Gambaran Kejadian Perdarahan Saluran Cerna pada Pasien Penyakit Ginjal Kronik di RSUP Dr. M. Djamil Padang

ABSTRACT DESCRIPTION OF GASTROINTESTINAL BLEEDING IN CHRONIC KIDNEY DISEASE PATIENT AT RSUP Dr. M. DJAMIL PADANG By Asrining Tyas Chronic kidney disease (CKD) can cause gastrointestinal bleeding (GI bleeding). The incidence and mortality of GI bleeding in CKD patients is higher than in general population. The effect of GI bleeding is very serious because decrease in blood pressure due to bleeding will decrease the glomerulus filtration rate, which means it worsens CKD. The purpose of this study is to describe the incidence of GI bleeding in CKD patients. This research was a cross-sectional descriptive study by collecting medical record data of patients with CKD stage 4 and 5 who were hospitalized at RSUP Dr. M. Djamil Padang during the period January–December 2018. Sampling technique using simple random sampling. Sample consisted of 207 patients that included in inclusion and exclusion criterias taken from 395 patients with CKD stage 4 and 5. Data analysis used univariate analysis and presented by distribution tables. This study showed that most CKD patients were stage 5 (94.2%), male sex (59.9%), age group 50–59 years (31.4%), serum urea levels 101–200 mg/dL (44.9%), anemia (96.6%), and routine hemodialysis (56.0%). The serum urea level of stage 4 CKD patients was 124.5 + 93.7 mg/dL, while stage 5 was 191.0 + 103.2 mg/dL. This study showed 11.6% (24/207) of CKD patients experienced a GI bleeding. The percentage of GI bleeding is higher in stadium 5 than stadium 4 (11.8% : 8.3%), male than female (12.1% : 10.8%), serum urea level >400 mg/dL (38.5%), anemia than non-anemia (12.0% : 0.0%), routine hemodialysis than non-routine hemodialysis (12.7% : 11.0%), and 100% consist of upper GI bleeding with the most manifestations depending on melena (41.7%). The serum urea level of CKD patients who experienced a GI bleeding was 277.8 + 134.9 mg/dL, while patients who did not experience GI bleeding were 176.3 + 103.2 mg/dL. Keywords: CKD, stadium, sex, age, serum urea level, anemia, hemodialysis, gastrointestinal bleeding   ABSTRAK GAMBARAN KEJADIAN PERDARAHAN SALURAN CERNA PADA PASIEN PENYAKIT GINJAL KRONIK DI RSUP Dr. M. DJAMIL PADANG Oleh Asrining Tyas Penyakit ginjal kronik (PGK) dapat menyebabkan perdarahan saluran cerna (PSC). Insidens dan mortalitas PSC pada pasien PGK lebih tinggi dibanding populasi umum. Efek PSC sangat serius karena penurunan tekanan darah akibat perdarahan akan semakin menurunkan laju filtrasi glomerulus yang berarti semakin memperburuk PGK. Penelitian ini bertujuan mendeskripsikan kejadian PSC pada pasien PGK. Jenis penelitian ini adalah deskriptif cross sectional menggunakan data rekam medis pasien PGK stadium 4 dan 5 rawat inap RSUP Dr. M. Djamil Padang periode Januari–Desember 2018. Teknik pengambilan sampel menggunakan simple random sampling. Sampel berjumlah 207 orang yang memenuhi kriteria inklusi dan eksklusi dari 395 orang pasien PGK stadium 4 dan 5. Analisis data berupa analisis univariat dan disajikan dalam bentuk tabel distribusi. Penelitian ini menunjukkan pasien PGK terbanyak adalah stadium 5 (94,2%), jenis kelamin laki-laki (59,9%), kelompok usia 50–59 tahun (31,4%), kadar ureum serum 101–200 mg/dL (44,9%), anemia (96,6%), dan hemodialisis rutin (56,0%). Kadar rerata ureum serum pasien PGK stadium 4 adalah 124,5 + 93,7 mg/dL, sedangkan stadium 5 adalah 191,0 + 103,2 mg/dL. Penelitian menunjukkan 11,6% (24/207) pasien PGK mengalami PSC. Persentase PSC lebih tinggi pada stadium 5 dibanding stadium 4 (11,8% : 8,3%), laki-laki dibanding perempuan (12,1% : 10,8%), kadar ureum serum >400 mg/dL (38,5%), anemia dibanding non-anemia (12,0% : 0,0%), hemodialisis rutin dibanding non-hemodialisis rutin (12,7% : 11,0%), dan 100% mengalami PSC bagian atas dengan manifestasi terbanyak berupa melena (41,7%). Kadar rerata ureum serum pasien PGK yang mengalami PSC adalah 277,79 + 134,92 mg/dL, sedangkan pada pasien yang tidak mengalami PSC adalah 176,27 + 103,17 mg/dL. Kata kunci: PGK, stadium, jenis kelamin, usia, kadar ureum serum, anemia, hemodialisis, perdarahan saluran cern

