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BACKGROUND: Helplessness is a factor that adversely affects patients with coronary heart disease (CHD). The factors related to this situation have become essential to be investigated. Meanwhile, one of the factors that have the potential to reduce this situation is social support. However, there has been no research related to this in the Indonesian population. AIM: Therefore, this study aims to assess the relationship between social support and helplessness among patients with CHD. METHODS: This was a correlational study where 107 outpatient and inpatient patients at a hospital in West Java, Indonesia, were obtained. The data were collected using a demographic questionnaire, Illness Cognition Questionnaire on the dimensions of helplessness, and the Enhancing Recovery in CHD Social Support Inventory. Furthermore, the data were analyzed by Pearson and linear regression. RESULTS: The respondents were 78% of males, while 22% were female. Most of the patients (88%) were married. The bivariate analysis showed that social support and its subvariable emotional support were significantly related to helplessness (p < 0.05, r = −0.248), while the other subvariable structural and instrumental support were not significantly related (p > 0.05). The regression analysis results showed that social and emotional support had a significant effect (p < 0.05) with R2 (95% CI) of 042 and 0.05, respectively. CONCLUSIONS: The social and emotional support among CHD patients was associated with helplessness. The higher the supports obtained, the lower the patient’s helplessness. Therefore, nurses need to encourage family or those closest to patients to provide adequate social and emotional support.

Aplasia cutis congenita (ACC) is a congenital disorder characterized by the absence of epidermis, dermis, and sometimes subcutaneous tissue and bone. There are nine types of ACC based on the number and location of the lesions as well as the presence or absence of associated deformities, with type I ACC being the most common. Type V affects the trunk with a characteristic pattern resembling the “H” letter of the alphabet, generally accompanied by fetus papyraceus (death of one of the twin fetuses) or placental infarction. Type V ACC without fetus papyraceus and placental infarction is a rare case. We reported a case of type V ACC in a 3-day-old baby girl, with clinical manifestation of extensive ulcers on the scalp, back, buttocks, and both lower extremities, in an “H”-shaped pattern, with history of placenta accreta, but no fetus papyraceus or placental infarction was found. The patient received dialkyl carbamoyl chloride hydrophobic swab with hydrogel (Sorbact® gel dressing-BSN Medical) and hydrocolloid wound dressing with good response, as indicated by the wounds becoming dried up, leaving an atrophic scar. Complete epithelialization was achieved in 72 days. The cause of type V ACC remains not completely understood. The diagnosis of ACC can be established based on clinical manifestations. Further examination is required if extracutaneous involvement is suspected. Early identification of the etiology of the lesions and appropriate investigation and treatment, including conservative wound management, are needed so that aplastic lesions can heal successfully, although cosmetic repair may be required at a later stage.

The purpose of this study is to (1) examine the application of the corn farming agribusiness system, (2) examine the production and income generated by corn farming, (3) examine the feasibility of corn farming, and (4) examine the prospects for corn farming development. Tanah Towa Village is located in Kajang District, Bulukumba Regency, South Sulawesi. Simple random sampling was used to select up to 59 respondents. The descriptive statistical analysis, farm income analysis, farming feasibility analysis, and time series analysis were all used to analyze the data. The results indicated that (1) the application of the agribusiness farming system with the production facilities subsystem met the correct criteria in 68% of cases and was incorrect in 32% of cases. (2) the average farm production of corn in Tanah Towa Village, Kajang District, Bulukumba Regency in the form of dry shells is still low at 2,204.4 kg/ha, compared to the subdistrict level of 3,733 kg/ha, with farmer income of Rp. 5,942,319/ha. (3) The feasibility of corn farming has increased (R/C = 3), indicating that it is feasible to develop; (4) The prospect of developing corn production in Kajang District has increased, indicating that it has favorable development prospects.significantly, to the point where it now has favorable development prospects.

Severity level is one of the variables used to determine the treatments of acute coronary syndrome patients. There are many ways to see the success of treatment such as measuring the patient’s quality of life. This study aims to determine the correlation between severity level and quality of life among patients with post-acute coronary syndrome at Hasan Sadikin Central Hospital Bandung. This research was a quantitative study with a descriptive-analytic approach. Sampling of 100 patients with post-acute coronary syndrome patients was collected during a period of one month using consecutive sampling technique. The severity was assessed based on the stenosis number and the quality of life data were collected using the MacNew QLMI. Somers’d Gamma was used to analyze the data. Data showed that most of the patients had angina without stenosis (36%) and coronary 1 stenosis (29%). The results of the quality of life measurement show that 58% patients have a good quality of life, 64% are good in the emotional domain, 52% are good in the physical domain, and 60% are good in the social domain. Bivariate analysis (CI 95%) showed that there was a significant correlation between severity level and quality of life (p-value 0.033), as well as with the physical domain (p-value 0,008). There is a correlation between severity level and quality of life of post-acute coronary syndrome patients in Hasan Sadikin Central Hospital Bandung. Based on the quality of life domain, the severity level was significantly related to the physical-domain. Regular screening is necessary to improve the quality of life of post-acute coronary syndrome patients.

Background: Depression is a significant predictor of the quality of life among patients with coronary heart disease. Therefore, it is essential to explore the factors associated with depression. Illness cognition is considered one of the factors affecting depression. However, the relationship between illness cognition and the incidence of depression among Indonesian patients have not been widely investigated. Objective: This study aimed to investigate the correlation between illness cognition, consisting of the acceptance, perceived benefits, and helplessness variables, and depression in patients with coronary heart disease. Methods: This study employed a correlational research design with a total of 106 patients undergoing treatment at a hospital in West Java, Indonesia, selected using convenience sampling. Data were collected using a demographic questionnaire, Beck-Depression Inventory-II (BDI-II), and ICQ (Illness-Cognition Questionnaire). Data were analyzed using mean (SD), median, frequency distribution, and Spearman-rank. Results: 72% of respondents had no depression. Nevertheless, mild, moderate, and major depression suffered by 15%, 9%, and 4% of respondents, respectively. In terms of illness cognition, patients scored higher within the perceived benefits dimension (mean 20.13, SD 3.05), followed by acceptance (mean 18.22, SD 3.33) and helplessness (mean 13.20, SD 4.77), respectively. Furthermore, helplessness was significantly associated with depression ( p

