PENERAPAN MODEL PEMBELAJARAN STUDENT FACILITATOR AND EXPLAINING UNTUK MENINGKATKAN AKTIVITAS DAN HASIL BELAJAR SISWA PADA KOMPETENSI DASAR CARA KERJA ENGINE 2 DAN 4 LANGKAH KELAS X SMK NEGERI 1 AROSBAYA

Dari hasil pengalaman mengajar dan hasil observasi di SMK Negeri 1 Arosbaya proses pendidikan masih menggunakan model pembelajaran konvensional, sehingga aktivitas dan respon siswa terhadap proses pembelajaran rendah, hal tersebut berpengaruh terhadap menurunnya hasil belajar siswa. Berdasarkan kasus tersebut dikembangkan suatu model dengan menggunakan model pembelajaran Student Facilitator And Explaining yang bertujuan mengetahui Penerapan Model Pembelajaran Student Facilitator And Explaining Untuk Meningkatkan Aktivitas dan Hasil Belajar Siswa Pada Mata Pelajaran Teknik Dasar Otomotif Kelas X SMK Negeri 1 Arosbaya yang mana berdasarkan hasil dari beberapa penelitian dapat meningkatkan kompetensi. Jenis penelitian ini adalah penelitian Tindakan Kelas yang Menggunakan dua siklus dengan subjek penelitian siswa kelas X TKR SMK Negeri 1 Arosbaya tahun ajaran 2017/2018 yang berjumlah 22 siswa, Kopetensi dasar yang akan diajarkan Adalah cara kerja egine 2 dan 4 langkah yang dilakukan dalam 2 siklus yang tiap siklus terdapat tahap perencanaan, pelaksanaan, pengamatan, dan refleksi. Siklus 1 materi yang akan diajarkan yakni pengertian dan cara kerja engine 2 dan 4 langkah sedangkan pada siklus 2 materi yang diajarkan yaitu Komponen-komponen engine 2 dan 4 langkah. Metode pengambilan data menggunakan metode angket, observassi, dan test. Dari analisi data hasil penelitian diketahui bahwa pada siklus I nilai rata-rata hasil belajar siswa sebesar 73.75 meningkat menjadi 81,61 pada siklus II. Penerapan Model Pembelajaran student facilitator and explaining juga dapat meningkatkan aktivitas belajar siswa dimana pada siklus I aktivitas siswa sebesar 59,21% meningkat menjadi 79,61% pada siklus II, sedangkan hasil respon siswa mendapatkan presentase 82,14%, dan dikategorikan sangat baik Kata kunci: Penerapan Model Pembelajaran Studen Facilitator and explaining aktivitas belajar, respon siswa, hasil belaja

Validation Analysis of HOTS-Based Multiple-Choice Questions in Islamic Religious Education at Al-Azhar High School Medan

This study aims to determine the quality of multiple-choice questions based on Higher Order Thinking Skill's (HOTS) in Islamic Religious Education (PAI) Subjects for Class XI of Al-Azhar Medan High School in the 2022-2023 Academic Year. Content analysis is the technique used in this research. In this study, data analysis was conducted qualitatively. This means analyzing data from exam question documents on the subject of Islamic Religious Education, dividing the questions into categories C1 to C6, and then presenting the results of the data analysis in the form of percentages for each question category. The subject of this research is multiple-choice questions that have been made by the teacher of Islamic Religious Education class XI at SMA Al-Azhar Medan in the 2022–2023 academic year, totaling 35 questions. The data collection techniques used in this study are observation and analysis of data contained in question documents and answer keys. The results obtained from the analysis of the quality of items according to Bloom's taxonomy in the cognitive domain indicate that of the 35 multiple-choice questions found, 51.43% are in the HOTS categ multiple choice questions ory and 48.57% are included in the LOTS item category. Analysis of the quality of items in the aspect of difficulty level shows 32 questions (91.43%) in the medium category, 3 questions (8.57%) in the easy category, and 0 questions (0%) in the difficult category. Analysis of the quality of the items in the aspect of the differential power of the questions shows 31 questions amounting to (88.57%) good category, 3 questions (8.57%) very good category, and 1 question amounting to (2.86%) sufficient category

