International Journal of Multidisciplinary Learners
Journal title : International Journal of Multidisciplinary Learners Abbreviation : IJML Frequency : 6 issues per years Editor in chief : apt. Sri Yolandari, S.Farm., M.Si Publisher : Politeknik Baubau International Journal of Multidisciplinary Learners (IJML) is a peer-reviewed journal in the field of health sciences and economics. This journal is designed as a forum for disseminating information and knowledge, which is published sixth a year in February, April, June, August, October, December. This journal has been established since it’s first issue published in October 2024 under the name International Journal of Multidisciplinary Learners (IJML) which is managed by the Pusat Penelitian dan Pengabdian Kepada Mayarakat (PPPM) Politeknik Baubau.
Lip Balm Formulation Contains Pear Peel Ethanol Extract (Pyrus brethschneideri)
Pear peel (Pyrus bretschneideri) contains vitamin C, flavonoids and anthocyanins that have the potential to protect the lips from dryness and chapping due to sun exposure. This study aims to formulate a lip balm from pear peel ethanol extract (Pyrus bretschneideri) and determine the optimal formulation and physical stability test. The research was carried out using laboratory experimental methods, the extraction method used was the maceration method using 96% ethanol solvent using variations of lip balm formulations: F0 (without extract), F1 (3 g), F2 (6 g), and F3 (9 g). The results showed that pear peel extract (Pyrus bretschneideri) could be formulated as a lip balm and the optimal formula of the lip balm preparation was formula 1. Organoleptic tests show F1 to F3 has a semi-solid shape, color varies from yellowish to brownish-yellow, odor varies from waxy to waxy and a slight pear aroma. The homogeneity test indicates that F0 and F1 are homogeneous, while F2 and F3 are not homogeneous due to the deposition of active ingredients. The pH test results ranged from F0, which is pH 6.18, to F3, which is pH 6.26. The applicator power test had good results and did not show any striking color intensity. The melting point of lip balm is 52.8°C (F0) to 56.2°C (F3). The vitamin C level test increased from 0.193 mgEQ/g (F0) to 4.684 mgEQ/g (F3). The antioxidant activity in this study was found in F3 with a value of 123.00 μg/mL, including a value with moderate antioxidant activity.
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Formulation Of Red Dragon Fruit Extract Lipstick Preparation (Hylocereus polyrhizus)
Lipstick is a cosmetic primer that adds a creative touch to lip color and enhances the visual appeal of facial makeup. Red dragon fruit (Hylocereus polyrhizus), has anthocyanin pigments that make it useful as a natural color pigment to prepare lipstick formulas. The purpose of this study is to find out that red dragon fruit extract (Hylocereus polyrhizus) can be used to make lipstick preparations and assess the stability of lipstick preparations using red dragon fruit extract. Meanwhile, this type of research is an experimental research, where the sample is extracted using the maceration method, with the solvent used being 96% ethanol and an additional 1% citric acid. This study was made in 4 lipstick formulations with different concentrations, namely F0 (0%), F1 (5%), F2 (10%) and F3 (15%). The results of this study show that the F0 lipstick preparation produces a beige yellow color, F1 is pale purple, F2 and F3 are purple. The smell produced is the distinctive smell of oleu rosae, solid shape and soft texture. The Formula F0, F1, F2 and F3 has a pH of 6, and is non-irritating and stable at cold (16oC), room temperature (25oC) and high temperature (45oC). Then at the stage of Homogeneity Test, pH Test, Stability Test has met the test requirements so that the lisptick is safe to use.
Indonesia's rich biodiversity, including herbal plants, is a gift that needs to be preserved. Herbal plants in a region have their own uniqueness, including the people of Lalibo Village, Mawasangka Tengah District, who have long used plants as a source of their medicine. This can be used as an source of information on medicinal plants. Etnopharmacy is a study of how a particular community or region uses medicinal plants, as well as examining the use of medicines, especially traditional medicines, by local communities (ethnicities). Lalibo Village is one of the villages that has the potential for plant diversity that is used for traditional medicine. This study aims to identify the types of herbal plants, how to use them, and the processing of medicinal plants by the people of Lalibo Village. The use of medicinal plants is one way to find new medicines in modern times, traditional medicinal plants are usually the main source of the emergence of modern medicines. The method used is descriptive qualitative with data collection techniques through observation, selection of informants, interviews, questionnaires, documentation, and identification. Informants were selected using the snowball sampling technique with a total of 19 people. The results of the study showed 40 types of plants used by the community, including turmeric as a medicine for vaginal discharge and menstrual pain, betel leaves as a medicine for vaginal discharge, and penicillin as a medicine for wounds. The part of the plant that is often used is the leaves, with a percentage of 55%, while the most common way of processing is by boiling, with a percentage of 42.5%.