Background: Parkinson's disease is the most common neurodegenerative disorder affecting more than 10 million people worldwide. This disease is characterized by progressive dopaminergic neuron damage in the substantia nigra. This damage can be triggered by aging and the presence of oxidative stress because of free radicals. Antioxidants can inhibit the formation of free radicals and reduce oxidative stress, so they can be used as an alternative treatment for Parkinson's disease. Objective: This review article aimed to provide information about the antioxidant effects of selected herbal plants on Parkinson's disease. Method: This study used literature study methods sourced from national and international scientific journals published in the last 5 years (2016-2020). Literature search were carried out using databases such as Google Scholar, PubMed®, ScienceDirect, and Garuda Portal. Results: The high content of antioxidants in plants could protect nerve cells from oxidative damage and reduce symptoms such as tremors, muscle stiffness, impaired coordination and motor balance in test animals. Conclusion: Natural antioxidants from herbal plants proved to be able to prevent oxidative stress caused by free radicals and reduce symptoms of Parkinson's disease. Keywords: Parkinson's disease, antioxidants, oxidative stress, herbal plants Intisari Latar belakang: Penyakit Parkinson merupakan gangguan neurodegeneratif paling umum yang mempengaruhi lebih dari 10 juta orang di seluruh dunia. Penyakit ini ditandai dengan kerusakan neuron dopaminergik secara progresif di substansia nigra. Kerusakan tersebut dapat dipicu oleh penuaan dan adanya stres oksidatif akibat adanya radikal bebas. Antioksidan mampu menghambat pembentukan radikal bebas dan mengurangi stres oksidatif, sehingga dapat digunakan sebagai salah satu alternatif pengobatan penyakit Parkinson. Tujuan: Review artikel ini bertujuan untuk memberikan informasi mengenai pengaruh antioksidan dari beberapa tanaman herbal terpilih terhadap penyakit Parkinson. Metode: Penelitian ini menggunakan metode studi literatur yang bersumber dari jurnal ilmiah nasional maupun internasional yang diterbitkan 5 tahun terakhir (2016-2020). Pencarian literatur dilakukan dengan menggunakan database seperti Google Scholar, PubMed®, ScienceDirect, dan Portal Garuda. Hasil: Kandungan antioksidan yang tinggi dapat melindungi sel saraf dari kerusakan oksidatif dan mampu mengurangi gejala seperti tremor, kekakuan otot, gangguan koordinasi, dan keseimbangan motorik pada hewan uji. Kesimpulan: Antioksidan alami dari tanaman herbal terbukti mampu mencegah terjadinya stres oksidatif yang diakibatkan oleh radikal bebas dan mengurangi gejala dari penyakit Parkinson. Kata kunci : Penyakit Parkinson, antioksidan, stres oksidatif, tanaman herbal

This study aims to determine the effect of labor, capital, and government policies on coal output and the scale of coal business results of PT Indo Tambangraya Megah Tbk. The new thing from this research is the Cobb-Douglas production function which usually uses labor and capital variables, but in this study, it has been expanded by adding policy variable in the form of Law No. 4 of 2009 regarding Mineral and Coal Mining, which is not yet present in other studies. The research method is linear regression using the Cobb-Douglas model function. The results showed that labor did not significantly influence coal production. Capital has a significant effect on model 2 and policy has a significant effect on model 3. The coal mining business of PT Indo Tambangraya Megah Tbk is in decreasing return to scale because if the three variables are combined, it will be worth -0.24. This condition occurs because the additional output produced is smaller than the additional input (δ% output

Snake bite is an often-neglected,1 life-threatening emergency prevalent in rural areas of tropical countries such as Indonesia.2 The WHO reported a worldwide incidence of 5 million snake bites per year, with 100,000–200,000 deaths.3 The incidence rate and likelihood of subsequent complications are higher in children than adults.4 According to the WHO, 35% of child deaths related to poisonous animal bites are attributable to snake bites and occur more frequently in boys than girls.5 In Indonesia, no national epidemiological data on snake bites in children is available, but the WHO estimated that 5–8 snake bite cases occur weekly in Lombok, West Nusa Tenggara.6 Lower limbs are the most common site for bites (72%), while facial bites are quite rare (10%).7 Bites involving children and/or the face are considered as severe envenomation and usually require antivenom at an appropriate dose and timing to be effective.8 Therefore, it is important that hospitals are equipped with life-saving intervention measures to optimize care and improve the chances of survival.9 Nevertheless, in developing countries, the use of antivenom is limited by the absence of standardized guidelines, scarcity/unavailability, and high cost.9 In Indonesia, the only antivenom, serum antibisa ular (SABU), is costly and difficult to obtain due to limited quantities, especially in rural areas. Furthermore, SABU is a polyvalent antivenom with low coverage, as it is only indicated for Naja sputatrix, Bungarus fasciatus, and Agkistrodon rhodostoma, despite the numerous other snake species endemic to Indonesia.2

This research aimed to examine students’ views on using online applications, particularly Edmodo to do online assignments (e-assignment). This study was conducted at Universitas Muslim Maros in the English language education department. Eight students joined as the participants voluntarily. This research used qualitative research with a semi-structured interview method. Data were recorded then transcribed. The data then were analyzed using thematic analysis. The result showed that most participants were engaged to work on their assignments online. Positive views were given by the participants as they gained effective learning through the online assignment. However, some students felt the pressure when doing online learning. The big problems are a low internet connection and the use of timer features.