Exploring Senior High Schoolers’ Inhibiting Factors in English Writing Activities

This explanatory sequential mixed method study aims to determine the students’ attitudes toward the main inhibiting factor of English writing activity and skill development supported by the teacher’s perception. Beyond writing being one of the most complex languages and communication skills to be mastered, the success or failure of students in writing could also be influenced by various factors. This study discusses five factors: affective factor, writing apprehension, linguistic factor, writer’s block, and tactical factor. The eleventh-grade students and a senior English teacher of one public school in Malang became the participants in the study. This study has two types of data: qualitative and quantitative. The quantitative data are collected first, then qualitative data to support explaining or elaborate on the quantitative result. This research uses two instruments:  1) a closed-ended questionnaire to obtain quantitative data on learners’ perceptions, and 2) a semi-structured interview to draw the teacher’s perspective. The qualitative data analysis was conducted using statistical analysis and supported by statistical software, SPSS. A descriptive analysis was applied to analyze and describe the qualitative data. The main inhibiting factor in English writing activity faced by the eleventh graders of Senior High school 1 Malang was the writer’s block factor related to students’ motivational block at the beginning or during the writing process and their difficulties in developing and connecting different ideas

Kandungan Merkuri dan Asam Sianida Pada Kerang Polymesoda sp di Teluk Kao Halmahera Utara

Kesehatan manusia sebagian besar ditentukkan oleh makanannya. Makanan yang disarankan harus memenuhi kebutuhan gizi, rendah akan mikroorganisme patogen, demikian juga dengan kontaminan kimia (Marti et al., 2007). Menurut Simangge, (2011) beberapa jenis ikan yang telah diteliti di Teluk Kao dalam tingkatan membahayakan karena mengandung sianida. Sumber protein lain yang telah banyak dimanfaatkan oleh masyarakat sekitar Teluk Kao yaitu kerang Kepah (Polymesoda sp). Tujuan penelitian ini yaitu ingin mengkaji kandungan merkuri dan asam sianida pada kerang kepah Polymesoda sp yang di konsumsi oleh masyarakat sekitar Teluk Kao. Dengan mengetahui hasil kajian ini diharapkan hal dapat mengartikan tingkat keamanan kerang kepah Polymesoda sp layak tidaknya untuk dikonsumi oleh manusia. Metode yang digunakan untuk mengetahui kandungan merkuri dalam kerang kepah Polymesoda sp yaitu AAS dengan menggunakan pereaksi aquaregia dan analisis kandungan asam sianida pada kerang dengan menggunakan metode argentometri dengan pereaksi AgNO3. Hasil yang didapatkan yaitu kandungan merkuri (1.24 – 3.49 mg/kg) dan asam sianida (14.55 – 24.11 mg/kg) pada Polymesoda sp di Teluk Kao telah melebihi ambang batas yang telah ditetapkan yaitu 0.5 mg/kg untuk merkuri dan 1.5 untuk sianida (WHO, 2004). Hal ini mengartikan bahwa kerang kepah Polymesoda sp di Teluk Kao tidak layak untuk dikonsumsi.Kata Kunci : Asam Sianida, Merkuri, Polymesoda s

Exploring EFL Students’ Perceptions on Reading Comprehension Difficulties in Indonesian Junior High Students

Pemahaman membaca (reading comprehension) bermanfaat bagi siswa untuk memperoleh keterampilan lain dalam belajar bahasa. Namun, siswa Indonesia cenderung memiliki beberapa kesulitan dalam pemahaman bacaan. Penelitian ini bertujuan untuk mengetahui apa saja kesulitan pemahaman bacaan yang menonjol yang dihadapi oleh siswa kelas 8 SMP di SMPN 7 Malang. Metode kuantitatif digunakan dan kuesioner offline yang terdiri dari 11 pernyataan dibagikan. Pernyataan-pernyataan tersebut terbagi menjadi kesulitan pemahaman membaca yang terus muncul dalam beberapa penelitian sebelumnya, yaitu kosakata (vocabulary), latar belakang pengetahuan (background knowledge), dan membuat kesimpulan (making inference). Peneliti juga menambahkan pengalaman membaca (reading experience) sebagai salah satu dimensi untuk melihat pengalaman membaca siswa kelas 8. Hasil penelitian menunjukkan bahwa 66,70% dari 171 siswa setuju pada pernyataan bahwa mereka menghadapi kesulitan pada struktur gramatikal dalam teks bahasa Inggris. Siswa juga menemukan kesulitan untuk menghubungkan topik teks bahasa Inggris dengan pengetahuan mereka sendiri yang menunjukkan sebagian besar siswa memiliki latar belakang pengetahuan yang rendah

