scholarly journals The index of “electrical quality of the heart” allows predicting the degree of risk of fatal cardiogenic conditions in children and adolescents

2021 ◽  
Vol 1 (1) ◽  
pp. 150-154
Author(s):  
I. Yu. Melnikova ◽  
Yu. A. Tokarevа

The purpose of the research. The optimization of the method electrocardiogram’s interpretation (ECG) for diagnosis and prognosis of fatal cardiogenic situations among children and teenagers depending on the severity of myocardial electrical instability.Materials and methods. The authors propose to use a modified method for assessing the “electrical quality of the heart”, proposed by A. N. Volobuev and co-authors in order to assess the electrical instability of the myocardium among children and teenagers. There is a formula which helps to estimate the index of “electrical quality factor of the heart” among children and teenagers: D=(aR/aT):(QT/QRS), where D is the index of “electrical quality factor of the heart”, aT and aR is the amplitude of R wave and T, QT — QT interval, QRS — interval, QRS. ECG was recorded in 12 leads, ECG assessment was carried out according to generally accepted rules.Results. Based on the analysis of 234 ECG of children and teenagers from the neonatal period to 18 years, the criteria of the average value of the index of “electrical quality factor of the heart” (D) were defined, D =1,09 +/- 0,03. It is proved that the value of the index “electrical quality factor of the heart” does not depend on the sex and age of the child. There was a decrease in the index of “electrical quality factor of the heart” was revealed among children with the lengthening of the QT interval.Conclusion. The index of “electrical quality factor of the heart” in pediatric practice allows to predict the risk of fatal cardiogenic conditions, to develop tactics of dynamic monitoring of patients, to evaluate the efficiency of treatment. When D<0.55 it is possible to predict high risk, at a value of 0.55≤D<0.80 — average risk, and at D≥0.80 — low risk of fatal cardiogenic conditions among children and teenagers.

2021 ◽  
Vol 6 (1) ◽  
pp. 1-25
Author(s):  
Dewi Wahyuni ◽  
Mekar Meilisa Amalia

The purpose of this study was to determine the effectiveness of the accounting creative thinking test on the learning outcomes of SMA Darussalam, to determine the sensitivity of the accounting creative thinking test to the learning outcomes of SMA Darussalam and to determine the students' responses to the accounting creative thinking test on the learning outcomes of SMA Darussalam. This research is a research on the development of Sugiono's modification through four stages, namely, test design, validation, limited trials and extensive trials. The instruments used in this study were creative thinking tests, validation sheets and student response questionnaires. The instrument was declared to have met the quality of the test. Testing the quality of the test for creative thinking in accounting by looking at the results of the validity, the distinguishing power of the questions, the difficulty level of the questions and the reliability of the questions. Based on the results of the calculation, it was found that the developed creative thinking test was less effective, because the average value of students' creative thinking skills had not yet reached a value of 60. The sensitivity of the creative thinking test was sensitive to student accounting learning outcomes with an average of 0.434. Student response to the creative thinking test developed was negative which was below 80%, which was 71.85%. So it can be concluded that the sensitivity of the accounting creative thinking test and the time it takes to complete the creative thinking test is effective and usable. However, in the creative thinking test category this is not effective because to answer the test requires a sufficiently deep skill, and this has not been mastered by the students.


