CARE MANAGEMENT IN INFANTS WITH ASPHYXIA At Kanjuruhan Hospital, Malang Regency, East Java

Background: Neonatal asphyxia is the failure of a newborn to initiate and maintain breathing immediately after birth which can result in decreased perfusion, ischemia and organ failure (Mulugeta et al., 2020). Asphyxia occurs in the period immediately after birth requiring immediate resuscitation and intervention to minimize mortality and morbidity (Kawakami et al., 2021). Method: This research uses a case study report research strategy. The subject of this research was 1 baby with a medical diagnosis of asphyxia who was being treated in the Cut Nyak Dien Perinatology room, Kanjuruhan Regional Hospital. Results: The results of this research showed several nursing problems after nursing care was carried out for 5 days. The author raised 3 nursing diagnoses, gas exchange disorders, risk of infection, and risk of nutritional deficit. Discussion: Infants with cases of neonatal asphyxia as a disorder of placental or pulmonary gas exchange which causes hypoxemia and hypercarbia with the resultant effect of metabolic acidosis (as evidenced by low umbilical cord pH 6, severe respiratory distress

PENERAPAN STRATEGI PEMBELAJARAN AKTIF LEARNING START WITH A QUESTION SEBAGAI UPAYA UNTUK MENINGKATKAN KEAKTIFAN PESERTA DIDIK MATA PELAJARAN AKUNTANSI KEUANGAN

ABSTRAK Tujuan penelitian ini adalah untuk meningkatkan keaktifan peserta didik kelas XI KU 3 SMK Negeri 1 Sukoharjo melalui penerapan Learning Start With A Question.Penelitian ini menggunakan penelitian tindakan kelas yang dilaksanakan dalam dua siklus. Subjek penelitian adalah peserta didik kelas XI KU 3 SMK Negeri 1 Sukoharjo yang berjumlah 36 peserta didik. Sumber data berasal dari guru, peserta didik, aktivitas pembelajaran, dan nilai peserta didik. Teknik pengumpulan data dalam penelitian ini dilakukan melalui observasi, wawancara, dokumentasi, dan tes. Validitas data yang digunakan yaitu validitas isi, triangulasi sumber dan trianguasi metode. Analisis data yang digunakan oleh peneliti adalah deskriptif kualitatif untuk data keaktifan dan untuk data hasil belajar peserta didik dianalisis dengan teknik analisis data statistik menggunakan uji-t (Paired Sample).Hasil penelitian menunjukkan bahwa melalui penerapan strategi pembelajaran aktif Learning Start With A Question dapat meningkatkan keaktifan peserta didik pada pembelajaran akuntansi keuangan. Peningkatan keaktifan peserta didik tersebut tercermin dalam peningkatan empat aspek keaktifan yaitu : (1) Visual Activities menunjukkan peningkatan dari 53,47% atau 19 peserta didik pada siklus I menjadi 80,55% atau 28 peserta didik pada siklus II, (2) Oral Activities menunjukkan peningkatan dari 54,17% atau 19 peserta didik pada siklus I menjadi 82,64% atau 29 peserta didik, (3) Listening Activities meningkat dari 53,47% atau 19 peserta didik pada siklus I menjadi 80,55% atau 28 peserta didik pada siklus II, (4) Writing Activities juga meningkat dari 56,25% atau 20 peserta didik menjadi 81,77% atau 29 peserta didik. Peningkatan keaktifan peserta didik ini memberikan perubahan yang signifikan terhadap hasil belajar peserta didik. Hal ini dibuktikan dengan analisis startistik dengan uji t (paired samples).Simpulan dalam penelitian ini adalah penerapan strategi pembelajaran aktif dengan teknik Learning Start With A Question dapat meningkatkan keaktifan dan hasil belajar peserta didik pada pembelajaran akuntansi keuangan di kelas XI KU 3 SMK Negeri 1 Sukoharjo, hal ini ditunjukkan dengan hasil penelitian yang mengalami peningkatan disetiap siklusnya dan antara tahap sebelum dan sesudah penerapan teknik Learning Sart With A Question. Kata kunci: Keaktifan peserta didik, hasil belajar, strategi pembelajaran aktif, Learning Start With A Question. ABSTRACT The objective of this research is to improve the learning activeness in the Financial Accounting subject matter of the students in Grade XI Finance 3 of State Vocational High School 1 of Sukoharjo through the application of Learning Start with A Question. This research used the classroom action research with two cycles. The subjects of research were the students as many as 36 in Grade XI Finance 3 of State Vocational High School 1 of Sukoharjo. The data sources of research were the subject matter teacher, the students, the learning activities, and the students’ learning scores. The data of research were collected through observation, in-depth interview, documentation, and test. Validated by using the content validity, source triangulation, and method triangulation. They were analyzed by using the descriptive qualitative method for the data of learning activeness. Meanwhile, the data of students’ learning result were analyzed by using the statistical analysis of t-test (paired samples).The result of research shows that the application of active learning strategy of Learning Start with A Question can improve the students’ learning activeness in Financial Accounting subject matter as indicated by the improvement of four observed aspects: (1) Visual Activities: the number of students who fulfill at least the minimal learning completeness is 19 (53.47%) in Cycle I, and it becomes 28 (80.55%) in Cycle II; (2) Oral activities: the number of students who fulfill at least the minimal learning completeness is 19 (54.17%) in Cycle I, and it becomes 29 (82.64%) in Cycle II; (3) Listening Activities: the number of students who fulfill at least the minimal learning completeness is 19 (53.47%) in Cycle I, and it becomes 28 (80.55%) in Cycle II; and (4) Writing Activities: the number of students who fulfill at least the minimal learning completeness is 20 (56.25%) in Cycle I, and it becomes 29 (81.77%) in Cycle II. The improvement of the students’ learning activeness results in a significant change to the students’ learning result as indicated by the result of t test (paired samples).Thus, the application of active learning strategy of Learning Start with A Question can improve the learning activeness and result in the Financial Accounting subject matter of the students in Grade XI Finance 3 of State Vocational High School 1 of Sukoharjo as shown by the improvement of learning achievement and learning result from Cycle I to Cycle II.Keywords: Students’ learning activeness, learning result, active learning strategy, Learning Start with A Question