Analisis Pengaruh Kepemimpinan dan Komitmen Organisasi untuk Meningkatkan Kinerja Perawat Pada Ruang Rawat Inap RS. Ibnu Sina YW UMI Makassar

Abstrak Penelitian ini bertujuan : (1) Menganalisis pengaruh kepemimpinan terhadap kinerja karyawan pada RS Ibnu Sina YW UMI Makassar (2) Menganalisis pengaruh komitmen organisasi terhadap kinerja perawat pada Ruang Rawat Inap RS Ibnu Sina YW UMI Makassar. Populasi dalam penelitian ini adalah karyawan klinis yaitu perawat rawat inap, dengan jumlah karyawan yaitu 106 orang dengan jumlah sample 84 karyawan. Hasil penelitian menunjukan bahwa kepemimpinan dan komitmen organisasi berpengaruh secara serempak terhadap kinerja karyawan dan secara parsial ternyata komitmen organisasi yang paling dominan pengaruhnya terhadap kinerja perawat pada Ruang Rawat Inap RS Ibnu Sina YW UMI Makassar. Kata Kunci: Analisis Pengaruh Kepemimpinan, Komitmen Organisasi, Kinerja Perawat Abstract This study aims: (1) to analyze the influence of leadership on employee performance at Ibnu Sina Hospital YW UMI Makassar (2) to analyze the effect of organizational commitment on nurse performance in the inpatient room at Ibnu Sina Hospital YW UMI Makassar. The population in this study were clinical employees, namely inpatient nurses, with a total of 106 employees with a sample of 84 employees. The results showed that leadership and organizational commitment simultaneously affected employee performance and partially organizational commitment was the most dominant influence on the performance of nurses in the Inpatient Room of Ibnu Sina Hospital YW UMI Makassar. Keywords: Analysis of the Effect of Leadership, Organizational Commitment, Nurse Performanc

Perbandingan Pemberian Ketorolak dengan Parecoxib Intravena Terhadap Kadar Trombosit, Aggregasi Trombosit dan Profil Koagulasi pada Operasi Seksio Sesarea