Diabetes mellitus dapat menjadi serius dan menyebabkan kondisi kronik yang membahayakan apabila tidak diobati. Menurut World Health Organization (WHO) tahun 2011, penderita diabetes berisiko mengalami kerusakan mikrovaskuler seperti retinopati, nefropati, dan neuropati. Hal tersebut memberikan efek terhadap kualitas hidup penderita DM. Kualitas hidup pasien DM dapat ditingkatkan dengan banyak cara. Salah satu metode yang sudah digunakan untuk meningkatkan kualitas hidup penderita DM adalah Metode Self Diabetes Management Education (SDME) dengan metode kelompok. Self Diabetes Management Education (SDME) merupakan suatu proses berkelanjutan untuk memfasilitasi pengetahuan, ketrampilan dan kemampuan yang diperlukan untuk perawatan diri pasien Diabetes Mellitus. SDME memberikan dukungan informasi pengambilan keputusan, perilaku perawatan diri, pemecahan masalah dan kerjasama aktif dengan tim kesehatan dan untuk meningkatkan hasil klinis, status kesehatan dan kualitas hidup. Penelitian ini bertujuan untuk mengetahui pengaruh Self Diabetes Management Education (SDME) dengan Metode kelompok terhadap dukungan keluarga dan kualitas hidup penderita DM di wilayah kerja Puskesmas Kelurahan Ragunan Jakarta Selatan. Penelitian ini menggunakan desain Quasi Experiment dengan pasien DM di Puskesmas Kelurahan Ragunan Pasar Minggu sebagai sampel.

Perineal pain is one of the problems for postpartum mothers. The intensity of the pain depends on the degree of rupture and parity factors. Perineal pain that is not treated will cause discomfort and mothers being afraid to mobilize early and can also cause perineal infections and bleeding. Perineal pain can be overcome using lavender aromatherapy, as linalool and linalyl acetate in lavender has an analgesic effect. This research conducts a literature review about lavender aromatherapy’s effectiveness on the intensity of perineal pain in the postpartum women. The research method used is a literature review with a total of five articles included. One article was obtained from PubMed with the keywords ‘lavender oil aromatherapy’ AND ‘perineal pain’ AND ‘postpartum’. The other four articles were found on Google Scholar with the keywords ‘Aromatherapy lavender’, ‘perineal pain’, ‘postpartum’. The inclusion criteria of selected articles are respondents in the study were postpartum mothers with perineal trauma, interventions were given lavender aromatherapy, and the outcome is perineal pain. The results showed that lavender aromatherapy effectively reduced perineal pain in postpartum mothers who experienced trauma in perineum. It is expected that practitioners can apply aromatherapy interventions in reducing perineal pain. Keywords: Lavender aromatherapy, perineal pain, postpartum, literature review

This study explores the community learning centers' effort in improving the community's information literacy to prevent cybercrime during the pandemic era through an empirical examination of the phenomenon of pandemic COVID 19 social impacts in the specific context of Indonesia. The study used a simple research design approach with the case study method. The subject of this study consisted of five Community Learning Center’s managers from Cimahi District (CLC Nurul Islam Al Husna), Garut District (CLC Ngejah), East Jakarta District (CLC Faradika), and Karawang District (CLC Ash Sholahiyah and CLC Sanggar Juang), and two community education experts from Indonesia. Data were analyzed using triangulation, including extensive interviews from five community learning center's managers, interviews with community education experts, as well as secondary data. The study found that community learning center's efforts consist of conducting virtual socialization and also mentoring the community on information literacy, revitalizing parenting education on guiding children during their screen time, activating community reading center to create a lively discussion, and fostering community's critical thinking and information assessment. The contribution of this study to the literature on community education consists of presenting empirical evidence on the real contribution of Community Learning Center in improving the community's information literacy level while preventing the wide spreading of cyber-crime during the pandemic COVID 19 era.

This study examines the depth (frequency), and width (different types) of digital media use about COVID-19 pandemic by Indonesian Gen Z. Participants come from several regions and consist of Gen Z who were born between 1995-2010. A survey towards 326 participants found that WhatsApp, Instagram, and YouTube are platforms that were used by Gen Z in their daily life. Meanwhile, this generation chose WhatsApp as the platform to share information on COVID-19 and other platforms like Instagram and Twitter to receive and post information, image, video, opinion, and personal experiences related to COVID-19. Finding also shows that in daily life, the participants can be categorised as heavy users because they spent more than four hours a day to use digital media. In contrast, they only spent less than an hour per day to find and share information about COVID-19. Therefore, this study argues that there are differences in media preference between daily life and toward COVID-19 pandemic information.

Coronary heart disease (CHD) patients experience various physical and psychological changes after an acute attack. Depression has been identified as a substantive psychological problem in CHD patients. Cardiac rehabilitation (CR) intends to restore optimal physical and psychological condition of the patients. However, less attention is bestowed towards the psychological aspect of CR. Research on the effects of CR on patient psychological problems has not been discussed in many studies in Indonesia. This study aimed to compare depression, recurrence, and fitness levels among CHD patients based on participation in Phase II CR Program. This research used a quantitative comparative method involving 66 CHD patients recruited by a purposive sampling technique. After applying the selection criteria for this study, the patients were assigned to the CR group (nCR=29) and the non-CR group (nNCR=37). Data were collected using the Beck Depression Inventory-II (BDI II) and instruments developed by researchers to measure recurrence and fitness levels. Data were analyzed using frequency distribution, chi-squared, and Mann-Whitney tests. Depression experienced by CHD patients in both groups with mean in non-CR and CR groups of 11.11 (± 7.8) and 8.59 (± 6.5), respectively. There was no significant difference in depression level among the groups (p>0.05)). Meanwhile, as many as 45% of the patients in the CR group and 22% in the non-CR group had never experienced chest pain (recurrence) within the past month. In addition, the physical fitness was perceived increased by 90% of the patients in the CR group and 0% in the non-CR group. It was also found that there were significant differences in the recurrence and physical fitness among the two groups (p

This study aims to determine the influence of information technology and management control systems on employee performance at PT. Adira Dinamika Multifinance Tbk Baleendah Branch. The study was conducted on the employees of PT. Adira Dinamika Multifinance Tbk Baleendah Branch in the marketing division of 33 people. The research data is primary data and the analytical method used is descriptive verification method with quantitative approach and hypothesis testing and through data collection techniques with questionnaires. The statistical test tool used in this study is the Structural Equation Model (SEM) with Partial Least Square (PLS) estimation. The results of this study indicate that: 1) Information technology significantly influences employee performance 2) Management control system significantly influences employee performance

