Pendidikan Kesehatan dalam Meningkatkan Kepatuhan Merawat Kaki pada Pasien Diabetes Mellitus Tipe II

Background: Diabetes mellitus feet complications are a leading cause of mortality in developing countries. The prevalence of diabetes is expected to increase in the next decade in the developing countries. Foot care of patients with diabetes mellitus type II is consisted of early detection, foot exercise and practice for the foot care. The aim of this study was to determine the adherence of foot care after the education program was given to reduce of diabetic foot complications in the health center Mergangsan area in Yogyakarta. Method: This research used quasy experimental design with pre and post test group control. The total samples were 82 respondents (41 for the intervention group, 41 for the control group). Instrument used Nottingham Asessment of Functional Foot Care and Diabetic Foot Care Behaviour. Wilcoxon test results of intervention and control group in this research between pre and post intervention was p-value = 0.000 (p-value < 0.05), that signifi cant diff erence of adherence for the practice of foot care. Mann-Whitney test result p-value 0,000 (p-value < 0,05), which means there was a signifi cant diff erence in adherence between the intervention and control group. Health education can improve patient adherence foot care for diabetes mellitus type II in the area health center Mergangsan in Yogyakarta. Suggestion for further research is examining factors that infl uence adherence for the foot care practice with daily observations

Pengaruh Diabetes Self Management Education (DSME) terhadap Resiko Terjadinya Ulkus Diabetik pada Pasien Rawat Jalan dengan Diabetes Mellitus (DM) Tipe 2 di RSD dr. Soebandi Jember (The Influence of Diabetes Self Management Education (DSME) to The Risk

Type 2 Diabetes Mellitus (DM) is a glucose metabolism disorders caused by insulin resistance and impaired of insulin secretion and it can cause any chronic complications, such as diabetic ulcers. Diabetes Self Management Education (DSME) can facilitate patients’s knowledge, skills, and abilities for self-care to prevent diabetic ulcers. This research was intended to analyze the influence of DSME to the risk of diabetic ulcers on Type 2 DM outpatients. The research method was quasi experimental with pre-test and post-test with control group design and used consequtive sampling with 40 Type 2 DM respondents divided into 2 groups. Data were analyzed by using Paired T-test and Independent T-test with 95% of CI. The research results showed that P value of Paired T-test in experimental group is 0,000 and 0,015 in control group, while P value of Independent T-test was 0,001 (p < α ; α = 0,05). The conclusion of this research is there was an influence of DSME to reduce the risk of diabetic ulcers on Type 2 DM outpatients in dr. Soebandi Hospital Jember. It is suggested that nurses can provide DSME to prevent diabetic ulcers on Type 2 DM patients and using DSME as a health promotion program.   Keywords: diabetes mellitus, diabetic ulcers, DSME, self car

PENGARUH PENILAIAN PRESTASI KERJA TERHADAP MOTIVASI KERJA PEGAWAI PADA KANTOR DINAS PENDIDIKAN DELI SERDANG

Penelitian ini bertujuan untuk mengetahui pengaruh penilaian prestasi kerja terhadap motivasi kerja pegawai pada Kantor Dinas Pendidikan Deli Serdang. Teknik pengambilan sampel menggunakan metode sampel jenuh yang berjumlah 76 orang. Metode pengumpulan data menggunakan kuesioner. Dari persamaan regresi Y = 20,099 + 0,458X + e. Pada uji hipotesis parsial (Uji t) variabel penilaian prestasi kerja berpengaruh positif dan signifikan terhadap motivasi kerja dengan nilai t hitung > t tabel (9,570 > 1,665) dan nilai signifikan 0,000 < 0,05. Hasil uji determinasi diperoleh nilai R Square sebesar 0,553, artinya variabel motivasi kerja dapat dijelaskan sebesar 55,3% oleh variabel penilaian prestasi kerja, sementara sisanya 44,7% dijelaskan oleh variabel lain yang tidak dimasukkan dalam penelitian ini