Pengelolaan nyeri pascabedah bertujuan menghasilkan analgesia yang optimal serta menghambat respons stres akibat pembedahan. Pengaruh OAINS baik COX 1 dan COX 2 terhadap trombosit baik jumlah maupun aggregasinya perlu dinilai untuk menentukan obat terpilih yang aman dalam mengatasi nyeri pascabedah. Penelitian ini bertujuan membandingkan pemberian ketorolak dengan parecoxib intravena terhadap jumlah trombosit, aggregasi trombosit, dan profil koagulasi pada operasi seksio sesarea. Penelitian ini menggunakan uji klinis acak tersamar ganda. Penelitian dilakukan di RSUP Wahidin Sudirohusodo Makassar pada bulan Oktober 2020–Maret 2021. Pengukuran dilakukan di awal dan setelah perlakuan dengan jumlah sampel masing-masing 11 orang. Data dianalisis menggunakan uji statistik Independen T-Test. Tidak berbeda bermakna perubahan kadar trombosit pada pemberian ketorolak dengan parecoxib sebagai analgesia pascabedah seksio pasca 24 jam dan pasca 48 jam (p>0,05). Berbeda bermakna perubahan agregasi trombosit pada pemberian ketorolak dengan parecoxib sebagai analgesia pascabedah seksio pasca 48 jam (p0.05). There was a significant difference in platelet aggregation between ketorolac and parecoxib group after 48 hours of post cesarean section surgery (p 0.05). There was a significant difference in platelet aggregation between ketorolac and parecoxib group after 48 hours of post cesarean section surgery at concentration of 1uM, 2uM, 5uM, and 10uM reagents respectively (p 0.05).Conclusion: Parecoxib does not cause a decrease in platelet aggregation therefore it can be used as an alternative for post-surgical analgesics, especially for patients with hemostatic disorders. Parecoxib does not cause hemostatic physiological disorders compared to ketorolac. Both parecoxib and ketorolac do not affect the platelet count Keywords: Coagulation Profile, Ketorolac, Parecoxib, Platelet Aggregation. ABSTRAKLatar Belakang: Pengelolaan nyeri pasca bedah, bertujuan menghasilkan analgesia yang optimal serta menghambat respon stres akibat pembedahan. Pengaruh OAINS baik COX 1 dan COX 2 terhadap tromobosit baik jumlah maupun aggregasinya perlu dinilai untuk menentukan obat terpilih yang aman dalam mengatasi nyeri pasca bedah yang aman.Tujuan: Membandingkan pemberian ketorolak dengan parecoxib intravena terhadap jumlah trombosit, aggregasi trombosit dan profil koagulasi pada operasi seksio sesarea.Metode: Desain yang digunakan pada penelitian ini adalah uji klinis acak tersamar ganda (Randomized double blind clinical trial). Dalam rancangan eksperimental, pengukuran atau observasi dilakukan diawal dan setelah perlakuan dengan jumlah sampel masing-masing 11 orang. Data dianalisis menggunakan uji statistik Independen T Test.Hasil Penelitian: Tidak ada  perbedaan yang bermakna perubahan kadar trombosit pada pemberian ketorolak dan parecoxib sebagai analgesia pasca bedah seksio post 24 jam dan post 48 jam (p> 0.05). Ada  perbedaan yang bermakna perubahan agregasi trombosit pada pemberian ketorolak dan parecoxib sebagai analgesia pasca bedah seksio post 48 jam pada reagen concentrate 1uM, 2uM, 5uM, dan 10uM (p 0.05).Simpulan: Parecoxib tidak menyebabkan penurunan agregasi trombosit sehingga dapat digunakan sebagai alternatif untuk analgetik pasca bedah terutama untuk pasien yg mengalami gangguan hemostatis. Parecoxib tidak menyebabkan gangguan faal hemostasis dibandingkan ketorolak. Parecoxib dan ketorolak tidak mempengaruhi jumlah trombositKata kunci: Ketorolak, Parecoxib,  Aggregasi trombosit, Profil koagulas

Mucinous carcinoma of breast: A rare tumour with favorable prognosis - 10 years experience from a single center

Purpose: The purpose of this study was to describe the biological behaviour of mucinous breast carcinoma (MBC) regarding their clinical presentations, pathological features, prognosis and survival.Methodology: We conducted this retrospective study from 2006 to 2015 (10-year duration) and included all the patients who presented with mucinous carcinoma of the breast at any age. We excluded all the patients who presented with invasive ductal carcinoma or other rare breast tumours. Each patient with mucinous carcinoma breast was categorised in terms of diagnosis, surgery, chemotherapy and outcome. For categorical variables, Chi-square test was used. Kaplan–Meier curves were used to determine estimated overall survival. Data analysis was carried out using the SPSS 20.Results: In total, 8841 patients with breast carcinoma presented during the study period. Of these, 74 patients were diagnosed as cases of MBC, constituting <1%. Family history of breast carcinoma was positive in 20% of patients. Most of the women were postmenopausal (66.2%) falling in BIRADS Category 4 and 5 (32.4% each). Considering laterality tumours had almost equal distribution between the right and left side. Breast-conserving surgery was performed in 47.3% of women as compare to modified radicle mastectomy in 52.7% of women. Most of the patients had pathological T2 (51.4%), N0 (81.1%) and moderately differentiated (69%) mucinous carcinoma. ER was positive in 85% of patients, PR in 80% and H2N in 74.6% of patients. Neoadjuvant chemotherapy was given to 20 patients (27%) and adjuvant chemoradiotherapy was given to 51 patients (69%). Metastasis occurred in 12 (16.2%) of our patients while 62 (83.8%) were metastasis free on long-term follow-up, with bones being the most common site of metastasis, occurring in 6 patients (8.1%) followed by lungs, occurring in 4 patients (5.4%). A total of 32 (43.2%) patients are alive, and on regular follow-up, 3 (4.1%) died during the course of follow-up and 39 (52.7%) are lost to follow-up with a median survival of 60 months and an overall 5-year survival rate of >95%.Conclusion: Mucinous carcinoma is a rare breast carcinoma with a good prognosis.Key words: Breast cancer, mucinous carcinoma, prognosi