Determination Of Total Hardness (CaCO3) and (MgCO3) of Well Water in Sampuabalo Village by Complexometry Titration Method
Water has a very important role for humans in meeting daily needs, such as drinking, cooking, washing, transportation, agriculture, and industry. One of the properties of water that needs to be considered is disparity, which is a characteristic of water caused by the presence of divalent metal ions, such as calcium (Ca²⁺) and magnesium (Mg²⁺), which can react with soap and produce crust. In this study, the complexity titration method was used because it has an advantage in the quantitative analysis of metal ion levels in water samples. This method has high selectivity for metal ions, easy implementation, and good accuracy in measuring the total hardness of water. With the right indicators, the color change at the equivalent point can be clearly observed, thus providing reliable results in determining water hardness. This study aims to determine the total hardness of well water in Sampuanbalo Village using the complexity titration method. Samples were taken from three wells located in lowlands, temperate plains, and highlands. The results of the analysis showed that the total hardness level in the form of CaCO₃ in the samples of wells in the lowlands was 312 mg/L, 286 mg/L, and 332 mg/L. Meanwhile, in the wells in the lowlands, the modified CaCO₃ levels were 286 mg/L, the medium plains were modified 180 mg/L, and the highland was modified 266 mg/L. Meanwhile, The total hardness level in the form of MgCO₃ in lowland wells was 262.08 mg/L, medium plains 240.24 mg/L, and highlands 278.88 mg/L. In lowland wells modified MgCO₃ levels were 240.24 mg/L, medium plains modified 156.34 mg/L, and plateau modified 223.44 mg/L. Although cooked water showed a decrease in soberness levels, However, the nature of the hard water is still included in the category of hard water.
Formulation of Lotion Preparation From Basil Leaf Extract (Ocimum Basilicum) as an Anti Mosquito Repellent
Basil plant ( Ocimum basilicum ) is one of the traditional medicinal plants known to have various properties. Basil leaves ( Ocimum basilicum ) contain compounds such as saponins, flavonoids, tannins and essential oils, where flavonoids have toxic properties through their sharp aroma. The purpose of this study was to determine the formulation of making basil leaf extract lotion ( Ocimum basilicum ) as a mosquito repellent, using the maceration method. The results of the study showed that formula 1 preparation did not have basil leaf extract ( Ocimum basilicum ) so that in this preparation the skin was often infested by mosquitoes, formula 2, namely the preparation that had basil leaf extract ( Ocimum basilicum ) 1% in this preparation mosquitoes still landed on the skin, formula 3, namely the preparation that had basil leaf extract ( Ocimum basilicum ) 3% in this preparation mosquitoes were rarely or few landed on the skin and formula 4 with basil leaf extract ( Ocimum basilicum ) 5% in this preparation mosquitoes did not land on the skin. In this study basil leaf extract ( Ocimum basilicum ) can be an anti-mosquito lotion formula. A good and effective lotion as an anti-mosquito is found in formula 4 with basil leaf extract ( Ocimum basilicum ) 5%. The test results met the physical stability test requirements, but not for the spreadability test, with formula 4 as the most effective with 5% active substance.
Determination of Vitamin C Levels in Red Apples ( Malus domestica ) and Green Apples ( Malus silvestris ) Using The Iodimetric Method
Apple is one of the best types of fruit and is very much liked by people because of its different taste and rich nutritional and vitamin content, especially vitamin C. This study aims to determine the level of vitamin C in red apples (Malus domestica) and green apples (Malus silvestris). One of the chemicals that has many benefits for human health is vitamin C. This is a laboratory experiment using iodimetry, which is a direct titration process between iodine and vitamin C. The results of the I2 standardization test showed an I2 concentration of 0.0652 N. For testing vitamin C levels, the average value at the end of the titration for red apples (Malus domestica) was 27.54048 mg and for green apples (Malus silvestris) was 45.9008 mg. Therefore, it can be concluded that green apples (Malus silvestris) have higher levels of vitamin C than red apples (Malus domestica).
