Diabetes Mellitus Tipe II Gula Darah Tidak Terkontrol Dengan Komplikasi Neuropati Diabetikum

Latar belakang.Diabetes Mellitus (DM) merupakan penyakit metabolik yang ditandaipeningkatan kadar glukosa darah melebihi normal yang dapat mengakibatkan komplikasiakut maupun kronik, baik mikroangiopati maupun makroangiopati. Komplikasi neuropatiakibat DM di Indonesia mencapai 60% dari seluruh komplikasi DM.NeuropatiDiabetikum (ND) sering dijumpai pada penderita DMberumur lebih dari 50tahun dan bisa dijumpai pada usia dibawah 30 tahun. Kasus.Tn W, 31 tahun, datangdengan keluhan kaki kesemutan sejak 1 bulan yang lalu. Sejak 8 bulanterakhirbanyak makan, banyak minum dan sering buang air kecil . Riwayat DM padakeluarga. Pemeriksaan fisik didapatkan tekanan darah 120/80 mmHg, nadi 100x/menit, frekuensi nafas 20 x/menit, suhu 36,5 0C, Indeks Massa Tubuh20,5,didapatkan hipestesi regio pedis dextra dan sinistra. Pemeriksaan Gula DarahSewaktu(GDS) 333 mg/dl. Pasien ditatalaksana berdasarkan 4 pilar tatalaksana DMyaitu edukasi, terapi gizi medis, latihan jasmani dan intervensi farmakologis berupapemberian metformin dan glibenklamid. Kesimpulan.Diagnosis DM ditegakkan sudahtepat berdasarkan anamnesis yang menunjukkan adanya trias DM, riwayat DM padakeluarga serta pemeriksaan GDS 333 mg/dl. Diagnosis NDbelum tepat karena goldstandard menegakkan ND adalah Nerve Conduction Test. [Medula Unila.2013;1(3):10-18

Nutritional Quality Of Fermented Oil Palm Press Fiber By Local Microorganism

Oil palm press fiber is a by product of the agro industry that has a low nutrient content. Nutrients of oil palm press fiber can be improved by fermentation using local microorganisms. The research was conducted experimentally using a completely randomized design (CRD) factorial pattern with 2 factors (3 x 3), namely first factor such as  dose of local microorganisms (D1  = 1%, D2  = 3% and  D3 = 5%) and second factor such as long of fermentation (L1 = 7 days, L2 = 14 days and L3 = 21 days), with 3 replications. The parameters measured were the nutritional content of fermented oil palm press fiber such as moisture, dry matter, crude protein, crude fat, crude fiber, ash, and nitrogen free extract (NFE). Based on the research results obtained a combination of 5% dose of local microorganisms and 14 days of fermentation time had a significant effect (P<0.05) to increased crude protein content but did not have a significant effect (P>0.05) on increased dry matter and nitrogen free extract (NFE) and decreased moisture content, crude fiber, and ash

Oxidative Stress, Physiological Responses and Performance of Broilers Transported with Different Transportation Duration

Transportation plays important factor in broiler industry. Whole transportation process from loading tounloading can cause stress to broilers. The duration of the trip can affect oxidative stress, physiologicaland performance of broiler. This study aim to evaluate the effects of different transportation durationson oxidative stress, physiological responses and performance of broilers. Transportation from farm toslaughterhouse using a truck with a capacity of 144 crates. There were two durations treatment in this study,180 and 240 mins. Variables measured in this study were oxidative stress indicators (malondialdehyde/MDA content and catalase enzyme activity), physiological responses (rectal temperature and heterophilelymphocytes (HL) ratio), and performance represented by weight loss percentage. Normality test wasdone before T Test. Data analyzed using T Test independent which compared data between before andafter transportation. T Test dependent which compared data between short and long duration. The resultshowed that duration of transportation significantly affects on decrease liver and thigh catalase enzymeactivity, decrease malondialdehyde value on liver, decrease HL ratio after transportation, differenceson rectal temperature and weightloss. Long transportation duration resulted the lowest liver and thighcatalase enzymes activity (0.097±0.023 and 0.088±0.014 U/mL). It can be concluded that the long durationtransportation catalase enzyme activity reduce MDA value and affected performance indicato

Keragaan Nomor Harapan Lada Hibrida LH 20-4 Tahan Penyakit BPB di Lampung Timur

Penelitian ini bertujuan untuk mengetahui keragaan nomor lada hibrida yang mempunyai tingkat ketahanannya terhadap penyakit BPB di daerah endemik. Penelitian dilaksanakan di Kabupaten Lampung Timur, mulai Januari-Desember 2010. Penelitian dibagi menjadi 2 kegiatan yaitu penelitian mengenai ketahanan tanaman terhadap serangan BPB dan penelitian mengenai karakter vegetatif dan generatif nomor lada hibrida yang tahan BPB. Pada penelitian ketahanan bahan tanaman yang digunakan adalah 20 nomor lada hibrida yang tahan terhadap penyakit BPB di tingkat rumah kaca dan 2 varietas pembanding. Penelitian menggunakan Rancangan Acak Kelompok (RAK), dengan 3 ulangan. Persentase serangan dihitung berdasar jumlah tanaman yang terserang penyakit BPB dibagi dengan jumlah tanaman per plot di kali 100 %. Pada penelitian karakter vegetatif dan generatif, bahan tanaman yang digunakan adalah 5 nomor lada hibrida yang tahan terhadap penyakit BPB dan 2 pembanding. Penelitian menggunakan Rancangan Acak Kelompok (RAK), dengan 4 ulangan. Semua tanaman berumur 6 tahun. Hasil penelitian menunjukkan bahwa terdapat 5 nomor lada hibrida yang sampai umur 5 tahun masih tahan 100%. Tinggi tanaman dan tinggi tajuk lada hibrida LH 20-4 lebih tinggi dibanding Natar1. Jumlah cabang pada 50 cm batang pada LH 20-4 lebih banyak dari pada Natar 1 dan Petaling 1. LH 20-4 mempunyai diameter tajuk yang lebih tinggi dibanding Natar 1 dan panjang bukunya tertinggi diantara seluruh perlakuan. Panen berat basah LH 20-4 mencapai 1.884,67 g tertinggi diantara lada hibrida yang lain dan lebih tinggi dari pembanding Natar 1 (1791,66 g), sedangkan rata-rata panen pembanding Petaling 1 paling tinggi yaitu 3448,33 g. Diharapkan sampai dengan panen ketiga produksinya akan tetap lebih tinggi dibanding Natar 1 sehingga nantinya dapat dilepas sebagai varietas unggul lada yang tahan penyakit BPB dan produksi tinggi

Pengembangan Penilaian Sikap dengan Teknik Observasi, Self Assessment, dan Peer Assessment pada Pembelajaran Tematik Kelas V Sdn Arjowinangun 02 Malang

Teachers are still difficult to implement on the aspects of attitude, especially during the assessment and processing of assessment results. Development research aims to produce practical assessment tool, valid, and reliable. The study was based on ADDIE development model implemented five steps of analysis, design, development, application, and evaluation. The results of the evaluation expert validation obtained by percentage of 80%, which means it has a high validity, while the practicality of the product 92% included in the criteria very practical. Reliability test showed that there are five very good instrument and five are classified as good