Rumah Sakit Dokter Soetomo

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Heart failure (HF) and metabolic syndrome (MetS) are syndromes that affect a large proportion of the world population. MetS is known to be one of the risk factors of HF, and it can also act as comorbidity in HF. This review aims to further discuss the mechanism of MetS in causing HF, the management of MetS in order to prevent HF, and the management of MetS in HF patients. Visceral adiposity is the primary trigger of MetS which is followed by chronic inflammation, insulin resistance, and neurohormonal activation. All the mechanisms causing MetS play also an important role in the progression of HF. The MetS approach can be achieved by managing its components according to the current guidelines and careful management of MetS should be done in patients with HF. MetS is closely related to the progression of HF so that comprehensive management which involves a multidisciplinary team is necessary for managing patients with metabolic syndrome and heart failure.

Kecemasan muncul karena anak tidak bisa melakukan apa yang diinginkan dan hanya bisa berbaring di tempat tidur. Kecemasan anak yang terjadi salah satunya akibat perlukaan pada tubuh seperti dilakukan infus dan perawatan luka. Efek dari kecemasan anak terhadap perawat diantaranya adalah tindakan perawatan lebih lama dan infus sering terlepas karena anak terus berontak. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat kecemasan pada pasien anak usia sekolah (6-12 tahun) di ruang IGD RSUD Majalaya Kabupaten Bandung tahun 2017. Desain penelitian yang digunakan adalah jenis penelitian deskriptif, dengan teknik pengumpulan sampel purposive sampling. Pengumpulan data dilakukan dengan cara observasi kepada responden. Data disajikan dalam bentuk distribusi frekuensi, dengan sampel sebanyak 93 orang. Berdasarkan hasil penelitian diketahui bahwa kecemasan pada pasien anak usia sekolah (6-12 tahun) di ruang IGD RSUD Majalaya Kabupaten Bandung sebagian besar mengalami kecemasan sebanyak 72 orang (77,4%) dan sebagian kecil tidak mengalami kecemasan sebanyak 21 orang (22,6%). Simpulan didapatkan bahwa sebagian besar pasien anak usia sekolah mengalami kecemasan. Saran bagi perawat untuk mampu menghadapi segala permasalahan yang dihadapi oleh pasien dan keluarga pasien seperti perawat mampu melakukan komunikasi terapeutik untuk menenangkan pasien.

Abstrak Pendahuluan: Anak usia sekolah merupakan kelompok yang berisiko terkena masalah kesehatan seperti penyakit diare. Namun demikian, periode anak usia sekolah merupakan titik awal pembentukan perilaku sehat sehingga menjadi sasaran strategis pendidikan kesehatan. Tujuan: Penelitian ini bertujuan mengetahui gambaran pengetahuan, sikap, dan ketrampilan hidup bersih dan sehat pada anak usia sekolah (6-12 tahun) di Desa Purwokerto Selatan. Metode: Penelitian ini menggunakan metode kuantitatif dengan desain deskriptif dan pendekatan crossectional. Jumlah sampel anak usia sekolah berjumlah 76 responden. Teknik sampling menggunakan multistage random sampling untuk menentukan wilayah penelitian sedangkan target sampel penelitian menggunakan simple random sampling. Instrumen menggunakan instrument PHB yang telah dimofifikasi. Analisa data menggunakan analisis deskriptif. Hasil: Hasil penelitian menunjukkan pengetahuan perilaku hidup bersih dan sehat sebagian besar rendah (60,5%) dengan rerata nilai 7,78, sikap hidup bersih dan sehat sebagian besar rendah (53,9%) dengan rerata nilai 29,16 dan keterampilan hidup bersih dan sehat sebagian besar rendah (65,79%) dengan rerata nilai 28,64. Pengetahuan orang tua Sebagian besar rendah (57,90%) dengan rerata nilai 8,07. Kesimpulan: Hasil penelitian diharapkan menjadi dasar untuk program pengembangan program pendidikan kesehatan anak usia sekolah sebagai upaya pencegahan primer terkait diare.

