TINGKAT KECEMASAN PADA PASIEN KANKER TELINGA, HIDUNG, DAN TENGGOROK, KEPALA, LEHER (THT-KL) YANG MENJALANI KEMOTERAPI DI BLUD RSUDZA

ABSTRAKKecemasan merupakan respon emosional yang mengganggu dan mengancam ketenangan setiap orang. Kecemasan sering terjadi pada penyakit kronik yang tidak sembuh seperti kanker, salah satunya adalah kanker THT-KL. Pengobatan kanker dengan kemoterapi dapat memberikan efek cemas. Penelitian ini bertujuan mengetahui tingkat kecemasan pasien kanker Telinga Hidung, Tenggorok, Kepala dan Leher (THT-KL) yang menjalani kemoterapi di BLUD RSUDZA. Jenis penelitian ini adalah deskriptif. Populasi penelitian adalah pasien kanker THT-KL yang sedang menjalani kemoterapi di BLUD RSUDZA. Data diperoleh langsung dari hasil wawancara dan rekam medik. Hasil penelitian yang dilakukan terhadap 32 responden didapatkan gambaran tingkat kecemasan pada pasien kanker THT-KL menunjukkan sebanyak 53,1% mengalami kecemasan sedang; 34,4% mengalami kecemasan ringan; 12,5% mengalami kecemasan berat. Kecemasan paling banyak diderita oleh pasien yang berusia 46-55 tahun (34,4%), pasien dengan jenis kelamin laki-laki (56,3%), pasien yang sudah menikah sebanyak (84,4%), pasien dengan pendidikan terakhir SMA (78,2%), pasien dengan pekerjaan swasta (40,6%), pasien dengan penghasilan rendah (43,8%), pasien dengan diagnosa Ca Nasofaring sebanyak (43,8%), pasien dengan kanker stadium 4 (46,9%), dan pasien dengan siklus kemoterapi 1-3 sebanyak (68,8%). Kesimpulan: Tingkat kecemasan pada pasien kanker THT-KL yang sedang menjalani kemoterapi di BLUD RUDZA mayoritas adalah kecemasan tingkat sedang. Pasien Kanker THT-KL yang menjalani kemoterapi di bawah siklus 1-3 memiliki tingkat kecemasan berat dan kemoterapi di atas siklus 3 mengalami kecemasan tingkat ringan.Kata Kunci: Tingkat Kecemasan, Kanker THT-KL, Kemoterap

IMPROVING STUDENTS’ VOCABULARY MASTERY THROUGH TOTAL PHYSICAL RESPONSE METHOD AT SEVENTH GRADE STUDENTS OF MTS HIDAYATUSSALAM BANDAR KHALIPAH

This research was conducted to describe the improvement of students’ vocabulary mastery through Total Physical Response method at seventh grade students of MTs Hidayatussalam  in  2020/2021  academic  year.  The  research  design  used  was  Classroom Action Research (CAR). The participants of this research consisted of 25 students of VII-1. In this research, the English teacher of MTs Hidayatussalam act as the observer. The research conducted in two cycles, each cycle consisted of two meetings. The research was carried out through four steps; planning, acting, observing, and reflecting. There are two kinds of data, qualitative and quantitative data. The qualitative data were taken from by the interview and observation sheet result, diary notes, and documentation. Meanwhile, quantitative data were obtained from the students' score of vocabulary test, include pre-test, post-test I, and post-test II.  The  result  of  data  analysis  indicated  that  there  was  the  improvement  of  students’ vocabulary mastery through Total Physical Response method. The students achieved better score in every cycle. The minimum passing grade (KKM) in this school was 75. From the data analyzing, it showed the mean of the pre-test was 56,3, the mean of post test I was 79,4, and the mean of post test II was 83,2. It can be seen that the mean improved in each cycle. The percentage of students’ score also increased. In the pre-test, there were just 5 students who achieved score ≥75 or passed the test (20%). In the post-test I, 17 students successfully passed the test (68%). From the pre test to post test I the increase was 48%. In the post-test II, there were 23 students who passed the test (92%). The increase from the post test I was 24%. The percentage of students’ score improved and getting higher in every cycle. In conclusion, the students’ vocabulary mastery improved by the implementation of the TPR method. Based on  qualitative  data  analysis,  it  showed  that  the  students  give  positive  responses  to  this research. The students enjoy and enthusiast in teaching learning activity. It was found that the implementation of Total Physical Response method can make students easier to memorize the vocabulary, and it makes them can improve their vocabulary mastery. In other words, the Total Physical Response method effective to improve the students’ vocabulary mastery.Keywords: Vocabulary, Total Physical Response metho

HUBUNGAN PENGETAHUAN TENTANG GIZI DENGAN PEMENUHAN NUTRISI PADA PASIEN KANKER YANG MENJALANI KEMOTERAPI DI RSUD DR. ZAINOEL ABIDIN BANDA ACEH TAHUN 2013

