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Red dragon fruit peel has high antioxidant content and abundant availability in Indonesia but is still rarely utilized. Brown rice has a higher fiber content than white rice. Brown rice and dragon fruit skin can be processed into keciput snacks. Keciput is a snack made from glutinous rice flour wrapped in sesame seeds that can be varied in shape, color and taste. The aim is to determine the effect of the acceptability of red dragon fruit peel keciput with the addition of brown rice flour as a healthy snack. Completely randomized design (CRD) experiment with 3 treatments on red dragon fruit peel and brown rice F1 (50%:50%), F2 (60%:40%) and F3 (70%:30%). Acceptability test on 30 untrained panelists and analyzed using Kruskal Wallis and Mann Whitney tests with a significance of p<0.05. Analysis of fiber content, protein, and antioxidant power was done twice on the selected formulations. There was an effect on the acceptability of red dragon fruit skin snails and brown rice flour (p<0.001). There was no effect of acceptability in the comparison of F2 and F3 on color, aroma, and taste (p=0.252; p=8.24; p=0.247). The highest mean value of acceptability was in F2 (selected). F2 contained 27.653% fiber, 17.346% protein, and 107.268 ppm antioxidant power.

Newborns can experience hypothermia shortly after birth, hypothermia occurs through several mechanisms, namely related to the body's ability to balance between heat production and heat loss. Failures caused by a decrease in the baby's body temperature drop by about 0.30C per minute. There are several ways to avoid hypothermia, including using skin wrap. Skin wrap is a plastic bag to reduce heat loss due to evaporation so that it is easy to increase the baby's temperature. The method of using skin wrap can be used to prevent hypothermia in neonates, both premature and non-premature. Hypothermia in infants can worsen the condition of babies who lose heat after birth. This study aims to determine the effectiveness of the use of skin wrap in regulating body temperature in newborns in the Peristi Room of Awal Bros Hospital Batam. The research method used is a quasi-experimental method with a pretest and posttest design with a sample of 20 respondents. The sampling method used purposive sampling technique, the instrument used was the SOP for the use of skin wrap and observation sheets. Based on the Shapiro-Wilk statistical test analysis, a p-value of 0.000 was obtained with results > 0.05, which means that there is an effective use of skin wrap in increasing body temperature in newborns.  

Newborns can experience hypothermia shortly after birth, hypothermia occurs through several mechanisms, which are related to the body's ability to balance heat production and heat loss. Failure caused by a decrease in the body temperature of the baby born falls by about 0.30C per minute. To avoid hypothermia, several ways can be done, including by using skin wrap. Skin wrap is a plastic bag to reduce heat loss due to evaporation so that it can easily increase the baby's temperature. The method of using skin wrap can be used to prevent hypothermia in neonates, both premature and not. Hypothermia in infants can worsen the condition of babies who lose heat after birth. Providing education and outreach regarding the application of skin wraps for newborns is carried out so that all nurses understand the importance of implementing this in order to maintain thermoregulation in newborns. Education was carried out for all nurses in the Awal Bros Group Hospital environment on May 25 2023 with a total of 94 participants which was carried out online with zoom.

Background: The application of patient safety goals is an effort made by hospitals to improve the quality of health services. Handover activities that are not accompanied by effective communication can cause errors that can harm the patient. Recommendations from WHO require nurses to improve communication patterns, especially when carrying out handovers, namely by using SBAR communication which consists of Situation, Background, Assessment and Recommendation. Based on the data summary of reported incidents that occurred in the hospital as many as 20 incident cases in the past year, including cases of KTD, KNC, KTC and KPCS. From these incidents, there were 6 cases related to miscommunication during handovers. Some nurses still do not apply the SBAR communication method when carrying out handovers, resulting in cutting/lagging of the information provided and resulting in incidents. Objective:to determine the reltionshipbetween SBAR Communication during handover and the implementation of patient safety at Bakti Timah Karimun Hospital. Methods: This research is quantitative with a cross-sectional approach. The population of this study were all inpatient nurses at Bakti Timah Karimun Hospital with total sampling, which consisted of 63 respondents. Results: showed that 41 respondents (65%) used SBAR communication during handovers in the good category and implemented patient safety. Conclusion:This means that the implementation of SBAR communication during the handover is good but not optimal because there are still 35% who have not implemented it. Based on the chi square test, there is a relationship between SBAR communication during handover and the application of patient safety (p=0.000 <0.05). Suggestion:, it is expected that nurses can carry out SBAR communication during handovers effectively so that they can implement patient safety optimallyKeywords : Newbron, Skin wrap, hypothermia.