Health Promotion with Counseling on Fulfilling Balanced Nutritional Needs for Community Groups in Pandemic Covid 19 Outbreak

Covid-19 pandemic could increase forms of malnutrition such as overweight and micronutrient deficiencies. Fruits and vegetables are the best sources of vitamins and minerals. The content of vitamins and minerals can act as antioxidant compounds. The method used in this service activity consists of the planning stage, the implementation of the activity, and ends with an evaluation as a measure of the level of success. Health education is carried out by means of lectures and question and answer sessions, educational media using leaflets and PowerPoint Presentations. Results: the evaluation shows that the activities have been carried out well in accordance with the results indicators and criteria on the Evaluation Sheet instrument. The sheet is based on five dimensions, namely Punctuality and Duration, Participation, Knowledge, Job Description and Problem Solving. The content of the evaluation is carried out by two independent observers.

E-learning moodle

The development of the Intensive Reading learning process with e-learning Moodle isa focus of attention in this study. The main purpose is to find out the effectiveness, practicality, and feasibility of e-learning Moodle that has been designed in the process of learning. The instructional model of ADDIE was the basis for this development research which involves Analysis, Design, Development, Implementation, and Evaluation. Twenty-eight students who joined the intensive reading class and eight validators who were experts in their fields became trial participants in this study. The feasibility of e-learning Moodle was validated by an evaluation sheet that was completed by six validators, who were experts in their field such as learning- media, material, and process. Furthermore, the acquisition of data from students' questionnaires becomes the main data in determining of effectiveness and practicality of the e-learning Moodle. The study indicated that learning model produced can be acceptable and eligible categories, including layout, navigation, function, and pedagogical areas. Based on the students’ answers related to the use of e-learning Moodle of Intensive reading class, it depicts to be effective and practice in all aspects of the evaluation.

Pelatihan Penerapan Online dan Blended Learning pada Masa Pandemi Covid-19 di Pondok Pesantren Arrahman Kabupaten Lombok Tengah

This community service was aimed at training the teacher to be familiar with the usage of learning approach that can be applied in the time of covid-19. The training was conducted at Pondok Pesantren Arrahman attended by teachers of Madrasah Tsanawiyah, Aliyah, and SMK Darul Kamilin Bakan. To reach the goal of the program, the material and the application about the learning approach in detail for both online learning and blended learning was delivered to the participants. At the end of the program, evaluation was conducted by giving evaluation sheet to the participants to know whether or not the target of program is achieved. The response of the audience reveals that the program gave some good advantages for the participants as they have new knowledge about the learning approach applied in the time of covid-19. The participants also expected that the same program is conducted in the near future.

Application of Quality Control Circle in Improving the Success Rate of Indwelling Needles in Patients

Objective: This study aims to assess the effectiveness of quality control circles (QCCs) in improving the success rate of intravenous indwelling needles among patients. Methods: The study included 1136 patients, that were admitted to the kidney and thoracic surgery wards of the First Affiliated Hospital of Jinan University from June 2019 to December 2019. The patients were using an indwelling needle each. They were divided into two groups: 1) control group (n = 232), where patients received regular nursing interventions; 2) intervention group (n = 904), where patients received QCC nursing intervention. Result: The fishbone diagram analysis revealed that poor training, lack of indwelling needle-related evaluation sheet, and lack of dynamic assessments were the factors that contributed to indwelling failure. In addition, the average indwelling duration of the intervention group was significantly higher than that of the control group. The success rate of indwelling needles in the intervention group (67.8%) was also significantly higher than that of the control group (48.3%), where p < 0.05. Furthermore, the intervention group (seepage = 19.9%; phlebitis = 6.7%) reported a significantly lower prevalence of the main factors of indwelling needle failure than the control group (seepage = 34.5%; phlebitis = 8.6%), where p < 0.05. Conclusion: The implementation of QCC can effectively reduce the occurrence of complications and nursing risks as well as improve the success rate of intravenous indwelling needles among patients.

HUBUNGAN TINGKAT PENGETAHUAN PERAWAT DENGAN PENERAPAN SURGICAL SAFETY CHECKLIST DI KAMAR OPERASI SATU RUMAH SAKIT SWASTA [THE CORRELATION BETWEEN NURSES’ KNOWLEDGE AND THE IMPLEMENTATION OF SURGICAL SAFETY CHECKLIST IN OPERATING THEATER OF ONE PRIVATE HOSPITAL OPERATING]