Number of patients with pulmonary TB increased annually in Surabaya, on of the measures to prevent TB infections is by using a mask. In TB care room a lot of visitors (family) who did not wear a mask. The purpose of this study to determine the relationship of the level of knowledge with the use of masks to visitors (family).This study used correlational analytic designwith cross sectional approach. independent variable in the study is the level of knowledge about Tuberculose anddependent variable is the use of masks. Samples were taken by using purposive sampling technique earned by 28 respondents visitors in Pulmonary Wards,Dr. Ramelan Navy Hospital, Surabaya, date 11 – 20 June 2013. Data collection was undertaken using questionnaire about Pulmonary Tuberculose and observation sheet of the use of mask. Data were analyzed with Spearman's Rho test with a significance level Corellation ρ <0.05.Results showed that the level of knowledge about Tuberculose less 14 respondents (50%) and 16 respondents (57.1%) did not wear a mask. Spearman's Rho test showed that there is a relationship between the level of knowledge about Pulmonary Tuberculosewith the use of masks in in Pulmonary Wards,Dr. Ramelan Navy Hospital, Surabaya (ρ = 0.000).

Oxidative stress and inflammation are involved in the development of type 1 diabetes and its complications. Because two compounds found in soy, that is, isoflavones and alpha-galactooligosaccharides, have been shown to exert antioxidant and anti-inflammatory effects, this study aimed to assess the effects of a dietary supplement containing these two active compounds, the fermented soy permeate (FSP). We hypothesized that FSP would be able to reduce in vivo oxidative stress and inflammation in streptozotocin (STZ)-induced type 1 diabetic rats. Thirty male Wistar rats were divided into the control placebo, diabetic placebo, and diabetic FSP-supplemented groups. They received daily, by oral gavage, water (placebo groups) or diluted FSP (0.1 g/day; FSP-supplemented group). After 3 weeks, glycemic regulation (glycemia and fructosamine level); the plasma level of carboxymethyllysine (CML), a marker of systemic oxidative stress in diabetes; and the plasma levels of inflammatory markers (CRP, IL-1β, IL-6, and uric acid) were evaluated. Markers of oxidative damage (isoprostanes and GSH/GSSG), antioxidant enzymatic activity (SOD and GPX), and Mn-SOD content were determined in skeletal muscle (gastrocnemius). Diabetic placebo rats exhibited higher CML levels, lower SOD and GPX activities, and decreased Mn-SOD contents. FSP supplementation in diabetic animals normalized the CML and antioxidant enzymatic activity levels and tended to increase Mn-SOD expression. The markers of inflammation whose levels were increased in the diabetic placebo group were markedly decreased by FSP (IL-1β: -75%, IL-6: -46%, and uric acid: -17%), except for CRP. Our results demonstrate that FSP exhibited antioxidant and anti-inflammatory properties in vivo in STZ-induced diabetic rats.

ABSTRAK
 
 Gagal ginjal kronik merupakan kerusakan ginjal progresif ditandai dengan uremia (urea dan limbah lain yang beredar di dalam darah serta komplikasinya jika tidak di lakukan dialisis atau transplantasi ginjal). Penderita gagal ginjal kronik yang akan melakukan hemodialisa sering mengalami kecemasan. Kecemasan merupakan reaksi normal terhadap situasi yang sangat menekan kehidupan seseorang yang berlangsung tidak lama. Penelitian ini bertujuan untuk mengetahui bagaimana tingkat kecemasan pasien gagal ginjal kronik dalam menjalani hemodialisa di Rumah Sakit Imelda Pekerja Indonesia. Jenis penelitian yang digunakan adalah deskriptif dengan rancangan studi cross sectional. Penelitian dilakukan pada April tahun 2019. Populasi dalam penelitian ini adalah seluruh pasien yang menjalani hemodialisis di RS Imelda Pekerja Indonesia sebanyak 205 orang. Tehnik sampling pada penelitian ini adalah tekhnik nonprobability sampling yaitu purposive sampling dengan demikian jumlah sampel pada penelitian ini sebanyak 31 orang. Hasil penelitian menunjukkan bahwa mayoritas responden yang menjalani hemodialisa mengalami kecemasan dengan tingkat kecemasan sedang 19 orang (61,3%), sedangkan minoritas responden hemodialisa dengan tingkat kecemasan berat 4 orang (12,9%).Disarankan bagi responden agar dapat mencari informasi mengenai terapi hemodialisis, seperti manfaat, proses dan dampak yang ditimbulkan oleh terapi tersebut. Dengan demikian responden dapat memahami bahwa terapi yang diberikan adalah untuk membantunya tetap sehat.

