scholarly journals Pengaruh Teknik Relaksasi Terhadap Penurunan Nyeri Epigastrium Pada Pasien Gastritis

2020 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Erni Nuryanti ◽  
M. Zainal Abidin ◽  
Ajeng Titah Normawati
Keyword(s):  
Sympathetic Nerve Activity ◽  
Relaxation Effect ◽  
Pain Scale ◽  
Bivariate Analysis ◽  
Nerve Activity ◽  
Average Value ◽  
Psychosomatic Disease ◽  
Significant Difference ◽  
Post Test ◽  
Relaxation Exercises

ABSTRACTBackground: Today the frequency of psychosomatic illnesses experienced by a person is increasing. One such psychosomatic disease is gastritis. Pharmacotherapy for gastritis often results in less satisfactory results. Meanwhile the other alternatives to overcome these problems can be done with relaxation exercises. Relaxation can increase the sensitivity of baro-reflect and decrease sympathetic nerve activity and activate the correction so that there will be a decrease of pain level.Objective: To know the effect of relaxation technique on the reduction of epigastria pain in gastritis patients.Research Method: The design of the research used is one group pre test and post test design, where the patient came to check the level of pain with the scale of pain then done relaxation. After the relaxation was done and then re-check in the same way. Bivariate analysis used Wilcoxon Test.Results: The statistical results obtained p = 0,000 (P 0.05) which means that there is a very significant difference in the average value of the pain scale before relaxation with the average of pain scale after relaxation.Conclusion: There is a relaxation effect on the reduction of epigastria pain in gastritis patients Keyword : Relaxation, Pain, Epigastria

scholarly journals The effect of local ketamine infiltration on post tonsillectomy pain scale

2020 ◽  
Vol 50 (1) ◽  
pp. 38
Author(s):  
Ade Asyari ◽  
Novialdi Novialdi ◽  
Elniza Morina ◽  
Rimelda Aquinas ◽  
Nasman Puar ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Secondary Infection ◽  
Pain Scale ◽  
Control Group ◽  
Analog Scale ◽  
Noticeable Effect ◽  
Local Infiltration ◽  
Significant Difference ◽  
Post Test ◽  
Test Control

Background: Post tonsillectomy pain is one of the surgery side effects that most disturbing for patient’s comfort and will cause dysphagia, low intake, dehydration, secondary infection and bleeding. Ketamine is an anesthetic drug that has strong analgesic effect and easily available in any hospital at relatively cheap price. Objective: To find out the effect of local ketamine infiltration on the post tonsillectomy pain scale. Method: An experimental study during tonsillectomy with a Post Test Control Group on 12 samples without local infiltration of ketamine and 12 samples with local infiltration of ketamine in peritonsillar pillar. The pain was assessed 2 hours and 24 hours post extubation with pain Visual Analog Scale (VAS). Result: The VAS value from patients who were given local infiltration of ketamine in peritonsillar pillar were lower (5.83 ± 0.72 at 2 hours and 2.83 ± 0.58 at 24 hours post extubation) compared to patients without ketamine infiltration (7.83 ± 0.58 at 2 hours and 3.58 ± 0.51 at 24 hours post extubation). The result showed statistically significant difference (p <0.05) at 2 hours and 24 hours post extubation. Conclusion: The VAS score of the ketamine infiltration group is lower at 2 hours and 24 hours post extubation than the group without ketamine infiltration, showing there was a noticeable effect of local ketamine infiltration on the post tonsillectomy pain scale.Keywords : post tonsillectomy pain, ketamine, local infiltration, visual analog scale ABSTRAKLatar belakang: Nyeri pascatonsilektomi adalah salah satu efek samping operasi yang sangat mengganggu kenyamanan pasien, dan dapat menyebabkan gangguan menelan, kurangnya asupan nutrisi, dehidrasi, infeksi sekunder dan perdarahan. Ketamin merupakan obat anestesi yang memiliki efek analgetik yang kuat dan mudah didapatkan di semua tipe rumah sakit dengan harga yang relatif murah. Tujuan: Mengetahui efek pemberian infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi. Metode: Penelitian eksperimental dengan desain Post Test Control Group pada 12 sampel tanpa pemberian infiltrasi lokal ketamin dan 12 sampel dengan pemberian infiltrasi lokal ketamin di pilar peritonsil saat tonsilektomi. Dilakukan penilaian nyeri 2 jam dan 24 jam pascaekstubasi menggunakan skala nyeri Visual Analog Scale (VAS). Hasil: Nilai VAS pasien yang diberi infiltrasi lokal ketamin di pilar peritonsil lebih rendah (5,83±0,72 pada 2 jam dan 2,83 ± 0,58 pada 24 jam pascaekstubasi) dibanding tanpa diberi infiltrasi lokal ketamine (7,83 ± 0,58 pada 2 jam dan 3,58± 0,51 pada 24 jam pascaekstubasi), dan bermakna secara statistik (p<0,05) pada kedua penilaian. Kesimpulan: Terdapat efek nyata infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi, dimana nilai VAS kelompok yang diberi infiltrasi ketamin lebih rendah, baik pada 2 jam ataupun 24 jam pascaekstubasi dibanding kelompok yang tidak diberi infiltrasi ketamin.

scholarly journals Use of Blended Learning in Teaching Islamic History: The Case of the 8th Grade of Sukma Bangsa School in Aceh

