HUBUNGAN KEJADIAN STRES PADA PENDERITA TB PARU YANG SEDANG DALAM PENGOBATAN DENGAN INDEKS MASSA TUBUH DI PUSKESMAS KECAMATAN BERUNTUNG BARU KABUPATEN BANJAR KALIMANTAN SELATAN TAHUN 2021

Tuberkulosis merupakan penyakit infeksi menular yang diakibatkan bakteri Mycobacteriumtuberculosis.Beberapatahunbelakangan,komorbiditasgangguan kejiwaan dengan penyakit menular telah meningkat. Tingkat stres penderita TB paru cenderung meningkat selama pengobatan. Stres bisa mengurangi asupan makan akibatnya dalam waktu lama dapat mempengaruhi Indeks Massa Tubuh (IMT). Penelitian ini bertujuan untuk mengetahui ada atau tidaknya hubungan kejadianstresdenganindeksmassatubuhpasienTBparudiPuskesmasBeruntung Baru. Penelitian analitik observasional ini menggunakan rancang bangun cross sectionaldengantekniksimplerandomsamplingyangmengikutsertakan27pasien TBparuyangsedangdalampengobatandiPuskesmasBeruntungBarutahun2021. Pengolahan data menggunakan uji chi square melalui data primer tinggi badan, beratbadan,dan kuesionerPerceivedStressScale.Pada penelitianinipasien TB parulebihbanyakperempuan(51,9%)dibandinglaki-laki(48,1%),terbanyakpada usia61-70tahun(33,3%),sebagianbesarsudahberobat7-8bulan(33,3%),banyak yang mengalami stres ringan (37,0%), dan setengahnya memiliki indeks massa tubuh normal (51,9%). Hasil analisis menggunakan uji statistik chi square diperolehnilai0,044(P<0,05)yangberartiterdapathubunganantarakejadianstres dengan indeks massa tubuh. Kesimpulan pada penelitian ini yaitu terdapat hubunganantaravariabelkejadianstresdenganindeksmassatubuhpadapasienTB paru

Sertraline on Obsessive Compulsive Disorders in Indonesia (A Case Study)

Background: Obsessive-compulsive disorder (OCD) was originally believed to be a rare mental illness. However, recent surveys and research have shown that OCD is one of the most common mental disorders. Research in India showed that the treatment of OCD using SSRIs (selective serotonin reuptake inhibitors) is preferred over the tricyclic group. This paper will discuss sertraline as the alternative to clomipramine for OCD. Objective: Clomipramine as the treatment of choice for OCD is no longer included in the Indonesian MIMS index. Recent research suggests sertraline is preferred over clomipramine, and this paper discusses the efficacy of sertraline through a case study. Methods: This study is a retrospective descriptive study on the case of 21-year-old male met the ICD-X criteria of OCD for having unwanted thoughts and repetitive behavior for locking the door and orderly compiling the books. The symptoms developed since he graduated from high school (three years before admission) and got worse since the last year. Sertraline was prescribed in the first place. The patient was routinely monitored during each visit for the next three months. Results: The symptoms improved significantly after routinely taking sertraline for two months. The adverse effects were well-tolerated, such as nausea, headaches, and tachycardia. Psychotherapy was needed to modify the patient’s obsession and to anticipate the risk of personality disorder should be noticed because the disorder appeared at a young age. Conclusion: Sertraline as well as psychotherapy are worthy of consideration as first-line OCD therapy in Indonesia

Investigation of diesel injector flow pattern based on computer-aided design

Improvements in the diesel fuel injection systems can provide efficient combustion in internal combustion engine. However, the detail relationship between the diesel injector nozzle cavitation parameters are still remain unclear. The main goal of this research is to verify the flow characteristics inside the fuel injector nozzle by using CFD. A computational fluid dynamics cavitation models of diesel injector nozzles is presented and tested. Then, the experimental data are used to validate the models. The researcher used the same shape configeration and boundary condition. The injection event is inherently transient, as the injection pressure varies with the needle lift position. In order to capture this transient aspect within a steady-state formulation, this study performed simulations for different lift positions for the base nozzle. The results is done for the flow distribution for needle lift positions at 0.275 mm, 0.2 mm, 0.15 mm, and 0.1 mm. The corresponding velocity vector is plotted in order to explain the transient cavitation behavior. The velocity vectors for needle lift=0.275 mm indicate that the flow entering the orifice encounters a sharp bend (i.e., large velocity and pressure gradients) at the top of the orifice inlet causing cavitation in this region, However, with needle lift position at 0.15 mm, the flow entrance into the orifice is relatively smooth

Remediation of wastewater by biosynthesized manganese oxide nanoparticles and its effects on development of wheat seedlings

