Pengaruh Aromaterapi Lavender dengan Kualitas Tidur Pelaku Rawat (Caregiver) Keluarga dengan Stroke di Wilayah Kerja PUSKESMAS Sempaja

Tujuan Studi:Penelitian ini bertujuan untuk mengetahui pengaruh aromaterapi lavender terhadap kualitas tidur pelaku rawat (caregiver) kleuarga dengan Stroke di Kota Samarinda. Metodologi:Penelitian ini menggunakan desain penelitian quasi esperiment without control. Populasi pada penelitian ini berjumlah 28 orang.Teknik pengambilan purposive sampling sebanyak 17 responden.Instrumen yang digunakan dalam penelitian ini Pittsburgh Sleep Quality Index (PSQI) untuk mengukur kualitas tidur.Analisis statistik yang digunakan adalah uji Wilcoxon.Ada pengaruh pemberian aromaterapi lavender terhadap penurunan gangguan tidur pada caregiver dengan keluarga stroke di wilayah kerja Puskesmas Sempaja. Hasil: Hasil uji statistik menunjukan nilai rata-rata pretest dan posttest pada kelompok intervensi < 0,05. Manfaat: mendapatkan pengalaman penelitian, menambah wawasan tentang pengaruh intervensi aromaterapi lavender dalam menurunkan gangguan tidur

PENGGUNAAN FRASA NOMINAL PADA RUBRIK CERPEN KORAN KOMPAS BULAN JUNI – AGUSTUS 2014

PENGGUNAAN FRASA NOMINAL PADA RUBRIK CERPEN KORAN KOMPAS BULAN JUNI – AGUSTUS 2014 (ANALISIS SINTAKSIS) Maulana Muhammad Ismail 11210141017 ABSTRAK Penelitian ini bertujuan untuk (1) mendeskripsikan kontruksi frasa nominal yang terdapat dalam rubrik cerpen koran Kompas bulan Juni–Agustus 2014, (2) mendeskripsikan pola frasa nominal yang terdapat dalam rubrik cerpen koran Kompas bulan Juni–Agustus 2014, (3) mendeskripsikan fungsi frasa nominal dalam kalimat pada rubrik cerpen koran Kompas bulan Juni–Agustus 2014, (4) mengetahui hubungan makna antar unsur-unsur pembentuk frasa nominal dalam rubrik cerpen koran Kompas bulan Juni–Agustus 2014. Subjek penelitian ini adalah seluruh frasa nominal dalam kalimat yang terdapat dalam rubrik cerpen koran kompas bulan Juni-Agustus 2014. Objek penelitian ini adalah kontruksi frasa, pola frasa, fungsi frasa, dan hubungan makna antr-unsur frasa nominal yang terdapat dalam rubrik cerpen koran kompas bulan Juni-Agustus 2014. Pemerolehan data dengan menggunakan metode baca dan catat. Analisis data dilakukan secara deskriptif kualitiatif. Metode analisis data dalam penelitian ini dilakukan dengan menggunakan metode agih. Teknik dasar yang digunakan dalam penelitian ini adalah teknik pilah unsur penentu, dan Teknik lanjutan yang digunakan melalui metode agih ini adalah teknik balik atau permutasi. Hasil penelitian adalah (1) kontruksi frasa nominal terdapat 3 macam, yaitu endosentrik koordinatif, endosentrik atributif, dan endosentrik apositif. (2) pola frasa nominal terdapat tujuh belas pola frasa nominal, yaitu N + N, N + N1… + Nn, FN/N + yang + FV/V, FN/N + FAdj/Adj, FN/N +, yang + FAdj/Adj, FNum/Num + FN/N, N + V, FN/N + Pr, FN/N + Dem, Atr + N, N, (N1 + N2), N + Adj + N, N + Konj + N, FN/N + FNum/Num, FN/N + yang + N, FN + Konj + FN, dan Neg + N. (3) fungsi frasa nominal terdapat lima macam yaitu sebagai subjek, predikat, objek, pelengkap, dan keterangan. (4) hubungan makna antarunsur pembentuk frasa nominal terdapat delapan hubungan makna, yaitu penjumlahan, pemilihan, kesamaan, penerang, pembatas, penentu/penunjuk, jumlah, dan sebutan. Kata kunci: Kontruksi frasa nominal, Pola frasa nominal, Fungsi frasa nominal, Hubungan makna antar-unsur frasa nomina