Patient safety culture in the organization, directly related to the individualattitudes and motivation to report any patient safety incidents. Openness attitudes to report any incidents is one indicator of patient safety culture in the internalization of individual behavior. Attitudes that do not support incident reporting on the staff, especially the nurses, will hamper efforts to create safe care because the absence of an incident report will have an impact that is hospital not aware of any potential warning of the dangers that can cause errors. This study is non experimental research with the aim of using correlative descriptive cross sectional design. The independent variable in this study is a patient safety culture while the dependent variable is the attitude of patient safety incidents reported. The results showed that simultaneous patient safety culture significantly influence the attitude of reported incidents. Partially organizational learning and continuous improvement does not significantly influence the attitude of patient safety incidents reported, Teamwork significant influence on the attitude of reported incidents, openness of communication significantly influence the attitude of reported incidents and the responses not to punish a mistake does not significantly influence the attitude of reported incidents. Teamworkhas dominant influence on the attitude of patient safety incidents reported

E-Health merupakan bagian dari e-governance pemerintah kota Surabaya dan diterapkan kepada dua RS yang menjadi pilot project, salah satunya RSUD Soewandhie, yang bertujuan untuk menghemat waktu antrian pada instalasi rawat jalan melalui pemanfaatan teknologi informasi. Terobosan melalui E-Health ini diharapkan dapat memudahkan pasien untuk mendaftarkan diri dari rumah melalui website. Penerapan system ini memerlukan dukungan SIM RS yang mudah untuk diakses oleh petugas pendaftaran dan bagi petugas filing memudahkan untuk mencari rekam medis pasien melalui perintah pencarian dan histori pasien di SIM RS. Penelitian ini bertujuan untuk mengidentifikasi kesiapan SIM RS dalam penerapan aplikasi e-health dengan menggunakan model HOT Fit. Metode Hot Fit memiliki beberapa variable yaitu : human, organization, technology dan net benefit (manfaat). Populasi pada penelitian ini adalah semua petugas pendaftaran dan petugas filling RSUD dr. M. Soewandhi yang diambil secara total sampling. Variabel yang diteliti adalah unsur-unsur dari model HOT Fit . Data hasil penyebaran kuisioner dianalisis menggunakan statistik deskriptif. Hasil penelitian adalah Organisasi merupakan faktor yang harus segera diperbaiki karena memiliki penilaian tidak baik sebesar 10%, cukup baik 70% dan sangat baik sebesar 20%. Faktor teknologi dinilai cukup baik sebesar 85% dan sangat baik sebesar 15%. Faktor human menunjukkan dalam keadaan 5% berada dalam keadaan tidak baik sedangkan 30% berada dalam keadaan cukup baik dan 65% berada dalam keadaan sangat baik. Manfaat (net benefit) dapat dikatakan berada dalam keadaan cukup bermanfaat sampai dengan sangat bermanfaat, yaitu berkisar 20-80%. Hal ini dapat dikatakan manfaat SIMRS berada pada level dirasakan oleh pengguna. Kesimpulan adalah Kekuatan faktor HOT-FIT SIMRS di Rumah Sakit Dr. Soewandhie ini terletak pada faktor manfaat dan teknologi dan kelemahannya adalah pada faktor organisasi

