GAMBARAN LAMA PUASA PREANESTESI PADA PASIEN BEDAH TERENCANA DI RSUD RADEN MATTAHER JAMBI PERIODE OKTOBER-DESEMBER 2016

ABSTRACT Background: Preanesthesia fasting is one of the patients’ physical preparations before the anesthesia actions. The length of preanesthesia fasting is different depending group of age. Prolong of preanesthesia fasting will have an impact on the condition that is not expected in patients such as the inconvenience, dehydration, hypovolemic, and hypoglycemia. Objectives: The purpose of this study is to describe of preanesthesia fasting on the elective surgery patients in RSUD Raden Mattaher Jambi. Methods: This study is a descriptive study using a cross sectional design of 67 respondents. This study was carried out in RSUD Raden Mattaher Jambi on October-December 2016. The data obtained from the interview and medical record data of respondents. Results: Result of the study from total 67 respondents shows the prolong of preanesthesia fasting on the age of the respondents <6 month as much as 100%, age 6-36 month 71,5%, and age >36 month 96,62. Conclusions: Most elective surgery patient in hospital of Raden Mattaher have prolong of preanesthesia fasting. Key words: Preanesthesia fasting, Rules of preanesthesia fasting   ABSTRAK Latar Belakang: Puasa preanestesi merupakan salah satu persiapan fisik pasien sebelum dilakukan tindakan anestesi. Lamanya waktu puasa preanestesi berbeda setiap kelompok usia. Pemanjangan waktu puasa preanestesi akan berdampak kepada kondisi yang tidak diharapkan pada pasien seperti terjadinya ketidaknyamanan, dehidrasi, hipovolemik, dan hipoglikemi. Tujuan: penelitian ini bertujuan untuk mengetahui gambaran lamanya puasa preanestesi pada pasien bedah terencana di RSUD Raden Mattaher Jambi. Metode: penelitian ini merupakan penelitian deskriptif menggunakan desain cross sectional terhadap 67 orang responden. Penelitian ini dilakukan di RSUD Raden Mattaher Jambi  pada Oktober-Desember 2016. Data diperoleh dari wawancara dan data rekam medis responden. Hasil: Hasil penelitian terhadap 67 responden menunjukkan pemanjangan masa puasa preanestesi pada usia <6 bulan sebanyak 100%, usia 6-36 bulan sebanyak 71,5%, dan usia >36 bulan sebanyak 96,62%. Kesimpulan: kesimpulan dari penelitian ini adalah Sebagian besar pasien bedah terencana di RSUD Raden Mattaher Jambi mengalami pemanjangan puasa preanestesi. Kata Kunci: puasa preanestesi, aturan puasa preanestes

A Structural Analysis of Social Representations of "Reconciliation" in Cyprus: An Empirical Contribution

In the Cyprus peace process, the efforts of Civil Society Organisations (CSOs) facilitate the practices of co-existence, or intergroup contact between the Turkish Cypriot (TC) and Greek Cypriot (GC) communities. Considering this context, the original contribution of this study is to employ the theoretical framework of social representations (SRs), to understand the internal structure SR of reconciliation in Cyprus. Moreover, this study intends to explore the reconciliation SRs of those taking part in CSOs (n=30) and of the laypeople (n=40). This study analyses power relations in both competing and convergent SRs between different groups of actors. It presents insights drawing upon fieldwork that was carried out in Cyprus using a convenient and purposive sampling method. Methodologically we choose the Central Nucleus Theory (Abric, 1976). This oft-used methodological approach is based on the Hierarchised Evocations tool: a task of word association starting from the inductor "Reconciliation", followed by a justification questionnaire (Galli, Fasanelli & Schember, 2018) as well as a classification of the associated terms (Vergès, 1992). Data were analysed using both prototypical and similitude analyses processed by IRaMuTeQ, an interface of R, and through the perspective of iterative factorial cluster analysis for binary data (iFCB). The results indicate that the structure of the social representations of reconciliation demonstrated by all subsamples reflects their social construct. It appears that, due to their activism, the CSO subsample has a higher degree of quality and quantity of collaboration in both the in-group and the intergroup, compared to the laypeople. The CSO subsample engaging in in-group and intergroup collaborations tends to show trust and a more tolerant attitude for engaging in collaborative work. Their representation of reconciliation reflects the line of activism and positive attitudes towards cooperation for a shared future. Meanwhile, the TCC and GCC laypeople subsamples have a shared hope for peace, looking forward to having a more comfortable life. They highlight the coexistence contributed to by emotional efforts (forgiveness, empathy, and the spread of love to reconnect and come to an agreement). Moreover, all subsamples share the common representation that reconciliation corresponding to peace as a common goal

