Anxiety’s level of bantenes patient’s: the effect of dhikr therapy before surgical procedure

Background: Anxiety is a subjective feeling which people’s feels when they faced a surgical procedure. Spirituality approach such as, dhikr can be used to reduce patient’s anxiety, especially when they are facing a medical-surgical procedure. In Banten, dhikr is an act of worship that people did, especially when they will under-taken the medical-operation. The purpose of this study was to determine the effect of dhikr therapy to the decreasing of anxiety level of patients with pre-operative procedure.Methods: The research design was quasi-experiment without control-goup, and have measure the pre-operative patient’s anxiety before and after dhikr therapy. Statistical analysis by using dependent paired t-test. Samples from this study were patients who pre-operative appendictomy procedure with the total number 23 respondents that were selected by using purposive technique. Anxiety level was measured by using Hamilton Anxiety Rating Scale.Results: The results of this research showed that there was found the effect of dhikr therapy to the decreasing of anxiety of pre-operative’s patient with p value = 0.000, and the mean score before intervention is 3.13, while after intervention was 1.49.Conclusions: In conclusion, anxiety can affect a person's health in particular who will undergo surgery. Anxiety can be reduced by one of them is religious approach as dhikr. With routine of dhikr someone will get a peace of mind. The inner peace will reduce the impact of stress hormones that are released when a person feels anxious.

Pengaruh Model Pembelajaran Picture and Picture Terhadap Hasil Belajar Matematika Siswa pada Pokok Bahasan Teorema Phytagoras

Berdasarkan hasil observasi yang dilakukan sikap tanggung jawab siswa dalam pembelajaran masih kurang dalam hal menyelesaikan tugas individu. Model  pembelajaran konvensional  yang  digunakan oleh  guru  kurang sesuai dengan spesifikasi materi pelajaran,  sehingga pembelajaran  yang  dilakukan kurang memberi kesempatan seluas-luasnya bagi siswa untuk aktif mengkonstruksikan pengetahuan dan keterampilannya serta kurang mempertimbangkan hakikat gaya belajar siswa. Berdasarkan hal tersebut maka penulis ingin mengadakan penelitian dengan tujuan untuk melihat pengaruh model pembelajaran picture  and  picture yang  diharapkan dapat meningkatkan hasil belajar matematika siswa dan mengatasi masalah tersebut  di  atas. Jenis penelitian ini adalah penelitian eksperimen.  Dimana Populasi dalam penelitian ini adalah seluruh siswa Kelas VIIIA, VIII B Dan VIII C yang berjumlah 3 kelas dengan jumlah siswa sebanyak 62 siswa dengan kelas eksperimen adalah kelas VIII A dan keas control adalah VIII C. Teknik analisis data yang digunakan meliputi uji normalitas, homogenitas, kesamaan rata-rata dan uji hipotesis. Berdasarkan hasil penelitian dapat disimpulkan terdapat pengaruh  model  pembelajaran picture  and  picture terhadap hasil belajar matematika siswa pada pokok bahasan Teorema Phytagoras. Selanjutnya rekomendasi atau  saran  untuk penelitian berikutnya adalah supaya menggunakan  model  pembelajaran  picture  and  picture  disertai dengan  media  animasi  yang  bias  membuat peserta didik menjadi lebih tertarik dalam megikuti pembelajaran matematika