OBJECTIVES: To elicit patients' preferences for pharmacist services that can enhance medication management among people with diabetes in Indonesia. METHODS: A discrete choice experiment (DCE) among 833 respondents with diabetes in 57 community health centers (CHCs) and three hospitals in Surabaya, Indonesia. Consultation was the baseline service. Four attributes of consultation and two attributes of additional services were used in the DCE profiles based on literature and expert opinion. The DCE choice sets generated were partially balanced and partially without overlap. Random effect logistic regression was used in the analysis. RESULTS: Respondents preferred a shorter duration of consultation and flexible access to the pharmacist offering the consultation. A private consultation room and lower copayment (fee) for services were also preferred. Respondents with experience in getting medication information from pharmacists, preferred to make an appointment for the consultation. Total monthly income and experience with pharmacist services influenced preferences for copayments. CONCLUSION: Differences in patients' preferences identified in the study provide information on pharmacist services that meet patients' expectations and contribute to improve medication management among people with diabetes. PRACTICE IMPLICATION: This study provides insight into evaluating and designing pharmacist services in accordance with the preferences of people with diabetes in Indonesia.

Exercise is essential into the therapeutic management of diabetic patients, but their level of exercise tolerance is lowered due to alterations of glucose metabolism. As soy isoflavones have been shown to improve glucose metabolism, this study aimed to assess the effects of a dietary supplement containing soy isoflavones and alpha-galactooligosaccharides on muscular glucose, glycogen synthase (GSase), and glycogen content in a type 1 diabetic animal model. The dietary supplement tested was a patented compound, Fermented Soy Permeate (FSP), developed by the French Company Sojasun Technologies. Forty male Wistar rats were randomly assigned to control or diabetic groups (streptozotocin, 45 mg/kg). Each group was then divided into placebo or FSP-supplemented groups. Both groups received by oral gavage, respectively, water or diluted FSP (0.1 g/day), daily for a period of 3 weeks. At the end of the protocol, glycemia was noticed after a 24-h fasting period. Glucose, total GSase, and the glycogen content were determined in the skeletal muscle (gastrocnemius). Diabetic animals showed a higher blood glucose concentration, but a lower glucose and glycogen muscle content than controls. Three weeks of FSP consumption allowed to restore the muscle glucose concentration, but failed to reduce glycemia and to normalize the glycogen content in diabetic rats. Furthermore, the glycogen content was increased in FSP-supplemented controls compared to placebo controls. Our results demonstrated that diabetic rats exhibited a depleted muscle glycogen content (−25%). FSP-supplementation normalized the muscle glucose level without restoring the glycogen content in diabetic rats. However, it succeeded to increase it in the control group (+20%).

Abstrak 
 
 Pelayanan gizi rumah sakit merupakan bagian yang sangat vital dari sistem pelayanan paripurna terhadap pasien di rumah sakit.Pelayanan gizi diberikan agar pasien mencapai kondisi yang optimal dalam memenuhi kebutuhan giziataupun mengoreksi kelainan metabolisme. Penelitian ini mengenai bagaimana peran petugas gizi dalam memberikan pelayanan asuhan gizi kepada pasien rawat inap di RSUD dr. R. Soetrasno Kabupaten Rembang. Jenis penelitian adalah penelitian observasional dengan pendekatan kualitatif yang mendekripsikan objek dengan mengamati, melakukan wawancara serta mencatat bagaimana petugas gizi memberikan pelayanan asuhan gizi. Data sampel diambil secara purposive sampling dengan jumlah responden 7 orang. Petugas gizi sudah melaksanakan dengan baik sesuai dengan perannya yaitu melakukan monitoring dan evaluasi pasien terhadap dampak asuhan giziserta melaporkan hasil asuhan gizi kepada dokter atau tenaga kesehatan lain. Perlu pembentukan tim terapi gizi tersandart dengan melibatkan tenaga kesehatan lain agar pelayanan gizi rumah sakit lebih optimal.
 
 
 Abstract
 The hospital nutrition care service is a vital part of the plenary service system to the patients in the hospital. Nutrition care services given to patients in order to achieve optimal conditions in fulfillment of nutritional needs or correcting metabolic abnormalities.This study was conducted to answer whether the role of nutritionists in providing nutrition care services to inpatients in dr. R. Soetrasno hospital, is in accordance with hospital nutrition care service or not.This study was an observational study using qualitative approach, that described object by observing, interviewing and making notes about how is the role of nutritionists. Data was taken using purposive sampling with 7 respondances.Nutritionists already performed their duties properly by doing evaluation to the inpatients and report the results of nutrition care services to the doctor or other health professionals. Hospitals need to create a qualified nutritional therapy team, involving other health professionals.

