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Is hypoalbuminemia a predictor marker of mortality? Siti Maemun; Nina Mariana; Surya Otto Wijaya; Dina Oktavia; Vivi Lisdawati; Rita Rogayah
Health Science Journal of Indonesia Vol 11 No 2 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v11i2.3072

Abstract

Latar belakang : Hipoalbuminemia pada pasien rawat inap berkaitan dengan prognosis buruk pasien. Penelitian ini, mengidentifikasi bahwa hipoalbuminemia berat pada awal pasien masuk rawat inap sebagai prediktor andalan penanda laboratorium dalam mortalitas. Metode : Sebuah studi cross sectional pada pasien dewasa dengan hipoalbuminemia (kadar albumin < 3,5 g / dL) pada pasien rawat inap (usia > 18 tahun) pada periode Januari 2013 - Maret 2018. Kami mengevaluasi penanda prediktor kematian. Multivariat dengan regresi logistik diterapkan dalam penelitian ini. Hasil : Dari 747 hipoalbuminemia pada pasien rawat inap dengan rata-rata kadar albumin pada awal adalah 2,0 ± 0,6 g / dL. Sebagian besar pasien (83,4%) memiliki kadar albumin ≤ 2,5 g / dL (hipoalbuminemia berat), 16,6 persen memiliki > 2,5 g / dL (hipoalbuminemia ringan-sedang). Kondisi yang mendasari pasien adalah infeksi HIV / AIDS (26,9%) dan sepsis (26,6%). Proporsi multiple komorbiditas pada kelompok hipoalbuminemia berat adalah 55,1 persen Pada kelompok hipoalbuminemia berat terutama untuk kadar albumin 2,01 - 2,5 g / dL, angka mortalitas adalah 28,3 persen. Berdasarkan model regresi logistik akhir, faktor risiko kematian meliputi kadar albumin pada awal dan lama rawat pasien. Mortalitas lebih tinggi pada pasien dengan hipoalbuminemia berat (rasio odds yang disesuaikan 2,91, 95% CI 1,88-4,50) dibandingkan pasien dengan hipoalbuminemia ringan-sedang. Kesimpulan: Hipoalbuminemia berat pada awal pasien rawat inap sebagai prediktor penanda kematian di rumah sakit. Kata kunci: hipoalbuminemia, pasien rawat inap, mortalitas Abstract Background: Hypoalbuminemia in hospitalized patients has been associated with poor prognosis. In this study, we attempted to identify that severe hypoalbuminemia at baseline in hospitalized patients is a reliable predictor of laboratory marker for mortality. Methods: A cross sectional study on adults of hypoalbuminemia (albumin level < 3.5 g/dL) in hospitalized patients (aged > 18 years old) in period January 2013 - March 2018. We evaluated the predictor marker of mortality. Multivariate with the logistic regression was applied in this study. Results: Of the 747 hypoalbuminemia in hospitalized patients with the mean albumin level at baseline was 2.0 ± 0.6 g/dL. Most patients (83.4 %) had less than or equal to 2.5 g/dL albumin level (severe hypoalbuminemia), 16.6 percent had over 2.5 g/dL (mild-moderate hypoalbuminemia). The underlying condition of patients was HIV/AIDS infection (26.9%) and sepsis (26.6 %). The proportion of multiple comorbidities in the severe hypoalbuminemia group was 55.1percent. In the severe hypoalbuminemia group especially for 2.01 – 2.5 g/dL albumin level, the mortality rate was 28.3 percent. Based on the final logistic regression model, known risk factors of mortality include albumin level at baseline and length of stay. Mortality was higher among patients with severe hypoalbuminemia (adjusted odds ratio 2.91, 95 % CI 1.88-4.50) than patients with mild-moderate hypoalbuminemia. Conclusion: Severe hypoalbuminemia at baseline in the hospitalized patients was a predictor laboratorymarker of hospital mortality. Keywords: hypoalbuminemia, hospitalized patients, mortality
Network Analysis Trough Scape and Flow Tourism Promotion in Bintan Regency Jaya Hermawan; Evi Novianti; Awaludin Nugraha; Uud Wahyudin; Dina Oktavia
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6764