The International Commission on Radiological Protection (ICRP) has recently recommended that the occupational dose limit for the eye lens be reduced to 20 mSv per year, averaged over defined periods of 5 years, with no single year exceeding 50 mSv. ICRP clearly states that the recommendations are chiefly based on epidemiological evidence that suggested the eye lens dose threshold for cataract induction revised downwards from 2-5 Gy to about 0.5 Gy. Interventional medical workers are at greater health risk from radiation exposure to eyes as a result of the procedures they undertake than most other medical specialists. An extensive study has been carried out to measure the eye lens doses received by 373 interventional medical radiation workers in twelve large hospitals in Indonesia. Measurements were made using Thermo Scientific Harshaw thermoluminescence dosimeter (TLD) chip (size 3.2 mm × 3.2 mm × 0.15 mm) put inside an EYE-D holder placed in the worker’s temple. The procedures performed are grouped based on classification made by the UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation). The results showed that in general the measured data are in an agreement with some published data, even though a large range of doses was observed. The highest mean eye lens dose of 0.2378 mSv per procedure was received by interventionists who worked in the abdominal interventions procedure. Overall, from the results of measurement, it can be concluded that most interventionists might receive eye lens dose exceeding the dose limit if the procedures are carried out on daily basis, and the abdominal interventions procedures were found to be the ones that give the highest risk to the eye lens of workers as it delivered the highest dose to this particular organ. 14.00 Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";}

Physical and mental readiness is needed before menarche because pre-puberty girl may feel anxiety and fear. Health education is one way that can be done because it will increase knowledge and information about menstruation so it will affect on good perceptions of menstruation and increase readiness in dealing with menarche. This research aimed to analyse the influence of health education by using audiovisual media on readiness to face menarche. This study uses the literature review method. The research was conducted by using Google Scholar and Proquest databases with keywords to find articles which are appropriate the inclusion and exclusion criteria to be reviewed. The results on reviewed articles, 3 articles prove that audiovisual education about menarche effective to increase readiness in dealing with menarche, 2 other articles prove that audiovisual media is more effective than the education without audiovisual media and leaflets. The conclusion based on 5 reviewed articles proves that audiovisual health education about menarche given to premenarche elementary student affect their readiness to face menarche because it can provide stimulus of sense for hearing and vision, so that the results obtained are more optimal. This review of the information on reproductive health can be used in the fields of education, approval, and community service regarding reproductive health in elementary school students.

Today the competition in the business world is getting tighter, this is indicated by the number of competing companies that have sprung up that are engaged in the same type of business in capturing the market so that consumers buy the products offered and try to keep their customers so as not to turn to the same product from different companies. This study aims to analyze the effect of Brand Image and service quality on customer satisfaction, Brand Image and service quality on customer loyalty, the effect of customer satisfaction on customer loyalty, the influence of brand image and service quality on customer loyalty through customer satisfaction at PT. Bosowa Berlian Motor in Makassar city. To implement these objectives, data collection techniques are used through observation, questionnaires and documentation, using the Partial Least Square (PLS) analysis method. The results of the study found that brand image and service quality had a positive and significant effect on customer satisfaction. Brand image and service quality have a positive and significant effect on customer loyalty. Customer satisfaction has a positive and significant effect on customer loyalty. Customer satisfaction can partially mediate between brand image and service quality on customer loyalty. It can be indicated that the better the quality of service, the more satisfied the customer will be, thus impacting customer loyalty.

This study aims to determine the Effect of leadership sale and work discipline on service Quality and Employee Performance in the Investment Office and One-Stop Integrated service in Makassar city. The approach taken in this study was a quantitative approach with the path analysis method. The population in this study are employees at the Department of Investment and one-stop integrated service or the city of Makassar. Data collection techniques used observation, interviews, and questionnaires while data processing using SPSS (Statistical Product and Service solution) version 23. The results showed that there is a positive and significant influence of leadership style on service quality. There is a negative and insignificant influence of work discipline on service quality, there is a positive and significant influence of leadership style on employee performance, there is a negative and insignificant influence of work discipline on employee performance, there is a negative and significant effect of service quality on employee performance, there ia a positive and significant influence of leadership style on employee performance through quality service. There is a negative and insignificant influence of work discipline on employee performance through service quality.

One of the potential areas as an agro-tourism area in Majalengka Regency is the Sinapeul durian agro-tourism area in Ujungberung Village, Sindangwangi District. However, the Sinapeul durian agro-tourism area has not been running optimally, this is thought to be caused by several factors, namely the absence of a strategy and policy on the management and development of the agro-tourism area. In addition, the cooperation agreement that occurs between the village government and smallholders is not yet clear. The purpose of this study was to analyze the strategy for the development of the durian agro-tourism area and to analyze the contract applied between the village government and the tenant farmers. The research method used is a qualitative method with the Interpretative Structural Modeling (ISM) approach. Interpretative Structural Modeling (ISM) is a well-established methodology for identifying relationships between specific variables that define a problem or issue. Based on the results of research that has been conducted by researchers, there are seven elements that become indicators of agro-tourism area development strategies with the main strategies, namely agro-tourism development innovation, institutional support, promotion and marketing (level 1), strengthening regulations and policies, and investors (level 2), quality development. Human resources and community participation with the village (level 3). In Islam, there are several contract options in agricultural management such as Muzara Mukabarah and Musaqah. A cooperative agreement for agricultural production that is suitable for managing durian crops between land owners and smallholders is to apply the Musaqah contract.

Background: Cardiac chest pain is a typical complaint experienced by patients with Acute Coronary Syndrome (ACS) in Emergency Departments (EDs). Pharmacological therapy is one major intervention used to reduce cardiac chest pain due to ACS. However, this therapy does not optimally and completely reduce cardiac chest pain; therefore, additional therapy is greatly required. Purpose: This study aimed to examine the effect of Dhikr therapy as one of the additional therapies for the cardiac chest pain experienced by patients with ACS in EDs. Methods: This quasi-experimental research was conducted using a pretest-posttest control group design. As many as 52 patients with ACS were recruited using a consecutive sampling technique and then equally divided to the intervention and control group. The intervention group received both pharmacological and Dhikr therapy approximately for 17 minutes, while the control group only received the pharmacological therapy based on the hospital’s protocol. The Numeric Pain Rating Scale (NPRS) was used to measure the intensity of cardiac chest pain, and both paired and independent t-tests were utilized to analyze the data. Results: The results showed that there was a significant difference in pain reduction in both groups ( p =0.000), although the decrease in the intervention group was higher than that in the control group. Furthermore, the pain reduction was significantly different between groups ( p =0.021) Conclusion: Dhikr combined with the pharmacological therapy reduced the intensity of cardiac chest pain in ACS patients better than the use of pharmacological therapy alone. Therefore, this study recommends the combination of pharmacological and Dhikr therapy for patients with ACS.

