Pengaruh Pelatihan dan Komitmen Organisasi terhadap Kinerja Perawat RSUD Dorak di Kabupaten Kepulauan Meranti

This research was conducted at the Meranti Islands Regency Hospital Dorak Jl.Dorak. This study aims to determine how the Effect of Training and organizational commitment simultaneously or partially on the performance of nurses in hospitals Dorak Meranti Islands Regency. As for the population in this study were all nurses in hospitals Dorak Meranti Islands Regency, amounting to 85 people and the whole population sample were calculated using the formula of Slovin sample as respondents, the method of analysis used is descriptive and quantitative analysis with SPSS Version 20. From the results of simultaneous testing (F test) showed that the independent variables studied (Training and organizational commitment) has a positive and significant effect on the variable (performance of nurses). The results of the testing that has been done, the partial regression test (t test) showed that each of the variables studied bebes (Training And Organizational Commitment) has a positive and significant impact on the dependent variable (performance Nurses).Keywords: Training, Organizational Commitment and Performance Nurs

Pengaruh Pelatihan dan Komitmen Organisasi terhadap Kinerja Perawat RSUD Dorak di Kabupaten Kepulauan Meranti

This research was conducted at the Meranti Islands Regency Hospital Dorak Jl.Dorak. This study aims to determine how the Effect of Training and organizational commitment simultaneously or partially on the performance of nurses in hospitals Dorak Meranti Islands Regency. As for the population in this study were all nurses in hospitals Dorak Meranti Islands Regency, amounting to 85 people and the whole population sample were calculated using the formula of Slovin sample as respondents, the method of analysis used is descriptive and quantitative analysis with SPSS Version 20. From the results of simultaneous testing (F test) showed that the independent variables studied (Training and organizational commitment) has a positive and significant effect on the variable (performance of nurses). The results of the testing that has been done, the partial regression test (t test) showed that each of the variables studied bebes (Training And Organizational Commitment) has a positive and significant impact on the dependent variable (performance Nurses)

Peningkatan Hasil Belajar IPS Menggunakan Media Audio Visual Untuk Membentuk Karakter Belajar

This classroom action research aims to describe the character of the students, student is learning outcomes, and the relationship of the characters with learning outcomes. The method used is a classroom action research conducted by three cycles to improve student learning outcomes and form the character of students. The results in cycle 1, the character of the students reached 75.5% in the category of character, student learning outcomes reached 55.5% that is not in accordance with the criteria and class completeness of 8 new characters indicator reached 4 indicators and 4 indicators has not been achieved. In cycle 2 characters 68.05% of students achieved with character of category, student learning outcomes reached 72.2% that is not in accordance with the criteria and class completeness of 8 new characters indicator reached 6 indicators and 2 indicators has not been achieved in cycle 3, the character of the students achieve 84.7% to the category of character, student learning outcomes was 94.4%.Penelitian tindakan kelas ini bertujuan untuk mendeskripsikan karakter siswa, hasil belajar siswa, dan hubungan karakter dengan hasil belajar. Metode yang digunakan yaitu penelitian tindakan kelas yang dilaksanakan dengan 3 siklus untuk meningkatkan hasil belajar siswa dan membentuk karakter siswa. Hasil penelitian pada siklus 1, karakter siswa mencapai 75,5% dengan kategori berkarakter, hasil belajar siswa mencapai 55,5% sehingga belum sesuai dengan kriteria ketuntasan kelas dan dari 8 indikator karakter baru tercapai 4 indikator dan 4 indikator belum tercapai. Pada siklus 2 karakter siswa mencapai 68,05% dengan kategori berkarakter, hasil belajar siswa mencapai 72,2% sehingga belum sesuai dengan kriteria ketuntasan kelas dan dari 8 indikator karakter baru tercapai 6 indikator dan 2 indikator belum tercapai Pada siklus 3, karakter siswa mencapai 84,7% dengan kategori berkarakter, hasil belajar siswa mencapai 94,4%

O ser humano como cerne em toda cadeia produtiva das organizações

Orientador: Yara BulgacovMonografia (Especialização) - Universidade Federal do Paraná, Setor de Ciências Sociais Aplicadas, Curso de Especialização em Administração de Pessoa