Buku ini membahas tentang pemanfaatan e-learning selama wabah pandemi, masalah yang muncul pada saat penerapan pembelajaran berbasis teknologi di masa pandemic, manfaat penerapan e-learning bagi institusi pendidikan, orang tua, guru, dan siswa, persepsi orang tua dan guru terhadap penerapan e-learning serta gagasan gagasan yang dikemukakan oleh guru guna mendukung dan mengatasi permasalahan yang muncul pada saat penerapan e-learning di masa COVID-19. Berbagai temuan penelitian baik dari bidang ilmu pendidikan maupun bidang ilmu lain menjadi rujukan oleh buku ini. Selain itu, buku ini mengulas beberapa hasil penelitian yang diperoleh berdasarkan studi kasus di Maluku utara terkait penerapan e-learning di masa pandemi sampai dengan kenormalan baru (new normal). Studi kasus penerapan e-learning di masa pandemic mengangkat permasalahan yang serjadi di semua tingkat pendidikan yakni sekolah dasar sekolah menengah pertama, sekolah menengah atas maupun di tingkat perguruan tinggi. Adapun permasalahan yang di kaji baik dari sudut pandang pendidik, orang tua, siswa dan tidak terkecuali institusi pendidikan. Saya menyampaikan terima kasih kepada civitas akademika Program Studi Pendidikan Bahasa Inggris yang telah membantu dalam penyusunan buku ini sehingga berhasil diterbitkan pada tahun 2020 ini. Semoga kesempatan ini menjadi momen yang baik bagi civitas akademika Program Studi Pendidikan Bahasa Inggris Universitas Pasifik Morotai (UNIPAS) dalam meningkatkan kualitas dan kuantitas karya akademik mereka. Semoga karyakarya ini menjadi darma bakti kemanusiaan dan amal saleh.

INTRODUCTION: High-resolution magnetic resonance imaging (MRI) of the cervical spinal cord is important to provide accurate diagnosis and pathological assessment of injuries. MEDIC (Multiple Echo Data Image Combination) sequences have been used in clinical MRI; however, a comparison of the performance of 2D and 3D MEDIC for cervical spinal cord imaging has not been reported. The aim of this study is to compare axial 2D and 3D MEDIC for the visualisation of the grey matter (GM) and white matter (WM) of the human cervical spinal cord. METHODS: 3T MRI. T2*-weighted gradient spoiled 2D and 3D MEDIC sequences were acquired at 0.4 × 0.4 × 3.0 and 0.3 × 0.3 × 3.0 mm resolutions, with the acquisition times of 6 and 7 min, respectively. Quantitative analyses of the images were made based on the image signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR) and non-uniformity (NU). Two independent radiologists (CS and FN), each provided Likert scoring assessments of anatomical visibility of the GM and WM structures and image clarity for all samples. RESULTS: Quantitative evaluation showed that 3D MEDIC provided higher SNR, higher CNR and lower NU than 2D MEDIC. However, 2D MEDIC provided better anatomical visibility for the GM, WM and CSF, and higher image clarity (lower artefacts) compared to 3D MEDIC. CONCLUSIONS: 2D MEDIC provides better information for depicting the internal structures of the cervical spinal cord compared to 3D MEDIC.

An unprecedented outbreak of the newly emerging infectious disease of Covid-19 with rapid increases globally and in Indonesia may result in psychological distress among nursing staff. The present study aimed to identify psychological responses among nurses in the Covid-19 pandemic in Indonesia. A cross-sectional data were collected from 535 nurses working in 119 hospitals from 24 provinces in Indonesia using Depression Anxiety Stress Scale (DASS-42) and sociodemographic questionnaire. Data were collected using an online survey and analyzed with descriptive and Chi-squared tests. Analysis showed among the respondents, 23.7% (n = 127) had moderate anxiety, 6.5% (n = 35) had moderate stress and 8.8% (n =47) had moderate depression. Anxiety, stress, and depression were significantly higher among nursing staff in the emergency department and Covid-19 isolation ward. Nursing staff, especially those working in the departments mentioned above, were more susceptible to psychological impairment. Effective strategies toward improving their psychological status should be provided among the nurses.Keywords: Covid-19 pandemic, psychological responses, work stress

