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Abstrak :
Perubahan gaya hidup seiring perkembangan zaman membuat kronotipe manusia semakin bervariasi. Kronotipe malam diketahui banyak dijumpai pada kalangan remaja akhir. Pola irama sirkadian memiliki hubungan dengan sistem imun dan penyakit alergi. Rinitis alergi merupakan penyakit alergi yang paling banyak dijumpai pada kalangan remaja dan dapat menurunkan kualitas hidup penderitanya. Penelitian ini bertujuan untuk mengetahui hubungan kronotipe dan rinitis alergi pada pelajar sekolah menengah atas.

Metode: Pada penelitian potong lintang ini, analisis dilakukan pada 196 pelajar sekolah menengah atas yang telah menjawab empat kuesioner: International Study of Asthma and Allergy in Childhood Core Questionnaire, Reduced Version Morningness-Eveningness Questionnaire, Epworth Sleepiness Scale dan Kuesioner Studi Kohort Faktor Risiko PTM Tahun 2011 Bagian Penggunaan Tembakau dan Kebiasaan Merokok. Data dianalisis menggunakan uji chi square dan analisis regresi logistik.

Hasil: Lebih banyak pelajar berkronotipe pagi (64,8%) dibandingkan tipe malam (35,2%). Sebanyak 28,1% pelajar mengalami rinitis alergi dalam 12 bulan terakhir. Kronotipe berhubungan signifikan dengan rinitis alergi (p<0,05; OR=2,273; CI 95% 1,198-4,311). Terdapat perbedaan proporsi rinitis alergi yang signifikan antara pelajar dengan kronotipe malam (39.1%) dan pelajar dengan kronotipe pagi (22%).

Kesimpulan: Terdapat perbedaan proporsi rinitis alergi yang signifikan antara pelajar sekolah menengah atas dengan kronotipe malam dan pelajar dengan kronotipe pagi. ......Changes in lifestyle over the times make human chronotypes more varied. The evening type are known to be frequently found among late adolescents. Circadian rhythm has a relationship with the immune system and allergic disease. Allergic rhinitis is the most common allergic disease among adolescents and can reduce the patient's quality of life. This study aims to determine the relationship between chronotype and allergic rhinitis in high school students.

Method: In this cross-sectional study, 196 high school students answered four different questionnaires: the International Study of Asthma and Allergy in Childhood Core Questionnaire, the Reduced Version Morningness-Eveningness Questionnaire, Epworth Sleepiness Scale and Kuesioner Studi Kohort Faktor Risiko Penyakit Tidak Menular Tahun 2011 Bagian Penggunaan Tembakau dan Kebiasaan Merokok. The data was analyzed using chi-square test and logistic regression.

Result: More students were morning type (64,8%) compared to evening type (35,2%). As many as 28.1% of students experienced allergic rhinitis in the last 12 months. Chronotype was significantly associated with allergic rhinitis (p<0,05; OR=2,273; CI 95% 1,198-4,311). There was a significant difference in the proportion of allergic rhinitis between high school students with evening chronotype (39,1%) and high school students with morning chronotype (22%).

Conclusion: There was a significant difference in the proportion of allergic rhinitis between high school students with evening chronotype and students with morning chronotype.