Model Regresi Poisson yang Diperumum Untuk Mengatasi Overdispersi pada Model Regresi Poisson

Model regresi digunakan untuk memodelkan hubungan antara variabel prediktor dengan variabel respon. Hubungan antara variabel prediktor dengan variabel respon yang diasumsikan berdistribusi Poisson dapat dimodelkan dengan model regresi Poisson. Asumsi yang harus dipenuhi pada distribusi Poisson adalah nilai variansi sama dengan nilai rata-rata (equidispersi). Namun terkadang asumsi tersebut tidak dapat dipenuhi dengan terjadinya overdispersi (nilai variansi lebih besar dari nilai rata-rata). Jika terjadi overdispersi pada model regresi Poisson, maka nilai standard error yang dihasilkan underestimate sehingga diperoleh kesimpulan yang kurang valid. Model regresi Poisson yang diperumum adalah model regresi yang sesuai digunakan untuk mengatasi overdispersi pada model regresi Poisson. Tujuan penelitian ini untuk mengkaji ulang model regresi Poisson yang diperumum untuk mengatasi overdispersi pada model regresi Poisson dan menerapkannya pada data banyaknya penduduk miskin di Indonesia pada tahun 2014. Estimasi parameter model regresi Poisson yang diperumum dapat diperoleh dengan metode MLE (maximum likelihood estimation). Berdasarkan hasil kajian diperoleh model regresi Poisson yang diperumum yaitu bYi = exp (b�0 + b�1X1i + b�2X2i +: : :+ b�pXpi) dengan fungsi densitas peluang f(yi; �; k) = ( � 1+k� )yi (1+kyi)y

Pengembangan Aplikasi Media Pembelajaran 3 Dimensi Praktikum Fisika Untuk Siswa Sekolah Menengah Atas

Pesatnya perkembangan teknologi telah mendorong terciptanya akselerasi yang luar biasa dalam bidang pendidikan dan teknologi sebagai media belajar di sekolah menengah atas. Penggunaan computer menjadi sangat penting untuk menunjang berbagai kegiatan dalam dunia pendidikan, salah satunya praktikum pada mata pelajaran fisika. Namun kenyataannya, tidak sedikit sekolah di Indonesia khususnya Sumatera Selatan mengalami pemerataan dibidang pendidikan. Ada banyak sekolah yang masih belum memiliki fasilitas yang mendukung. Di beberapa situasi, kegiatan praktikumyang dilakukan menjadi terbatas dan sangat tidak maksimal. Berdasarkan hal tersebut maka dibuat Media Pembelajaran 3 dimensi pada Praktikum Fisika untuk Siswa SMA berbasis Virtual Reality dengan menggunakan aplikasi Blender untuk proses Modelling serta aplikasi Verge3D dan Visual Studio Code untuk proses Coding. Hasil dari penelitian ini berupa website yang dijalankan melalui perangkat virtual reality. Multimedia 3 Dimensi berbasis Virtual Reality ini mampu menampilkan virtualisasi 3 dimensi terhadap Praktikum Fisika untuk Siswa SMA, sehingga dapat dijadikan sebagai media pembelajaran untuk memaksimalkan pembelajaran mengenai Mata Pelajaran Praktikum Fisika di sekolah.Media Pembelajaran 3D (3 Dimensi) pada Praktikum Fisika untuk Siswa SMA yang memberikan output berupa animasi 3D yang dapat diakses melalui Website Interactive. Dimana Animasi 3D tersebut telah sesuai dengan langkah kerja dan hasil praktikum fisika untuk siswa SMA

CORRELATION OF LYMPHOCYTE-MONOCYTE RATIO AND MORTALITY OF COVID-19 INTENSIVE CARE UNIT PATIENTS: PRELIMINARY STUDY

Background: The world faces a pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCov-2). Because of the limitations as a developing country, Indonesia needs to do its activities efficiently in time,money, and human resource. This research aims to accurately determine a concrete mortality predictor to predictthe patients' mortality. One of the mortality predictors is the lymphocyte-monocyte ratio (LMR).Method: This research is observational analytic research using a cross-sectional study method. Data obtainedfrom the Medical Record & Casemix Room of RSUD Raden Mattaher.Results: Out of 115 samples, most patients were male (65 patients). The patients' age group was mainly youngerthan 65 (79%). The most common comorbidity was diabetes mellitus (43 patients). The correlation between LMRand mortality rate to be weak with the following results: Pearson coefficient(p=0.045), gamma coefficient (P=0.325),Somers' D test (P=0.167), odds ratio (1.833), AUC (58%), specificity (58%), sensitivity (56%), and intersection point(1,79).Conclusions: There is a weak correlation between LMR and the mortality rate of COVID-19 patients in RSUDRaden Mattaher.Keywords: Characteristics of COVID-19 patients, comorbidity of COVID-19 patients, LMR (Lymphocyte-monocyteratio), a mortality rate of COVID-19 patients