Author(s):  
Suhirno Suhirno

ABSTRACTResearch on this development was intended to produce device learning of a syllabus, lesson plans, sheets of students activity, book students, and tests the ability of think critically students on subjects social class grade 5 second semester. The research also aims to know the quality of device learning in terms of implementation learning when learning held. The kind of research this namely research the development of which reference on the model 4D, with stage define, design, development and disseminate. Subject research is the primary school grade 5.  Research instruments composed of sheets assessment validity syllabus, lesson plans, sheets of students activity, book students, and tests the ability of think critically. Sheets of implementation learning to gauge the quality of the device learning doing by teachers. The results of research device learning to the syllabus, lesson plans, sheets of student activity, book students, and tests the ability of think critically on grade 5 second semester. Based on the results they actually obtained (1) syllabus developed valid with a value of 4.25 criteria perfectly valid (2) lesson plans developed valid with a value of 4,15 criteria perfectly valid (3) sheets of students activity developed valid with a value of 4.4 criteria perfectly valid (4) books students who developed valid with a value of 4,45 criteria perfectly valid (5) tests the ability of think critically developed valid with a value of 4.25 criteria perfectly valid.The results of research activity of device learning with the total the meeting produce the average 4.6 with good category once. The results of research tests the ability to think critically students obtained the percentage completion of achievement 92,25% the average value of 78. Keywords: device learning, brainstorming method, the ability to think critically. ABSTRAK                                                                                          Penelitian pada pengembangan ini bertujuan untuk menghasilkan perangkat pembelajaran yang berupa silabus, rencana pelaksanaan pembelajaran (RPP), lembar kegiatan siswa (LKS), buku siswa, dan tes kemampuan berpikir kritis siswa pada mata pelajaran IPS kelas V semester 2. Penelitian ini juga bertujuan untuk mengetahui kualitas perangkat pembelajaran ditinjau dari keterlaksanaan pembelajaran saat pembelajaran berlangsung. Jenis penelitian ini yaitu penelitian pengembangan yang mengacu pada model 4D, dengan tahapan Define, Design, Development dan Disseminate. Subyek penelitian adalah siswa-siswi SD kelas V. Instrumen penelitian terdiri dari lembar penilaian validitas silabus, RPP, LKS, buku siswa, dan tes kemampuan berpikir kritis. Lembar keterlaksanaan pembelajaran untuk mengukur kualitas perangkat pembelajaran yang dilakukasn oleh guru. Hasil penelitian perangkat pembelajaran berupa silabus, RPP, LKS, buku siswa, dan tes kemampuan berpikir kritis pada kelas V semester 2. Berdasarkan hasil penilaian diperoleh (1) silabus yang dikembangkan valid dengan nilai 4,25 dengan kriteria sangat valid. (2) RPP yang dikembangkan valid dengan nilai 4,15 dengan kriteria sangat valid. (3) LKS yang dikembangkan valid dengan nilai 4,4 dengan kriteria sangat valid. (4) Buku siswa yang dikembangkan valid dengan nilai 4,45 dengan kriteria sangat valid. (5) tes kemampuan berpikir kritis yang dikembangkan valid dengan nilai 4,25 dengan kriteria sangat valid. Hasil penelitian keterlaksanaan perangkat pembelajaran dengan total seluruh pertemuan menghasilkan rata-rata = 4,6 dengan kategori baik sekali. Hasil penelitian untuk tes kemampuan berpikir kritis siswa diperoleh presentase ketuntasan prestasi 92,25% dengan nilai rata-rata 78. Kata Kunci : Perangkat Pembelajaran, metode brainstorming, kemampuan berpikir kritis.


Author(s):  
Rusi Rusmiati Aliyyah ◽  
Yesi Malia

This research is a classroom action research conducted collaboratively to determine the increase in student learning outcomes in learning the properties of light using audio-visual media in class V SD Negeri Tajurhalang 01 District Cijeruk, Bogor regency, West Java province. Grand Tour beginning of the data shows the value of student learning outcomes as many as 29 people, only 7 students (24.13%), which reached KKM and 22 students (75.87%) who have not reached the KKM amounted to 60. The research model using Kemmis & McTaggart consisting of planning, acting, observing and reflecting the success criteria of the study 75% of students reached the KKM. Research shows that the average value of student learning outcomes VB class of 29 students in the first cycle to obtain a value of 48.62 completeness rate of 55.17%, and the second cycle obtain an average value of 63.44 with a level of mastery amounting to 75.87%. Similarly, the results of observations of students able to show activity in the learning cycle I obtained a value of 62.75% and the activity of students in the second cycle of 67.24%. As for the quality of teaching in the first cycle gained in value by 75.59% and the second cycle of 82.56%. So, that all aspects studied increased. On the quality of learning increases of 8.97%, 4.49% increase student activity and learning outcomes of students increased by 20.7%. This study suggests that the IPA Improved Learning Outcomes Using Audio Visual Media in Education Properties Elementary School fifth grade light Tajurhalang 01 District Cijeruk, Bogor regency of West Java Province can improve student learning outcomes and student activity in the learning process.


2019 ◽  
Vol 3 (1) ◽  
pp. 37-44
Author(s):  
Ridwan Hadi Pratama ◽  
Hidayah Baisa

This research is a classroom action research, conducted collaboratively between researchers and collaborators. The purpose of this study was to improve the learning outcomes of Islamic Education (PAI) subjects in class X students using Two Stay Two Stray Learning Method (TSTS). The object of this research was students of the SMK Dwi Putri Husada in Bogor City consisting of 43 students. This research was conducted in the odd semester of the academic year 2017/2018. The results showed that the average value of PAI subjects in the first cycle obtained mastery learning outcomes of 44.19%, learning outcomes in the second cycle obtained completeness of learning outcomes by 86.04%. While in the third cycle obtained the completeness of learning outcomes of 91.4 %. the quality of learning implementation in the first cycle obtained a value of 69 and in the second cycle increased to 81. And in the third cycle increased to 90. Based on the results of the study it can be concluded that the Two Stay Two Stray learning method can improve student learning outcomes in class X in SMK Dwi Putri Husada, Bogor City. In addition, the Two Stay Two Stray learning method can increase the activity, cooperation, and courage of students in the learning process.