Abstrak :
Latar Belakang: Kompleks prematur ventrikel (KVP) dikaitkan dengan risiko penurunan fungsi ventrikel dan gagal jantung, dan meningkatkan mortalitas jangka panjang. Variasi sirkadian yang rendah merupakan salah satu prediktor terjadinya kardiomiopati yang diinduksi oleh KVP. KVP idiopatik tipe independen merupakan salah satu bentuk dari KVP dengan gambaran distribusi variasi sirkadian yang rendah. Namun tidak semua KVP independen memiliki variasi sirkadian yang rendah. Belum ada studi yang menilai perbedaan fungsi sistolik intrinsik VKi menggunakan global longitudinal strain (GLS) pada KVP idiopatik independen dengan KVP idiopatik non-independen. Tujuan: Mengetahui hubungan antara kompleks ventrikel prematur idiopatik tipe independen dengan GLS ventrikel kiri melalui ekokardiografi speckle tracking pada pasien tanpa penyakit jantung struktural. Metode: Penelitian ini merupakan studi potong lintang dengan menggunakan data pasien aritmia ventrikel idiopatik yang dikumpulkan di RSPJD Harapan Kita Jakarta pada bulan Februari 2021- Mei 2021. Evaluasi KVP idiopatik dilakukan dengan EKG 12 sandapan, pemeriksaan Holter monitoring 24 jam. Data dasar ekokardiografi diambil dan penilaian fungsi sistolik intrinsik ventrikel kiri (Vki) dilakukan menggunakan ekokardiografi speckle tracking dengan global longitudinal study (GLS). Hasil: Dari 67 pasien KVP idiopatik yang disertakan dalam penelitian, didapatkan sebesar 27 pasien (40,2%) dengan KVP tipe independen dan 40 pasien (59,8%) dengan KVP non-independen. Sebanyak 31 (46,3%) pasien memiliki disfungsi sistolik ventrikel kiri pada pemeriksaan GLS (kurang dari -18). KVP tipe independen (OR 5,3; IK 95% 1,10-33,29; p = 0,038), beban KVP 9% (OR 16; IK 95% 1,58-163,61; p = 0,019), jenis kelamin laki-laki (OR 6,58; IK 95% 0,80-0,99; p = 0,029), dan episode TV non-sustained (OR 13,88; IK 95% 1,77-108,53; p = 0,012) berhubungan secara signifikan dengan penurunan fungsi sistolik intrinsik Vki. Kesimpulan: Kompleks ventrikel prematur idiopatik tipe independen berhubungan dengan penurunan sistolik intrinsik ventrikel kiri melalui ekokardiografi speckle tracking. Evaluasi tipe KVP idiopatik perlu dilakukan karena berhubungan dengan prognosis pasien dalam praktik klinis. ......Background: Premature ventricular complexes (PVC) was associated with a risk of decreased ventricular function and heart failure, and increased long-term mortality. Low circadian variation is one of the predictors of PVC-induced cardiomyopathy. Independent-type-PVC (I-PVC) is a form of PVC with a low distribution of circadian variation. However, not all I-PVC show low circadian variation. No studies have been performed to examine differences in intrinsic systolic function of left ventricle (LV) using global longitudinal strain (GLS) in independent versus non-independent idiopathic PVC. Objective: To determine the relationship between I-PVC and intrinsic systolic function of LV using speckle tracking echocardiography in patients without structural heart disease. Methods: A cross-sectional study was conducted using data from patients with idiopathic ventricular arrhythmias collected at RSPJD Harapan Kita Jakarta in February 2021-May 2021. Evaluation of idiopathic PVC was carried out using a 12-lead ECG, 24-hour Holter monitoring. Basic echocardiography was performed then LV intrinsic systolic function was assessed using speckle tracking echocardiography with global longitudinal study (GLS). Results: Of the 67 patients with idiopathic PVC included in the study, 27 (40.2%) patients included in independent PVC group and 40 (59.8%) patients in non-independent PVC group. A total of 31 (46.3%) patients had LV systolic dysfunction on GLS examination (less than -18). Independent-type-PVC (OR 5.3; 95% CI 1.10-33.29; p = 0.038), PVC burden of 9% (OR 16; 95% CI 1.58-163.61; p = 0.019), male gender (OR 6.58; 95% CI 0.80-0.99; p = 0.029), and non-sustained VT episodes (OR 13.88; 95% CI 1.77-108.53; p = 0.012) was significantly associated with a decrease in LV intrinsic systolic function. Conclusion: Independent-type-PVC was associated with decreased in LV intrinsic systolic function assessed by speckle tracking echocardiography. Evaluation of the type of idiopathic PVC needs to be considered since it is related with patient's prognosis in clinical practice.

Abstrak :
ABSTRAK
Rumah sakit menyediakan pelayanan kesehatan selama 24 jam. Perawat sebagai bagian terpenting dari pelayanan kesehatan perlu memenuhi pelayanan 24 jam tersebut melalui kerja shift. Namun, perawat kerja shift lebih memiliki risiko penurunan kualitas tidur dibanding non-shift, yang dapat berdampak pada penurunan performa/kinerja. Penelitian ini untuk mengetahui perbedaan kualitas tidur antara perawat kerja shift dan non-shift. Desain penelitian ini adalah deskriptif komparatif dengan pendekatan potong lintang yang melibatkan 162 perawat di RSUD dr. H. Soemarno Sosroatmodjo Tanjung Selor, yang dipilih dengan proportional random sampling. Data demografi diambil melalui kuesioner A, kerja shift melalui kuesioner B dan kualitas tidur melalui kuesioner C The Pittsburgh Scale Quality Index. Hasil analisis statistik menunjukkan proporsi kualitas tidur buruk pada perawat yang bekerja shift 35.2 lebih tinggi dibandingkan pada perawat yang bekerja non-shift 10.5 . Analisis lebih lanjut menunjukkan bahwa terdapat perbedaan yang signifikan dalam kualitas tidur antara perawat yang bekerja shift dan non-shift x2 161 = 5.205; p = .023 Kesimpulan dalam penelitian ini terdapat perbedaan kualitas tidur antara perawat kerja shift dan non-shift di RSUD dr. H. Soemarno Sosroatmodjo Tanjung Selor. Saran bagi manajemen dan keperawatan rumah sakit, untuk membuat kebijakan pengaturan jadwal kerja yang meminimalkan penurunan kualitas tidur dan peningkatan kualitas tidur seperti kebijakan napping.