The purpose of this study is to determine the importance of entrepreneurship, market orientation, knowledge sharing capabilities that are combined with the application of innovation and business strategies to measure the performance of food & beverages SMEs using conventional methods and digital marketing in Makassar that will lead to an increase in the competitiveness of the UKM itself through the perspective of consumer culture theory, applicative resource based view theory and technology acceptance models. The research method uses quantitative approach. Data analysis method used is Partial Least Square (PLS). Data analysis test tool uses Smartpls 3.0 software. The results showed directly stated that all variables have a significant and positive influence, as well as indirectly. directly states all variables have a significant and positive effect.

Aplikasi zoom cloud meetings yang mulai booming digunakan sekarang ini karena adanya pandemi virus corona, sehingga membuat semua kegiatan dilakukan secara virtual. Zoom cloud meetings merupakan aplikasi yang memiliki berbagai fitur termasuk video & audio conference. Pada penelitian ini penulis menggunakan metode Naïve Bayes dan Support Vector Machine dalam menganalisa label sentimen positif atau negatif pada ulasan para pengguna aplikasi zoom di Google Play Store. Jumlah dataset setelah prepocessing menjadi 1.007 record. Data hampir seimbang dengan label positif sebanyak 546 dan label negatif 461 ulasan. Evaluasi model menggunakan 10 fold cross validation diperoleh nilai akurasi dan nilai AUC dari masing-masing algoritma yaitu untuk NB nilai akurasi = 74,37% dan nilai AUC = 0,659. Sedangkan untuk algoritma SVM nilai akurasi = 81,22% dan nilai AUC = 0,886. Dalam penelitian ini dapat diketahui bahwa tingkat akurasi yang didapatkan algoritma Support Vector Machine (SVM) lebih unggul 6,85% dibandingkan algoritma Naïve Bayes (NB). Kata Kunci— Zoom Cloud Meetings, Google Play Store, Virus Corona, Naïve Bayes, Support Vector Machine. Abstract— Zoom cloud meetings application that began to boom is used today because of the corona virus pandemic, so that all activities are carried out virtually. Zoom cloud meetings is an application that has various features including video & audio conferencing. In this study the authors used the Naïve Bayes method and Support Vector Machine in analyzing positive or negative sentiment labels on the zoom users' reviews on the Google Play Store. The number of datasets after prepocessing is 1,007 records. The data is almost balanced with 546 positive labels and 461 negative labels. Evaluation of the model using 10 fold cross validation obtained accuracy values and AUC values from each algorithm, namely for NB, the accuracy value = 74.37% and the AUC value = 0.659. As for the SVM algorithm the accuracy value = 81.22% and the AUC value = 0.886. In this study it can be seen that the accuracy obtained by the Support Vector Machine (SVM) algorithm is 6.85% superior to the Naïve Bayes (NB) algorithm.

One of the foreign exchange earning sectors, encouraging economic growth, increasing regional income, empowering the community's economy, and expanding employment opportunities in the tourism sector. Interestingly a tourist attraction does not necessarily indicate tourist satisfaction with the tourist attraction, which can have an impact on interest in return visits. This study aims to determine e-WOM positive and significant influence on visiting decisions, find out the attractiveness of a positive and significant effect on visiting decisions, know e-WOM has a positive and significant effect on the revisit intention, find out the attractiveness of a positive and significant influence on revisit intention, as well as to determine to visit decision has a positive and significant influence on local tourist revisit intention to attractions in the city of Makassar. The population in this study is the number of tourists determined by 400 respondents. Data collection techniques through questionnaires, literature studies and observations, using path analysis techniques (path analysis). The results showed that directly e-WOM have a positive and significant influence on local tourist visiting decision in the city of Makassar. Attractiveness has a positive and significant influence on tourist visiting decisions. e-WOM has a positive and significant influence on tourist revisit intention. Attractiveness has a positive and not significant influence on tourist revisit intention, and directly, visiting decision has a positive and significant influence on local tourists to revisit intention in the city of Makassar.

The purposes of this study are to measure (1) the effect of Subjective norms to purchase decision, (2) the effect of Attitudes to purchase decision, (3) the effect of Consumer Interest in the relation between Subjective Norms and Attitude toward Purchasing Decision. The population in this research are Muslims who lived in Makassar city with 156 samples as respondents. Path Analysis used as statistical tools to test the hypothesis. The result shows that subjective norms and attitudes significantly affect purchasing decisions and also through consumer interest significantly affects purchasing decisions in the consumable halal product.

Background Nephrotic syndrome causes loss of medium-sized plasma proteins and binding proteins, resulting in thyroid hormone deficiency. Objective To assess for potential correlations between subclinical hypothyroidism in pediatric nephrotic syndrome with albumin, globulin, and proteinuria. Methods This cross-sectional study was conducted in the Department of Pediatrics, Hasan Sadikin General Hospital, Bandung, West Java. All types of nephrotic syndrome patients aged 1 month to < 18 years were included. Blood and urine specimens were collected from the patients for albumin, globulin, thyroid function (T3, fT4 and TSH), and proteinuria tests and analyzed with standard techniques. Results There were 26 subjects, 20 males and 6 females. Ten subjects developed subclinical hypothyroidism, with mean albumin and thyroid-stimulating hormone (TSH) levels of 0.92 g/dL and 6.9 mIU/L, respectively. There was a negative correlation between albumin level and subclinical hypothyroidism (rpb=-0.702; P

Objective The purpose of this research was to analyze the use of an integrated simulation application detection system for early child development and development integrated web-based credit scores “Sisfor-bidanku” to increase the coverage of toddler health services. Method This study was experimental, the subjects were 37 people who served in four health centers connected to the internet network. The pretest was done by a checklist to find out the characteristics and skills of midwives in using the application “Sisfor Bidanku.” Furthermore, the post-test was in the form of a questionnaire to find out the benefits of using the app and its effect on increasing coverage of toddler health services. Results Data were analyzed with the Kruskal–Wallis test with the results of 100% skilled midwives using the application and giving a perception of the usefulness of 100% of 37 midwives as respondents and proved to be able to increase the coverage of toddler health services with an average increase of all health center >7% p-value Conclusion The web-based SEDICD application “Sisfor-Bidanku” is beneficial to be used in implementing the SEDICD program to increase the coverage of toddler health services.