PKM Penerapan IPTEK dalam Pengolahan Sampah Organik Menjadi Pupuk Organik

Sampah merupakan salah satu masalah yang selalu ada hampir di setiap daerah termasuk pada lingkup Desa Banjarejo, Kec. Ngadiluwih, Kab. Kediri. Salah satu permasalahan pada lingkungan ini yaitu penanganan dan pengolahan sampah yang belum berjalan baik, sehingga menyebabkan penumpukan sampah. Dalam satu hari Desa Banjarejo menghasilkan sampah yang berkisar antara 150 m3 sampai 160 m3, dengan estimasi sampah organik berkisar 75 m3 hingga 80 m3. Nantinya sampah diolah agar masalah sampah ini tidak semakin membesar, terutama sampah organik. Sampah organik dapat diolah menjadi pupuk, baik itu pupuk cair maupun pupuk padat. Alat bantu berupa mesin pencacah dan mesin pengayak diperlukan untuk mengolah sampah dalam jumlah besar supaya proses memperhalus sampah lebih efisien. Setelah sampah halus dilanjutkan menuju tahap pembuatan pupuk organik, untuk pupuk cair akan menggunakan alat bantu berupa drum decomposer. Untuk proses pengaplikasian digunakan metode pelatihan yang diadopsi dari penerapan IPTEK pada perkuliahan praktek di Politeknik Negeri Madiun, sehingga dihasilkan luaran masyarakat yang mampu mengolah sampah organik menjadi pupuk organik padat dan cair serta dapat menggunakan alat pencacah dan pengayak guna meningkatkan kualitas produksi pupuk

Emergency Response of Indian Hajj Medical Mission to Heat Illness Among Indian Pilgrims in Tent-Clinics at Mina and Arafat During Hajj, 2016

Introduction: Extreme heat claims more lives than all other weather-related exposures combined. Hajj rituals at Mina, Arafat, and Muzdalifah involve a minimally-clothed, moving assemblage of 3.5 million pilgrims who are exposed to a harsh, hot, desert climate during physically challenging outdoor rituals and unsheltered night stays, rendering them prone to heat illness, dehydration, and sunburn. This cross-sectional study assessed the emergency response of the Indian Hajj Medical Mission to overwhelming heat illnesses in Mina and Arafat among Indian pilgrims during Hajj, 2016. Methods: In 2016, 88 patients affected by the heat were brought to central tent-clinics at 36 maktabs in Mina and Arafat that were established by the Indian Hajj Medical Mission. Patients were offered rapid external evaporative cooling (wet towels) and cold intravenous saline infusion on patient couches and wheelchairs. Results: The incidence of heat illness among Indian pilgrims in 2016 was 0.62/1000. The ratio of males to females was 1.8:1. Mean ages of males and females were 62.2 ± 7.43 and 52.6 ± 9.3, respectively. Pre-existing conditions, such as diabetes mellitus and hypertension, were present in 93.2% of the patients. The most common presentations included hyperthermia, fatigue, and restlessness. Heatstroke presented in five patients and resulted in one fatality. Twenty-eight patients were referred to Saudi hospitals, and 12 of them were institutionalized. Exertion related to the stoning of Satan ritual during late morning and afternoon hours was the leading cause of heat illness. Conclusion: The overwhelming incidence of heat illness among Indian pilgrims in the critical five-day period of the Hajj represents the tip of the iceberg as the Hajj attracts over 3.5 million pilgrims from 200 countries annually. Heat illness is difficult to manage in the presence of pre-existing comorbidities and mandates clientele education and outreach warning systems to enhance resilience capital amongst Hajj pilgrims, sportspersons, outdoor enthusiasts, and military personnel