INTERAKSI KULIAH DARING DI STKIP MUHAMMADIYAH SUNGAI PENUH

Abstrak: Penelitian ini bertujuan untuk melihat bagaimana pola interaksi daring pada perkuliahan yang terjadi di STKIP Muhammadiyah Sungai Penuh. Interaksi tersebut dianalisa dengan menggunakan tiga teori, yaitu pertama teori Analisis dilakukan dengan tahapan: pembuatan transkrip prose belajar mengajar, pengkodean, pengklasifikasian pola interaksi kelas berdasarkan teori El-Hanafi (2013), karakteristik interaksi model FIAC (Flander Interaction Analysis Code) dan Model BIAS (Brown Interaction Analysis System). Objek penelitian ini adalah enam kelas pada enam program studi yang tersedia di STKIP Muhammadiyah Sungai Penuh yang diambil secara acak. Temuan dalam penelitian ini adalah sebagai berikut: Pertama, pola interaksi dengan menggunakan teori El-Hanafi (2013) ditemukan pola interaksi dua arah (48%), dimana mayoritas dosen lebih sering berbicara dan direspon mahasiswa pada topik tunggal, dan interaksi yang mereka lakukan berhenti untuk topik itu, lalu beralih ke topik yang lain. Kedua, pada model FIAC, karakteristik interaksi daring yang dominan ditemukan adalah lintas materi (44%), dimana karakteristik interaksi tersebut ditandai dengan dominasi dosen dengan memberikan materi berupa penjelasan, memberikan contoh, bertanya, dan sebagainya, sehingga peran mahasiswa tidak begitu menonjol dalam interaksi yang terjadi tersebut. Ketiga, pada model BIAS, yaitu menemukan respon mahasiswa (37%)  mendominasi interaksi perkuliahan daring yang merupakan dampak dari ceramah dosen (18%) dan pertanyaan yang diajukan oleh dosen (27%). Kesimpulan dari ketiga teori tersebut adalah interaksi kelas daring di STKIP Muhammadiyah Sungai Penuh didominasi oleh dosen.Abstract: This study aims to see how the pattern of online interaction in lectures that occurs at STKIP Muhammadiyah Sungai Penuh. The interaction was analyzed using three theories, namely first the theory The analysis is carried out with stages: making transcripts of teaching and learning procedures, coding, classifying class interaction patterns based on El-Hanafi theory (2013), interaction characteristics of the FIAC model (Flander Interaction Analysis Code) and THE BIAS Model (Brown Interaction Analysis System). The object of this study was six classes in six study programs available at STKIP Muhammadiyah Sungai Penuh which were taken randomly. The findings in this study are as follows: First, interaction patterns using El-Hanafi theory (2013) found a two-way interaction pattern (48%), where the majority of lecturers talked more often and responded to students on a single topic, and the interaction they made to stop that topic, then moved on to another topic. Second, in the FIAC model, the dominant characteristics of online interaction found are cross-material (44%), where the interaction characteristics are characterized by the dominance of lecturers by providing material in the form of explanations, giving examples, asking questions, and so on so that the role of students is not so prominent in the interaction that occurs. Third, in the BIAS model, which is to find student responses (37%) dominate the interaction of online lectures which are the impact of lecturers' lectures (18%) and questions asked by lecturers (27%). These three theories conclude that the interaction of online classes at STKIP Muhammadiyah Sungai Penuh is dominated by lecturers

Riwayat asupan energi dan protein yang kurang bukan faktor risiko stunting pada anak usia 6-23 bulan

ABSTRACTBackground: Stunting was a chronic nutrition problem that still be a concern in the developing nations include Indonesia. The direct cause of stunting was infectious disease and inadequate food intake such as energy and protein deficiency. In Indonesia in 2010, the prevalence of stunting was 35.7%, inYogyakarta as much as 22.5%, in Bantul District in 2012 was 18.08% and in Sedayu Subdistrict was 30.51%.Objectives: To know the history of energy and protein intake as the risk factors of stunting in children of 6-23 months.Methods: This was an observational study with case-control design. The population were children aged 6-23 months who lived in Sedayu Subdistrict, Bantul. The measurement energy and protein intake used a semi-quantitative food frequency questionnaire and determination of stunting used the WHO standard anthro 2005. Samples were selected by total sampling approachment. Data was analyzed by chi-square and logistic regression test.Results: The result of bivariate analysis showed that birth weight and maternal height had significant association with stunting (p<0.05). While energy and protein intake did not associated with stunting. However, there was a tendency that children with less energy and protein intake had higher risk of stunting. Multivariate analysis showed that maternal height was the dominant variable effect on the prevalence of stunting (OR=2.06).Conclusions: Low energy and protein intakes were not risk factors of stunting in children 6-23 months. Maternal height was dominant variable that influenced the stunting incidence.KEYWORDS: energy intake, protein intake, stunting, childABSTRAKLatar belakang: Stunting merupakan masalah gizi kronis yang masih menjadi perhatian di negara berkembang termasuk Indonesia. Penyebab langsung stunting adalah penyakit infeksi dan asupan makanan yang tidak memadai seperti kurang energi dan protein. Di Indonesia pada tahun 2010 prevalensi stunting sebanyak 35,7%, di Daerah Istimewa Yogyakarta sebanyak 22,5%, di Kabupaten Bantul tahun 2012 sebesar 18,08% dan Kecamatan Sedayu 30,51%.Tujuan: Untuk mengetahui riwayat asupan energi dan protein sebagai faktor risiko stunting pada anak usia 6-23 bulan.Metode: Jenis penelitian observasional dengan rancangan case-control. Populasinya seluruh anak usia 6-23 bulan yang ada di wilayah Kecamatan Sedayu Kabupaten Bantul. Pengukuran asupan energi dan protein dengan menggunakan semi-quantitative food frequency questionnaire dan penentuan stunting dengan menggunakan baku standar WHO anthro 2005. Cara pengambilan sampel adalah dengan total sampling. Analisis data menggunakan uji chi-square dan regresi logistik. Hasil: Berat bayi lahir dan tinggi badan ibu menunjukkan hubungan signifikan dengan kejadian stunting (p<0,05), sedangkan riwayat asupan energi dan protein tidak berhubungan dengan stunting (p>0,05). Secara multivariat, tinggi badan ibu merupakan variabel yang dominan berpengaruh terhadap stunting(OR=2,06).Kesimpulan: Asupan energi dan protein yang kurang bukan merupakan faktor risiko kejadian stunting pada anak usia 6-23 bulan. Tinggi badan ibu merupakan variabel yang dominan berpengaruh terhadap kejadian stunting.KATA KUNCI: asupan energi, asupan protein, stunting, ana

