Bacteria inhibition of platelet concentrates with and without pre-centrifugation metronidazole incorporation on aggregatibacter actinomycetemcomitans

Background: Local administration of antibiotics was one of many approaches for the management of localized periodontal infection with the advantages of smaller total dosage delivered into the pocket, avoiding systemic antibiotic side effects, and increasing the exposure of target microorganism to higher concentration. Incorporating antibiotics into platelet concentrates can be considered for local antibiotic administration.Method: The sample in this study used Aggregatibacter actinomycetemcomitans which was divided into 4 partitions on each plate. Each plate was applied with Platelets Rich Fibrin (PRF) and Injectable Platelet rich fibrin (I-PRF) incorporated with metronidazole pre-centrifugation and two negative controls (PRF and I-PRF without metronidazole). The observation was performed after 1 day and 7 days of incubation by measuring inhibition zone diameter using vernier caliper. The data were analyzed using two-way ANOVA followed by post-hoc LSD.Result: I-PRF with metronidazole had the highest bacteria inhibition compared with other groups (p<0,05) on incubation day 1 and 7; I-PRF and PRF with metronidazole showed higher bacteria inhibition compared with I-PRF and PRF without metronidazole (p<0,05).Conclusion: Aggregatibacter actinomycetemcomitans inhibition of PRF and I-PRF incorporated with metronidazole was greater compared to PRF and I-PRF without incorporating metronidazole, and A. actinomycetemcomitans inhibition of I-PRF incorporated with metronidazole was greater than PRF incorporated with metronidazole

Bacteria inhibition of platelet concentrates with and without pre-centrifugation metronidazole incorporation on aggregatibacter actinomycetemcomitans

Background: Local administration of antibiotics was one of many approaches for the management of localized periodontal infection with the advantages of smaller total dosage delivered into the pocket, avoiding systemic antibiotic side effects, and increasing the exposure of target microorganism to higher concentration. Incorporating antibiotics into platelet concentrates can be considered for local antibiotic administration.Method: The sample in this study used Aggregatibacter actinomycetemcomitans which was divided into 4 partitions on each plate. Each plate was applied with Platelets Rich Fibrin (PRF) and Injectable Platelet rich fibrin (I-PRF) incorporated with metronidazole pre-centrifugation and two negative controls (PRF and I-PRF without metronidazole). The observation was performed after 1 day and 7 days of incubation by measuring inhibition zone diameter using vernier caliper. The data were analyzed using two-way ANOVA followed by post-hoc LSD.Result: I-PRF with metronidazole had the highest bacteria inhibition compared with other groups (p<0,05) on incubation day 1 and 7; I-PRF and PRF with metronidazole showed higher bacteria inhibition compared with I-PRF and PRF without metronidazole (p<0,05).Conclusion: Aggregatibacter actinomycetemcomitans inhibition of PRF and I-PRF incorporated with metronidazole was greater compared to PRF and I-PRF without incorporating metronidazole, and A. actinomycetemcomitans inhibition of I-PRF incorporated with metronidazole was greater than PRF incorporated with metronidazole

Diagnostic Assessment of Students With Special Needs in Inclusive School

The 2021 data from Director General PMPK (Community Education and Special Education) Kemdikbud Ristekdikti shows that the number of Children with Special Needs (CWSN) students undergoing education in SLB/inclusive schools is 269,398, and the number of schools is 38,038. Meanwhile, out of the 34 provinces in Indonesia, only 23 provinces or 64 districts/cities have issued Regional Regulations for the inclusive education system. CWSN problems in inclusive schools consist of; (1) rejection in the school environment, (2) the limited number of competent teachers handling CWSN, (3) lack of support systems such as an accurate data of CWSN, (4) lack of affirmative policies in some regions. Oftentimes, CWSN students are unattended in class and are not taught properly. Therefore, this research proposal is designed to develop a diagnostic assessment prototype for inclusive students in Mathematics, Science, Indonesian, and Social Studies subjects. The purpose of this module is to find effective solutions to discover weaknesses and potentials that CWSN students have in the classroom. The instrument was made with experts’ justification and a test design that will be tested on 60 deaf and disabled students of inclusion junior high school. There are also complains of violence against CWSN students, inadequate accessibility, and poor service in inclusive schools. Therefore, a questionnaire was also designed to document the administration of education in six districts/cities involving approximately 64 samples of teachers and principals. The test of the instrument and the screening questionnaire will be carried out at the same time. Keywords: inclusion, diagnostic assessment, regulation, test, disabilit