Effectiveness Test of Soursop Leaf Ethanol Extract (Annona muricata L) as a Healer of Incision Wounds On Mice (Mus musculus) Skin
Soursop leaves (Annona muricata L.) are one of the traditional plants that are useful for healing wounds. Wounds are a condition that is often experienced by everyone, whether with mild, moderate or severe severity. Wounds are damage to part of the body's tissue. This study aims to determine the effectiveness of soursop leaf ethanol extract (Annona muricata L.) as a healer of incision wounds on mice (Mus musculus) skin. The method used in making the extract is the maceration process of simplicia using 96% ethanol. The test animals consisted of 15 white mice (Mus musculus), which were divided into 5 treatments. The first treatment was negative control (aquadest), the second treatment was positive control (povidone iodine 10%), the third treatment was extract 0.1 grams, the fourth treatment was 0.2 grams and the fifth treatment was 0.3 grams. In each treatment, an incision was made on the back of the test animal. The treatment was given once a day for 14 days. The results of this study indicate that ethanol extract of soursop leaves (Annona muricata L.) can accelerate the healing of incision wounds in test animals, mice (Mus musculus), namely with the treatment of 0.3 grams of extract. The results of the anova statistical test on incision wounds in mice using soursop leaf extract obtained a significance value of P> 0.05 (at a level of 0.05, namely 0.000 <0.005), meaning that each treatment gave a meaningful difference (significant), for this it is necessary to continue with testing the average difference of each treatment with the Post hoc tests LSD test.
Analysis of the Readiness for the Implementation of Electronic Medical Records at Faga Husada General Hospital in 2024
Faga Husada General Hospital plans to transition to electronic medical records (EMRs), requiring a preparation assessment. According to the Ministry of Health Regulation No.24 of 2022, all healthcare facilities must implement EMRs. The regulation mandates that every healthcare facility in Indonesia manage electronic medical records, with the transition process to be completed by December 31, 2023. This study aims to assess the hospital's readiness for implementing EMRs. The research conducted is descriptive quantitative with a cross-sectional approach, using the DOQ-IT (Doctor's Office Quality-Information Technology) tool. The sample size is 8 participants, and data were collected via a questionnaire. The analysis of readiness for EMR implementation using the DOQ-IT method assessed four variables: organizational culture preparedness, governance and leadership, human resources, and infrastructure. The results showed that organizational culture preparedness scored an average of 33, placing it in the "very prepared" category. Governance and leadership scored 33.12, human resources scored 32.8, and infrastructure scored 32.4, all also in the "very prepared" category. Overall, the hospital's readiness for EMR implementation is classified as very high, indicating that Faga Husada General Hospital is well-prepared for the transition.
Analysis of Human Resource Needs (Hr) of Medical Record Officers Using The Abk-Kes Method at The Sorawolio Health Center
Workload Analysis (ABK), which is the calculation of health human resources based on the workload carried out by each human resource in each health service facility in accordance with its main tasks and functions. This study aims to determine the number of medical record officers needed using the ABK-Kes method, namely determining health facilities and types of human resources, knowing the available working hours of medical record personnel, knowing the workload components and time norms of medical record personnel, calculating the SBK of medical record personnel, calculating STP and supporting task factors for medical record personnel, and calculating the need for medical record personnel. This research was carried out at the Sorawolio Health Center. The method used in this study is Health Workload Analysis (ABK-Kes) with descriptive quantitative analysis. The population in this study uses 6 medical record officers. In this research, the sample was taken using a total sampling technique, which covered the entire population of medical record officers totaling 6 people. The results of the calculation of the need for health Human Resources (SDMK) for medical records at the Sorawolio Health Center obtained from the results of the calculation are 7 officers from the results of the calculation of the Case ABK, so it is not in accordance with the needs of medical record officers at the Sorawolio Health Center. So it is necessary to add 1 medical record officer to be in accordance with the calculations made.