Lung is a place for gas exchange where ventilation and perfusion occurs. Ventilation is the first step where sequential process of inhalation and exhalation take place. Meanwhile perfusion as the other step facilitates the gas exchange and tissue supply need. Blood flows through the lungs are equals as the amount of cardiac output where the factors that control cardiac output are mainly peripheral factors, also control pulmonary blood flow. In general condition, pulmonary blood vessels act as a passive tube, which can be increased with the increasing pressure and narrowed the pressure drop. Oxygen absorption level from lungs into bloodstream is a critical determinant for functional capacity, and an important factor wheter in normal conditions (including exercise) or even in illness state. Lung diffusion capacity is influenced by several geometric and functional factors. Gravitation influence systematic gradient in ventilation and perfusion distribution. Ventilation and blood flow variations at horizontal level also occur due to intrinsic anatomic variations and vascular geometry, as well as the differences in airway and vascular smooth muscle response which modifies the distribution. The change of integrity intrapleural chamber, hydrostatic pressure and osmotic imbalance, malfunction of surfactants, other intrinsic weakness of the branching system in the form of a progressive airway, and all the things that could potentially damage the structure of the lung can cause ventilation and diffusion dysfunction.

Kondisi kritis pada pasien yang dirawat di ruang perawatan intensif bisa menimbulkan kecemasan pada keluarga. Kecemasan keluarga muncul akibat adanya ancaman kematian, kecacatan, dan biaya perawatan yang mahal. Upaya untuk menurunkan tingkat kecemasan adalah dengan psikoterapi melalui interaksi komunikasi terapeutik yang dilakukan perawat. Penelitian ini bertujuan untuk mengetahui pengaruh komunikasi terapeutik terhadap tingkat kecemasan. Metode penelitian yang digunakan adalah pre eksperiment. Data diperoleh dengan menggunakan instrumen ZSAS (Zung-Self Anxiety Scale). Analisa data menggunakan t-test: two-sample assuming unequal variances. Hasil penelitian menunjukan bahwa rata-rata tingkat kecemasan sebelum dan sesudah komunikasi terapeutik adalah 42.73 dan 36.43. Tingkat kecemasan sebelum komunikasi terapeutik yaitu ringan (56.7%) dan sedang (43.3%), dan tingkat kecemasan sesudahnya adalah ringan (100%). Nilai uji T yang dilakukan mendapatkan Thitung 4.49 dengan P-value 0,000 dan kolerasi 0,613. Dengan demikian dapat disimpulkan bahwa terdapat pengaruh yang cukup signifikan antara pemberian komunikasi terapeutik dengan tingkat kecemasan keluarga pasien yang dirawat di Ruang Intensif. Catatan PenerbitPolekkes Kemenkes Kendari menyatakan tetap netral sehubungan dengan klaim dari perspektif atau buah pikiran yang diterbitkan dan dari afiliasi institusional manapun.