A Systematic Review: What Are the Barriers for Nurses in Providing End of Life Care for Pediatric Patients?

Background: Providing care for children at the end-of-life is challenging and distressing for nurses and healthcare professionals. It is important to identify matters that might be a barrier in providing end-of-life care (EOLC). Objectives: A review of the literature focusing on the barriers in providing EOLC for pediatric patients. Methods: Literature published from 2009 to 2019 was obtained from four databases (Academic Search Complete, CINAHL, MEDLINE, and Science Direct) and critically reviewed using Joanna Briggs Institute (JBI) critical appraisal tools. Primary research studies written in English describing barriers experienced by nurses on EOLC provision which published between 2009-2019 were included. Results: Ten studies met the inclusion criteria. The barriers perceived by nurses in these studies are communication and language barriers; barriers in interdisciplinary team; lack of knowledge; families who cannot accept the child’s poor prognosis; financial needs; nurses’ feeling; aggressive intervention received by the patient; and inadequate hospital facilities. Conclusions: Nurses enact a crucial role in caring for dying children and the children’s families. Overcoming barriers in EOLC provision could greatly improve the quality of end-oflife care for dying children. Therefore, it is necessary to develop a conceptual model tosupportnursesandhealthcareprofessionalsinprovidingEOLCforpediatricpatients

Kualitas Hidup Sibling Anak dengan Autis

This study aims to identify the quality of life picture of sibling children with autism. The research design uses quantitative descriptive methods. The results showed as many as 17 people (51.51%) included in the first category, while as many as 16 people (48.48%) were included in the wrong category. There are two dimensions of quality of life that are still involved in the wrong group, namely the emotional aspect and the school dimension. Conclusion, quality of life will affect sibling growth and development so that efforts can be made to maintain and improve the quality of life of sibling children with autism through health education to sibling related to how to deal with the condition of children with autism and to families regarding the importance of social support for sibling children with autistic. Keywords: Autism, Quality of life, Siblin

Feeding practices in stunting children aged 24-59 months at Sukamukti Community Health Centre Garut Regency

Stunting is one of the nutritional problems which has become a global concern. Stunting can be caused by various factors, one of which is the inadequacy of feeding practices.&nbsp;This study aims to describe feeding practices in stunting children. This research used a retrospective method. The study was conducted on 50 respondents. The research was carried out in May 2019 with ethical licensing numbered 509/UN6.KEP/EC/ 2019. Data were analyzed using item analysis. The results showed that there was 32% did not get IMD or early initiation of breastfeeding, 84% did not get exclusive breastfeeding, 46% was not breastfeed until the age of two years, 6% was not been given MP-ASI or weaning food at the age of 6-8 months , 34% did not meet the minimum dietary diversity (MDD), 36% did not meet the minimum meal frequency (MMF), 56% did not meet the minimum acceptable diet (MAD), and 100% consumed iron-containing foods. The conclusion of this research is that feeding practices in children at the age of 0-23 months is still less than optimal.&nbsp

Tingkat Perkembangan Balita Usia 1 Bulan – 6 Tahun Di Kecamatan Cibiuk Kabupaten Garut