Pengendalian malaria dengan pemanfaatan ikan Oreocromis niloticus sebagai predator larva

ABSTRACT Oreochromis niloticus is a type of fish that is a natural enemy of Anopheles mosquito larvae, a vector for transmitting malaria. This method can be used as an alternative tools and integrated with other malaria control methods. This study aims to compare the density of Anopheles larvae before and after the sowing of  O. niloticus, and to empower the community to involve in biological malaria control by utilizing O. niloticus. This research is a Mixed Methods Research. Quantitative data collection is done  with a quasi-design approach  before-after design experiments. Qualitative data collection is carried out with in-depth interviews with  District Health and Fisheries Service Offices and group discussions on the community of fish pond owners and communities living around abandoned ponds. The data from in-depth interviews and group discussions were analyzed thematically. Observation of Anopheles larvae density decreased after sowing O. niloticus into the pond. The results showed that health workers and the public strongly support biological malaria control activities  using of  O. niloticus. ABSTRAK Ikan nila merah merupakan salah satu jenis ikan yang menjadi musuh alami bagi larva nyamuk Anopheles yang merupakan vektor penular malaria sehingga dapat digunakan sebagai alternatif pengendalian malaria secara biologi. Penelitian ini bertujuan untuk membandingkan kepadatan larva Anopheles sebelum dan sesudah ditebar ikan nila merah, serta menggali informasi penerimaan masyarakat dalam pengendalian malaria dengan pemanfaatan ikan nila merah. Penelitian ini merupakan Mixed Methods Research.  Pengumpulan data kuantitatif  dilakukan dengan pendekatan rancangan kuasi eksperimen before-after design. Pengumpulan data kualitatif dilakukan dengan wawancara mendalam terhadap petugas Dinas Kesehatan dan Dinas Perikanan serta diskusi kelompok terhadap masyarakat pemilik kolam ikan dan masyarakat yang tinggal di sekitar kolam yang terbengkalai.  Data hasil wawancara mendalam dan diskusi kelompok dilakukan analisis tematik. Pengamatan kepadatan larva Anopheles  menunjukkan adanya penurunan setelah penebaran ikan nila merah ke kolam. Hasil penelitian menunjukkan bahwa petugas kesehatan maupun masyarakat sangat mendukung kegiatan pengendalian malaria secara biologi dengan pemanfaatan ikan nila merah.   &nbsp