Inappropriate use of triage can lead to negative impacts, one of which is the delay in diagnosis and appropriate treatment for pediatric patients who need immediate attention, which can increase the risk of complications and morbidity in pediatric patients. Pediatric-specific triage instruments are needed because there are significant differences in clinical conditions, disease responses, and treatment needs between pediatric and adult patients. Children have different physiological, anatomical, and psychological characteristics compared to adults. The purpose of this study was to determine the effectiveness of the Pediatric Assessment Triangle for care in the emergency department. The method used in this study is to use a literature review approach. The literature review search was conducted on 6 databases namely PubMed, Science Direct, Google Scholar, Scopus, Web of Science Scopus, and Cinahl using the keyword “Pediatric Assessment Triangle”. Based on the search results, 924 articles were found and after filtering only 6 articles were used. The results showed that the Pediatric Assessment Triangle was effectively used to triage children in the emergency department. The conclusion of this study is that training or socialization about PAT is needed to increase knowledge and empower health workers involved in implementing the Pediatric Assessment Triangle (PAT).

Shivering is a common issue experienced by patients during surgery, caused by exposure to cold operating room air. This loss of body heat can make patients uncomfortable and require more oxygen. The purpose of this study is to evaluate the management of shivering and hypothermia based on literature review. A systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). The article selection process followed the PICO framework. The population consists of individual patients undergoing surgery with spinal anesthesia. The study included patients who experienced shivering and underwent non-pharmacological interventions for temperature management. Articles published between 2018 and 2024 were searched in four databases: Scopus, EBSCO, ProQuest, and PubMed. The quality of the articles was evaluated using the Joanna Briggs Institute (JBI) format. The initial search identified 270 articles, which were narrowed down to 12 after removing duplicates and reviewing titles and inclusion criteria. In this study, 1326 individuals undergoing surgery were surveyed. To prevent hypothermia and shivering, several non-pharmacological methods can be used, such as pre-warming using forced-air warming, which increases body temperature. Isothermic irrigation was found to reduce the decrease in core temperature and the incidence of shivering. Preoperative warming can be done for durations of 30, 15, and 10 minutes before induction. To conclude, shivering can be prevented by non-pharmacological methods to increase core body temperature so that it will increase patient comfort during surgery. One of the innovations that can be done is by making warm vests

Penelitian ini bertujuan untuk mengetahui pelaksanaan pembelajaran Geografi menggunkan metode simulasi, menganalisis efektivitas penerapan metode simulasi, dan untuk mengetahui kendala dalam pelaksanaan pembelajaran menggunakan metode simulasi. Penelitian ini menggunakan pendekatan penelitian kuantitatif dengan desain yang digunakan dalam penelitian ini adalah one group pretest-posttest design. Populasi dalam penelitian ini adalah seluruh kelas XI SMA Negeri 1 Jatilawang yang mengambil peminatan mata pelajaran Geografi. Penentuan sampel menggunakan teknik non random sampling dengan metode purposive sampling dengan diperoleh kelas XI H sebagai kelas eksperimen. Teknik pengumpulan data yang digunakan yaitu tes, lembar observasi, angket, wawancara, dan dokumentasi. Hasil penelitian menunjukkan bahwa 1) kinerja guru pada kelas eksperimen dengan menerapakan metode simulasi sesuai dengan langkah pembelajaran pada modul ajar, sehingga memperoleh hasil sebesar 82,50% (kategori baik). 2) Penerapan metode pembelajaran simulasi pada pembelajaran Geografi di SMA Negeri 1 Jatilawang termasuk dalam kategori cukup efektif, dengan hasil uji N-Gain Score sebesar 60,54% yang berarti penerapan metode tersebut cukup efektif untuk meningkatkan hasil belajar siswa. 3) kendala penerapan metode simulasi tidak begitu terkendala ketika pelaksanaan, namun perlu ditingkatkannya manajemen waktu pada saat pelaksanaan pembelajaran. Hal tersebut terlihat waktu dua atau tiga jam pelajaran yang dirasa tergesa-gesa untuk melakukan kegiatan simulasi mitigasi bencana.

Factors affecting recurrent hospitalization in patients with heart failure are non-compliance with medication, fluids, and diet. Compliance with medication, dietary and fluid restriction, and weight of the body are part of self-care management. The study aims to improve self-care management in heart failure patients. Literature reviews are used to identify articles through Scopus, ProQuest, PubMed, and CINAHL databases. The inclusion criteria are open access, in English, with full-text articles published between 2016 and 2022 with the keywords "self-regulation", "protection motivation theory" and "heart failure". A total of fifteen articles were reviewed to answer research questions. The data is analyzed by the PRISMA chart. The results of the literary study showed that there were 15 articles that met the inclusion criteria. There are eight studies that use randomized controlled trial designs; seven titles use cross-sectional designs; and one study uses qualitative designs. Results show that better self-care can improve outcomes, reduce the incidence of recurring hospitalizations, and reduce the burden of treatment for heart failure patients. Self-efficacy can also be predicted from self-care behavior. It can be concluded that self-regulation is significantly linked to self-management behavior, and self-adjustment programs are known to be effective in improving self-care behaviors in heart failure patients.