PENGARUH KANDUNGAN BAHAN KERING CAMPURAN LIMBAH KUBIS DAN DEDAK PADI TERHADAP PERUBAHAN KANDUNGAN GIZI SILASE

PENGARUH KANDUNGAN BAHAN KERING CAMPURAN LIMBAH KUBIS DAN DEDAK PADI TERHADAP PERUBAHAN KANDUNGAN GIZI SILASE Tiki Huriyati1, dibawah bimbingan Dr. Ir. Adrizal, MS2 dan Ir. Erpomen MP2 1)MahasiswaProgram Studi Peternakan, Fakultas Peternakan Universitas Andalas, Padang 2020 2)Dosen Bagian Ilmu Nutrisi dan Teknologi Pakan, Fakultas Peternakan Universitas Andalas, Kampus Limau Manis, Padang. ABSTRAK Penelitian ini bertujuan untuk mengetahui pengaruh bahan kering yang ada pada limbah kubis terhadap perubahan kandungan gizi setelah proses ensilase. Metode penelitian ini menggunakan metode rancangan acak lengkap (RAL) dengan 4 perlakuan dan 4 ulangan, yaitu campuran limbah kubis dan dedak padi dengan perlakuan A = kandungan BK 20%, perlakuan B = kandungan BK 30%, perlakuan C = kandungan BK 40% dan perlakuan D = kandungan BK 50%. Parameter yang diukur adalah persentase perubahan bahan kering, protein kasar, serat kasar, lemak kasar dan BETN. Hasil analisis menunjukkan bahwa kandungan bahan kering (BK) campuran limbah kubis dan dedak padi memberikan pengaruh yang berbeda sangat nyata (P<0,01) terhadap perubahan kandungan bahan kering, protein kasar, serat kasar, lemak kasar, BETN dan berbeda tidak nyata terhadap abu silase. Berdasarkan hasil penelitian dapat disimpulkan bahwa bahan kering yang optimal dalam pembuatan silase berbasis limbah kubis dan dedak padi adalah 40% (perlakuan C) karena persentase penurunan bahan kering dan serat kasar lebih rendah dari perlakuan lain. Kata kunci :bahan kering, limbah kubis, dedak padi dan kandungan giz

Association of Eating Pattern and Nutritional Status with Dyslipidemia Among Adults in Yogyakarta - Indonesia

