Many previous studies have examined the effects of Covid-19 on small-medium enterprises but never discussed how to accelerate small-medium enterprise performance. This study aims to accelerate the recovery of small-medium enterprise performance affected by Covid-19. This research type is interpretive qualitative, data validity test using credibility and transferability test, data analysis technique using research data reduction, presenting data, and drawing conclusions. The conclusions obtained in this study are financing coming from non-banks when the Covid-19 pandemic conditions are very beneficial for small-medium enterprises, and small-medium enterprises are still able to compete globally.
This study was performed to examine effect of PMR on health related quality of life domains in breast cancer women received adjuvan chemotherapy, with one group pre-test post-test design. It was conducted among 15 breast cancer women received adjuvan chemotherapy who met the ctriteria for inclusion in the study with consecutive sampling in surgical outpatient of Wahidin Sudiro Husodo Hospital. The participants were instructed practice PMR for 12 days twice a day. First day and thirteenth day EORTC QLQ-30 version 3.0 questionnaires used to collected data. Average range of all obtained EORTC QLQ-30 symptom scales improved significantly: fatigue, nausea-vomiting, pain, insomnia, lack of appettite; except for dyspnea. Dyspnea are initially mild to no complaints at all, whereas cognitive function requires a longer period to be optimal return. PMR improved domains of health related quality of life among breast cancer women received adjuvan chemotherapy.
The impact of the Coronavirus disease 2019 (COVID-19) pandemic varies as each country has a different capacity to stop the virus transmission and apply social distancing. A densely populated country, such as Indonesia, tends to face challenges in implementing social distancing due to population characteristics. The Indonesian government focuses on the medical aspect as this virus is new and has been deadly with a high transmission rate. Meanwhile, the non-medical risk during the pandemic is still unclear. The main objective of this study is to assess the non-medical risk at the village level in two agglomeration cities of Central Java: Greater Surakarta and Surabaya. The methodologies use a risk index, derived from the risk reduction concept. The hazard refers to the death toll, while the vulnerability relates to parameters such as disaster, social and public facilities, health facilities, economics and demography. Further, the parameters were weighted based on expert judgement derived using analytical hierarchy process (AHP). The study found that the disaster aspect had the highest weight (0.38), followed by health facilities (0.31), economics (0.17), social-public facilities (0.11) and demography (0.04). The standard deviations of those parameters were relatively low, between 0.12 and 0.25. A low vulnerability index (0.05–0.36) was observed to be dominant in both study areas. There are 11 villages in Greater Surakarta and 30 villages in Greater Surabaya with high vulnerability index. Disaster-prone areas, low economic growth, lack of health facilities and aged demographic structure significantly added to this vulnerability. Further, a high-risk index (0.67–1.00) is observed in three villages in Greater Surabaya and one village in Greater Surakarta. These villages are relatively close to the city centre and have good accessibility. Furthermore, these four villages experienced the severest impact of the pandemic because the furniture and tourism sectors were their primary industries.
Postoperative patients with Subarachnoid Block anesthesia will experience paralytic ileus. Various efforts to overcome this have been carried out, including early mobilization, chewing gum, warm compresses, and acupuncture. The actions taken have not yet shown maximum results. This study aimed to analyze the effect of ST-36 acupressure on gut motility and flatus time in postoperative patients with Subarachnoid Block anesthesia. This research used Quasi-Experiment with pretest-posttest group design. Population in this research was post operation patient with Subarachnoid Block anesthesia in Sidoarjo Hospital. A sample of 14 respondents in control group and 14 respondents in experimental group were obtained using purposive sampling technique. Data retrieval was done by criteria using lidodex 100mg/2ml anesthetic or 5% lidocain + adrenaline. Data were analyzed using independent t test. The result showed that there was difference average frequency of gut motility between control group and experimental group after given intervention ST-36 acupressure (p=0.013). The time of flatus showed that there were no significant differences in the two groups (p = 0.262). It can be concluded that ST-36 acupressure can increase gut motility, whereas it did not affect flatus time.
Most of the patients in intensive care units (ICU) are intubated. These conditions can affect the psychological, social and spirituality condition of the patients. The nurse's role in terms of providing spiritual care is still not optimal. Many feel the urge to reach out to their patients and offer spiritual support, but they do not know how to do it. However, the procedure or intervention needed for providing spiritual care is still little known about. This study aimed to explain the nursing interventions that could be applied for promoting spiritual care based on the existing literature. The systematic review was guided by the PRISMA protocol. A comprehensive search was carried out on a selection of databases; PubMed (Medline), CINAHL, Scopus, Springerlink, ProQuest, EBSCOHost, Web of Science Clarivate Analytic and Science Direct. The searching of published studies was done comprehensively using several keywords: "spiritual nursing care" OR "spiritual care in ICU" OR "spiritual intervention" OR "spiritual AND nurse" OR "spiritual AND critically ill patients" OR "implement spiritual intervention". The searches were limited to publications in English with the year of publication being from 2009 up to February 2019. Ten studies were included in the review. This review confirmed some of the ways to promote spiritual nursing care in the ICU. Nurses, in promoting spiritual nursing, need the ability to communicate effectively and also to collaborate with the patient's family and/or chaplain. It is hoped that this review could be a reference for nurses to allow them to provide spiritual nursing care in the ICU.
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