ABSTRAK Angka penyimpangan perkembangan pada anak saat ini semakin meningkat. Faktor yang penting untuk mendeteksi penyimpangan perkembangan adalah skrining perkembangan. Sejauh ini beberapa literatur lebih banyak membahas perkembangan pada anak di daerah perkotaan, dan sedikit sekali hasil penelitian yang memaparkan  perkembangan pada anak di daerah pedesaan. Penelitian ini dilakukan untuk mengetahui gambaran perkembangan anak usia 1 bulan – 6 tahun dalam aspek perkembangan personal sosial, adaptif motorik halus, bahasa, dan motorik kasar. Jenis penelitian ini adalah deskriptif kuantitatif. Penelitian dilakukan di Kecamatan Cibiuk Kabupaten Garut. Pengambilan sampel dengan cara purposive sampling, didapatkan 130 responden. Tingkat perkembangan diukur menggunakan Denver Development Screening Test II (DDST II). Analisis data dengan menggunakan distribusi frekuensi. Hasil penelitian menunjukkan bahwa sebagian besar anak mengalami perkembangan normal, yaitu usia 1-12 bulan 74% normal, usia &gt;1-3 tahun 64% normal, dan usia &gt;3-6 tahun 65% normal. Sedangkan berdasarkan empat aspek perkembangan didapatkan data bahwa persentase terbesar suspect (dicurigai adanya gangguan) terdapat pada aspek perkembangan personal sosial dialami anak usia &gt;3-6 tahun, presentase suspect perkembangan adaptif-motorik halus terbesar dialami anak usia &gt;3-6 tahun, presentase suspect perkembangan bahasa terbesar dialami anak usia &gt;3-6 tahun, dan presentase suspect perkembangan motorik kasar terbesar dialami anak usia &gt;1-3 tahun. Suspect (dicurigai adanya gangguan) pada tiap aspek perkembangan dipengaruhi oleh berbagai hal, yang paling berperan diantaranya adalah stimulasi. Sehingga gambaran perkembangan saat ini mungkin akan berbeda dengan gambaran perkembangan di masa yang akan datang, apabila anak dilakukan stimulasi. Peneliti merekomendasikan agar perawat meningkatkan diseminasi informasi mengenai stimulasi untuk mengoptimalkan perkembangan pada anak. ABSTRACT Developmental disorders in children is increasing. One of the factors that are important to detect developmental disorders are developmental screening. However, literature mainly discussed on child development in urban areas, and very little research that explained the development of children in rural areas. The aim of this study was to describe children developmental level age 1 month until 6 years in rural areas. The sub variabel that are studied personal social aspect, fine motor-adaftive, language, and gross motor development. The childen development screening can use Denver Development Screening Test II (DDST II), in which categories as normal and suspect. This study conducted in District of Cibiuk, Garut Residence. There were 130 respondent was taken with purposive sampling techique in this study. Design of this study was descriptive. Child development was measured by Denver Developmental Screening Test II. Data analysis was used distribution of frequency. This result of this study showed that most children had normal development level, there were 74% in children age 1-12 month, 64% in children 1-3 years old, and 65% in children &gt;3-6 years old. Based on the developmental aspect, the result showed that the higher precentage of suspect on the personal sosial aspect were in children age &gt;3-6 years old, higher precentage of suspect of the fine motor-adaftive aspect were in children age &gt;3-6 years old, higher precentage of suspect of language aspect were in children age &gt;3-6 years old, and higher precentage of suspect of the gross motor aspect were in children age &gt;1-3 years old. The suspect in  developmental children were influenced by various factor, such as stimulation. Researcher recommend that nurses need to intensified dissemination of information about stimulation in children to optimize growth developmental in children