Abstract

This study describes the concept of network through the dimensions of scape and flow. To build an analytical framework that describes the two dimensions of the network, a literature study from various sources is carried out that discusses the context of tourism promotion. This analytical framework is then elaborated through the results of in-depth interviews with twenty informants who represent the main tourism stakeholders in Bintan Regency. The informants, among others, represent elements of the government, the private sector, academia, and the community. To strengthen the analysis, especially related to the development of tourism promotion which can be directly or indirectly seen from the trend of key tourism indicators in Bintan Regency, a literature review from various books, journals, research references and online news sources from the internet is used. The Result Main finding, established networks seldom play significant role in tourism promotion as they are viewed as already settled. While tourism promotion strategy tends to inherently shows innovation, so it won’t be viewed as repetitive or redundant. This then affect engagement in post-Pandemic tourism, as shown with Bintan Regency case.
Community Participation Process in Community-Based Tourism Development in Waerebo Traditional Village, Manggarai Regency, Flores Ary Sendjaja Suhandi; Evi Novianti; Dina Oktavia; Alexader M.A Khan; Wita P. Simatupang
ASEAN Journal on Hospitality and Tourism Vol. 20 No. 2 (2022):
Publisher : Centre For Tourism Planning and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5614/ajht.2022.20.2.05

Abstract

Waerebo traditional village is one of the villages in Flores that has managed to rise through tourism development. The tourism business in Waerebo is owned and managed by the community. This study aims to determine the process of community participation in the development of community-based tourism. This study uses a qualitative method. Primary data were collected through observation and in-depth interviews with institutions and parties involved in the development. Assistance with a participatory approach through the placement of facilitators to live with the community is carried out by partners from the Waerebo Cultural Conservation Institute. The training activities followed by practice by the community, accompanied by facilitators, have shown good results. The community is involved in all stages, from planning, implementing activities, and evaluating activities. Community participation from planning to implementation is essential in developing CBT and maintaining destination resilience. The CBT approach is able to increase people's income, help maintain traditional houses, forest roads, provide diesel and solar electricity, and improve their children's education.
Pendekatan Sistem Pembelajaran Di UPT SMP Negeri 27 Medan Dina Oktavia; Irma Tussa’diah Hasibuan; Khoirun Nisa; Maulidayani Maulidayani
Wawasan : Jurnal Ilmu Manajemen, Ekonomi dan Kewirausahaan Vol. 2 No. 1 (2024): Januari : Jurnal Ilmu Manajemen, Ekonomi dan Kewirausahaan
Publisher : Fakultas Teknik Universitas Maritim AMNI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58192/wawasan.v2i1.1537

Abstract

This article discusses the learning systems approach. One approach that can be used to determine. The quality of the educational process is a systems approach. Through systems approach, can be seen various aspects that influence the success of a process. Learning is referred to as a system because it contains components which are interrelated and influence each other. Teachers, students, materials, Methods, media, facilities and infrastructure are components contained in learning. Availability and the effectiveness of each of these components is then determined will determine the success of learning. And the type of research method used is qualitative research where the data we take is based on observation, interviews and documentation.
Strategi Komunikasi Digital Dalam Mengembangkan Urban Farming Sebagai Solusi Lingkungan Berkelanjutan Dina Oktavia; Yuni Amelia; Fitri Ammara Azhar; Radha Alizha; Widya Natasya; Nayla Abdullah
Jurnal Warta Dharmawangsa Vol 20, No 1 (2026)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/wdw.v20i1.8226

Abstract

Hambatan Implementasi Standard Operating Procedure (SOP) Front Office Dalam Penanganan Komplain Tamu Jesica Widi Purba; Dina oktavia
JIBEMA: Jurnal Ilmu Bisnis, Ekonomi, Manajemen, dan Akuntansi Vol. 4 No. 1 (2026): July
Publisher : CV. Muris Global Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62421/jibema.v4i1.687