PENGARUH KUALITAS PELAYANAN, VARIASI MENU DAN HARGA TERHADAP KEPUASAN KONSUMEN KEDAI KOPISOE KOTA JAMBI

Penelitian ini tentang pengaruh kualitas pelayanan, variasi menu dan harga terhadap kepuasan konsumen kedai Kopisoe Kota Jambi. Tujuan penelitian ini yaitu untuk mengetahui pegaruh kualitas pelayanan, variasi menu dan harga terhadap kepuasan konsumen Kedai Kopisoe Kota Jambi. Adapun metode penelitian ini yaitu kuantitatif dengan jenis data primer dan sekunder. Teknik pengumpulan data dalam penelitian ini yaitu menggunakan teknik angket, observasi, wawancara dan dokumentasi, sedangkan untuk analisis data peneliti menggunakan analisis regresi berganda dengan melakukan uji simultan, uji parsial serta uji determinasi. Hasil penelitian pegaruh kualitas pelayanan, terhadap kepuasan konsumen Kedai Kopisoe Kota Jambi terdapat nilai thitung>ttabel atau 0,224>0,1998, maka kualitas pelayanan berpengaruh positif signifikan terhadap kepuasan konsumen Kedai Kopisoe Kota Jambi, sehingga hal ini menunjukan bahwa setiap peningkatan kualitas pelayanan usaha akan menyebabkan kenaikan kepuasan konsumen Kedai Kopisoe Kota Jambi. Pengaruh variasi menu terhadap kepuasan konsumen Kedai Kopisoe Kota Jambi berdasarkan nilai thitung>ttabel atau 0,6175> 0,1998 bahwa hal ini menunjukan bahwa setiap peningkatan variasi menu yang dilakukan oleh para pengusaha menyebabkan kenaikan kepuasan konsumen Kedai Kopisoe Kota Jambi. Pengaruh harga terhadap kepuasan konsumen Kedai Kopisoe Kota Jambi, karena thitung>ttabel atau 0,2615 > 0,1998 bahwa hal ini menunjukan bahwa setiap peningkatan harga yang dilakukan oleh pengusaha akan menyebabkan kenaikan kepuasan konsumen Kedai Kopisoe Kota Jambi

PENGARUH PROPORSI LIMBAH DAUN DAN JENIS MOL TERHADAP MUTU BOKASI

[EFFECT OF LEAF WASTE PROPORTION AND TYPES OF LOCAL MIKROORGANISM ON THE QUALITY OF BOKASHI]. The purpose of this study was to get a combination of the treatment of the leaf waste proportion and local microorganism (MOL) type to the quality of bokashi. The use of specific MOL as a bioactivator is expected to produce a good bokashi. The production of bokashi was conducted at the Garbage Collection Center of Syiah Kuala University, Banda Aceh, Indonesia. The experimental design was a completely randomized design (CRD) with 2 factors including the proportion of leaves (D) and the type of MOL (M). The first factor consisted of two levels (50% and 70% leaf) and the second factor consisted of 4 levels (rice MOL, soil MOL, bokashi MOL, and leaf waste MOL). The quality of bokashi was measured based on the total cell counts of microbes, pH, C/N ratio, descriptive test (texture, aroma, and colour), and plant growth tests on corn. The results showed that all bokashi have complied with SNI 19-7030- 2004. The best bokasi was obtained from the combination between 50% leaf waste proportion and MOL type of rice. This bokashi had a total microbes of 4.1 x 108 CFU/g, pH value of 7.4, C/N ratio of 10.2, with organoleptic characteristics of loose texture and slightly moisture, slightly soil-scented, blackish color and the hight of test plant of 61 cm. The main advantage of this bokashi compared to others was in the highest number of microbes total and the best texture

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Pendampingan Strategi Digital Marketing Menggunakan E-Commerce Shopee pada Komunitas PAC Fatayat NU Batanghari Lampung Timur

Electronic commerce (E-commerce) dapat digambarkan sebagai proses bertemunya penjual dan pembeli untuk melakukan sebuah transaksi melalui internet. Keuntungan menggunakan media e-commerce Shopee memudahkan pelaku usaha untuk melakukan pemasaran dengan mudah dan murah, menjangkau konsumen tanpa batas dan potensi pertumbuhan usaha di masa yang akan datang. Pada komunitas Pengurus Anak Cabang (PAC) Fatayat NU Batanghari marketing menggunakan sistem word of mouth dan hanya kepada lingkungan sekitar sehingga belum menggunakan marketing secara digital/online. Pendampingan program Pengabdian Kepada Masyarakat (PKM) bertujuan untuk memberikan pengetahuan dan pelatihan kepada masyarakat khususnya komunitas PAC Fatayat NU Batanghari dalam membuat toko online dan bagaimana cara mengaplikasinya untuk kegiatan jual beli secara online di e-commerce Shopee. Metode dalam program pendampingan ini menggunakan metode Asset Based Communities Development (ABCD) yaitu teori yang mengutamakan pemanfaatan aset dan potensi yang ada di sekitar yang dimiliki oleh komunitas PAC Fatayat NU Batanghari. Hasil dari kegiatan pendampingan PKM pada komunitas PAC Fatayat NU Batanghari telah menghasilkan sebuah toko online di aplikasi Shopee untuk masing-masing anggota yang mana toko pada aplikasi Shopee tersebut digunakan sebagai alat transaksi jual beli barang produksinya. Produk-produk yang telah diciptakan tersebut berupa hasil kerajinan tangan seperti home decor, seblak kering serta produk-produk bermerek lainnya yang bisa dijual secara bebas

