IMPLEMENTASI MODEL SUGESTOPEDIA DALAM MENULIS CERPEN DI KELAS VIII SMP N 3 KOTA GORONTALO

Penelitian ini menggunakan metode deskriptif jenis kualitatif. Metode suggestopedia dapat memberi jalan agar peserta didik menemukan kreatifitasnya untuk menulis cerpen. Data dalam penelitian ini adalah hasil tulisan cerpen peserta didik di kelas VIII SMP N 3 Kota Gorontalo. Sumber data dalam penelitian bersumber dari 22 orang peserta didik di kelas VIII SMP N 3 Kota Gorontalo, dan juga dari pihak sekolah, guru melalui wawancara. Teknik pengumpulan data Pengamatan/Observasi, Wawancara, dokumentasi. Data dianalisis dengan reduksi data, model data/penyajian data, penarikan kesimpulan. Data instrument penilaian alat yang digunakan oleh peneliti dalam mengumpulkandata agar memudahkan peneliti dalam mengolah data. Pedoman penilaian keterampilan pembelajaran menulis cerita pendek. Berdasarkan hasil yang diperoleh dari penelitian ini dapat dilihat bahwa beberapa siswa sudah mampu tersugesti dengan menuangkan ide dan gagasannya dalam bentuk tulisan berupa teks cerpen. Sedangkan beberapa siswa terlihat masih kurang mampu menuangkan ide dan gagasannya lewat metode suggestopedia. Hal ini bisa dipengaruhi oleh rendahnya tingkat konsentrasi peserta didik dalam mengikuti pembelajaran. Kata-kata Kunci: Cerpen. Menulis. Metode suggestopedia

ANALISIS IMPLEMENTASI KEBIJAKAN SISTEM JAMINAN PELAYANAN KESEHATAN GRATIS DI KABUPATEN BUOL

The Purposes of this research are to give the understanding about the form and process of  free healthy program and to analyze the implementation of Buol Regent Regulation Policy No.05 Year 2010 about Free Healthy Service Guarantee System in Buol Region. The research was carried out at Regional Public Hospital Buol Region as the hospital of patients reconciliation which was  from 11 local government clinics spread in Buol Region. Whereas the technique of data collection was done through observation, deep interview, and documentation. All data will be inventorized and proceeded and analyzed using qualitative descriptive data analysis.Deal with the research result, that the implementation of free healthy service guarantee from Regent Regulation No. 5 Year 2010 was not effective to the public interest level, at least there were some factors that influenced the implementation of the policy namely; content of policy which consisted of interest affected, types of benefis, extent change of envisioned and resources commited. In relation to the content of policy, intended to be through politics manipulation process, so that it could give benefit to the executor. This is one of the indicators that indicated the unsuccessful implementation of the policy, because public gets difficulty and unsatisfaction to have free healthy facility as assigned by the regulation. Therefore, the service generallly did not give positive impact to the public. Finally, it can be stated that the Grindle theory is still applicable and relevant to be used in the field

Food malabsorption/intolerance complaints triggered by primary epiploic appendagitis

Primary epiploic appendagitis (PEA) is an uncommon and self-limiting cause of acute or subacute abdominal complaints. The diagnosis of PEA, with its characteristic appearance, is made with computed tomography (CT). This report describes a patient seven months after a CT-confirmed diagnosis of PEA. Because of persistent and recurring, functional, non-specific abdominal complaints, food intolerance/malabsorption was investigated. Fructose malabsorption combined with histamine intolerance was found. A registered dietician helped develop an individually-tailored diet to address the problem. Within four days of beginning the fructose-free and histamine-reduced diet, the patient’s complaints resolved. In conclusion, abdominal symptoms caused by fructose malabsorption and histamine intolerance may have been triggered by PAE in this patient

Rs9939609 Variant of the Fat Mass and Obesity-Associated Gene and Trunk Obesity in Adolescents

A common T/A polymorphism (rs9939609) in the fat mass and obesity associated (FTO) gene was found associated with early-onset and severe obesity in both adults and children. However, recent observations failed to find associations of FTO with obesity. To investigate the genetic background of early obesity, we analysed the single nucleotide polymorphism (SNP) rs9939609 of FTO in 371 styrian adolescents towards degree of obesity, subcutaneous adipose tissue (SAT)-distribution determined by lipometry, early metabolic and preatherosclerotic symptoms. The percentage of AA homozygotes for the rs9939609 SNP of FTO was significantly increased in the obese adolescents. Compared to the TT wildtype, AA homozygotes showed significantly elevated values of SAT thickness at the trunk-located lipometer measure points neck and frontal chest, body weight, body mass index, waist, and hip circumference. No associations were found with carotis communis intima media thickness, systolic, diastolic blood pressure, ultrasensitive C-reactive protein (US-CRP), homocystein, total cholesterol, triglycerides, HDL cholesterol, oxidized LDL, fasted glucose, insulin, HOMA-index, liver transaminases, uric acid, and adipokines like resistin, leptin, and adiponectin. Taken together, to the best of our knowledge we are the first to report that the rs9939609 FTO SNP is associated with trunk weighted obesity as early as in adolescence