Pasien kanker yang menjalani kemoterapi mengalami perubahan metabolisme tubuh yaitu terganggunya sintesis glikogen, peningkatan proteolisis serta pemecahan lemak dalam jaringan otot dan peningkatan glukoneogenesis. Efek samping dari kemoterapi secara langsung menyebabkan nausea, vomiting, nyeri abdomen, mukositis, ileus diare dan malabsorbsi, sehingga asupan makan dan pemenuhan nutrisi dapat terpengaruh. Pemenuhan nutrisi pada pasien kanker dapat menurunkan resiko terjadinya komplikasi, memenuhi peningkatan energi dan kebutuhan protein, membantu memperbaiki dan membangun jaringan normal yang rusak akibat terapi. Pasien kanker dengan pengetahuan yang baik akan mempunyai kemampuan untuk menerapkan pengetahuan gizinya dalam pemilihan maupun pengolahan pangan, sehingga konsumsi pangan mencukupi kebutuhan. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan tentang gizi dengan pemenuhan nutrisi pada pasien kanker yang menjalani kemoterapi di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh Tahun 2013. Jenis penelitian adalah deskriptif korelatif, melalui desain cross sectional study. Metode pengambilan sampel yaitu purposive sampling dengan jumlah sampel sebanyak 48 responden. Pengumpulan data dengan wawancara terpimpin menggunakan kuesioner yang terdiri dari 20 pernyataan dalam skala Guttmen dan lembar Food Frequency Questioner. Analisa data dengan menggunakan uji statistik chi-square. Hasil penelitian adalah tidak ada hubungan antara pengetahuan tentang gizi dengan pemenuhan nutrisi (P-value 0,610) di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh tahun 2013. Diharapkan Rumah Sakit dapat membuat kebijakan berupa program edukasi untuk meningkatkan pemantauan status gizi serta terapi nutrisi pada pasien kanker yang menjalani kemoterapi.Kata kunci : Kanker, kemoterapi, pengetahuan tentang gizi, pemenuhan nutrisiDaftar bacaan: 10 buku + 4 skripsi + 15 jurnal (1996-2012

Kajian Sifat Fisika Tanah Pada Beberapa Kelas Kemiringan Lereng Di Perkebunan Karet (Hevea Brasiliensis) Rakyat Kecamatan Sei Bingai Kabupaten Langkat

Perkebunan karet rakyat di Kecamatan Sei Bingai memiliki tingkat kelerengan yang bervariasi mulai dari datar hingga sangat curam yang menyebabkan air hujan yang jatuh ke permukaan tanah akan membuat butiran tanah terlepas dari agregatnya dan terbawa bersama aliran permukaan ke tempat yang lebih rendah. Besarnya aliran permukaan membuat tanah mengalami erosi dan akan mempengaruhi sifat fisika tanah. Penelitian ini bertujuan untuk menganalisis sifat fisika tanah pada beberapa kelas lereng di perkebunan karet rakyat Kecamatan Sei Bingai Kabupaten Langkat. Penelitian dilakukan dengan menggunakan metode survei. Pengambilan sampel tanah dilakukan secara stratified random sampling pada enam kelas lereng (datar, landai, agak miring, miring, agak curam, curam) pada posisi lereng atas, tengah, dan bawah. Sifat fisika tanah dianalisis di Laboratorium Riset dan Teknologi Fakultas Pertanian Universitas Sumatera Utara. Hasil penelitian menunjukan bahwa tekstur tanah pada enam kelas kemiringan lereng termasuk kedalam kelas tekstur lempung berpasir dan pasir berlempung, bahan organik tanah pada enam kelas kemiringan lereng termasuk kriteria sedang-sangat tinggi dengan kisaran nilai 3,13-6,39 %, bobot isi tanah pada enam kelas kemiringan lereng termasuk kriteria sedang dengan kisaran nilai 0,67-1,08 g/cm3, porositas tanah pada enam kelas kemiringan lereng termasuk kriteria porous dengan kisaran nilai 59,38-74,89 %, permeabilitas tanah pada enam kelas kemiringan lereng termasuk kriteria agak lambat-agak cepat dengan kisaran nilai 1,07-6,51 cm/jam

Identification of Vegetation on 3 Types of Post-Operation Land in Oil and Gas Mining, Riau Province