PENGARUH PENILAIAN PRESTASI KERJA TERHADAP MOTIVASI KERJA PEGAWAI PADA KANTOR DINAS PENDIDIKAN DELI SERDANG

Penelitian ini bertujuan untuk mengetahui pengaruh penilaian prestasi kerja terhadap motivasi kerja pegawai pada Kantor Dinas Pendidikan Deli Serdang. Teknik pengambilan sampel menggunakan metode sampel jenuh yang berjumlah 76 orang. Metode pengumpulan data menggunakan kuesioner. Dari persamaan regresi Y = 20,099 + 0,458X + e. Pada uji hipotesis parsial (Uji t) variabel penilaian prestasi kerja berpengaruh positif dan signifikan terhadap motivasi kerja dengan nilai t hitung > t tabel (9,570 > 1,665) dan nilai signifikan 0,000 < 0,05. Hasil uji determinasi diperoleh nilai R Square sebesar 0,553, artinya variabel motivasi kerja dapat dijelaskan sebesar 55,3% oleh variabel penilaian prestasi kerja, sementara sisanya 44,7% dijelaskan oleh variabel lain yang tidak dimasukkan dalam penelitian ini

An Investigation of Chinese Historical Grey Bricks of Soochow, Jiangsu and the Effect of Tung Oil Treatment

The grey brick is one of the key materials to Chinese traditional architecture. While brick-making in Europe and North America is well documented in sufficient literature, the kiln, firing and properties of the Chinese grey brick is to be explored more in detail. The process gives the bricks a different character and color. Bunches of Chinese literature and informal records show the outstanding character of Chinese grey bricks. And it is why historical grey bricks were commonly used in architectural buildings, city walls, mausoleum. This thesis is aimed to verify the good properties of Chinese grey brick through experiments, and investigate the effect of Tung oil in the treatment of brick materials, especially grey bricks

اثر بخشی آموزش رویکرد تحلیل رفتار متقابل بر راهبردارهای مقابله ای زوجین و انطباق پذیری خانوادگی در زنان دارای تعارضات زناشویی ناشی از بحران شیوع ویروس کرونا

The aim of this study was to evaluate the effectiveness of  Transactional analysis approach training  on couples coping strategies and family adaptation in women with marital conflicts caused by the Corona virus outbreak crisis. The research method was quasi exterimental pre-test and post-test with control group. The statistical population of the present study included all women who referred to mahya Counseling Center in Tehran in April 2020 due to marital conflicts caused by the outbreak of Corona virus. In this study, according to the inclusion criteria of the available method, 30 people were selected and then randomly assigned to the experimental and control groups. Comparison of Lazarus and Folkman CSQ (1988), Elson Family Adaptation Questionnaire et al. FACES-III by David H. Elson, Joyce Portner, and Joao Levy (1985) analyzed the data using multivariate analysis of covariance. Findings showed that the effectiveness of  Transactional analysis training (TA)  was effective in increasing coping strategies and family adaptation at the level. The two periods of pre-test and post-test show a significant difference between the control and experimental groups. In general, it is recommended that Transactional analysis approach training be used to increase coping strategies and family adaptation in women with marital conflicts caused by the Corona outbreak crisis.این پژوهش با هدف بررسی اثربخشی آموزش رویکرد تحلیل رفتار متقابل بر راهبردهای مقابله ای زوجین و انطباق پذیری خانوادگی در زنان دارای تعارضات زناشویی ناشی از بحران شیوع ویروس کرونا انجام شد. روش پژوهش نیمه آزمایشی از نوع پیش آزمون و پس آزمون با گروه کنترل بود، جامعه آماری پژوهش حاضر شامل تمامی زنانیکه به دلیل تعارضات زناشویی ناشی از بحران شیوع ویروس کرونا به مرکز مشاوره محیا تهران در فروردین سال 1400مراجعه کرده بودند را تشکیل دادند. در این پژوهش با توجه به معیارهای ورود به روش در دسترس تعداد 30 نفر انتخاب شدند و سپس به صورت تصادفی در دو گروه آزمایش و کنترل گمارش شدند. ابزار گرد آوری شامل برنامه درمان آموزش تحلیل رفتار متقابل بر اساس پروتکل ساخت یافته، پرسش نامه راهبردهای مقابله ای لازاروس و فولکمن CSQ(1988)، پرسشنامه انطباق و انسجام خانوادگی السون و همکاران  FACES-III دیوید اچ. السون، جویس پورتنر و یوآو لاوی (1985)، داده ها با استفاده از روش تحلیل کواریانس چند متغیره مورد تحلیل قرار گرفت. یافته ها نشان داد اثربخشی آموزش تحلیل رفتار متقابل (TA) بر افزایش راهبردهای مقابله ای و انطباق پذیری خانوادگی در سطح موثر بود. در دو بازه زمانی پیش آزمون و پس آزمون تفاوت معنی داری بین دو گروه کنترل و آزمایش نشان می دهد