PELAKSANAAN TABUNGAN SAHABAT PADA PT. BANK MUAMALAT CABANG PEMBANTU LUMAJANG

Banking has an important role in economic institutions. The main activities of the bank is to absorb funds from the public and then channeled back to the community. Thus, the banking world can bridge between the parties that lack of funds with funds parties. Banking can run the need to apply the principle caution especially when will channel funds to the public, meaning that banks hold a feasibility assessment and selection of the right on every customer and prospective users of bank funds. In Indonesian banking institutions divided into two commercial banks and rural banks. Commercial Bank consists of the bank's own government and private, and is divided into conventional banks and the Bank based on Sharia (Islamic Bank). As for the Savings Companion is denominated savings dollars and use mudharabah with the monthly results. Equipped with the payment of zakat, infaq, free of administrative costs per month, get an ATM Share - E Companions. Keywords : Islamic Bank, Financing, housing mortgag

Penggunaan Media Edukasi Online Untuk Pencegahan Stunting Pada Masyarakat Umum Di Era Pandemi Covid-19

Situasi COVID-19 menjadi salah satu tantangan bagi negara yang mempunyai masalah kesehatan yang belum terselesaikan pada periode sebelumnya. Pandemi COVID-19 mengakibatkan penanggulangan stunting pada anak menghadapi tantangan cukup berat, diantaranya terkait dengan edukasi pencegahan stunting. Stunting di Indonesia masih membutuhkan penyelesaian holistik dan komprehensif. Di era pandemi COVID-19, diperlukan suatu pendekatan terencana untuk menurunkan stunting. Penelitian bertujuan mengidentifikasi efektivitas penggunaan media edukasi online untuk pencegahan stunting pada masyarakat umum di era pandemi COVID-19. Metode penelitian menggunakan quasi experimental one shot pre-post group design. Pemberian edukasi online dilakukan melalui media poster, leaflet, dan booklet. Penelitian melibatkan 196 responden yang diambil secara acak. Responden berusia 12-60 tahun, berasal dari Aceh, Sumatera, Jawa Barat, Jawa Tengah, Jawa Timur, dan Kalimantan. Pengumpulan data menggunakan google form, terdiri dari data demografi serta kuesioner pengetahuan dan sikap terkait pencegahan stunting. Pre-test dilakukan sebelum pemberian edukasi online, dan post-test dilakukan 3 minggu kemudian setelah dilakukan pemberian edukasi online. Analisis data menggunakan univariat dengan distribusi frekuensi dan bivariat menggunakan uji Wilcoxon. Sebelum mengikuti edukasi online, terdapat 59.2% responden memiliki pengetahuan baik dan 48.0% responden memiliki sikap mendukung terhadap pencegahan stunting. Lalu setelah dilakukan edukasi secara online, terdapat 87.8% responden memiliki pengetahuan baik dan 69.4% responden memiliki sikap mendukung terhadap pencegahan stunting. Hasil uji Wilcoxon (p&lt;0.05) menunjukkan perbedaan signifikan hasil pre-test dan post-test pengetahuan dan sikap responden. Pendekatan komprehensif melalui pendidikan kesehatan menggunakan media edukasi online sangat diperlukan untuk memelihara pemahaman masyarakat mengenai pencegahan stunting sehingga dapat mencapai kualitas kesehatan masyarakat yang optimal

PARTISIPASI MASYARAKAT DALAM PEMBAYARAN PAJAK KENDARAAN BERMOTOR (PKB) MELALUI E-SAMSAT SELAMA PANDEMI COVID-19 DI BAPENDA SULAWESI SELATAN

This study aims to analyze public participation in the payment of Motor Vehicle Tax (PKB) in Makassar Cityfor the last three years and the inhibiting factors. This study uses a qualitative descriptive method with datacollection techniques in the form of observation and interviews. This research was conducted from May 11to June 2, 2022. The object of the research is the Regional Revenue Agency of South Sulawesi Province,SAMSAT UPT Makassar, and motorized vehicle taxpayers. The results showed that e-SAMSAT had an effecton the level of acceptance of PKB and ease of administration for the people of Makassar City. the BOD.E-SAMSAT for the community’s economy through the Motor Vehicle Tax sector during the pandemic withtax realization in 2020-2021 increasing by 3.51% for Makassar Cit