Orthopedic surgery is a surgical action associated with the correction of musculoskeletal system deformities and orthopedic problems that aim to improve function by restoring movement and stability and reducing pain and disabilities. Early mobilization is a prominent factor in speeding up postoperative recovery and may prevent postoperative complications. This study aims to find out the influence before and after early mobilization of changes in pain levels in orthopedic postoperative clients at RSU Royal Prima. This type of research uses a correlational descriptive research design, using the One Group Pretest-Postest approach. The location of this study was conducted at RSU Royal Prima Medan in March 2021. The population of all patients’ post-surgery orthopedic hospitalization amounted to 176 patients. The size of the sample uses the formula Structural Equation Modelling (SEM), then the number of samples is determined to be 100 people. Univariate analysis, bivariate with t-dependent test (paired t-test) with a meaningful limit of 0.05. The results of the study that there was a change in the level of pain Wilcoxon test results at the time of the pre-test the result of the mean value of 3.82, at the time of the post-test test the mean value was 2.34. So the result of Z = -5,358 then p-value as much as 0.004 < 0.05 so that Ho is rejected and Ha accepts. The conclusion of the level of pain before early mobilization in the client post orthopedic surgery the majority feels even more pain and the minority experience severe pain. The level of pain after early mobilization in the majority of orthopedic postoperative clients was slightly more painful and the minority felt even more pain. There is an early mobilization effect on pain changes in orthopedic postoperative clients in patients in the hospital room of RSU Royal Prima in 2021.
The prevalence of diabetes mellitus is increasing globally, nationally, and regionally, and most of them are type 2 diabetes mellitus, which can cause complications, economic losses, and death. The purpose of this study is to examine the analysis of determinants and predictions of type 2 diabetes mellitus using machine learning methods. This study uses the scoping review method to view, accumulate and synthesize the results of previous studies on the analysis of determinants and predictions of type 2 diabetes mellitus using machine learning methods. The inclusion criteria in this study were articles published in the indexed journal database PubMed, Google Scholar, Crossref in English and Indonesian, journals published in the 2017-2021 range and 15 articles that met the inclusion criteria. The search results were a total of 860 articles from 3 databases (PubMed, Google Scholar, Crossref) in which 98 of them were duplicate articles and were excluded. Of the remaining 762 articles, 142 were not full text and 605 were excluded after eligibility screening because they were irrelevant. The remaining 15 articles were systematically reviewed and qualitatively analyzed using the NVIVO-12 Plus application. From the analysis of previous studies concluded that age, obesity, family history of disease, and lack of physical activity are risk factors for type 2 diabetes mellitus, while the gender variable from the analysis of previous research shows that there is no significant relationship between gender and type 2 diabetes. With early prediction of type 2 diabetes mellitus preventive measures, treatment can be carried out immediately and reduce the incidence of complications that can worsen the condition of people with type 2 diabetes.
Injuries are cases of injury that are often experienced by every human being. A wound is the loss or damage of some body tissue. Many andaliman fruits contain many phytochemicals such as phenols, saponins, flavonoids, triterpioids, and alkaloids. Its terpenoid content has antioxidant and antimicrobial activity repellents. Iris / incision wounds, which are wounds caused by sharp object slices such as knives, cause damage to vessels that are large enough if the slice is deep enough. This study aims to find out the effect of Andaliman Fruit Essential Oil Saleb (Zanthoxylum acanthopodium DC.) on wound healing in white rats. This experimental study with the approach of Pre-test and Post-test group only control design was conducted January to February 2021, at the Herbarium Medanese FMIPA USU, the Pharmacognosive Laboratory of the Faculty of Pharmacy USU, and the Laboratory of Pharmaceutical Pharmacology USU. The samples were Andaliman Fruit (Zanthoxylum acanthopodium DC.), and male white rats. The number of samples using frederer formula, so determined the number of as many as 25 rats selected randomly divided into 5 groups. Data analysis uses the normality test statistical data test, and the ANOVA test. The results of the study that andaliman fruit extract has several bioactive compounds such as alkaloids, flavonoids, saponins, and tannins that play a role in wound healing. The optimum concentration of Saleb Andaliman fruit essential oil that can heal wounds in white rats is 5%. The highest percentage of cures on the 14th day was in positive control (Bioplacenton®) which was 95% and followed by an extract of 5% v/v with a cure percentage of 90%. Essential oil of andaliman fruit extract has the ability to approach Bioplacenton® in healing wounds in mice.
Penyakit Covid-19 menjadi bahaya kerja baru bagi pekerja, dalam penanggulangan bahaya penyebaran Covid-19 ditempat kerja pemerintah melalui Surat Edaran Menteri Ketenagakerjaan Nomor M/3/HK.04/III/2020, dan Surat Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/328/2020 mengarahkan agar adanya integrasi protokol kesehatan pencegahan Covid-19 ditempat kerja dengan K3 perusahaan. Dalam penerapan protokol kesehatan ditempat kerja masih ditemukan berbagai pelanggaran. Penelitian dilakukan dengan menggunakan metode penelitian kualitatif-deskriptif, tujuan penelitian ini adalah menggambarkan dan mengidentifikasi SMK3 dan pelaksanaan protokol kesehatan ditempat kerja PT. Midas Multi Industri. SMK3 dan program K3 PT. Midas Multi Industri sudah dirancang sesuai dengan protokol kesehatan pencegahan penyebaran Covid-19 ditempat kerja, pekerja yang melanggar beberapa aturan yang diberikan disebabkan tidak terbiasa dengan penetapan budaya baru dilingkungan kerja. PT. Midas Multi Industri perlu melakukan sosialisasi lebih mendalam kepada pekerja dan menetapkan sanksi terhadap pelanggaran aturan protokol kesehatan ditempat kerja.Kata kunci: SMK3, K3,Covid-19, Protokol KesehatanThe Covid-19 disease has become a new work hazard for workers, in overcoming the danger of spreading Covid-19 in the government's workplace through Circular Letter of the Minister of Manpower Number M/3/HK.04/III/2020, and Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07 /MENKES/328/2020 directs the integration of the Covid-19 prevention health protocol in the workplace with the company's K3. In the application of health protocols in the workplace, various violations are still found. The study was conducted using qualitative-descriptive research methods, the purpose of this study was to describe and identify SMK3 and the implementation of health protocols in the workplace of PT. Midas Multi Industries. SMK3 and PT. Midas Multi Industries has been designed in accordance with health protocols to prevent the spread of Covid-19 in the workplace, workers who violate some of the given rules are not accustomed to establishing a new culture in the work environment. PT. Midas Multi Industries need to conduct more in-depth socialization to workers and set sanctions for violations of health protocol rules in the workplace. Keywords: SMK3, K3, Covid-19, Health Protocol.
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