Review of the Implementation of Release of Disease-Related Health Information on the Medical Resume of ER Patients
Healthcare providers are responsible for maintaining the security of health data contained in medical records from potential loss, damage, falsification, or unauthorized access given that medical information is confidential. Therefore, in the implementation of information release, it is necessary to have approval from the patient himself. This study aims to determine the implementation of the release of disease-related health information on the medical resume of emergency room patients at Baubau City Hospital, using qualitative research methods with a descriptive approach. The data collection technique uses observation and interview methods. The research subjects were 1 doctor, and 3 nurses who were on duty in the ER installation. The object of the study is the implementation of the release of disease-related medical information on the medical resume of the ER patient, data analysis using interactive analysis. The research at Baubau City Hospital confirms that there is an established Standard Operating Procedure (SOP) for the release of medical information, and it is being properly followed. However, a challenge arises when family members seek information about the patient’s condition, as details can only be shared with individuals authorized by the patient. To address this, the hospital informs families about the confidentiality of medical information and emphasizes that only authorized persons can receive it. The study concludes that while the SOP for information release is effectively implemented, managing unauthorized information requests remains a challenge.
Analysis of the Satisfaction Level of Bpjs Patients with Outpatient Registration Services
Puskesmas is an important and affordable form of health services and facilities for the entire community, and its location is easily accessible in each village or sub-district is the main reason people choose Puskesmas as a place to seek treatment.The outpatient registration place is the front service unit for each puskesmas. Patient registration services must be able to include important information about patient social data, one of which is the Bataraguru health center, especially in outpatient registration. The purpose of this study was to determine the level of satisfaction of BPJS patients with outpatient registration services based on five dimensions, namely, Reliability, Assurance, Empathy, Tangible, Responsiveness. This type of research uses quantitative descriptive research, this research design uses Cross Sectional and the type of sample used is Accidental Sampling. From the results of research conducted at the Bataraguru Health Center, Bau-bau City, it is known that of the 61 respondents, 57% stated that patients were very satisfied, 73% stated that patients were satisfied, and as many as 18% of patients were quite satisfied. In the Assurance variable, 50% stated that patients were very satisfied, 62% stated that patients were satisfied, and as many as 14% of patients were quite satisfied. In the Empathy variable, 62% stated that the patient was very satisfied, 62% stated that the patient was satisfied, and 14% of patients felt quite satisfied. In the Tangible variable, 52% stated that patients were very satisfied, 63% stated that patients were satisfied, 6% of patients were quite satisfied and 16% of patients were dissatisfied. In the Responsiveness variable, 91% stated that patients were very satisfied, 63% of patients were
Analysis of Medical Record File Storage System Management Using the Pieces Method
Medical records are documents that contain patient identity data, examinations, treatment, procedures and other services that have been provided to the patient. Medical record file storage space is an important part of medical record management. From the research carried out, it was found that there was more than one storage area and a lack of storage shelves which caused misfiles to occur. The aim of this research is to identify the problems faced in the medical record storage system and provide recommendations to improve efficiency, control and service at Faga Husada Hospital. This type of research uses a qualitative method with a descriptive approach with the subjects in this research being 2 people, namely the filing officer and the head of medical records as triangulation. The research results show that there are obstacles in the medical record storage system, such as lack of storage shelves, unavailability of air conditioning, lack of lighting in the storage room, non-optimal control system and delays in returning files which still need to be improved. Recommendations given include adding storage shelves, providing air conditioning, improving lighting facilities, improving the control system and improving procedures for returning medical record files.
Evaluation of The Implementation of Outpatient Electronic Medical Records (EMR) at BLUD Kota Baubau Hospital Using The Tam Method
BLUD RSUD Kota Baubau has 18 clinics that have implemented Electronic Medical Records since March 2022. Electronic Medical Records (RME) improve service delivery by offering faster, more accurate, and higher-quality care compared to paper records. health Service providers include hospitals, where the outpatient unit is a key department. Outpatient services cater to patients who do not require hospitalization. This study aims to evaluate the implementation of electronic medical records in this context in outpatient installations of BLUD RSUD Kota Baubau with aspects of benefits, convenience and interest. The research employs qualitative analysis with a descriptive approach. Data collection involves observation, interviews, and literature reviews. Problem identification is carried out using the Technology Acceptance Model (TAM), focusing on three key aspects: usability, ease of use, and behavioral intention. The interview results obtained from this study based on The perceived usefulness of electronic medical records is evident as it significantly speeds up and enhances the efficiency of officers' tasks. Interviews highlight that the system's ease of use simplifies and quickens the service process at the outpatient unit. Additionally, the behavioral intention aspect reveals that users find the electronic medical records indispensable and are enthusiastic about its ongoing use plan to use RME in the future.