As 35.9 % Indonesian has cholesterol &gt; 200 mg · dL−1 which higher than 2007 (31.9 %). This study is to investigate the association between eating pattern and nutritional status with dyslipidemia. Cross-sectional study and subjects represent the most populated areas in Yogyakarta, taken in Umbulharjo (urban), Turi and Minggir (rural) by cluster sampling. It is used by interview using food consumption pattern, questionnaire,and measured nutritional status such as body mass index (BMI), waist circumference (WC), body fat mass, and blood serum. The subject is categorized dyslipidemia if total cholesterol (TC), triglyceride (TG) or low-density lipoprotein (LDL) is higher than standard. Prevalence dyslipidemia in urban (55.6 %) was higher than rural (44.4 %). From 385 subjects, 195 (50.6 %) had dyslipidemia and 190 (49.4 %) had normal. BMI, percent body fat, and visceral fat were higher on dyslipidemia than normal (24.30 vs. 23.16, 26.73 % vs. 25.84 %, and 8.42 vs. 6.72; P = 0.02, P = 0.31 and P = 0.001, respectively). WC was higher on dyslipidemia than normal (81.66 cm vs. 77 cm on male and 82.49 cm vs. 79.44 cm on the female; P = 0.005 and P = 0.06). Fatty, grilled and processed food, and instant noodle were associated with dyslipidemia (P ≤ 0.0001). Mean of fruits and vegetable consumption was lower on dyslipidemia than normal (0.59 vs. 0.63) portions· d−1 and (1.57 vs. 1.61) portions · d−1, respectively). BMI, visceral fat, WC on male, and food consumption pattern are associated with dyslipidemia. For prevention risk of dyslipidemia, we should control nutritional status in the normal category, increase the portion of fruit and vegetable and minimize unhealthy food consumption. Keywords: Adults, Dyslipidemia, Eating pattern, Nutritional status, Yogyakarta

PERBEDAAN EKSPRESI PROFIL MEDIATOR INFLAMASI DARI MUKOSA DAN JARINGAN POLIP ANTARA RINOSINUSITIS KRONIS DENGAN RINOSINUSITIS KRONIS REKUREN

Prevalensi dan rekurensi polip yang tinggi pada Rinosinusitis kronis (RSK) merupakan masalah di bidang kesehatan Telinga Hidung Tenggorok, Bedah Kepala Leher. Penyakit ini menurunkan kualitas hidup penderita dan menimbulkan beban ekonomi tinggi. Upaya penelusuran etiologi timbulnya rekurensi polip perlu digiatkan. Pengkajian terhadap mediator inflamasi dapat menjadi peluang dalam menjawab tantangan ini. Penelitian ini bertujuan untuk membuktikan perbedaan ekspresi IL-5, IL-8, IL-17A dan TGF-β1 pada mukosa dan jaringan polip antara RSK polip dengan RSK polip rekuren dan mengetahui korelasi ekspresi IL-5, IL-8, IL-17A dan TGF-β1 antara mukosa dan jaringan pada RSK polip serta mencari ekspresi sitokin yang paling berperan di mukosa dan jaringan polip pada RSK polip rekuren. Penelitian ini merupakan penelitian observational dengan desain cross sectional komparatif. Responden adalah pasien RSK dengan polip hidung rekuren sebanyak 15 orang dan RSK polip yang belum pernah dilakukan operasi pengangkatan polip dengan jumlah yang sama. Pengambilan spesimen mukosa polip dengan cara brushing dan spesimen jaringan polip diambil saat operasi pengangkatan polip hidung. Spesimen dari mukosa polip dilakukan pemeriksaan ELISA sedangkan spesimen jaringan polip dilakukan pemeriksaan imunohistokimia (IHK). Terdapat perbedaan ekspresi IL-5 di mukosa polip yang bermakna antara RSK polip dengan RSK polip rekuren, dimana ekspresi lebih tinggi pada RSK polip rekuren. Ekspresi IL-8, IL-17 dan TGF-β1 lebih rendah pada RSK polip rekuren tetapi perbedaan tersebut tidak bermakna. Pada jaringan polip hidung terdapat perbedaan ekspresi TGF-β1 dan IL-8 yang bermakna antara RSK polip dengan RSK polip rekuren, dimana ekspresi kedua sitokin lebih rendah pada RSK polip rekuren. Ekspresi IL-5 lebih tinggi pada RS polip rekuren dibandingkan RSK polip namun perbedaannya tidak bermakna. Pada mukosa polip didapat interleukin-5 sebagai sitokin yang paling berperan pada RSK polip rekuren, sedangkan pada jaringan polip adalah TGF-β. Ditemukan hubungan bermakna IL-5 antara mukosa dan jaringan RSK polip rekuren (p=0,044) dengan korelasi positif sedang (r=0,527). Semakin tinggi ekspresi IL-5 di mukosa maka semakin tinggi juga ekspresi IL-5 di jaringan. Sementara untuk Interleukin-8 dan TGF-β1 memiliki korelasi positif rendah (IL-8, r=0,237) tetapi tidak memiliki hubungan bermakna (p<0,05). Interleukin-17A tidak ditemukan hubungan dan korelasi (r=-0,146). Penelitian menyimpulkan pada RSK polip rekuren pemeriksaan IL-5 pada mukosa dapat menggambarkan ekspresi IL-5 pada jaringan sehingga dapat dipakai sebagai kandidat prediktor rekurensi pada pasien RSK polip. Kata kunci : Rinosinusitis kronis dengan polip rekuren, IL-5, IL-8, IL-17A, TGF-β