CORRELATION OF LYMPHOCYTE-MONOCYTE RATIO AND MORTALITY OF COVID-19 INTENSIVE CARE UNIT PATIENTS: PRELIMINARY STUDY

Background: The world faces a pandemic caused by  Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2). Because of the limitations as a developing country, Indonesia needs to do its activities efficiently in time, money, and human resource. This research aims to accurately determine a concrete mortality predictor to predict the patients' mortality. One of the mortality predictors is the lymphocyte-monocyte ratio (LMR). Method: This research is observational analytic research using a cross-sectional study method. Data obtained from the Medical Record & Casemix Room of RSUD Raden Mattaher. Results: Out of 115 samples, most patients were male (65 patients). The patients' age group was mainly younger than 65 (79%). The most common comorbidity was diabetes mellitus (43 patients). The correlation between LMR and mortality rate to be weak with the following results: Pearson coefficient(p=0.045), gamma coefficient (P=0.325), Somers' D test (P=0.167), odds ratio (1.833), AUC (58%), specificity (58%), sensitivity (56%), and intersection point (1,79). Conclusions: There is a weak correlation between LMR and the mortality rate of COVID-19 patients in RSUD Raden Mattaher. Keywords: Characteristics of COVID-19 patients, Comorbidity of COVID-19 patients, LMR (Lymphocyte-monocyte ratio), a Mortality rate of COVID-19 patient

Pengembangan Multimedia Pembelajaran Interaktif Berbasis Articulate Storyline 3 pada Materi Aritmetika Sosial Siswa Kelas VII SMP Negeri 12 Merangin

This study aims to develop interactive learning multimedia based on articulate storyline 3 on social arithmetic material for class VII students of SMP Negeri 12 Merangin which is valid, practical, and effective. This study uses research and development methods with the APPED model. These interactive learning multimedia was validated by five experts. Validity is seen from the validation sheet, the practicality of the response sheet and student interviews, and the effectiveness of learning outcomes and student learning activities. The results showed that the average score for the validation of mathematicians was 4.22 with a very valid category, Indonesian language experts 3.88 with a very valid category, media experts 4.78 with a very valid category, and teacher validation. mathematics 4.80 with a very valid category. The overall validity score is 4.58 with a very valid category. The proportion of students' responses was 82.27% in the practical category. The percentage of classical learning outcomes is 77.3% in the effective category and the average percentage of student activity is 68.64% in the active category. Based on the results of research and development, it was stated that interactive learning multimedia was valid, practical, and effective.Penelitian ini bertujuan untuk mengembangkan multimedia pembelajaran interaktif berbasis articulate storyline 3 pada materi aritmetika sosial siswa kelas VII SMP Negeri 12 Merangin yang valid, praktis, dan efektif. Penelitian ini menggunakan metode penelitian dan pengembangan dengan model APPED. Multimedia pembelajaran interaktif ini telah divalidasi oleh lima orang ahli. Validitas dilihat dari lembar validasi, kepraktisan lembar respon dan wawancara siswa, sedangkan keefektifan hasil belajar dan aktivitas belajar siswa. Hasil penelitian menunjukkan rata-rata skor validasi ahli materi matematika 4,25 dengan kategori sangat valid, ahli bahasa Indonesia 3,90 dengan kategori sangat valid, ahli media 4,76 dengan kategori sangat valid, dan validasi guru matematika 4,76 dengan sangat valid. kategori. sah. Nilai validitas keseluruhan adalah 4,50 dengan kategori sangat valid. Perolehan proporsi tanggapan siswa sebesar 82,28% pada kategori praktis. Persentase hasil belajar klasikal sebesar 81,8% pada kategori efektif dan rata-rata persentase keaktifan siswa sebesar 68,65% pada kategori aktif. Berdasarkan hasil penelitian dan pengembangan dinyatakan bahwa multimedia pembelajaran interaktif valid, praktis, dan efektif