Investigating the effect of electrosprayed alginate/PVA beads size on the microbial growth kinetics: Phenol biodegradation through immobilized activated sludge

The presence of cyclic organic compounds, including phenol, in the wastewater of many industries has made phenol removal an important issue. Meanwhile, the biological methods of removing phenol have attracted the attention of researchers in recent years. Recently, the use of immobilized microbial cells is proposed as a new approach in industrial wastewater treatment. In this research, the aim is to study the effect of immobilized beads size on the phenol biodegradation efficiency and specific microbial growth rate. For this purpose, electrospray technique was used to immobilize activated sludge in hybrid matrix of alginate and polyvinyl alcohol (PVA). The fabricated alginate/PVA beads were characterized using Fourier transform infrared spectroscopy (FTIR). Evaluation of the results related to the free and immobilized cell systems in the shake flask experiments showed that at low phenol concentrations the immobilized cell system had the same performance as the free cell system, while the immobilized cell system at higher concentrations had a better performance in removing phenol so that at a concentration of 2000 mg/L, removal percentage has increased from 15% to 25–34%. On the other hand, in this survey, the kinetic behavior of activated sludge was in good agreement with Haldane's equation. Moreover, the maximum specific growth rate was measured 0.033 and 0.041 (h−1) beside 544 and 636 mg/L substrate inhibition constant, for free and immobilized cell systems, respectively. This result shows that the phenol biodegradation has been improved by using the cell immobilization technique especially with applying the smaller beads, which is due to improved mass transfer and microbial cell protection from harsh environments

Assessing the application of multi-criteria decision making techniques in hospitality and tourism research: a bibliometric study

This is an accepted manuscript of an article due to be published by Emerald. The accepted version of the publication may differ from the final published version.Purpose: Multi-criteria decision-making (MCDM) techniques are decision support systems that provide systematic approaches to solve hospitality and tourism (H&T) problems while minimizing the risk of failure. However, less is known about the application of MCDM techniques in H&T research. This study aims to systematically assess the use of MCDM techniques in H&T research to classify its current application and determine its application potential for H&T research. Design/methodology/approach: This study used bibliometric analysis to examine all published MCDM studies focused on H&T industries, since 1997. In addition, topic modelling was used to discover key concepts. Finally, top cited studies in terms of total citations per year and total citations were qualitatively reviewed for more insights. Findings: The findings revealed an ongoing interest in applying MCDM techniques in H&T research. Specifically, the extension of fuzzy theory in MCDM techniques is burgeoning among H&T researchers. However, a certain number of MCDM techniques seem to be ignored in this field with a repetitive application of MCDM techniques in particular areas. Research limitations/implications: The data for the current research was solely retrieved from Scopus and other databases were not included. Therefore, future research is called for to re-examine the study by considering data from various databases. Originality/value: This study contributes to extant H&T literature by a) identifying the most prolific and influential countries, journals, publications, and trends by applying MCDM techniques in H&T research, and b) elucidating the implications and characteristics of MCDM techniques in H&T research

مقایسه اثر دکسمدتومدین و میدازولام وریدی بر همودینامیک و مکانیک ریه در بیماران تحت تهویه ی مکانیکی در بخش مراقبت های ویژه بیمارستان شهید محمدی بندرعباس در سال 1399