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The elimination of English subject for elementary school in curriculum of 2013  which has been regulated under the Government of the Republic of Indonesia’s Regulation number 32 year 2013 about the alteration of Government Regulation number 19 year 2005 about National Standard of Education affects on the absence of syllabus as guideline for teaching and learning process. Therefore, on previous study, a set of English syllabus for elementary school was developed to provide English teachers with guideline in teaching. To provide students with closer exposure on local character building, the syllabus was developed based on local value. In the process of syllabus development, try out was done to get feedback on its implementation on the syllabus in the teaching process. Moreover, feedback from teachers’ forum toward the syllabus was also obtained. The feedback received becomes a valuable input toward the improvement of the English syllabus.

Gambaran Kejadian Perdarahan Saluran Cerna pada Pasien Penyakit Ginjal Kronik di RSUP Dr. M. Djamil Padang

Penyakit Ginjal Kronik (PGK) dapat menyebabkan Perdarahan Saluran Cerna (PSC). Efek PSC sangat serius karena penurunan tekanan darah akibat perdarahan akan semakin menurunkan laju filtrasi glomerulus yang berarti semakin memperburuk PGK. Tujuan: Mengetahui kejadian PSC pada pasien PGK. Metode: Jenis penelitian ini adalah deskriptif dengan desain cross sectional menggunakan data rekam medis. Populasi penelitian adalah pasien PGK stadium 4 dan 5 rawat inap RSUP Dr. M. Djamil Padang periode Januari sampai Desember 2018. Teknik pengambilan sampel menggunakan simple random sampling. Sampel berjumlah 207 orang diambil dari populasi yang memenuhi kriteria inklusi dan eksklusi. Analisis data berupa analisis univariat dan disajikan dalam bentuk tabel distribusi. Hasil: Ada 11,6% pasien PGK mengalami PSC. Persentase PSC lebih tinggi pada stadium 5 dibanding stadium 4 (11,8% : 8,3%), laki-laki dibanding perempuan (12,1% : 10,8%), anemia dibanding tidak anemia (12,0% : 0,0%) dengan 100% pasien PGK yang mengalami PSC juga mengalami anemia, hemodialisis rutin dibanding nonhemodialisis rutin (12,7% : 11,0%), memiliki kadar ureum rerata 277,79 + 134,92 mg/dL, dan 100% mengalami PSC bagian atas dengan manifestasi terbanyak berupa melena (41,7%)

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Reading interest is one aspect of encouraging the reading comprehension process. However, the level of reading interest in Indonesia is still low. In this situation, as an academic component, undergraduate-students also have an obligation to read. This is driven by the academic life of lectures which require students to have reading comprehension skills. Because of these two circumstances, the reason for this study was to investigatethe correlation of students' reading interest and reading comprehension in higher education levels. This study was conducted through a quantitative approach and correlation study as the method. The population of this research is about 140 students of EFL semester four who are active in the English language education study program of Universitas Brawijaya. By using a simple random sampling technique, there were 41 students from the 4th semester involved as participants in this research. This study was conducted by distributing questionnaires to students who were respondents and reading comprehension tests, after which they were input and analyzed through the SPSS program. The finding of this study showed that the significant value was .022 smaller than 0.05 (.022 < 0.05) which means that there was a correlation between interest and reading comprehension, with a Pearson product moment (r-value) of .356, which indicates a weak positive correlation. Therefore, it can be concluded that the null hypothesis (Ho) was rejected and alternative hypothesis (Ha) was accepted. It means that there is a significant correlation between reading interest and reading comprehension

Fauna Biodiversity as Indicator of Mangrove Forest Health on Moti Island, Moti District, Ternate City

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LAPORAN KKN ALTERNATIF PERIODE LXVIII UNIT III.C.3 RW 04 DEMANGAN, KECAMATAN GONDOKUSUSMAN, KOTA YOGYAKARTA

Kegiatan KKN Alternatif LXVIII Universitas Ahmad Dahlan Tahun Akademik 2020/2021 dilaksanakan selama dua bulan. Unit III.C.3 melaksanakan kegiatan KKN di RW 04 Demangan, Gondokusuman, Daerah Istimewa Yogyakarta. Unit III.C.3 terdiri dari sembilan mahasiswa dengan program studi yang berbeda-beda dan satu dosen pembimbing lapangan