Ageing women with PCOS: Menstrual cycles, metabolic health and health related quality of life (HRQoL)

Women with polycystic ovary syndrome (PCOS) in their reproductive years age present with metabolic dysfunction and thus increased likelihood of long-term health consequences and diminished well-being in later life. Due to their larger ovarian reserve, however, they may experience menopause at later age and protection from metabolic and cardiovascular diseases. Moreover, previous studies have indicated that late reproductive aged, normal-weight women with PCOS do not seem to have the expected high risk for type 2 diabetes (T2D), as previously thought. Health related quality of life (HRQoL), nevertheless, is decreased in women with PCOS up until late fertile age, warranting attention and actions from the health care personnel. Given conflicting reports regarding the risk of cardiovascular diseases, future research with well characterized and adequately sized PCOS populations are needed as well as studies aiming to improve their HRQoL.Peer reviewe

Fluid management in patients with acute kidney injury-A post-hoc analysis of the FINNAKI study

Purpose: Whether positive fluid balance among patients with acute kidney injury (AKI) stems from decreased urine output, overzealous fluid administration, or both is poorly characterized. Materials and methods: This was a post hoc analysis of the prospective multicenter observational Finnish Acute Kidney Injury study including 824 AKI and 1162 non-AKI critically ill patients. Results: We matched 616 AKI (diagnosed during the three first intensive care unit (ICU) days) and non-AKI patients using propensity score. During the three first ICU days, AKI patients received median [IQR] of 11.4 L [8.0-15.2]L fluids and non-AKI patients 10.2 L [7.5-13.7]L, p < 0.001 while the fluid output among AKI patients was 4.7 L [3.0-7.2]L and among non-AKI patients 5.8 L [4.1-8.0]L, p < 0.001. In AKI patients, the median [IQR] cumulative fluid balance was 2.5 L [-0.2-6.0]L compared to 0.9 L [-1.4-3.6]L among non-AKI patients, p < 0.001. Among the 824 AKI patients, smaller volumes of fluid input with a multivariable OR of 0.90 (0.88-0.93) and better fluid output (multivariable OR 1.12 (1.07-1.18)) associated with enhanced change of resolution of AKI. Conclusions: AKI patients received more fluids albeit having lower fluid output compared to matched critically ill non-AKI patients. Smaller volumes of fluid input and higher fluid output were associated with better AKI recovery. (c) 2021 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).Peer reviewe

Neutrophil activation in septic acute kidney injury : A post hoc analysis of the FINNAKI study

Background Inflammation, reflected by high plasma interleukin-6 concentration, is associated with acute kidney injury (AKI) in septic patients. Neutrophil activation has pathophysiological significance in experimental septic AKI. We hypothesized that neutrophil activation is associated with AKI in critically ill sepsis patients. Methods We measured plasma (n = 182) and urine (n = 118) activin A (a rapidly released cytosolic neutrophil protein), interleukin-8 (a chemotactic factor for neutrophils), myeloperoxidase (a neutrophil biomarker released in tissues), and interleukin-6 on intensive care unit admission (plasma and urine) and 24 hours later (plasma) in sepsis patients manifesting their first organ dysfunction between 24 hours preceding admission and the second calendar day in intensive care unit. AKI was defined by the Kidney Disease: Improving Global Outcomes criteria. Results Plasma admission interleukin-8 (240 [60-971] vs 50 [19-164] pg/mL, P <.001) and activin A (845 [554-1895] vs 469 [285-862] pg/mL, P <.001) were but myeloperoxidase (169 [111-300] vs 144 [88-215] ng/mL, P = .059) was not higher among patients with AKI compared with those without. Urine admission interleukin-8 (50.4 [19.8-145.3] vs 9.5 [2.7-28.7] ng/mL, P <.001) and myeloperoxidase (7.7 [1.5-12.6] vs 1.9 [0.4-6.9] ng/mL, P <.001) were but activin A (9.7 [1.4-42.6] vs 4.0 [0.0-33.0] ng/mL, P = .064) was not higher in AKI than non-AKI patients. Urine myeloperoxidase correlated with urine interleukin-8 (R = .627, P <.001) but not with plasma myeloperoxidase (R = .131, P = .158). Conclusion Interleukin-8 in plasma and urine was associated with septic AKI. Elevated plasma activin A indicates intravascular neutrophil activation in septic AKI. Concomitant plasma and urine myeloperoxidase measurements suggest neutrophil accumulation into injured kidneys.Peer reviewe