ABSTRAKLatar Belakang: Kejang demam yang terjadi berulang akan mengakibatkan efek yang buruk bagi anak, terutama untuk kecerdasan dan perkembangan otak. Salah satu cara untuk mencegah kejang demam berulang adalah dengan memberikan edukasi kesehatan kepada ibu. Edukasi kesehatan dapat meningkatkan pengetahuan ibu, sehingga sikap ibu akan berubah kearah positif. Tujuan: untuk mengetahui pengaruh edukasi kesehatan terhadap pengetahuan dan sikap ibu dalam pencegahan kejang demam berulang. Metode: Desain penelitian ini adalah Quasi Experiment dengan teknik pre test and post test nonequevalent control group pada 58 responden (kelompok intervensi=29 dan kelompok kontrol=29). Instrumen yang digunakan dalam penelitian ini adalah kuesioner A, B, C dan media audiovisual. Responden adalah ibu yang memiliki balita pernah mengalami kejang demam dan pernah dirawat di rumah sakit. Kelompok intervensi diberikan edukasi kesehatan tentang pencegahan kejang demam berulang dengan media video, sedangkan kelompok kontrol tidak diberikan intervensi. Analisis yang digunakan dalam penelitian ini adalah analisis bivariat dengan uji paired t-test dan independent t-test dan multivariate dengan MANCOVA. Hasil: ada pengaruh edukasi kesehatan terhadap pengetahuan (p=0,001) dan sikap (p=0,001). Kesimpulan: Edukasi dapat dimasukkan ke dalam rencana asuhan keperawatan ketika anak pertama kali dirawat di rumah sakit karena kejang demam, karena terbukti dapat meningkatkan pengetahuan ibu sehingga ibu dapat mengambil sikap yang positif untuk pencegahan terjadinya kejang demam berulang.Kata kunci: edukasi kesehatan, pengetahuan, sikap, kejang, demamThe Effect of Health Education on Knowledge and Attitude of Mothers in Preventing the Recurrent Febrile Seizures Abstract The Recurrent Febrile Seizures (RFS) could affect the children intelligence and their brain development. Health education is one of the ways in order to prevent the RFS. By providing health education among mothers, it might increase their knowledge and could lead to a positive attitude in preventing the RFS. Aim: This study was aimed at investigating the effect of health education on knowledge and attitude of mothers in preventing the RFS among hospitalized children. Method: This was a quasi-experimental study with pre- and post-test nonequivalent control group with total sample was 58 respondents (intervention group, n=29, and control group, n=29). The instruments used in this study were questionnaire A, B, C and audiovisual media. Respondents in this determination are mothers who have children who have experienced febrile seizures and have been hospitalized. The video guidelines on RFS prevention was performed in the intervention group, while there was no intervention performed in the control group.Data was analysed with univariate (paired t-test and unpaired t-test) and multivariate with MANCOVA. Result: There was a significant effect of health education on knowledge (p=0.001), and attitude (p=0.001). Conclusion: Health education should be included in the nursing care plan when the children with RFS were admitted to the hospital.Keywords: Health education, knowledge, attitude, febrile, seizures

This study analyzes waiting times for compounded and non-compounded medication services and identifies factors influencing prescription delays in public and private hospitals in Surabaya. Using a quantitative cross-sectional design, the study collects data in two phases: the first focuses on outpatients and their prescription data sheets, while the second involves pharmacists and pharmacy technicians through a questionnaire. The average waiting time for compounded prescriptions was 80 min in public hospitals and 36 min in private hospital. For non-compounded prescriptions, the averages were 64 min in public hospitals and 43 min in private hospital, with some cases as low as 28 min. These results exceed the Ministry of Health standards of 60 min for compounded drugs and 30 min for non-compounded drugs. The main factors influencing waiting times were the high workload of pharmacy staff during peak hours, the number of items in prescriptions, and insufficient pharmacy staff. Patient satisfaction in the outpatient division is associated with•Information technology,•Standard operating procedures, and•Human resources.

Increasing the firm value is one of the main purposes of a company. Increasing the firm value means the slOck return gives the optimal return to the investors. The main objective of the present study is to expand researches in analyzing the impact of managerial ownership, institutional ownership, and dividend policy to the firm value, either directly or indirectly with debt policy as the intervening variable. Population in this study are public companies listed in Indonesia Stock Exchange that are not included in the categories of banking industry, institution of credit matters, security, and insurance, for an observation period of 2003 to 2007. Data were collected through purposive sampling and 64 firms were taken as sample. The analysis method used in this study is multiple linear regressions expanded with path analysis using the SPSS 16.0. The results of this study show that: (1) managerial ownership had direct negative impact to firm value and didn if have indirect impact to firm value with debt policy as the intervening variable; (2) institutional ownership had no direct and indirect impact to firm value; and (3) dividend policy had direct negative impact to firm value and indirect positive impact to firm value with debt policy as the intervening variable.