Hepatitis is a common worldwide public health problem that attacks almost every population in various countries. Machine learning has been widely used to classify various diseases, including hepatitis. In this research, the Random Forest algorithm will be used along with the dataset of patients with hepatitis to classify whether the patient's condition will live or die. Missing value and imbalance class exists in this dataset. In that class, the sample of healthy and sick patients that often occurs in the disease dataset. We replace missing values using mean and median and to deal with this imbalance of class, we use cost-sensitive methods to put penalty in classification. A manual selection feature process is also carried out to look for features that can be removed while still maintaining the quality of accuracy and classification. The validation method used is 10-fold Cross-Validation and using Random Forest Algorithm with tuned parameter to find the best result in classifying the class. This research prioritizes classification results by considering the small amount of data and the imbalance of the class, so it can classify the class more successfully and accurate for hepatitis patients. The accuracy value obtained is 85.80%.

The demand for private transportation that comfort, cheap, and good quality has been increasing lately. It caused many companies to launch any car that can answer the request. Refer to Indonesia, people that like most to visit each other and traveling created an increasing demand for this type of car. The Indonesian automotive market launch type of car that has a sedan category but has a small shape, it called the city car. City car has answered the demand for many consumers especially for a little family with two or more children who want to have a small vehicle completed with comfort, cheap and excellent quality features so that my research is to proof is there any relation between quality, price and after-sales service according to consumer satisfaction to 5 best seller refer to web otomotif.kompas.com, they are Toyota Agya, Daihatsu Ayla, Honda Brio Satya, Suzuki Wagon R15 dan Datsun GO+. The result of this research is proving that quality, price, and after-sales service has a connection to consumer satisfaction

The Council of Ta’lim is a non-formal educational institution managed by a community and contributes to the development of human resource particulary in terms of religious teaching. The research aims to study various activities carried out in the Council of Ta’lim of Jamiyyatul Ummahat South Jakarta toward the improvement of its human resources. This research applies qualitative methods using case study approach. Data were collected through observations, interviews, and documentation and then analyzed using Miles and Huberman’s interactive model analysis. The results showed that the human resources in the Council are improved through a number of activities, such as coaching activities for leaders and managers, trainings and educational competitions. These activities have indirectly contributed to the improvement of human resources as well as increased the community participation.

Road pricing basic rationale argues that congestion occur as the result of an increasing number of travellers who use private transportation mode, instead of public transport. Road pricing could influence road users’ choice of transportation mode. An electronic road pricing (ERP) is planned to be implemented in Jakarta, the capital of Indonesia, while the public acceptance of the policy is not yet known. This study aims to describe public acceptance of road pricing with the influence of the differences in socio-demographic condition (Model 1), traffic management strategies perception (Model 2), and road pricing revenue allocation perception (Model 3). The data is collected from 356 respondents in Jakarta. This study uses logistic regression (logit) modelling to facilitate the discrete nature of the data especially public acceptance as a dependent variable that is categorized as a binary answer. The results show that Model 1 is not significant, Model 2 shows that perception on road pricing is significant and finally Model 3 is significant, especially if road pricing revenue is allocated to develop public transport, to increase road connectivity, and to protect the environment.

The student study period is one of the factors that show a student's academic performance. Universities are required to be able to keep students able to complete their studies on time so that there is no buildup of the number of students who have not graduated. Therefore, from the academic data students conducted data mining classification using naive Bayes algorithm. But because of the many attributes, to speed up this naive Bayes modeler, it is supported by the selection of the forward selection feature. In the Selection process, the feature generates 5 selected attributes that affect the dataset. While from this classification process obtained the accuracy value of the prediction model naive Bayes increased from 90.00% to 92.94% after adding a forward selection feature. With this high accuracy score, prediction models can be applied in policymaking to prevent students from graduating on time.

Objective The objective of this study was to analyze the ease of web-based applications called sisfor_bidanku for midwives in health centers to assess the development of children aged 0–2 years. Method This study has received a recommendation of ethical approval with protocol number UH19070398. This research was conducted in the posyandu which is the working area of Campalagian health center, Polewali Mandar district, west Sulawesi, Indonesia. As many as 20 midwives were given the training to detect children's development using sisfor_bidanku application. After they are proficient, they are asked to use the application. The midwives were then given a questionnaire containing questions whether the application was easier to use compared to conventional methods based on paper recording. Result There is no statistically significant difference in their views on the ease of use of the application to detect the development of children 0–2 years when compared with conventional methods. Nevertheless, it appears that the frequency of midwives who answered that the application is easier when compared to conventional methods. Conclusion The use of applications is easier when compared to conventional ways of detecting child development, but it requires longer socialization and uses so that midwives are more accustomed and feel easy.

Background: The Early Warning Score (EWS) system has been recommended for early identification tool of deterioration. However, its implementation has not been optimal; one of which is due to the low level of knowledge and understanding of EWS among nurses.Purpose: This study aimed to determine the effects of EWS tutorial simulation on nurses’ knowledge and clinical performance.Methods: This study employed a pretest posttest quasi-experimental design with a control group. Purposive sampling was used to recruit the samples of 42 respondents each in the intervention group and control group. The data were collected using the questionnaires to measure the knowledge and clinical performance, and analyzed using Chi square, Wilcoxon and Mann-Whitney tests.Results: The results showed that there were differences in the pre-test and post-test of knowledge and clinical performance in the intervention group and control group (p

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education. Objective : The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL). Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life. Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used. Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p =.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively. Conclusions : Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.