The baby box : Enhancing the wellbeing of babies and mothers around the world

The baby box is a Finnish social innovation that has captivated interest around the globe. This book highlights the journey of the baby box in over 60 countries, offering a comprehensive overview of the Finnish baby box and its many international adaptations. The story of the baby box begins in post-war Finland, where it evolved from a community-based resource to a nationally-funded and internationally recognized social benefit. The global mapping of the baby box presented in this book expands on this history by exploring the influence of the baby box concept internationally, from refugee camps and high-income countries to remote islands and prisons. Written by an international, multi-disciplinary team of researchers, this book explores the baby box concept from various angles. The diverse and expansive nature of this study makes it an excellent resource for parents, researchers, and anyone generally interested in the baby box concept. Also showcased are the many creative solutions that baby box programme organisers have devised to address context-specific challenges, making it additionally useful as a handbook for policy-makers or professionals developing their own programme.The baby box is a social innovation: a maternity package with baby clothes and other items for expectant mothers to promote the wellbeing of baby and family. In Finland, the baby box (officially called the maternity package) has been a universal benefit since 1949 and is given to all expectant mothers provided they attend antenatal care (ANC). The baby box is still considered to be a valuable social benefit in Finland today, with 95% of first-time mothers choosing the box instead of a cash grant. Although it is known that the baby box concept has been adapted across the world, there is little information available about how these adaptations have been made and for what purpose the boxes are given out. In order to map these programmes, we conducted a research project on baby boxes globally. Based on our findings, this report introduces the baby box concept, its various adaptations, and its possible uses to improve maternal and child health and wellbeing globally. The contents of this report are based on a mapping of 91 baby box programmes and an in-depth study of 29 programmes across different world regions in high-, middle- and low-income countries. These programmes were initiated by governmental bodies, non-profit organisations, United Nations (UN) agencies, hospitals, and academic institutions. Although we use the term baby “box” throughout the report, many programmes used a different container, such as a basket or bag, to package the items. The programmes ranged in scale from small to nationwide and targeted various groups, from specific vulnerable communities to all pregnant women in a country. Programmes set various goals, including reducing infant or maternal mortality, promoting the wellbeing of babies and mothers, easing financial and parenting burden, encouraging the uptake of health and community support services, and strengthening communities and reducing inequalities. They intended to achieve their goals through the practical support provided by the box and items, as well as the conditions attached to claiming the box (e.g. attendance at services) and additional education (e.g. booklets or arranged groups) included in the programme. The impact of the baby box is of timely concern, as governments are increasingly interested in the concept. However, it is difficult to provide an unequivocal answer to the question of whether the baby box “works,” as this depends on the desired outcomes of the programme. In addition, due to resource constraints, few programmes measure the impact of their intervention systematically. In response to this question and these restraints, we outline the potential current contributions of the baby box to the wellbeing of mothers and babies and provide a commentary on its possible future impact. For example, there is emerging evidence globally that baby box programmes can increase the rates of attending ANC or giving birth at a health facility, which may save lives in contexts where these rates are traditionally low. Baby box programmes may also provide psychosocial support for the mother during the vulnerable time of childbirth. Beyond their potential to support families in their everyday lives, baby box programmes may also be valuable in contexts where families have been forced to flee their homes, such as natural disasters or refugee camps. In addition to our findings, we also discuss high-interest topics surrounding the baby box, including safety issues. Ultimately, we intend for our report to serve as an overview of baby box programmes and a foundation for further research, as well as a reference for those interested in the topic or aiming to implement or evaluate a baby box programme themselves. The baby box is not a one-size-fits-all solution to intricate health challenges. However, it offers significant health and social gains, especially for those who are commonly the most vulnerable in communities: mothers and babies.31,00 euroanonPeerReviewedVertaisarvioimato