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ABSTRAK
Hospitals provide a 24 hour health services. Nurses as an integral part of health services at the hospital need to work in shifts in order to deliver uninterrupted nursing care. Nevertheless, shift work nurses have a higher risk of sleep deprivation than non shift, which may have an impact on performance degradation. This research aimed to identify the difference of sleep quality between shift and non shift work nurses. The design of this study was a comparative descriptive with cross sectional approach involving 162 nurses in RSUD dr. H. Soemarno Sosroatmodjo Tanjung Selor, selected by proportional random sampling. Demographic data were collected through questionnaire A, shift work through questionnaire B and sleep quality through Questionnaire C The Pittsburgh Scale Quality Index. The result of statistical analysis showed that the proportion of poor sleep quality in shift nurses 35.2 was higher than in non shift nurses 10.5 . Further analysis showed that there were significant differences in sleep quality between shift and non shift nurses x2 161 5.205 p .023 . Our study concluded the significant difference of sleep quality between shift and non shift working nurses at RSUD Tanjung Selor. This study suggested hospital and nursing management to create policy work schedule arrangements that could improve sleep quality. This study also suggested the development of policy with respect to napping for shift nurses.

Abstrak :
ABSTRAK
Penderita demensia memiliki kebutuhan terhadap kualitas pencahayaan yang optimal di sekitar mereka karena kualitas cahaya yang diterima oleh tubuh mereka akan berdampak pada ritme biologis yang mana berpengaruh terhadap kualitas hidup mereka. Dengan kebutuhan mereka yang lebih banyak dilakukan di fasilitas kesehatan, maka tata cahaya yang baik akan memudahkan mereka untuk beraktivitas dan menghindari ketidaknyamanan pada mata mereka. Faktor utama yang memengaruhi dan dibutuhkan pada ruang-ruang yang digunakan penderita demensia adalah intensitas dan warna cahaya yang akan memberikan efek kepada ruang interior. Kriteria untuk mendapatkan kualitas cahaya yang optimal pada fasilitas kesehatan adalah dengan melakukan analisis terhadap kebutuhan visual penderita demensia pada ruang interior. Hal itu membantu menemukan jawaban terhadap dampak dari kualitas cahaya yang menentukan kualitas kinerja fasilitas kesehatan dalam meningkatkan kualitas hidup pada penderita demensia.

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ABSTRACT
People with Dementia have an innate need of optimal lighting quality around them because the intensity and quality of light perceived by their body affects their bodys circadian rhythm, which in turn plays a vital role in maintaining their physical and psychological well-being. They are likely to spend considerably longer period of time in healthcare facilities, so properly designed lighting aids them to enjoy their activities, thereby helps them to pursue a better quality of life. Assuming that factors affecting the amount of light appropriately needed in a location for People with Dementia are mainly defined by elements of intensity, color, and its effect to the spatial atmosphere, this paper compared one example of geriatric healthcare facility with the standardized criteria for People with Dementia by quantitative observation. Then, the observed criteria were analyzed to help in finding out the impact of light quality affecting the performance of healthcare facilities to promote well-being to People with Dementia.

Abstrak :
This book reviews the application of semiconductor nanocrystals also known as colloidal quantum dots (QDs) to LED lighting for indoors and outdoors as well as LED backlighting in displays, summarizing the color science of QDs for lighting and displays and presenting recent developments in QD-integrated LEDs and display research. By employing QDs in color-conversion LEDs, it is possible to simultaneously accomplish successful color rendition of the illuminated objects and a good spectral overlap between the emission spectrum of the light source and the sensitivity of the human eye at a warm white color temperature-something that is fundamentally challenging to achieve with conventional sources, such as incandescent and fluorescent lamps, and phosphor-based LEDs.