Patient satisfaction is a patient's level of feeling that arises as a result of the performance of health services obtained after the patient compares with what he expected so that patient satisfaction is needed quality service. The purpose of this study is to determine the relationship between the quality of health services and the level of patient satisfaction. This study uses an analytical research design with a cross-sectional approach. The sample in this study were 47 respondents. The study was analyzed using chi-square test results of the study showed that the independent variable that is the perception of the quality of health services consisting of five dimensions has a relationship with patient satisfaction is reliability with p = 0.000, responsiveness with p = 0.000, guarantee with p = 0.002, empathy with p = 0,000 and physical evidence with p = 0,000. The conclusion of this study is the relationship between the quality of service reliability with patient satisfaction, there is a responsive relationship with patient satisfaction, there is a guaranteed relationship with patient satisfaction, there is an empathy relationship with patient satisfaction and there is a relationship of physical evidence with patient satisfaction. The advice is expected to health workers to continue to improve the quality of health services in order to achieve patient satisfaction.

The unemployment rate in Indonesia is still high, dominated by a low-educated workforce. One solution to reduce the unemployment rate is to send workers abroad. Problems often occur with migrant workers in the informal sector, due to the minimal level of protection from the user country so as from the Indonesian government. The Indonesian government issued a policy to limit the sending of migrant workers in the informal sector, especially to middle eastern countries. This policy brings the consequences for the Indonesian government to provide alternative employment opportunities in the country. This study aims to identify leading sectors and analyze their development strategies. The development of leading sectors is expected to expand employment opportunities for local communities thereby reducing interest in working abroad, especially in the informal sector. Research uses quantitative and qualitative approaches. Data analysis using the Analysis Hierarchy Process (AHP) method. Data collection was carried out in Cilacap Regency, Central Java Province, as the largest regency for sending migrant workers in Central Java. The results showed the leading sectors in Cilacap Regency were the Agriculture and Processing Industry Sector. As for the development strategy, the most important factor is the development of human resources and the development / management of natural resources. Short-term Development Plans and Long-Term Development The Cilacap Regency Government must focus on leading sectors

Introduction: Stress experienced by the baby will affect the body’s function by increasing the body’s metabolism. Nesting is used to reduce stress in premature babies. Nesting can be done in a supine or prone position. Few studies have examined the effects of body position on body weight and oxygen saturation. The objective of the study was to determine the difference in oxygen saturation and weight change on the use of nesting in the prone and supine positions in premature babies. Methods: The research used a quasi-experimental design. The sample consisted of 30 premature babies, which was obtained using a consecutive sample technique. The independent variables were nesting positioning (supine and prone), and the dependent variables were oxygen saturation and body weight. The data of oxygen saturation and the baby’s weight were collected using pulse oximetry; the baby’s weight scale used observation sheets. The data was analysed using the t-test, Wilcoxon Sign Ranks Test, and Mann Whitney U Test. Results: The results showed that there was a difference in oxygen saturation before and after the use of nesting in the supine (p=0.001) and prone position (p=0.000). There was a weight difference before and after the use of nesting in both supine (p=0.000) and prone position (p=0.000). There was no difference in oxygen saturation value and infant weight, before or after, between the supine position and the prone position (p=0.18; p=0.9). Conclusion: The use of nesting in both positions (supine or prone) can increase oxygen saturation and infant weight. Researchers recommend the use of nesting with supine or prone positions routinely in premature babies.

Artikel ini dilakukan untuk melihat sejauh mana pembinaan keagamaan para mualaf didapatkan. Karena sebagai seorang muslim yang baru mengenal Islam, tentu membutuhkan sebuah pembinaan keagamaan agar memudahkannya dalam memahami ajaran-ajaran tentang Islam. Hal ini bertujuan untuk dapat mendeskripsikan bagaimana pembinaan keagamaan yang dilakukan oleh keluarga mualaf dan bagaimana hasil dari pembinaan keagamaan mualaf terhadap agama Islam, yang sesuai dengan muslim pada umumnya. Sehingga penelitian ini dapat menjadi role model masyarakat dalam melakukan pembinaan keagamaan terhadap mualaf. Metode penelitian ini menggunakan pendekatan kualitatif dengan metode analisis deskripsi untuk mengetahui lebih jauh tentang pelaksanaan pembinaan keagamaan bagi beberapa keluarga keluarga Mualaf. Hasil dari penelitian ini menunjukkan bagaimana proses pembinaan pendidikan agama Islam yang dilakukan oleh beberapa keluarga mualaf dengan beberapa cara dan metode untuk meningkatkan keteguhan iman mereka terhadap agama Islam. Sehingga menjadikan keimanan mereka kokoh dan menjadikan pribadi seorang muslim yang utuh dan agar terhindar dari kembalinya mereka kepada kepercayannya yang lama.

Kepuasan pelanggan merupakan suatu pemenuhan harapan pelanggan yang dirasakan sesuai dengan ekspektasi yang diharapkan. Tujuan penelitian Mengetahui pengaruh langsung dan tidak langsung serta besaranya antara faktor Customer Relation Management (CRM), Customer Engagement, Kualitas Layanan, Trust dan Costumer value Terhadap Kepuasan Peserta PBPU BPJS Kesehatan KC Depok Tahun 2018. Desain penelitian cross sectional. Populasi penelitian keseluruhan peserta di BPJS Kesehatan KC Depok. jumlah sampel dalam penelitian ini adalah smpel 130 peserta PBPU yang berkunjung ke KC Depok. Metode analisis menggunakan SmartPLS 2.0 dan SPSS 16. Hasil penelitian menunjukkan variabel CRM 24,58%, Customer Engagement 19,50 %. Kualitas Layanan 11,93%, Trust 14,36%,Costumer value 6,13%. pengaruh langsung CRM terhadap Customer Engagement 49,96%, CRM terhadap kualitas layanan 66,42%, CRM terhadap Trust 4,38%, CRM terhadap customer value 30,80%, Customer Engagement terhadap kualitas layanan 4,58% Customer Engagement terhadap Trust 15,21%, Customer Engagement terhadap customer value 16,77 Kualitas Layanan terhadap Trust 30,66%, Kualitas Layanan terhadap customer value 11,01%, Trust terhadap customer value 14,54%. Dengan demikian dapat ditarik kesimpulan bahwa paling mempengaruhi Kepuasan Peserta PBPU BPJS Kesehatan KC Depok, dikarenakan CRM merupakan keseluruhan proses membangun dan memelihara hubungan peserta khususnya PBPU dengan BPJS kesehatan yang akan meminimalisir penurunan kualiatas pelayanan sehingga dapat meningkatkan pelayanan yang lebih baik. BPJS Kesehatan KC Depok diharapkan dapat memberikan pelayanan terbaik bagi npeserta sesuai dengan nilai dasar untuk tercapainya kepuasan pelanggan.

