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Medical and health personnel have the potential to play an important role in triage START in the event of a disaster. However, it is important to have an instrument in evaluating the level of knowledge and attitudes of medical and health dragons regarding the START triage. This instrument is essential for the development of a comprehensive and efficient START triage education program for medical and health personnel. Therefore, this study aims to assess the accuracy and consistency of knowledge and attitude instruments in conducting START triage for medical and health personnel. A cross-sectional study involving 100 respondents. This instrument is created through a literature review. The instrument totaled 10 items of statements on knowledge and 10 items of statements on attitudes categorized into 6 groups: 1) disasters; 2) START triage; 3) START triage principle; 4) START triage indicator; 5) START triage implementation procedure. The results of this study showed 100 participants, the majority of whom were female with an average age of 36 years. All participants are medical and health personnel. The instruments used in the study were validated through content validity (Pearson Product Moment) and biserial correlation. Utilizing internal consistency reliability, the study found satisfactory inter-item reliability for all knowledge items (0.70 – 0.73) and attitude items (0.86 – 0.90). Conclusion: these findings suggest that knowledge and attitudes in performing the START triage are important for medical and health personnel

INTRODUCTION: Insulin resistance plays a central role in type 2 diabetes mellitus (T2DM). Another possible cause of T2DM is a deficiency of 25-hydroxy vitamin D [25(OH)D], although the underlying mechanism is not yet clearly understood. The most frequently used laboratory parameters for monitoring T2DM are fasting blood glucose (FBG) and HbA1c. Determining any association of vitamin D with HbA1c and FBG in T2DM. METHODS: A cross-sectional study involving 100 T2DM patients with the following characteristics: 18-year and older persons of both genders, not having kidney and liver disease, not on insulin therapy, not pregnant or lactating, and not consuming vitamin D in the last three months. Spearman’s correlation coefficient was used to test any association of 25(OH)D with HbA1c and fasting blood glucose (FBG) (p

Disasters due to earthquake natural events can have an impact on the community so that people who live in disaster-prone areas are the most disadvantaged parties. The community as a disadvantaged party must be equipped with disaster preparedness, one of which is a disaster risk reduction program. The purpose of this scooping review is to determine the description of the implementation of the earthquake disaster preparedness education and training program in the community. This research is a scooping review using Prisma flow chart in its implementation. The results of this study showed significant results in all articles (n=10) in improving community preparedness in earthquake disaster risk reduction. The methods used were the latest methods (virtual reality, animated videos, and games) and manual methods (lectures, discussions, and reading) with material on disaster concepts, management, and first aid. This research concludes that the role of the community and the importance of disaster preparedness education for the community is very important to be provided by conducting the latest or modern methods for more effective results.

BACKGROUND: 25(OH)D level is correlated with insulin secretion and tissue sensitivity to insulin. Administration of vitamin D supplements may reduce tissue resistance to insulin in type 2 diabetes mellitus (T2DM), but a number of studies found conflicting results. The present study was to measure the results of administration of vitamin D supplements for 3 and 6 months regarding HbA1c, fasting blood glucose (FBG), insulin and tissue resistance to insulin in T2DM cases. METHODS: A randomized double-blind placebo-controlled trial was conducted in T2DM patients with ≤3 years duration. Subjects were randomly divided into two groups: 47 subjects received daily 5000 IU vitamin D supplementation and 47 subjects received daily placebo as control. After supplementation for 3 and 6 months, homeostatic model assessment for tissue resistance to insulin (HOMA-IR), insulin, HbA1c, and FBG were examined. RESULTS: Supplementation of daily 5000 IU vitamin D for 3 months increased 25(OH)D level in the vitamin D group from 12.50±5.28 to 43.57±17.14 ng/mL, and after 6 months the 25(OH)D level was 38.38±17.64 ng/mL. Both groups showed significant differences after 3 and 6 months regarding HOMA-IR (p=0.033 and p=0.031), insulin (p=0.034 and p=0.013), but not FBG (p=0.296) and HbA1c (p=0.360). In both groups, HOMA-IR and insulin increased although the increase in the control group was greater than in the vitamin D group. The difference between the control and vitamin D groups was significant. CONCLUSION: Vitamin D supplementation for 3 and 6 months may lead to improvement HOMA-IR but not for FBG and HbA1c in the vitamin D group as compared with the control group in T2DM cases. KEYWORDS: vitamin D, T2DM, HbA1c, blood glucose, insulin, tissue resistance to insulin

Background: Glycated hemoglobin (HbA1c) has been used extensively to diagnose and monitor diabetes mellitus (DM). Patients with type 2 DM are at risk of experiencing comorbidities and complications such as iron deficiency anemia (IDA). This study aimed to determine the correlation of HbA1c with iron deficiency anemia (IDA) in type 2 DM. Methods: This cross-sectional study was conducted on 115 types 2 DM patients at a hospital in South Jakarta, Indonesia from November to December 2021. Data on HbA1c levels and IDA were obtained from medical records. Data were analysed with the Chi-Square test and significancy at p