Analysis of Outpatient Medical Record Files Based on Accreditation Standards at The Karobengke Community Health Center
File Analysis is a review of specific areas of the medical record to identify specific deficiencies. The designated areas are usually written in a procedure developed jointly by the health information manager and the health care provider in accordance with the medical staff rules and policies of the administration and the facility in question and the standards of licensing, accreditation and certification materials. This study aims to determine the analysis of medical record files for outpatients at the Katobengke Health Center in 2024. The method used is using a descriptive type of approach with a quantitative approach and the method of data collection techniques using interview methods, and observation. The population in this study amounted to 2,752 BRM. Sampling using random sampling technique and compressed using a formula which amounted to 96 BRM. The highest level of completeness in the identification component is the name subcomponent with a total of 95 with a percentage value of 99%. The highest level of completeness in the important report component is in the Complaints, Diagnosis, and Visit Date subcomponents with a total of 96 medical record files with a completeness percentage value of 100% The highest level of completeness in the authentication component is in the doctor's name subcomponent with a total of 86 medical record files with a completeness percentage value of 89%. The highest level of completeness in the correct documentation component is in the Legible Writing subcomponent with a total of 36 medical record files with a completeness percentage value of 37%. The suggestion for this study is that the hospital should conduct socialization or counseling to doctors, nurses and / or midwives to complete each available sheet to be completed.
The Role of BUMDes Bisaea in Increasing Village Original Income and Community Welfare
This research uses a qualitative descriptive approach. With the aim of knowing the role of BUMDes Bisaea in increasing Village Original Income and community welfare. The types of data used are primary data in the form of questionnaires and secondary data in the form of financial reports and BUMDes report data. The results of this study show: 1) The role of BUMDes Bisaea in increasing Village Original Revenue (PADes) in Lasalimu Village shows that despite the potential and efforts of the community in maintaining and utilizing the results of business entities, BUMDes Bisaea has no role in PADes in Lasalimu Village during the period 2019 to 2023. 2) BUMDes Bisaea has the potential to contribute to the improvement of community welfare in Lasalimu Village, but the results show that the current program implementation has not improved community welfare in the aspects of security, health, education and economic capability.
Management of Village Fund Allocation (Add) in Realizing Good Governance in Baruta Lestari Village, Sangia Wambulu District
The aim of this research is to find out how Village Fund Allocation (ADD) is managed in realizing good governance in Baruta Lestari Village. The research method used is a qualitative descriptive method, with data collection techniques through in-depth interviews with village officials, direct observation of the fund management process, as well as documentation studies related to regulations and reports on ADD use. The research results show that the Management of Village Fund Allocation (ADD) in Baruta Lestari Village has implemented the principles of Good Governance, in the planning, implementation and accountability processes. The conclusion of this research is that in general, based on the results of research on the management of Village Fund Allocations (ADD) in realizing good governance in Baruta Lestari Village, the Management of Village Fund Allocations (ADD) in Baruta Lestari Village has been carried out in accordance with Permendagri No. 113 of 2014, includes planning, implementation and accountability involving the community. ADD management in Baruta Lestari Village is in accordance with the principles of Good Governance, especially in terms of transparency and accountability in reporting. However, there needs to be an increase in the aspect of community participation in monitoring village funds. The suggestion put forward is for the village government to carry out more outreach to the community regarding the importance of their role in supervision, as well as building a reporting mechanism that is more easily accessible to the community.