Background: Schizophrenia is a mental disorder with a high incidence and relapse due to a lack of family support. Families do not understand how to treat patients with schizophrenia. There are several factors related to the family’s abilities in treating patients with schizophrenia, there are the level of family’s knowledge, perception, and burden. Objective: This study aimed to describe the knowledge, perception and burden of family in treating patients with schizophrenia who experience a relapse. Methods: The research used descriptive quantitative method. Samples were selected by consecutive sampling technique and obtained 100 respondents. Data were collected by a questionnaire consisting of family knowledge and perception developed by the researcher, and Zarit Burden Interview scale was used to measure the family burden. Data were analyzed using percentages, score T, and the Zarit Burden Interview analysis. Results: Findings showed that 31 respondents (31%) had good knowledge, 42 respondents (42%) had sufficient knowledge, and 27 respondents (27%) had insufficient knowledge. In terms of perception, 66 respondents (66%) had a positive perception and 33% had a negative perception. In addition, 42 respondents (42%) had moderate to heavy burden levels, 23 respondents (23%) had a very heavy level of heavy burden, and 3 respondents (3%) with very heavy levels of burden. Conclusions: Based on the results, it is necessary to increase the frequency of health education for the families. In addition, it is also important to hold a sharing program between families to reduce family burden.

Intolerance behaviors that are not anticipated may give birth to the danger of radicalism both psychologically and physically. This study aims at exploring the way to select and discover informational sources related to the topics; at investigating a means of estimating, accepting, and determining the best thing in the future; at analyzing a means of building new knowledge associated with gained information; and discovering a means of providing and broadcasting information on the website. This study used case study method in order to observe the reality of information literacy and the danger of intolerance among the net generation Observation findings show that the doctrine of intolerance was spread through group discussions of religious Student Activity Unit (UKM). The massive spread of radical viruses is supported by the dominance of the internet as the main medium in information searching. The condition is made worse by low information literacy skills. The results of this study expected to be able to be used as references relating to information literacy for the net generation to anticipate the danger of intolerance which is the forerunner of radicalism. The results showed that the low reading abilities led to a conservative interpretation of religious meanings, which considered one’s understanding more correct and accused others as infidels. This phenomenon can be seen from the discovery of limited new knowledge. Hence, the knowledge of information literacy must be introduced in lecture rooms and within intra-university activities.

BACKGROUND: Allergic asthma is a degenerative atopic disease caused by allergic or hypersensitivity type-1. More than 50% of people with allergic asthma are caused by the presence of house dust mites (HDMs) allergens. METHODS: The cellular immunity response was evaluated through a peripheral blood mononuclear cell (PBMC) culture isolated from blood, using the ficoll gradient technique. Subjects were atopic asthma groups and non-atopic asthma groups. PBMC from each subject cultured was stimulated with HDMs allergen, then incubated in a CO2 5% incubator, 37o C for 72 hours. With the multiplex assay method, interferon (IFN)-γ, interleukin (IL)-13 and IL-10 were measured, meanwhile indoleamine 2,3-dioxygenase level (IDO) was measured by the enzyme-linked immunosorbent assay (ELISA) sandwich methods. RESULTS: The IFN-γ production in the supernatant of PBMC cultures was stimulated by phytohemagglutinin (PHA), Roswell Park Memorial Institute (RPMI) medium and allergens. The IFN-γ production in allergen-stimulated supernatants showed higher level of IFN-γ in the nonatopic group (4,681,455±3,434,851) than atopic group (4,363,300±2,067,941) even though it was not statistically significant ( p =0.078). There were no differences between the mean of IL-13 production in atopic asthma group and non-atopic group. The IL-10 production in allergenstimulated supernatants was shown to be higher in nonatopic group and were statistically significantly different ( p =0.015). The IDO production in allergen-stimulated supernatants was shown to be higher in the non-atopic group (272,231±269,564) than in the actopic group (13,273±400), and it was significantly different (p=0.007). CONCLUSION: Cellular immune profile of subjects with allergic asthma to Dermatophagoides pterronyssinus (Der p) is characterized by a type-2 inflammatory response that is dominant compared to type-1 inflammation (higher IL-13 ratio compared to IFN-γ) and to the role of anti-inflammation (higher IL-13 ratio compared to IL-10). The decline in IDO production in allergic asthma subjects to Der p is thought to be related to the low cellular immune response in expressing IFN-γ compared to IL-13. KEYWORDS: interleukin-13, interleukin-10, IDO, PBMC, asthma

Pekalongan Batik is a typical batik originating from Central Java Pekalongan, Pekalongan batik has been well known in various regions in Indonesia. Nowadays batik is an Indonesian culture so every company or government institution requires using batik on one day during their working hours. Pekalongan batik producers in Central Java, of course, have difficulty in marketing their products, especially marketing outside Central Java. E-Commerce is one of the solutions to these problems. Internet networks that are not limited to space and time can of course make it easier for manufacturers to market their products. E-Commerce is the best solution, as a marketing and promotional media for Pekalongan batik by anyone, anywhere and anytime. Use of PHP programming language, SQL database and adobe Dreamweaver application is used to design this online sales website with the SDLC (Systems Development Life Cycle) method in applying the website creation method