PCOS patient (OR 0.02, 95% CI 0.00–0.04, p = 0.013). However, there was no significant difference observed between FGS and hyperandrogenism (p = 0.43). Conclusions: Triglycerides, testosterone, and SHBG were associated with hyperandrogenism in PCOS patients, while FGS showed no such association

A review on the potential effects of environmental and economic factors on sheep genetic diversity: Consequences of climate change

Climate change has a significant effect on the productivity of livestock including milk, meat, and reproduction. This could be attributed to the internal diversion of energy resources towards adaptive mechanisms. Among the climate change variables, thermal stress seems to be the major limiting factor in animal agriculture. A better understanding of the effects of climate change-influenced ecological factors on the genetic diversity of livestock species is warranted. Sheep is an ideal livestock species to be used in investigating environmental adaptation due to its wide range of agroecological habitats, genetic and phenotypic variability. There is a heavy reliance on sheep genetic diversity for future animal protein security, but the implications of climate change on their genetic diversity receive less attention. Here, the potential environmental factors influencing natural selection in sheep populations are presented. We argue that prolonged exposure to these factors plays a major role in influencing the development of adaptation traits in indigenous sheep breeds, consequently leading to the alteration of genetic diversity at specific loci. The factors discussed include hot temperatures (heat stress), insufficient water, low quantity and quality of forage, and prevalence of parasites, pests, and diseases. In addition, genetic diversity, some signatures of selection for adaptation and economic angles of selection are also briefly discussed. A better understanding of environmental factors influencing the genetic diversity of sheep populations will inform breeding and management programs and may offer an opportunity for greater production efficiency with low input costs

Aplikasi Seedballs untuk Pertumbuhan Benih Nangka (Artocarpus heterophyllus), Bisbul (Diospyros blancoi), dan Merbau (Intsia bijuga)

The area of ​​critical land in Indonesia is increasing. Critical land rehabilitation has been carried out by one of the methods used is direct planting. However, direct planting has drawbacks, namely the seeds are very prone to be eaten by insects and birds, and the seeds are easily damaged due to environmental factors. One method that can be tested is the application of seedballs using adaptive plants, such as jackfruit (Artocarpus heterophyllus), bisbul (Diospyros blancoi), and merbau (Intsia bijuga). The purpose of this study was to formulate seedballs and their application for the growth of jackfruit (A. heterophyllus), bisbul (D. blancoi), and merbau (I. bijuga) plants. This study used a quantitative descriptive analysis method with 3 types of seedballs’ formulas. The results showed the fastest germination rate was produced by formula 1 (clay) on bisbul, formula 2 (clay: topsoil) on jackfruit, and formula 3 (clay: topsoil: husk charcoal: palm waste) on merbau. The highest seed germination capacities were formulas 1 and 3 for jackfruit species, formulas 2 and 3 for bisbul species, as well as formulas 1 and 2 for merbau species. Formula 3 is generally able to increase the height, diameter, and number of leaves of plants. Keywords: acceleration of rehabilitation, adaptive plant, oil palm wasteLuasan lahan kritis di Indonesia semakin meningkat. Rehabilitasi lahan kritis telah dilakukan dengan salah satu metode yang digunakan adalah penanaman langsung. Akan tetapi, penanaman langsung memiliki kelemahan yaitu benih sangat rawan dimakan oleh serangga dan burung, serta benih mudah rusak karena faktor lingkungan. Salah satu metode yang dapat diujicobakan adalah aplikasi seedballs dengan menggunakan tanaman adaptif, seperti Nangka (Artocarpus heterophyllus), bisbul (Diospyros blancoi), dan merbau (Intsia bijuga). Tujuan penelitian ini adalah membuat formula seedballs dan aplikasinya untuk pertumbuhan tanaman nangka (A. heterophyllus), bisbul (D. blancoi), dan merbau (I. bijuga). Penelitian ini menggunakan analisis deskriptif kuantitatif dengan 3 jenis formula seedballs. Hasil penelitian menunjukkan bahwa Perbedaan komposisi formula seedballs menyebabkan perbedaan pertumbuhan tanaman. Laju perkecambahan tercepat dihasilkan oleh formula 1 (tanah liat) pada jenis bisbul, formula 2 (tanah liat : topsoil) pada jenis nangka, dan formula 3 (tanah liat : topsoil : arang sekam : limbah kelapa sawit) pada jenis merbau. Daya kecambah benih tertinggi adalah formula 1 dan 3 pada jenis nangka, formula 2 dan 3 pada jenis bisbul, serta formula 1 dan 2 pada jenis merbau. Formula 3 secara umum mampu meningkatkan tinggi, diameter dan jumlah daun tanaman. Kata kunci: limbah kelapa sawit, percepatan rehabilitasi, tanaman adapti

Continental vs. tropical breed: Immunity comparison under heat stress conditions utilizing qRT-PCR technique

Understanding the responses of animals to seasonal heat stress on the genomic level has led to the identification of genes implicated in thermal stress reaction mechanisms. In this study, the relative gene expression of Interleukin-10 (IL-10), an anti-inflammatory cytokine and biomarker for heat stress-mediated immune modulation, was observed during the summer and winter seasons in continental and tropical sheep breeds, namely, Hungarian Indigenous Tsigai and White Dorper, employing quantitative real-time polymerase chain reaction (qRT-PCR). Temperature-humidity indices (THI) were calculated to assess heat stress levels. The results indicate that IL-10 CT-values were significantly higher during the summer, when heat stress prevails, in both sheep breeds compared to winter. While the White Dorper exhibited a higher numerical value for the summer relative gene expression ratio (16.2) compared to the Hungarian Indigenous Tsigai (12.3), no significant differences in CT values were observed between breeds or among sexes. These findings suggest the immune-adaptive characteristics of the two sheep breeds during seasonal heat stress. The variation of IL-10 gene expression levels between the two breeds can be attributed to their geographical origins; the White Dorper emerging from arid subtropical South Africa and the Hungarian Indigenous Tsigai Sheep thriving in the seasonally harsh Carpathian climate for centuries

Bangun Perubahan Perilaku Masyarakat dengan Distribusi Hand Sanitizer Organik Gratis di Tengah Pandemi Covid-19

Covid-19 cases in Indonesia continue to grow until now. This virus has spread to various parts of Indonesia, including Triwung Kidul Village, Dringu, Kraksaan and also Maron, Probolinggo City. Some of these villages are in red zone status. The red zone area has a very high level of potential risk of transmission. The public must of course be more disciplined in complying with health protocols, especially using hand sanitizers. Therefore, an alternative is needed that can be a solution to save expenses in the midst of a pandemic like now. The purpose of this empowerment activity is to educate the public so that they can make their own hand sanitizer at home by utilizing materials that are in the surrounding environment. The stages of activities carried out in this service program include the socialization stage, the implementation stage of making hand sanitizers, and the evaluation stage. The implementation of the program for making natural hand sanitizers was demonstrated directly by involving the local community from each group because it was in accordance with the advice from the government that there should be no crowds to avoid the Covid-19 virus. Therefore, we distribute them by going around the village by distributing hand sanitizers from our group. The results of this service program are natural hand sanitizer products made from betel leaf, lime and 70% alcohol, which can be used by the community for their daily activity needs