The Effectiveness of the Information, Communication, and Education Model for Balance Diet and Against Stunting in the First 1000 Days of Life: A Literature Review

BACKGROUND: The important reason why the first 1000 days are a vulnerable period is that this is a time of very rapid growth and development for a child. One of the efforts to increase this awareness concerning child growth and development is information, communication, and education (ICE). AIM: This study was performed to determine the effectiveness of the ICE model for nutritional against stunting in the first 1000 days of life. METHODS: This study used a literature review of published research articles on the effectiveness of the ICE model for nutritional against stunting in the first 1000 days of life published between December 2010 and December 2018 in PubMed and Proquest online article database. Data collection techniques by entering keywords in the database, keywords used: Intervention AND Model OR Media AND health promotion*health-promoting OR health education OR health information OR health communication*health communicating AND golden age OR first 2 years AND infant OR child AND maternal AND parenting AND diet OR nutritional status AND stunting. RESULTS: This study investigated 682 articles. There were six articles included in the literature review. The results showed that to design or develop the ICE model, it is important to pay attention and consider several elements of communication such as promoters (mediators of message delivery); the content of messages, medias or model of message deliveries, message delivery techniques, and the session or frequency of message deliveries. CONCLUSION: This study confirmed an effectiveness of the ICE model for nutritional against stunting in the first 1000 days of life

Asupan zat gizi makro dan kepatuhan minum obat antidiabetik terhadap kadar HbA1c pada penyandang diabetes melitus tipe 2

Macronutrient intake and adherence to antidiabetic drugs on HbA1c levels in type 2 diabetes mellitusBackground: Diabetes mellitus is a disease whose prevalence continues to increase worldwide, including in Indonesia, due to lifestyle changes; DI Yogyakarta Province has the 2nd highest prevalence in Indonesia, and Sleman Regency is the largest. In the current era, the increasing number of diabetes mellitus and uncontrolled blood sugar levels or HbA1c levels are closely related to lifestyle changes, unhealthy eating patterns, and non-regularly taking medicine. Therefore, controlling blood sugar levels is vital in treating type 2 diabetes mellitus.Objective: This study aims to analyze the relationship between macronutrient intake and antidiabetic medication adherence on HbA1c levels in people with type 2 diabetes mellitus.Methods: A cross-sectional survey of 78 respondents using purposive sampling by filling out the SQ-FFQ and MMAS-8 questionnaires. The analysis used the Chi-Square test and logistic regression test.Results: There was a significant relationship between carbohydrate intake, fat intake, and antidiabetic medication adherence with HbA1c (p0,05). The multivariate test results showed that carbohydrate intake, fat intake, antidiabetic medication adherence, and body mass index were simultaneously associated with HbA1c (p<0,05).Conclusion: Carbohydrate, fat, and antidiabetic medication adherence were significantly associated with HbA1c levels in type 2 diabetes mellitus

Stunting dan Perkembangan pada Anak Usia 12-60 Bulan di Kalasan

PurposeThis study determine the relationship between stunting incidence with development in children aged 12-60 months.MethodsThe type of research used was observational with cross sectional study design. This research will be conducted in the working area of Puskesmas Kalasan Sleman regency Yogyakarta with subject children aged 12 to 60 months as many as 106 children. Data analysis with univariable, bivariable with chi-square test with significance level of p <0,05 and CI 95% and multivariable by using statistical test of logistic regression.ResultsBivariable analysis between stunting status and child development showed significant relationship (p <0,05) and OR 3,9 (95% CI; 1,8-8,9). The result of the multivariable analysis is the relationship between stunting status and the development of children aged 12-60 months who consider the energy intake.ConclusionsThere is a relationship between stunting and the development of children aged 12-60 months but between maternal education, infectious diseases, parenting, energy intake, long-term birth, and parental income, energy intake most closely related to child development when jointly considered