IntroductionNanoparticles play a vital role in environmental remediation on a global scale. In recent years, there has been an increasing demand to utilize nanoparticles in wastewater treatment due to their remarkable physiochemical properties.MethodsIn the current study, manganese oxide nanoparticles (MnO-NPs) were synthesized from the Bacillus flexus strain and characterized by UV/Vis spectroscopy, X-ray diffraction, scanning electron microscopy, and Fourier transform infrared spectroscopy.ResultsThe objective of this study was to evaluate the potential of biosynthesized MnO-NPs to treat wastewater. Results showed the photocatalytic degradation and adsorption potential of MnO-NPs for chemical oxygen demand, sulfate, and phosphate were 79%, 64%, and 64.5%, respectively, depicting the potential of MnO-NPs to effectively reduce pollutants in wastewater. The treated wastewater was further utilized for the cultivation of wheat seedlings through a pot experiment. It was observed that the application of treated wastewater showed a significant increase in growth, physiological, and antioxidant attributes. However, the application of treated wastewater led to a significant decrease in oxidative stress by 40%.DiscussionIt can be concluded that the application of MnO-NPs is a promising choice to treat wastewater as it has the potential to enhance the growth, physiological, and antioxidant activities of wheat seedlings

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Penilaian Praktek Illegal, Unreported and Unregulated Fishing pada Pukat Cincin di Kota Kendari

Praktek Illegal, Unreported dan Unregulated fishing (IUU Fishing) merupakan salah satu permasalahan sektor perikanan yang berdampak ekonomi, sosial dan ekologi. Pemerintah telah mengeluarkan berbagai kebijakan untuk mengatasi masalah tersebut. Hingga saat ini data dan informasi yang terkait dengan permasalahan IUU fishing pada berbagai wilayah pengelolaan perikanan di Indonesia masih sangat kurang, kebanyakan kajian yang ada masih bersifat umum. Pukat cincin Salah satu alat tangkap yang banyak dijumpai di Pelabuhan Perikanan Samudera (PPS) Kendari. Tercatat ada sekitar 21.235 ton sumberdaya perikanan yang didaratkan oleh berbagai jenis armada penangkapan (PPS Kendari, 2016). Kondisi ini berpotensi menciptakan praktek – praktek IUU fishing, sehingga diperlukan adanya kajian terkait hal tersebut. Tujuan dari penelitan ini adalah mengetahui tingkat kepatuhan armada kapal pukat cincin di PPS Kendari terhadap praktek IUU Fishing serta mengidentifikasi jenis pelanggarannya serta merumuskan rekomendasi strategi penanggulannya. Penelitian dilaksanakan pada Mei sampai dengan September 2018 di Pelabuhan Perikanan Samudera Kendari. Metode penelitian yang digunakan yaitu metode survey. Data yang dikumpulkan terdiri dari data primer dan sekunder. Instrumen utama penelitian adalah kuisioner. Hasil penelitian menunjukkan Tingkat kepatuhan armada pukat cincin di Pelabuhan Perikanan Samudera Kendari terhadap praktek IUU Fishing sangat bervariasi tergantung aspeknya. Tingkat kepatuhan pada aspek Illegal lebih tinggi dibandingkan dengan aspek unreported dan unregulated. Jenis - jenis pelanggaran IUU Fishing adalah Pencatatatn loogbook hasil tangkapan tidak sesuai dengan kenyataannya, tidak melaporkan lokasi penangkapan dengan baik dan tidak meregistrasi rumpon yang digunakan. Rekomendasi Strategi penyelesaian yang paling efektif adalah penegakan hukum dan pemberian sanksi administrasi

Asas hukum acara perdata : Dalam teori dan praktik

vii-150 hlm.: - ; 21 cm

Pengaruh Teknologi Digital, Religiusitas, Dan Sosial Media Terhadap Keputusan Generasi Z Berinvestasi Di Saham Syariah

This study was conducted to know the influence of technology, digital, religiosity, and social media on generation Z's decision to invest in Islamic stocks. All generation Z who invest in Islamic stocks are the population in the study while the research sample amounted to 100 people calculated by the Lemeshow formula with a confidence level of 95 percent. This research uses quantitative methods with multiple linear regression analysis models assisted by the SPSS 25 application. The results showed that partially digital technology, religiosity, and social media have a positive effect on the interest in investing in Islamic stocks in generation Z. While simultaneously showing that digital technology, religiosity, and social media have a positive effect on the interest in investing in Islamic stocks in generation Z. While simultaneously showing that digital technology, religiosity, and social media have a significant and positive effect on Islamic stock investment interest in generation Z with a significance contribution of 57.2 percent. The variable that has the greatest effect is social media. The development of digital technology, religiosity, and information from social media generates expectations from investors which can further increase the motivation to invest in Islamic stock

Pengaruh Teknologi Digital, Religiusitas, Dan Sosial Media Terhadap Keputusan Generasi Z Berinvestasi Di Saham Syariah

This study was conducted to know the influence of technology, digital, religiosity, and social media on generation Z's decision to invest in Islamic stocks. All generation Z who invest in Islamic stocks are the population in the study while the research sample amounted to 100 people calculated by the Lemeshow formula with a confidence level of 95 percent. This research uses quantitative methods with multiple linear regression analysis models assisted by the SPSS 25 application. The results showed that partially digital technology, religiosity, and social media have a positive effect on the interest in investing in Islamic stocks in generation Z. While simultaneously showing that digital technology, religiosity, and social media have a positive effect on the interest in investing in Islamic stocks in generation Z. While simultaneously showing that digital technology, religiosity, and social media have a significant and positive effect on Islamic stock investment interest in generation Z with a significance contribution of 57.2 percent. The variable that has the greatest effect is social media. The development of digital technology, religiosity, and information from social media generates expectations from investors which can further increase the motivation to invest in Islamic stock