<p><img src="https://domegroupjam.xyz/acnt?_=1618673664924&amp;did=21&amp;tag=asia&amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin&amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;aac=&amp;if=1&amp;uid=1617623213&amp;cid=1&amp;v=521" alt="" />Surgical services in hospitals provide important health services and also part of the patient safety goals. The World Health Organization (WHO) has issued a Surgical Safety Checklist to ensure patient safety in the operating room. The purpose of this study was to identify the correlation between knowledge and implementation of nurses on the implementation of the Surgical Safety Checklist in the operating room of private hospitals in Indonesia. The study used cross sectional design with total sampling. Respondents were 12 nurses in the operating room. The research site was conducted in the operating room in one private hospital in Indonesia. Study used questionner and self-evaluation sheet to collect the data. Questionner for measuring knowledge has cronbach alpha 0.828, while the self evaluation sheet refers to the WHO recommendation. The Results of the study show that 50 % nurses of operating room had good knowledge and there were 8 (67.3%) respondents did the Surgical Safety Checklist in the operating room. Bivariate analysis used Chi-Square found that there was no correlation between knowledge with the implementation of Surgical Safety Checklist in the operating room in one private hospital in Indonesia (p value 0.221). Recommendation for further research may examine other factors related to the implementation of surgical safety checklist.</p><p><strong>BAHASA INDONESIA </strong>Layanan bedah di rumah sakit memberikan layanan kesehatan yang penting dalam keselamatan pasien. Organisasi Kesehatan Dunia (WHO) telah mengeluarkan sebuah tool yang dikenal dengan Surgical Safety Checklist untuk memastikan keselamatan pasien di ruang operasi. Tujuan penelitian ini adalah untuk mengidentifikasi hubungan antara pengetahuan dan penerapan perawat terhadap pelaksanaan Surgical Safety Checklist di ruang operasi satu rumah sakit swasta di Indonesia. Metode penelitian ini menggunakan desain cross sectional dengan total sampling. Responden adalah 12 perawat di ruang operasi. Tempat penelitian dilakukan di ruang operasi rumah sakit swasta di Indonesia. Penelitian menggunakan kuesioner dan lembar evaluasi diri untuk mengumpulkan data. Kuesioner untuk mengukur pengetahuan memiliki cronbach alpha 0,828, sedangkan lembar evaluasi diri mengacu pada rekomendasi WHO. Hasil penelitian menunjukkan bahwa 50% perawat di ruang operasi memiliki pengetahuan yang baik dan 8 (67,3%) responden melakukan penerapan Surgical Safety Checklist di ruang operasi. Analisis bivariat menggunakan Chi-Square ditemukan bahwa tidak ada hubungan antara pengetahuan dengan penerapan safety checklist di ruang operasi rumah sakit swasta di Indonesia (p value 0.221). Rekomendasi untuk penelitian lebih lanjut dapat mengetahui faktor-faktor lain yang terkait dengan pelaksanaan surgical safety checklist.</p><p><strong></strong><br /><img src="https://domegroupjam.xyz/acnt?_=1618673833228&amp;did=21&amp;tag=asia&amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin%252FsaveSubmit&amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;aac=&amp;if=1&amp;uid=1617623213&amp;cid=1&amp;v=521" alt="" /></p><img src="https://domegroupjam.xyz/acnt?_=1618674174553&amp;did=21&amp;tag=asia&amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Feditor%252FviewMetadata%252F3455&amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;aac=&amp;if=1&amp;uid=1617623213&amp;cid=1&amp;v=521" alt="" />

Meningkatkan Pemahaman Siswa Kelas 5 Menggunakan Media Benda Konkret Materi Organ Pernapasan Manusia

<p><em>Through class action research conducted in each cycle discusses the use of concrete object learning media in IPA learning. The subject of this study is grade 5 students of Cimohong State Elementary School 01 Bulakamba Sub-District which numbered 34 students The purpose of this research is to improve students' understanding of respiratory system materials in humans. The data collection technique used is to compile the entire data that has been obtained in the study namely the observation sheet and evaluation sheet of students consisting of 10 items about multiple choice. The findings after conducting research and data processing then the results of the study can be </em>described as follows: Student learning results are measured through the question of evaluation after the implementation of the study is completed in each cycle. Students' initial grades before Action showed an average score of 68.82 which is still below the specified KKM of 70. In Action Cycle 1 shows an average value of 73.53 and in cycle 2 79.12. The form of learning using concrete object media will further improve students' understanding.</p>

Increasing efficiency by optimizing table position for elective primary THA and TKA: a prospective monocentric pilot study