Author(s):  
Anggun Sari Sasmita ◽  
Nila Sartika Achmadi ◽  
Rafika Hayati

<div><p><strong><em>ABSTRACT</em></strong></p><p><strong><em> </em></strong></p><p><em>This study describes the dominant factors in the quality of waiter service that affect guest satisfaction at Pondok Bebek Restaurant. Data collection uses a questionnaire that measures the five dimensions of waiter service quality which consists of tangibles, reliability, responsiveness, assurance, and empathy dimensions to 86 duck cottage restaurant guests. Data obtained from the questionnaire results were processed by determining the average value. The results of this study indicate the five variables of guest satisfaction greatly influence the satisfaction of guests in the duck cottage restaurant. Whereas the most dominant factor affecting guest satisfaction in this restaurant is Responsiveness or responsiveness with a value of 992. The results of the first indicator which is providing information about food promos are at a score of 329, the second indicator is an explanation of the menu at a score of 336, the third indicator is employees able to answer questions about restaurants is at a score of 327.</em></p><p><strong><em>Keywords</em></strong><em>: Restaurant, Service quality, Guest satisfaction.</em></p><p> </p><p><strong>ABSTRAK</strong></p><p><strong> </strong></p><p>Penelitian ini menguraikan faktor dominan kualitas pelayanan pramusaji yang mempengaruhi kepuasan tamu pada Restoran Pondok Bebek. Pengumpulan data menggunakan angket yang mengukur dengan lima dimensi kualitas pelayanan pramusajiyang terdiri atas dimensi tangibles, reliability, responsiveness, assurance, dan empathy kepada 86 tamu restoran pondok bebek. Data yang didapatkan dari hasil angket diolah dengan menentukan nilai rata-rata.. Hasil dari penelitian ini menunjukkan kelima variabel kepuasan tamu sangat berpengaruh terhadap kepuasan tamu di restoran pondok bebek. Sedangkan faktor yang berpengaruh paling dominan terhadap kepuasan tamu di restoran ini adalah Responsiveness atau daya tanggap dengan nilai 992. Hasil indikator pertama yaitu memberikan informasi mengenai promo makanan berada pada skor 329, indikator kedua yaitu penjelasan mengenai menu berada pada skor 336, indikator ketiga yaitu karyawan mampu menjawab pertanyaan mengenai restoran berada pada skor 327.</p><p><strong>Kata kunci</strong>: Restoran, Kualitas pelayanan, Kepuasan tamu</p></div>


Author(s):  
Arminsyah ◽  
Merri Anitasari

Arminsyah, Merri Anitasari;An Analysis Of Services Quality at Drinking Water Company (PDAM) Tirta Alami Kepahiang. This research aims to investigate the quality of Services at drinking water Company (PDAM) Natural Tirta Kepahiang. This research then used questionnaire as the data collecting method. Quantitative analysis then also be used as a techniques for data analysis by using weighted average value formula formed by Men Pan decree Number KEP/25/m. PAN/2/2004 on the 14 items that are observed. From thequestionnaire it was obtained that the highest average of services is on the ease of servicing requirementswith a value of 3.03. While the lowest average value of service is on the services equity which gain a score 2.95. For IKM value,it get 63 which places between 62.51-81.25. This score means that the performance of PDAM Tirta Alami Kepahiang is good.Kata kunci:Kualitas Pelayanan


2021 ◽  
Vol 3 (2) ◽  
pp. 109-120
Author(s):  
Hermawan Suyono Suparto ◽  
Roviana H. Dai