PELATIHAN BATIK WINGKO KENCANA DESA BOGOREJO (Sebuah Upaya Pelestarian Budaya, dan Peningkatan Produktifitas melalui Digital Marketing)

Batik adalah salah satu budaya asli  Indonesia. Batik melekat kaitannya pada kultural budaya jawa, dengan seiring berkembangnya zaman, sekarang ini banyak daerah yang melestarikan batik sehingga timbul batik Nusantara. Begitu juga didaerah Magetan ada beberapa pengrajin batik salah satunya didesa Bogorejo. Batik Wingko Kencana merupakan batik kebanggaan yang menjadi ciri khas desa Bogorejo kecamatan Barat kabupaten Magetan. Namun, eksistensi batik Wingko ini terancam karena beberapa hal diantaranya adalah kurang minatnya masyarakat lokal untuk mengenal dan mempelajari batik ini sehingga regenerasi pengrajin batik perlu menjadi perhatian yang serius, kemudian pemasaran produk batik yang belum optimal karena kurangnya pemanfaatan teknologi informasi sebagi sarana untuk media marketing. Tujuan dari pelatihan ini adalah untuk meningkatkan kuantitas pengrajin batik wingko sekaligus peningkatan kualitas pengembangan produksi dan marketing produksi batik di desa Bogorejo. Metode yang digunakan dalam pendampingan dan pelatihan ini adalah berkordinasi dengan stek holder setempat dan pengrajin batik untuk mengadakan pelatihan dan pendampingan pembuatan batik. Kemudian mengundang remaja dan masyarakat sekitar untuk ikut berpartisipasi dalam pelatihan pembuatan batik. Selanjutnya memberikan pelatihan digital marketing untuk mengenalkan batik lokal desa bogorejo ke masyarakat luas. Hasil dari pendampingan dan pelatihan pembuatan batik yaitu meningkatnya kesadaran dan kuantitas tenaga kerja dan produktifitas batik dan penguasaan skill digital marketing batik Wingko sebagai produk lokal di Desa Bogorejo

Functionalization of PEG-AgNPs Hybrid Material to Alleviate Biofouling Tendency of Polyethersulfone Membrane

Membrane-based processes are a promising technology in water and wastewater treatments, to supply clean and secure water. However, during membrane filtration, biofouling phenomena severely hamper the performance, leading to permanent detrimental impacts. Moreover, regular chemical cleaning is ineffective in the long-run for overcoming biofouling, because it weakens the membrane structure. Therefore, the development of a membrane material with superior anti-biofouling performance is seen as an attractive option. Hydrophilic-anti-bacterial precursor polyethylene glycol-silver nanoparticles (PEG-AgNPs) were synthesized in this study, using a sol-gel method, to mitigate biofouling on the polyethersulfone (PES) membrane surface. The functionalization of the PEG-AgNP hybrid material on a PES membrane was achieved through a simple blending technique. The PES/PEG-AgNP membrane was manufactured via the non-solvent induced phase separation method. The anti-biofouling performance was experimentally measured as the flux recovery ratio (FRR) of the prepared membrane, before and after incubation in E. coli culture for 48 h. Nanomaterial characterization confirmed that the PEG-AgNPs had hydrophilic-anti-bacterial properties. The substantial improvements in membrane performance after adding PEG-AgNPs were evaluated in terms of the water flux and FRR after the membranes experienced biofouling. The results showed that the PEG-AgNPs significantly increased the water flux of the PES membrane, from 2.87 L·m−2·h−1 to 172.84 L·m−2·h−1. The anti-biofouling performance of the PES pristine membrane used as a benchmark showed only 1% FRR, due to severe biofouling. In contrast, the incorporation of PEG-AgNPs in the PES membrane decreased live bacteria by 98%. It enhanced the FRR of anti-biofouling up to 79%, higher than the PES/PEG and PES/Ag membranes