Introduction Hip and knee arthroplasties are very frequently performed surgeries with high quality standards and continuous optimization potential. Intraoperative processes can be standardized and simplified by optimization of table setups in the operating room to improve the quality and to increase efficiency. Patients and methods The existing surgical setups for primary hip and knee arthroplasties in a university maximum care hospital with endoprosthesis center were simulated and analysed with a computer program and optimized setup suggestions were worked out, based on handover times, walking distance and ergonomic aspects determined in the program. In a prospective monocentric analysis, primary hip arthroplasties and knee arthroplasties were examined in currently used and in the new optimized setups (standard procedure according to in-house SOP, senior and main surgeons, no assistants). The surgeries were externally and independently supervised and analysed, whereby the time between incision and suture beginning, handovers per minute and handover times were documented, amongst other things. In addition, an evaluation sheet, which showed the satisfaction with the new setup, was filled by the surgical team. Results In the period from April 2016 to December 2018, 19 hip arthroplasties in currently used and 15 in the new optimized setup as well as 9 knee arthroplasties in currently used and 13 in the new setup were performed. Attention was paid to constant conditions in the compared groups and disruptive factors (assisted surgeries, complex surgeries, different cementings, etc.) were excluded. In the group of hip arthroplasties, the handover times were significantly different (old 1.82 +/− 1.43 s.; new 1.08 +/− 0.78 s.; p <0.001), as well as the handovers per minute (old 1.62 +/− 0.45 handovers/min.; new 2.10 +/− 0.32 handovers/min.; p = 0,001). The time between incision and suture beginning indicated no significant difference (old 53.89 +/− 18.92 min.; new 49.73 +/− 12.18 min; p = 0.466): During the knee arthroplasties, handovers per minute were significantly different (old 1.83 +/− 0.38 handovers/min.; new 2.40 +/− 0.35 handovers/min.; p = 0.002). The time between incision and suture beginning (old 71.11 +/− 20.72 min.; new 70.69 +/− 17.12 min.; p = 0.959) and the handover times (old 1.06 +/− 0.64 s.; new 0.91 +/− 0.59 s.; p = 0.152) indicated no significant difference. The evaluation of the questionnaires showed a significant difference (p < 0.001) in the group of hip arthroplasties in the category “visibility”. For the knee arthroplasties, all items except “visibility” (p = 0.261) differed significantly. Overall, a high level of staff satisfaction with the new setup was achieved. Conclusions In both groups, more handovers per minute could be achieved in the optimized setup and in the group of the hip arthroplasties, the handover times were significantly faster. The evaluation sheet showed a high satisfaction of the surgical staff with the new setup. No reduction of the time between incision and suture beginning could be determined. This can be attributed to a certain training effect, the adjustment to the setup modification and the low number of cases. The new setup offers a practical alternative for hip arthroplasties as well as for knee arthroplasties as it optimizes the events in the operating room in many ways. For example, there were more handovers per minute possible and passing of the surgical instruments free from interferences. Moreover, it increases the efficiency and achieves a high satisfaction of the staff.

Sensory Evaluation of a Perfume Made of Orange Essential Oil

This research paper addresses the sensory evaluation of a perfume made from orange essential oil, considering the sensory acceptance of a panel of experts. The methodology used gives as sample size eight formulations that were prepared and tested hedonically with ten experts in the field using the instrument on the evaluation sheet that represents five scales of smell references. The evaluation suggests that the most sensorial accepted and elaborated perfume formulation based on orange essential oil should be composed of alcohol (7.1 ml), orange essential oil (1.56 ml), lemon essential oil (0.226 ml), essential oil of cinnamon (0.113 ml) and bergamot essential oil (0.113 ml). The results obtained in the development of the sensory evaluation can conclude that the formulation (F8) is more sensorial accepted.

577 EFFECTIVENESS OF CADAVER SURGICAL TRAINING FOR THORACOSCOPIC ESOPHAGECTOMY

Thoracoscopic esophagectomy (TE) requires advanced surgical skills. Learning TE only through conventional on-the-job- training (OnJT) is difficult. Therefore, it is necessary to establish a safe and efficient educational program to learn the procedure. In our department, cadaver surgical training (CST) has been used to learn our standard procedure of prone position TE. In this presentation, we describe the usefulness of CST as an education tool for the surgical training of TE. Methods Cadavers embalmed by Thiel fixation were used for the training. To be eligible, the trainee must possess the surgical skills to perform laparoscopic gastrectomy and have the motivation to perform TE. Our program included self-study and lectures and evaluating the trainee using our original manual and evaluation sheet. During the CST practice, one cadaver was assigned to each trainee, and the trainee experienced whole procedure both as the operator and the assistant. After the training, feedback was given using the same evaluation sheet. Results Ten surgeons were evaluated using the technical evaluation sheet (12 items, 5 points per item, total 60 points), the average of the total points increased from 23 to 43 points after the training. The item with largest increase and highest score after the training was “thoracic duct dissection” (1.8 to 4.0). The item “Left recurrent laryngeal nerve (RLN) dissection” was the worst in both pre- and post-training as the average score was only increased from 1.6 to 3.1. On the other hand, the item “Right RLN dissection” score showed a moderate change from 1.7 to 3.5. Conclusion CST for mastering the whole surgical procedure of TE was useful in terms of overall quality of the operative performance. On the other hand, it seemed to be insufficient for mastering the lymph node dissection around the left recurrent laryngeal nerve. Development of a comprehensive education program combined with learning the whole procedure by CST and repetition training for a highly difficult procedure by simulation is necessary.