Serum Neopterin Is Not Increased in Obese Juveniles

Objective. Cardiovascular disease is associated with inflammation and immune activation, concentrations of immune activation markers like neopterin predict outcome in adults. Methods. Serum neopterin concentrations and early metabolic and pre-atherosclerotic symptoms were analyzed in 295 obese juveniles and 101 normal weight controls of similar age. Additionally, the influence of a 12 months weight reduction program on neopterin levels was investigated in 31 obese juveniles. Results. Intima-media thickness of common carotid arteries (IMT) and the concentrations of C-reactive protein (CRP) were increased in the obese juveniles (P < .001). Also triglycerides, oxidized LDL, fasted insulin levels, HOMA-index, leptin, liver transaminases and uric acid were increased compared to the controls. However, serum neopterin was decreased in the obese versus non-obese juveniles (P < .03). The intervention consisting of regular sports, nutritional devices, and a psychologic attendance led after 12 months to an increase of neopterin concentration (P < .05; paired test). Conclusions. Neopterin concentrations in juvenile obesity behaved considerably different from what was demonstrated in adults, levels did not correlate with metabolic and pre-atherosclerotic symptoms found in early phases although early vascular burden and chronic low grade inflammation was indicated by increased IMT and CRP. Neopterin concentrations increased after a 12 months intervention program

Pneumatic tube system transport does not alter platelet function in optical and whole blood aggregometry, prothrombin time, activated partial thromboplastin time, platelet count and fibrinogen in patients on anti-platelet drug therapy

Introduction: The aim of this study was to assess pneumatic tube system (PTS) alteration on platelet function by the light transmission aggregometry (LTA) and whole blood aggregometry (WBA) method, and on the results of platelet count, prothrombin time (PT), activated partial thromboplastin time (APTT), and fibrinogen. Materials and methods: Venous blood was collected into six 4.5 mL VACUETTE® 9NC coagulation sodium citrate 3.8% tubes (Greiner Bio-One International GmbH, Kremsmünster, Austria) from 49 intensive care unit (ICU) patients on dual anti-platelet therapy and immediately hand carried to the central laboratory. Blood samples were divided into 2 Groups: Group 1 samples (N = 49) underwent PTS (4 m/s) transport from the central laboratory to the distant laboratory and back to the central laboratory, whereas Group 2 samples (N = 49) were excluded from PTS forces. In both groups, LTA and WBA stimulated with collagen, adenosine-5’-diphosphate (ADP), arachidonic acid (AA) and thrombin-receptor-activated-peptide 6 (TRAP-6) as well as platelet count, PT, APTT, and fibrinogen were performed. Results: No statistically significant differences were observed between blood samples with (Group 1) and without (Group 2) PTS transport (P values from 0.064 – 0.968). The AA-induced LTA (bias: 68.57%) exceeded the bias acceptance limit of ? 25%. Conclusions: Blood sample transportation with computer controlled PTS in our hospital had no statistically significant effects on platelet aggregation determined in patients with anti-platelet therapy. Although AA induced LTA showed a significant bias, the diagnostic accuracy was not influenced

Dramatic decrease of vitamin K2 subtype menaquinone-7 in COVID-19 patients

(1) Background : Vitamin K (VK) is a fat-soluble compound with a common chemical structure, a 2-methyl-1,4-naphthoquinone ring, and a variable aliphatic side-chain. VK is involved in the synthesis of blood-clotting proteins, bone stability, anti-oxidative, and immune inflammatory-modulatory functions. Vitamin K also activates protein S, which acts as an antioxidant and anti-inflammatory. The fact that cytokine overproduction, oxidative stress, and disturbed microcirculation by thrombogenicity play a central role in severe COVID-19 prompted us to analyze this vitamin. (2) Methods : We analyzed by a validated liquid-chromatography tandem mass-spectrometry method serum vitamin K1, MK4, MK7, and VK epoxide levels in 104 healthy controls, 77 patients with non-COVID-19 pneumonia, and 135 hospitalized COVID-19 patients with potentially fatal outcomes admitted to our University Hospital between April and November 2020. We included the quotient between VK and triglyceride (TG, nmol/mmol/L) values in the analyses with respect to the TG transporter function for all VK subtypes. Additionally, we assessed anthropometric, routine laboratory, and clinical data from the laboratory and hospital information systems. (3) Results : The COVID-19 patients had significantly lower MK7 levels than non-COVID-19 pneumonia patients and healthy controls. COVID-19 and non-COVID-19 pneumonia patients had significantly lower vitamin K1 and significantly higher MK4 compared to healthy controls, but did not differ significantly from each other. Between COVID-19 non-survivors ( n = 30) and survivors ( n = 105) no significant differences were seen in all vitamin K subtypes, despite the fact that non-survivors had higher peak concentrations of IL-6, CRP, d-dimer, and higher oxygen needs, respectively. (4) Conclusions : The present data identified significantly decreased vitamin K1, K2 (MK7), and increased MK4 levels in patients with COVID-19 compared to healthy controls. Vitamin K2 (MK7) was lowest in COVID-19 patients irrespective of potentially fatal courses, indicating consumption of this VK subtype by COVID-19 immanent effects, most probably inflammatory and oxidative stress factors