Introduction: It remains a challenge to provide optimal sedation for patients on mechanical ventilation in ICU. Traditionally, Midazolam has been the most commonly administered sedative drug for ICU patients worldwide. Dexmedetomidine is a newer sedative used for ICU sedation having better hemodynamic stability and no respiratory depressant effect. Methods: This was a parallel randomized, double-blind study. Study population was intensive care unit patients undergoing mechanical ventilation. All the 33 patients received 1 μg/kg IV dexmedetomidine over 10 minutes followed by a maintenance infusion of 0.5 μg/kg/h dexmedetomidine. After 24 hours patients received 0.05 mg/kg midazolam followed by a maintenance infusion of 0.1 mg/kg/h. The dosage of sedative was changed according to the outcome of maintaining a target sedation level of RASS  0 to -1. The cardiovascular and ABG parameters and quality of ventilation were measured at baseline, 12 and 24 hours after sedation. Results: 28 patients (84.8%) were men and 5 (15.2) were women. The mean age of the patients was 36.12±69.74 years. Systolic blood pressure (P<0.005), diastolic blood pressure (P=0.003), mean arterial pressure (P=0.02) and heart rate (P=0.003) were significantly higher in Midazolam group at 24 hours. In addition, O2 saturation was significantly different between dexmedetomidine and midazolam at 12 hours (P=0.03) and 24 hours (P=0.001). ABG parameters were similar between two sedatives. Conclusions: The results of this study showed that dexmedetomidine has better hemodynamic effects than midazolam. Also, the effects of dexmedetomidine and Midazolam on lung mechanics are the same.مقدمه: تهیه یک آرام‌بخش مطلوب برای بیماران تحت تهویه مکانیکی در ICU همچنان یک چالش است. میدازولام مدت‌ها به‌عنوان یک داروی سداتیو برای بیماران ICU در سراسر دنیا استفاده می‌شد. دکسمدتومدین یک سداتیو جدید است که برای آرام‌بخشی این بیماران دارای ثبات همودینامیکی بهتر بوده و اثرات سوء تنفسی ندارد. روش کار: مطالعه ی حاضر به صورت کارآزمایی بالینی دوسوکور متقاطع بر روی 33 بیمار تحت تهویه مکانیکی بستری در بخش مراقبت های ویژه بیمارستان شهید محمدی بندرعباس انجام شد.  جهت انجام مداخله ابتدا همه بیماران داروی دکسمدتومدین (PrecedexTM 200mcg/2ml, Hospira, USA ) با دوز اولیه 1 µg/kg در عرض 10 دقیقه دریافت کرده و سپس انفوزیون آن با دوز 0.5 µg/kg /h   به مدت 24 ساعت ادامه یافت. پس از 24 ساعت اول، برای بیماران داروی میدازولام با دوز 0.05 mg/kg آغاز و سپس با دوز  0.1 mg/kg/h  به مدت 24 ساعت تجویز شد. دوز داروهای ارام بخش به صورت تیتره افزایش یافت تا بیماران به بازه هدف سدیشن با RASS  در محدوده 0 تا 1- برسند. ارزیابی بیماران از نظر متغیرهای قلبی، عروقی، کیفیت ونتیلاسیون شاخص‌های ABG در ساعات پایه، 12 و24 پس از شروع سدیشن ثبت گردید. یافته ها: 28 نفر (8/84 درصد) از آن بیماران مرد و 5 نفر (2/15 درصد) زن بودند. میانگین سنی بیماران 74/69±12/36 سال بود. فشار خون سیستولیک (p<0.005) و دیاستولیک (p=0.003)، میانگین فشار خون شریانی (p=0.02) و ضربان قلب (p=0.003) بیماران در زمان 24 در گروه میدازولام بصورت قابل توجهی بالاتر بود. همچنین درصد اشباع اکسیژن بیماران دو گروه در زمان های 12 و 24 اختلاف معنادار داشت به طوری که این متغیر زمان 12 در گروه دکسمدتومدین (p=0.03) و در زمان 24 در گروه میدازولام (p=0.001) بطور معناداری بیشتر بود. دو گروه از نظر شاخص‌های ABG یکسان بودند. نتیجه گیری: نتایج این مطالعه نشان داد که داروی دکس مدتومدین اثرات همودینامیک بهتری نسبت به میدازولام دارد. همچنین اثرات دو داروی دکس مدتومدین و میدازولام بر روی مکانیک ریه یکسان است