Analysis of Financial Ratio as an Indicator of Financial Performance
The financial performance of a company can be known and measured using Financial ratio analysis is one of the instruments to analyze financial statements in a company. This study aims to determine the financial performance of PT Pos Indonesia by analyzing the ratio of liquidity, solvency, activity, and profitability. To assess the financial performance of PT Pos Indonesia, the purpose of this study is to find out the condition and performance based on financial ratios. The data used is secondary data. The type of research used is a type of quantitative descriptive research that aims to find factual information about the objects used in this study, namely financial statements in the form of balance sheets and income statements of PT Pos Indonesia for the period 2021 to 2023. The data analysis method used is a quantitative data analysis method. The results of the research from the liquidity ratio of the quick ratio position are said to be good while the current ratio and cash ratio are said to be poor. The solvency ratio of the debt to asset ratio is said to be unhealthy or unstable and the debt to equity ratio is said to be good. When viewed from the ratio of activities, the effectiveness level of PT Pos Indonesia is in poor condition because it is decreasing every year. The profitability ratio of NPM and ROE is said to be good while ROA is not in good condition.
Midwifery Care for Mrs. Y Labor with Premature Rupture of Membranes
Background: The rupture of the mother's amniotic membrane before labor begins is commonly referred to as premature rupture of membranes (KPD). This can occur after the fetus has developed in the womb or before 37 weeks gestation. Objective: To provide midwifery care to the delivery mother Mrs.Y GVPIVA0 gestation 38 weeks 1 day with premature rupture of membranes (PROM) in the delivery room of Puskesmas Wajo. Methods: Case study with descriptive approach using 7 Varney steps and SOAP intervention method. Subject: The one taken in this case was Mrs. Y. Result: From this study, it was obtained in Mrs. Y that there were no problems found when dealing with cases of premature rupture of membranes (PROM). When dealing with cases of premature rupture of membranes in Mrs. Y, a 500 ml Ringer lactate infusion was given. In addition, an infusion of 5 IU of oxytocin was given as much as 20 drops to accelerate and strengthen contractions, and care was monitored from stage I to stage IV. Conclusion: The mother and fetus were found to be in good condition, as evidenced by TTV within normal limits, and the case study results, which were obtained using Varney's 7-step management and documentation in the form of SOAP from stage I to stage IV, were all normal and without any complications.
Antenatal Midwifery Care For Mrs. “F” Gip0a0 with Chronic Energy Deficiency at Bungi Health Center
Background:Chronic Energy Deficiency (CED) in pregnancy begins with the risk of CED and is characterized by low energy reserves, as measured by Upper Arm Circumference (LILA) below 23.5 cm. Objective: To provide midwifery care to Mrs. “F” (G1P1A0) who experiences chronic energy deficiency at Bungi Health Center, BauBau City. Subject: The subject of this research is a pregnant woman, namely Mrs. “F” who experiences Chronic Energy Deficiency problems. Method: This research uses a case study approach with Varney's 7 step management and SOAP. Results: Subjective data shows Mrs. F, 23 years old, 20 weeks 5 days pregnant, complained of lack of appetite and tired quickly when doing activities. Objective data shows LILA measurements: 20.5 cm, body weight (BB): 43 kg, and blood pressure (BP): 110/0 mmHg. Analysis shows Mrs. F experiences chronic energy deficiency. Management is carried out in collaboration with nutrition officers to provide Supplementary Food (PMT) to pregnant women with KEK. Conclusion: After being given PMT, Mrs. F increased from 43 kg to 44.5 kg, and LILA from 20.5 cm to 21.3 cm. Suggestion: Health professionals are expected to maximize the implementation of comprehensive midwifery care to provide more effective services and improve the quality of midwifery services.
Newborn Midwifery Care For Baby Mrs. "M" With Low Birth Weight Baby at Puskesmas Wolio Baubau City
Background: Low Birth Weight Infants (LBW) are a serious health concern due to a higher risk of mortality in the first 28 days of life. According to WHO (2019), LBW is a baby with a birth weight of less than 2500 grams. LBW babies are atn high risk of stunting, decreased intellectual ability, and other health problems that threaten the quality of human resources in the future. Objective: This study aims to provide effective midwifery care for newborns with LBW at Puskesmas Wolio in 2024. Methodology: This study used Varney's 7-step approach and SOAP to handle LBW cases at Puskesmas Wolio and direct observation of the results. Results: The management of Mrs. "M" with LBW included temperature monitoring, nutrition, routine weighing, infection prevention, and breastfeeding counseling. There were no significant obstacles during the study. The baby's weight increased from 2300 grams to 2550 grams, with normal vital signs. Conclusion and Suggestion: Midwifery care with Varney's 7-step approach and SOAP for baby Mrs. "M" with LBW at Puskesmas Wolio showed positive results. The problem solving process is well done, and there is no gap between theory and case. This study proves the effectiveness of midwifery care and can be a reference for other health workers.