Abstract

Industri perhotelan merupakan salah satu sektor jasa yang sangat bergantung pada kualitas pelayanan untuk menciptakan kepuasan dan loyalitas tamu. Front Office sebagai departemen yang berinteraksi langsung dengan tamu memiliki peran penting dalam memberikan pelayanan serta menangani berbagai komplain yang muncul selama tamu menginap. Namun, dalam praktiknya implementasi SOP masih menghadapi berbagai hambatan yang dapat memengaruhi efektivitas penanganan komplain tamu. Penelitian ini bertujuan untuk menganalisis hambatan implementasi SOP Front Office dalam penanganan komplain tamu di Hotel Grand Sakura Medan serta mengidentifikasi upaya yang dilakukan untuk mengatasi hambatan tersebut. Penelitian menerapkan pendekatan kualitatif dengan teknik pengumpulan data berupa observasi, wawancara mendalam, dokumentasi, dan juga studi kepustakaan. Informan penelitian terdiri atas Supervisor Front Office dan beberapa staf Front Office yang terlibat langsung dalam penanganan komplain tamu. Namun, pelaksanaannya masih dipengaruhi oleh beberapa hambatan, antara lain tingginya beban kerja pada saat peak hour, perbedaan karakter dan ekspektasi tamu, keterbatasan kewenangan staf dalam mengambil keputusan, serta koordinasi antarbagian yang belum sepenuhnya optimal. Hambatan tersebut menyebabkan proses penyelesaian komplain memerlukan waktu lebih lama sehingga berpotensi memengaruhi kepuasan tamu. Untuk mengatasi permasalahan tersebut, pihak hotel melakukan briefing sebelum operasional, pelatihan pelayanan prima, evaluasi SOP secara berkala, serta meningkatkan koordinasi antara Front Office dengan departemen terkait. Penelitian ini menarik kesimpulan bahwasanya keberhasilan penerapan SOP tidak semata-mata bergantung pada adanya panduan tertulis, namun juga dipengaruhi oleh kompetensi sumber daya manusia, komunikasi yang efektif, dukungan manajemen, serta koordinasi yang baik antarbagian. 
Penerapan Intervensi "Pelangi Emosi" Berbasis Seni dalam Meningkatkan Kemampuan Regulasi Emosi Anak Berkebutuhan Khusus di Panti Asuhan X Arthauli Claudya Agnescia Ambarita; Dina Oktavia; Shienny Felynda; Pamela Heng Lukas; Hanna Christina Uranus
YASIN Vol 6 No 5 (2026): YASIN: Jurnal Pendidikan dan Sosial Budaya
Publisher : Lembaga Yasin AlSys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/yasin.v6i5.10662

Abstract

Emotion regulation is an individual’s ability to control behaviors that are inconsistent with the emotions experienced and to manage oneself so as not to depend on either negative or positive moods. Based on observations and interviews conducted during the implementation of the Merdeka Belajar Kampus Merdeka Program at Orphanage X, children with special needs exhibited various emotional challenges, such as tantrums, impulsive behavior, and difficulties expressing emotions. This study aims to develop and evaluate an activity-based intervention module to improve the emotion regulation abilities of children with special needs at Orphanage X. The study employed a research and development method comprising the stages of needs analysis, design, trial, and evaluation. The intervention module integrates collective painting activities, educational games, video presentations, and emotion activity sheets designed for easy implementation by caregivers. The results of the module implementation showed improvements in the children’s ability to recognize emotions, a reduction in negative emotional responses, and increased social participation. The novelty of this study lies in the integration of collective art activities as a medium for emotion regulation, systematically organized and adapted to the characteristics of the children at Orphanage X. This study provides a practical contribution in the form of an original and applicable intervention module to support caregivers in facilitating the emotional and social development of children with special needs.