No abstract

BACKGROUND: Aggressive behavior occurs a lot in adolescents. There are many negative impacts of aggressive behavior such as decreased productivity, impaired adolescent growth and development, impaired social relations, and a high risk of mental disorders. Education and cognitive behavior-anger management therapy (CBAMT) are some of interventions to reduce aggressive behavior in adolescents. AIM: The purpose of the study is to know the effect of CBAMT on aggressive behavior in adolescents. METHODS: The design of the study is quasi-experimental with pre- and post-test with the control group. The place of the study was at Senior High Schools in Central Java Indonesia. The samples were 60 senior high school students with purposive sampling technique. The control group received education using video while the treatment group received education using video and CBAMT. The measurement of aggressive behavior in adolescents was using Buss and Perry questionnaire. The bivariate analysis used independent t-test. RESULTS: The results of the study indicated significant decrease of aggressive behavior score after interventions both in the control group and treatment group (p < 0.05). An independent t-test was performed and showed that there were no significant differences between aggressive behavior score in the control group and treatment group (p > 0.05). CONCLUSION: The finding is education using video and CBAMT is effective to reduce aggressive behavior in adolescents. It is recommended to provide education and CBAMT to avoid and control aggressive behavior in adolescents.

Salah satu komplikasi penyakit diabetes melitus yang sering dijumpai adalah kaki diabetik (diabetic foot), yang dapat bermanifestasikan sebagai ulkus, infeksi dan gangren dan artropati charcot. Ada dua tindakan dalam prinsip dasar pengelolaan diabetic foot yaitu tindakan pencegahan dan tindakan rehabilitasi. Tindakan rehabilitasi meliputi program terpadu yaitu evaluasi tukak, pengendalian kondisi metabolik, debridemen luka, biakan kuman, antibiotika tepat guna, tindakan bedah rehabilitatif dan rehabilitasi medik. Tindakan pencegahan meliputi edukasi perawatan kaki, sepatu diabetes dan senam kaki. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan masyarakat tentang diabetes melitus dan peningkatan kesehatan dengan senam kaki DM untuk mengurangi komplikasi diabetes pada kaki. Metode yang digunakan dalam pengabdian masyarakat ini adalah ceramah, diskusi, demonstrasi oleh fasilitator yang kemudian dilanjutkan dengan re-demonstrasi oleh peserta/audience sebagai evaluasi. Hasil evaluasi menunjukkan bahwa 87% warga terjadi peningkatan pemahaman tentang diabetes melitus, pentingnya mencegah komplikasi diabetes pada kaki dan mampu melakukan senam kaki DM.

Backgound: Inaccuracy granting ETT cuff pressure can cause a risk of complications that increase the risk of aspiration and trauma to the trachea. Cuff management includes cuff development techniques and intracuff pressure monitoring is a critical component in the treatment of ETT intubated patients in intensive care. The aim of this study was to find out the description of ETT treatment especially on intracuff pressure monitoring. Method: The research methods is a descriptive study in 30 intubated patients in the intensive room of Bagas Waras Klaten Hospital. Result: Based on observations 4 (four) hours after ETT cuff development using cuff inflator, the average results of initial ETT cuff pressure measurements were 28 cmH2O ± 17.43, then after four hours 19.63 cmH2O ± 17.43. In conclusion, ETT cuff development using a cuff inflator will tend to decrease intracuff pressure. Conclusion: Periodic monitoring of intracuff pressure is needed to achieve optimal pressure so there are no complications caused by underinflation or overinflation.

Peningkatan kasus henti jantung di luar rumah sakit (Out of Hospital Cardiac Arrest-OHCA) terjadi sejak pandemi Covid-19. Ditemukan variasi prognosis pada kasus OHCA akibat menurunnya tingkat keberhasilan dan bantuan resusitasi. American Heart Association (AHA) merekomendasikan untuk meningkatkan peran komunitas sebagai bystander salah satunya melalui pemuda. Pemuda mempunyai fisik yang kuat, sigap dan kemauan belajar yang tinggi, tetapi potensi pemuda sebagai bystander masih kurang berhubungan dengan kesadaran diri dan self efficacy. Self efficay erat dengan keengganan untuk membantu orang asing. Penelitian ini bertujuan menganalisis hubungan kesadaran dengan self efficacy pemuda sebagai bystander CPR pada henti jantung di masa pandemi Covid-19. Jenis penelitian ini adalah kuantitatif observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pemuda Desa Waru Karangnayar sebanyak 210 anggota. Sampel diambil menggunakan teknik non probability sampling dengan jumlah 44 responden. Hasil uji chi-square menunjukkan p-value variabel kesadaran dengan self efficacy sebesar 0,006 (p<0,05) berarti bahwa ada hubungan antara kesadaran dengan self efficacy. Self efficacy adalah keyakinan individu mengenai kemampuan dirinya dalam melakukan tugas atau tindakan yang diperlukan untuk mencapai hasil tertentu. Seseorang yang mengenali dirinya tentu menyadari akan kemampuan diri pemuda yang sadar akan perannya, akan memiliki self efficacy yang tinggi untuk menghubungi Emergency Medical Service (EMS).  Ketika seseorang sadar akan kejadian henti jantung maka efikasi diri pada seseorang tersebut akan timbul.  Since the Covid-19 pandemic there had been an increase in cases of Out of Hospital Cardiac Arrest (OHCA). Variations of survival rate in OHCA cases due to decreased success rates and resuscitation assistance by bystender. The American Heart Association (AHA) recommends increasing the role of the community as bystanders, one of which is addolscents. Young people are physically strong, alert and have a high willingness to learn, but their potential as bystanders is still lacking due to a lack of self afficy. Self efficacy relates to reluctance to help strangers. This purpose of this study was to analyze the relationship between self-efficacy anda awareness addolscents as bystanders CPR in cardiac arrest during the Covid-19 pandemic. The type of research is quantitative observational analytic with a cross sectional approach. The population in this study were the addolscents of Waru Karangnayar Village with 210 members. Sampling used non-probability sampling technique with 44 respondents. Data analysis used the chi-square test. The results showed that the p-value of the variable awareness with self-efficacy is 0.006 (p <0.05) meaning that there is a relationship between self-efficacy and awareness. Self efficacy is an individual's belief about his ability to perform tasks or actions needed to achieve certain results. Someone who knows himself is certainly aware of his own abilities. The Covid-19 pandemic continues to increase and spread widely, giving rise to challenges faced, namely ensuring victims of cardiac arrest without or confirmed Covid-19 get first aid and a chance to live without endangering the safety of helpers. Situation self-awareness is the awareness a person has of a particular situation and an understanding of what is going on. As a bystander, young people who are aware of their role will have high self-efficacy in contacting the Emergency Medical Service (EMS). When a person is aware of the occurrence of cardiac arrest, self-efficacy in that person will arise.