PT. Pertamina Hulu Rokan (PHR) is conducting activities to restore unproductive lands by revegetating in 3 types of areas. They are (1) areas of ex-well pad facilities where well plug & abandon (P&A) activities have been carried out, including the dismantling of related surface facilities, (2) areas of ex-production facilities that have been dismantled and (3) areas of ex-borrow pits. This research was conducted in PHR’s post-operation land area in 5 revegetation sites representing three types of post-operation areas, in Riau Province. The purpose of this study is to identify the types of vegetation found on post-operation land of oil and gas mining and to determine the types of vegetation that grow well on post-operation land based on the revegetation achievement target in each post-operation location in the document of Environmental Impact Analysis. Field research was conducted through the observation method. Observations were made by observing the type of plant, plant height, and plant mortality rate. The results showed that there were ten species of plants found in the 3 types of post-operation land in PHR, namely Cempedak (Artocarpus integer), Durian (Durio zibethinus), Jelutung (Dyera lowii), Jengkol (Pithecellobium jiringa), Mahoni (Swietenia macrophylla), Mangga (Mangifera indica), Matoa (Pometia pinnata), Medang (Litsea sp), Petai (Parkia speciosa), and Pulai (Alstonia scholaris). In total, the percentage of living plants was 88.2%. Furthermore, the average plant height in the five post-operation land areas was 169.8 cm. These values also indicate that the percentage of living plants and the height average of each type of plant in location is categorized as good, according to the achievement of the revegetation target in the document of Environmental Impact Analysi

Use of anonymous social media accounts as self-disclosure media for Generation Z on postmodernism

This paper aims to see how anonymous social media accounts are used as a medium of self-disclosure and by adolescents in the era of postmodernism. This study uses a constructivist paradigm with a descriptive method through a qualitative approach. Data collection is done by using library research techniques. Data sources come from relevant literature, such as books, journals, or scientific articles. Data analysis was carried out by identifying problems that occurred related to the research topic, then analyzed with a postmodernism perspective to reveal social realities that occurred in adolescents in the use of anonymous social media from the standpoint of Jean Baudrillard's simulacra theory and conclusions were drawn. The results of the study show that both the positive and negative impacts of using anonymous social media accounts, in the view of postmodernism, put forward a very subjective truth. In the context of adolescent self-disclosure, limits will be determined by personal will, and the benefits of self-disclosure refer to individual satisfaction. Adolescents are forced to enter into hyperreality conditions that are intended to deceive adolescents in a subtle way, namely deceiving and believing that the simulation is the real reality so that adolescents become dependent on the simulation and possessive

Pajak Sebagai Sumber Pendapatan Negara (Analisis Sejarah Penentuan Kadar Pajak Di Masa Umar Bin Khattab Menurut Abu Yusuf dalam Kitab Al-Kharaj

Implementation of tax revenue to finance the country has been done by the Prophet’s companions since the time of Umar bin Khattab. Levies taken on the basis of their income which has met a certain amount, the amount must be equal to those who are eligible to pay zakat. Levels are levied based on the levels of zakat obligatory. For trade tax of 2.5% or l / 40, in 40 earnings taken one part of the country that will be used to finance operational tasks to build the country in all its forms. For the agricultural tax is measured by charity crops, which is l / 10 if naturally irrigated and l / 20 if irrigated using a tool, or 10% and 5%, in ten taken one and drawn one in 20. The obligation of the state is measured with the obligations of religion. Only the obligation of the state designated as operational funding and development of the country aimed at all the people, while liabilities towards religion designated as the fulfillment of consumer needs for the poor people

The Role Of Halaqah Review On Improving Basic Nahwu Learning In Islamic School Center Medan

This research examines halaqah recitation's role in improving students' basic nahwu learning at the Islamic Center in Medan City, Deli Serdang Regency. The urgent issues that will be studied are the implementation of halaqah recitation, the improvement of basic nahwu learning, and the supporting and inhibiting factors for students' nahwu learning. This research aims to find out the process of implementing halaqah recitation, Nahwu learning at the Islamic Center, and the supporting and inhibiting factors for students' Nahwu learning. This research is a qualitative descriptive study with an educational approach and a psychological approach. The students of halaqah teachings have the demand method, the lecture method, the sorogan method, the recitation method, the rote method, and the role model method. The learning method is in studying Qawa'id or nahwu, namely qiyasiyah and istiqraiyah tariqah. The research methods are observation, interviews, and documentation. The results of this study indicate that halaqah recitation at the Islamic Center is important in improving students' basic nahwu learning. Students already know the basic nahwu rules and can determine the position of words in certain books. The result is about the supporting factors of nahwu learning and the inhibiting factors of interest

ELASTISITAS HUKUM ISLAM DALAM MERESPONS PERUBAHAN SOSIAL

The present paper will describe elasticityof Islamic law in responding global and social change. The Islamic law is not only a law given by the will of Lordto all human being, but it has been also a dynamic and flexible law which came gradually in accordance withdevelopment of muslim societies through ijtihad which interpreteds the sacred text, naş, compares analogicallya new case that there is no legal recommended with a legal recommended case based on the mean of Islamiclaw. Historically, through considering public interest and social change logic, the government has a capableof declaring a decision that has relation to the naş argument by political power if needed. it was followed, forinstance, that a male muslim who was allowed to marry a christian woman was forbidden in Umar bin Khatab er