Introduction: The prevalence of metabolic syndrome (MetS) in Indonesia is 39% and it is higher in females than in males (46% vs. 28%). Features of this syndrome comprise low-grade chronic inflammation and endothelial dysfunction from cardiometabolic abnormalities. High-sensitive C-reactive protein (HsCRP) is a biomarker of cardiovascular disease, whereas ferritin and pentraxin-3 (PTX-3) are markers of chronic inflammation. One of the markers of endothelial dysfunction is an intercellular cell adhesion molecule-1 (ICAM-1). Studies on MetS in women aged 50–70 years and using several markers of inflammation and endothelial dysfunction are rare. The study aimed to determine differences in HsCRP, ferritin, PTX-3, and ICAM-1 level between females with and without MetS aged 50–75 years. Methods: For this cross-sectional study, 160 females aged 50–75 years from South Jakarta were recruited, divided into MetS and non-MetS (control) groups, 80 participants each. Participants that met the inclusion criteria were assessed for vital signs and metabolic parameters (e.g., lipid profile, fasting blood glucose level, and waist circumference [WC]). The groups were compared using an independent t-test for inflammatory (i.e., HsCRP, PTX-3, and ferritin) and endothelial dysfunction (ICAM-1) (p < 0.05) biomarkers. Results: The mean age of the MetS and control groups was 59.6 ± 5.6 and 59.2 ± 5.5 years. MetS criteria included WC of ≥80 cm (95.2%), increased blood pressure level (90.6%); and high-density lipoprotein cholesterol of

This study explores the factors influencing the use of microlearning in the public sector by applying the DeLone and McLean Information Systems Success Model (DMISM). The study focuses on the role of overall quality, compatibility, and transformational leadership in shaping the actual use of microlearning systems. Using a quantitative approach, data were collected from 317 employees of Indonesian Government Financial Institutions (Lembaga Keuangan Pemerintah) through an online survey. The data were analyzed using covariance-based structural equation modeling (CB-SEM) in LISREL 8.8. The results indicate that overall quality, compatibility, and transformational leadership have significant and positive impacts on the actual use of microlearning systems. Among these factors, compatibility emerged as the strongest predictor of use. The findings suggest that improving the quality of microlearning content, aligning it with employee preferences, and developing a supportive leadership environment are key to increasing the adoption and effectiveness of micro-learning in public sector organizations. Further research is recommended to explore other potential factors and expand the scope to other government sectors.. [ABSTRACT FROM AUTHOR]

This study aims to find out the strategies of English teachers in teaching writing for high school students. This research was conducted in one of the high schools in Karawang, the subject in this study was one grade 10 English teacher. This research is a qualitative research, to collect researcher data using observation and interviews. The results of the analysis showed that teachers applied the Collaborative Learning strategy, which encourages students to collaborate in groups to complete writing tasks, as well as the Multimedia-Based learning (MBL) strategy, which involves the use of media such as videos and PowerPoint presentations to support students' understanding of recount text material. The use of collaborative strategies has proven to be effective in increasing student engagement and understanding through discussion and sharing of ideas. Meanwhile, multimedia-based media helps students understand concepts visually and interactively. The findings of this study show that teachers use Collaborative Learning and Multimedia-Based learning (MBL) strategies to teach writing recount texts. In conclusion, the implementation of this strategy provides positive results in learning to write recount texts, by increasing student engagement and understanding comprehensively. [ABSTRACT FROM AUTHOR]

Violence experienced by adolescents has an impact on them both in terms of personality and the way they view life. This study aims to find out how the lives of adolescents who experience family violence become meaningful. The research method in the study used a qualitative approach with a phenomenological research type. Participants were selected using a purposive sampling system with data collection methods in the form of in-depth interviews with five participants. The results showed that adolescents who were victims of violence by their parents interpreted life in various ways. They lose trust in others and see life as a struggle for survival. They no longer identify their parents as parental figures. Teenagers see parents as threatening and insecure. Adolescent victims of violence fill their lives with sadness because they do not get affection, and they want freedom from their parents. This study concludes that adolescents who experience violence tend to try hard to survive the hard life they get. The findings of this study underscore the profound impact of family violence on adolescents' perceptions of their lives and interpersonal relationships. Understanding these experiences is critical to developing targeted interventions and support systems aimed at reducing the long-term effects of violence. [ABSTRACT FROM AUTHOR]

Objective: The study aimed to investigate and evaluate the impact of person-organization fit (POF), person-job fit (PJF), and person-group fit (PGF) on turnover intention through job satisfaction (JS) in startup companies. Startup companies play an important role in society and the global economy. Design/Methods/Approach: Data was gathered through an online survey of workers in startup businesses, with 449 data. The analytical method used in this study was LISREL's Structural Equation Modelling (SEM) analysis to examine the relationship between employee fit, such as person-organization fit, person-job fit, and person-group fit, on turnover intention, mediated by job satisfaction. Findings: The findings show that job satisfaction is positively and significantly impacted by person-organization fit, person-job fit, and person-group fit. Job satisfaction was found to fully mediate the effect of person-organization fit, person-job fit, and person-group fit on turnover intention. Originality: Limited research focuses on startup companies, so this study is unique. There is still a need for more research on person-group fit, as most research has focused on person-organization fit and person-job fit. Practical implication: In order to create and maintain job satisfaction among employees, companies can create an environment that encourages open and transparent communication within companies, letting employees freely express their thoughts, ideas, and concerns. Furthermore, prioritizing work-life balance by offering flexible work schedules is critical to increasing job satisfaction. Then, they should align with their values, provide rewards, provide effective supervision, and foster a positive work environment. This is crucial to reduce turnover intention in startup companies. [ABSTRACT FROM AUTHOR]