Sistem pemerintahan berbasis elektronik atau e-Government ditujukan untuk mewujudkan tata kelola pemerintahan yang bersih, efektif, transparan, dan akuntabel, serta pelayanan publik yang berkualitas dan terpercaya. ISO/IEC 25010 merupakan standar internasional dalam mengevaluasi sistem informasi. Penggunaan ISO/IEC 25010 untuk mengevaluasi kualitas sistem informasi dengan menggunakan product quality, dimana prosesnya mengacu pada karakteristik dari sebuah produk sistem informasi. Tujuan penelitian ini adalah untuk mengevaluasi kualitas Sistem Informasi Pengukuran Prestasi Kerja berdasarkan ISO/IEC 25010. Metode penelitian yang digunakan adalah pendekatan kuantitatif deskriptif. Hasil penelitian menunjukan bahwa tingkat kualitas SIRANSIJA berada pada kategori Berkualitas dengan nilai rata–rata 73. Karakteristik Portability memiliki persentase tertinggi dengan nilai 76%, Usability 75%, Reliability 74% Security 73%, Maintainability 73%, dan Performance Efficiency 73%. Karakteristik dengan nilai terendah yaitu: Functional Suitability 71%, dan Compatibility 71%. Hasil penelitian diharapkan dapat dijadikan pertimbangan atau rekomendasi untuk meningkatkan kualitas SIRANSIJA dengan melihat karakteristik yang berpengaruh signifikan terhadap kepuasan pengguna atau sebaliknya. The electronic-based government system or e-Government is aimed at actualizing clean, effective, transparent, and accountable governance as well as quality and reliable public services. ISO/IEC 25010 is an international standard in evaluating information systems. It is used to evaluate the quality of information systems by using product quality, where the process refers to the characteristics of an information system product. This study aims to evaluate the quality of the Work Performance Measurement Information System based on the ISO/IEC 25010. However, this study employs a descriptive quantitative method. The results show that the SIRANSIJA quality level is in the excellence category with an average value of 73. Portability characteristic has the highest percentage with a value of 76%, Usability is 75%, Reliability is 74%, Security is 73%, Maintainability is 73%, Performance Efficiency is 73%, the lowest score is Functional Suitability of 71%, and Compatibility is 71%. These results can also be used as considerations or recommendations to improve the quality of SIRANSIJA by considering the characteristics that have a significant effect on user satisfaction or vice versa.


2021 ◽  
Vol 10 (2) ◽  
pp. 103-114
Author(s):  
Indah Kusumarini

This reseach was conducted by using the theory of service quality dimensions from Zeithaml-Parasuraman-Berry (1996). Data obtained by distributing 100 questionnaires to Japanese tourists on August 2019. The variable created refers to the role of the front office clerk from Bagiono (2012). Based on SPSS calculations, the accuracy of this research model is 73% at an error rate of 5%. From the results of data processing it is known that the average value of the service quality of front office staff at star hotels in Bali is 4.11 (good). But there are still indicators that are not good, that is, an indicator of Japanese language ability, with an average value of 3.23. Based on the results of exploratory factor analysis of 31 variables, found 7 factors forming the quality of front office staff services,  1) responsiveness with a value (13,916), 2) empathy (2,355), 3) reliability (1,513), 4) tangible (1,486) , 5) assurance (1.29), 6) friendly (1,220), and 7) communication (1,140).  The biggest factor influencing the satisfaction of Japanese tourists towards the quality of front office staff services is the responsiveness factor while the lowest factor is the communication factor.


2020 ◽  
Vol 3 (2) ◽  
pp. 108-117
Author(s):  
Jumiati Nurdin ◽  
Izziah Izziah ◽  
Teuku Budi Aulia

Public open space is a shared space used by the community for individual or group activities. Quality public open spaces are public spaces that are able to meet needs, protect rights and give meaning to the people who visit them. Blang Padang Field is a tourist zone and public space used by visitors for recreation, sports and selling. Blang Padang as a venue for state ceremonies, religious and military activities. The condition of the physical structure and some of the facilities in it are inadequate as a public space such as a public toilet and seats. Its multi-functional use creates several problems such as parking problems and traffic jams. The method used is quantitative and qualitative using a Likert scale, with descriptive analysis. The data used were observations, questionnaires, and interviews, and data from related agencies. The quality of the Blang Padang Field Public Open Space based on the fulfillment of the needs aspect with a value of 2.97 and the quality of the rights aspect with a value of 2.99 shows a negative response because the average value is below 3, while the quality of the aspects of meaning (meanings) ) got a positive response with an average value of 3.22.


2012 ◽  
Vol 9 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Gina G Mentzer ◽  
Alex J Auseon

Heart failure (HF) affects more than 5 million people and has an increasing incidence and cost burden. Patients note symptoms of dyspnea and fatigue that result in a decreased quality of life, which has not drastically improved over the past decades despite advances in therapies. The assessment of exercise capacity can provide information regarding patient diagnosis and prognosis, while doubling as a potential future therapy. clinically, there is acceptance that exercise is safe in hf and can have a positive impact on morbidity and quality of life, although evidence for improvement in mortality is still lacking. specific prescriptions for exercise training have not been developed because many variables and confounding factors have prevented research trials from demonstrating an ideal regimen. Physicians are becoming more aware of the indices and goals for hf patients in exercise testing and therapy to provide comprehensive cardiac care. it is further postulated that a combination of exercise training and pharmacologic therapy may eventually provide the most benefits to those suffering from hf.


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