Family Planning Midwifery Care for Mrs. N Implant Acceptor with Oligomenorrea Problems at Bataraguru Health Center
Background: The Family Planning (KB) Program is a very important preventive health service for women and is an integral part of national development efforts.Objective:The ability of midwives to provide family planning assistance to implant recipients with oligomenorrhea problems at the Barataguru Health CenterSubject: The subjects selected were cases of implants with oligomenorrhea problems.Method:The research on midwifery care used was a case study, with Varney's 7-step midwifery management approach and SOAP.Results:The results of the subjective and objective data evaluation obtained Subjective data The mother said that she came to the health center for a consultation because she felt anxious and worried about her condition due to the long distance between menstrual cycles. indicating a diagnosis of implant contraception with oligomenorrhea problems. Objective data Weight before contraception: 65 kg Weight after contraception: 60 kg. Height of the mother: 163 cm Blood pressure: 120/80 mmHg. Pulse rate 98x / minute Temperature: 36.5 ⁰c Breathing: 20x / minute Analysis Diagnosis: Mrs. "N" with an implant contraception acceptor who feels stressed, anxious and worried about her condition because of her long menstrual cycles Conclusion: Midwifery services for Mrs. "N" who received a contraceptive implant who experienced stress, anxiety and worry due to her irregular menstrual cycles can be carried out properly. Actions taken include providing information on health status, advice on overcoming oligomenorrhea, psychological support and proper nutrition.Background: The Family Planning (KB) Program is a very important preventive health service for women and is an integral part of national development efforts.Objective:The ability of midwives to provide family planning assistance to implant recipients with oligomenorrhea problems at the Barataguru Health CenterSubject: The subjects selected were cases of implants with oligomenorrhea problems.Method:The research on midwifery care used was a case study, with Varney's 7-step midwifery management approach and SOAP.Results:The results of the subjective and objective data evaluation obtained Subjective data The mother said that she came to the health center for a consultation because she felt anxious and worried about her condition due to the long distance between menstrual cycles. indicating a diagnosis of implant contraception with oligomenorrhea problems. Objective data Weight before contraception: 65 kg Weight after contraception: 60 kg. Height of the mother: 163 cm Blood pressure: 120/80 mmHg. Pulse rate 98x / minute Temperature: 36.5 ⁰c Breathing: 20x / minute Analysis Diagnosis: Mrs. "N" with an implant contraception acceptor who feels stressed, anxious and worried about her condition because of her long menstrual cycles Conclusion: Midwifery services for Mrs. "N" who received a contraceptive implant who experienced stress, anxiety and worry due to her irregular menstrual cycles can be carried out properly. Actions taken include providing information on health status, advice on overcoming oligomenorrhea, psychological support and proper nutrition.
Economic Analysis, Effectiveness and Efficiency of Budget Use in Infrastructure Projects
This research aims to analyze and measure the economy, effectiveness and efficiency of budget use in infrastructure projects. The population in this research is budget realization reports. The sampling technique used in this research is the 2018-2022 Budget Realization Report. The research method is a quantitative descriptive type that uses primary data and secondary data. The data collection techniques used in this research are documentation and interview techniques. The data analysis technique uses ratio analysis. The economic level of use of the South Buton Regency Public Works and Spatial Planning Department's budget for 2018-2022 is included in the very economical category. This shows that the Public Works and Spatial Planning Department of South Buton Regency, in achieving budget realization, has used its budget well in the sense of being able to save costs. The level of effectiveness in using the South Buton Regency Public Works and Spatial Planning Department's budget for 2018-2022 is in the quite effective category. This shows that the Public Works and Spatial Planning Department of South Buton Regency, in achieving the realization of the expenditure budget, has achieved enough to realize it maximally from the budget that has been set to achieve the target or organization. The level of efficiency in using the South Buton Regency Public Works and Spatial Planning Department's budget for 2018-2022 is in the very efficient category. This shows that the Buton Regency Public Works and Spatial Planning Service.
Antenatal Midwifery Care for Mrs."H"Gip0a0 with Chronic Energy Deficiency at Sorawolio Health Center
Background: Chronic Energy Deficiency (SEZ) is when a person has a low nutritional status as a result of consuming insufficient amounts of macro-energy-rich foods. Since the needs of pregnant women are usually increased, the exchange of almost all substances is very active during the third trimester. Therefore, food consumption must increase, especially the consumption of foods that contain the energy necessary to meet the needs of the mother and fetus, thus lowering energy expenditure that causes hunger, and is also known as SEZs. Objective: To be able to provide obstetric care to pregnant women to Mrs." H" GIP0A0 with chronic energy shortage problem at the Sorawolio Health Center. Subject: The subject in this study is a pregnant woman, namely Mrs. "H" with the problem of Chronic Energy Deficiency Method: This study uses a case study approach with 7-step variation and SOAP management. Results: Subjective data obtained on Mrs. H, 26 years old, 27 weeks pregnant, complained of lack of appetite and easily felt tired when doing homework. Objective data were obtained, through the measurements of LiLA: 20.7 cm, BB: 44 kg, and BP measurement: 120/80 mmHg. The analysis obtained was Mrs. H, 26 years old GIP0A0 with chronic energy deficiency. The management carried out is the provision of supplementary food (PMT) and encouraging mothers to consume moringa leaf vegetables. Conclusion: After the administration of PMT and the combination of clear vegetables with moringa leaves, there was an increase in initial BB from 44 kg to 46 kg and LILA from 20.7 cm to 22 cm.
Analysis of Receivables Turnover and Inventory Turnover in Measuring the Financial Performance of Perum Bulog
The purpose of this study was to determine the turnover of receivables and inventory turnover in measuring the financial performance of Perum BULOG Baubau Branch Office in accordance with industry standards. The data collection techniques used are observation, documentation, the analysis method used in this research is qualitative. By using the analysis of accounts receivable turnover ratio and inventory turnover ratio. The results of this study indicate that: 1) Based on the receivables turnover ratio, the financial performance of Perum BULOG Baubau Branch Office can be categorised as poor. The drastic decline in sales and significant fluctuations in accounts receivable turnover indicate that the company faces major challenges in maintaining operational stability and credit management efficiency. The overall results of the data analysis indicate that Perum BULOG Baubau Branch Office needs to improve its sales strategy and receivables management to generate better and more stable performance. 2) Based on the inventory turnover ratio, the financial performance of Perum BULOG Baubau Branch Office is unstable in inventory management. The data shows instability in inventory management, in 2020 Perum BULOG had a very high inventory turnover ratio, but other years showed a low turnover ratio. This instability shows that Perum BULOG Baubau Branch Office has difficulty in balancing inventory needs with sales. In 2019, 2022, and 2023, the low inventory turnover ratio indicates that Perum BULOG faces efficiency issues in selling inventory. This could lead to inventory build-up, which impacts storage costs and potential losses due to the decline in value of goods.
Postnatal Midwifery Care for Mrs. "I" with Complaints of Breast Milk Congestion at Bungi Health Center
Background: Breast engorgement is an event where the venous and lymphatic flow is blocked, the flow of milk becomes obstructed and pressure on the breast milk ducts (alveoli) increases. This event is caused by the accumulated milk not being released so it becomes blocked. In Indonesia, the incidence of mothers experiencing breast engorgement is still very high. Objctive: This study aims to implement postnatal midwifery care for Mrs. "I" who experienced breast milk engorgement at Bungi Health Center, Baubau City. Sample/Research Object: The subject of the study was Mrs. "I", a patient who experienced breast milk engorgement. Method: This study used a case study method with the Varney 7-step and SOAP approaches. Data collection was carried out through primary and secondary data. The stages of the study include assessment, identification of actual diagnoses/problems, identification of potential problems, immediate action, care planning, implementation of care, evaluation, and documentation. Results: The results of the case study showed that there were no obstacles in handling breast milk engorgement in Mrs. "I". The entire management process went smoothly without complications, both for the mother and the baby. Vital signs were within normal limits, indicating good health conditions. Conclusions : This study emphasizes the importance of implementing Varney's 7-step management and documentation in SOAP format to ensure effective and professional midwifery care. It is expected that midwives can provide quality services without distinguishing the patient's social status.