2018 ◽  
Vol 2 (1) ◽  
pp. 93-119
Author(s):  
Adhi Lesmana ◽  
Basiran Basiran
Keyword(s):  
Blended Learning ◽  
Quantitative Methods ◽  
Learning Method ◽  
Islamic History ◽  
First Semester ◽  
Average Value ◽  
School Year ◽  
Significant Difference ◽  
8Th Grade ◽  
Post Test

The article is intended to introduce blended learning methods at Sukma Bangsa School, Aceh. The purpose of this study is to demonstrate the effectiveness of blended learning method specifically in the study of Islamic history, which is one of the main topics in religion education lessons in the 8th grade at the three different locations of Sukma Bangsa School. The study uses quantitative methods and was carried out during the first semester of the school year 2015 -2016 in the three locations of Sukma Bangsa School. Research data was obtained through the pre-test and the post-test that were conducted at the beginning of the research and the end of the research. The total number of students in this study was 142 students: 57 students from Bireuen, 34 students from Pidie, and 51 students from Lhokseumawe. The results of the study at the three different locations of Sukma Bangsa School show that although there was an increase in the average value and standard deviation, the statistics do not show a significant difference between the achievement of students in the blended learning method and in the face-to-face method. Therefore, an understanding of context by the teachers in the use of blended learning is needed to improve students’ achievement results.[Artikel ini dimaksudkan untuk lebih mengenalkan metode pengajaraan blended learning di Sekolah Sukma Bangsa, Aceh. Tujuan dari penelitian ini adalah untuk menunjukkan adakah keefektifan metode blended learning secara khusus di materi Sejarah Islam yang merupakan salah satu topik utama dalam pelajaran pendidikan agama di kelas 8 di tiga lokasi Sekolah Sukma Bangsa.  Studi ini menggunakan metode kuantitatif dan dilakukan di Sekolah Sukma Bangsa Bireuen, Pidie, dan Lhokseumawe pada semester ganjil tahun pelajaran 2015-2016. Data dalam penelitian ini diperoleh melalui hasil pre-test dan post-test yang dilakukan di awal sebelum penelitian dan menjelang akhir penelitian. Total siswa yang mengikuti penelitian ini sebanyak 142 siswa dengan rincian 57 siswa di Sukma Bangsa Bireuen, 34 siswa di Sukma Bangsa Pidie, dan 51 siswa di Sukma Bangsa Lhokseumawe. Hasil studi di tiga lokasi Sekolah Sukma Bangsa menunjukkan bahwa meskipun ada peningkatan nilai rata-rata dan standard deviasi namun secara statistik tidak menunjukkan perbedaan yang significant antara hasil pencapaian siswa di metode blended learning dan di metode tatap muka. Oleh karena itu pemahaman guru secara kontekstual dalam penggunaan blended learning sangat dibutuhkan untuk meningkatkan hasil pencapaian siswa.]

scholarly journals Use of Blended Learning in Teaching Islamic History: The Case of the 8th Grade of Sukma Bangsa School in Aceh

2018 ◽  
Vol 2 (1) ◽  
pp. 93-119
Author(s):  
Adhi Lesmana ◽  
Basiran Basiran
Keyword(s):  
Blended Learning ◽  
Quantitative Methods ◽  
Learning Method ◽  
Islamic History ◽  
First Semester ◽  
Average Value ◽  
School Year ◽  
Significant Difference ◽  
8Th Grade ◽  
Post Test

The article is intended to introduce blended learning methods at Sukma Bangsa School, Aceh. The purpose of this study is to demonstrate the effectiveness of blended learning method specifically in the study of Islamic history, which is one of the main topics in religion education lessons in the 8th grade at the three different locations of Sukma Bangsa School. The study uses quantitative methods and was carried out during the first semester of the school year 2015 -2016 in the three locations of Sukma Bangsa School. Research data was obtained through the pre-test and the post-test that were conducted at the beginning of the research and the end of the research. The total number of students in this study was 142 students: 57 students from Bireuen, 34 students from Pidie, and 51 students from Lhokseumawe. The results of the study at the three different locations of Sukma Bangsa School show that although there was an increase in the average value and standard deviation, the statistics do not show a significant difference between the achievement of students in the blended learning method and in the face-to-face method. Therefore, an understanding of context by the teachers in the use of blended learning is needed to improve students’ achievement results.[Artikel ini dimaksudkan untuk lebih mengenalkan metode pengajaraan blended learning di Sekolah Sukma Bangsa, Aceh. Tujuan dari penelitian ini adalah untuk menunjukkan adakah keefektifan metode blended learning secara khusus di materi Sejarah Islam yang merupakan salah satu topik utama dalam pelajaran pendidikan agama di kelas 8 di tiga lokasi Sekolah Sukma Bangsa.  Studi ini menggunakan metode kuantitatif dan dilakukan di Sekolah Sukma Bangsa Bireuen, Pidie, dan Lhokseumawe pada semester ganjil tahun pelajaran 2015-2016. Data dalam penelitian ini diperoleh melalui hasil pre-test dan post-test yang dilakukan di awal sebelum penelitian dan menjelang akhir penelitian. Total siswa yang mengikuti penelitian ini sebanyak 142 siswa dengan rincian 57 siswa di Sukma Bangsa Bireuen, 34 siswa di Sukma Bangsa Pidie, dan 51 siswa di Sukma Bangsa Lhokseumawe. Hasil studi di tiga lokasi Sekolah Sukma Bangsa menunjukkan bahwa meskipun ada peningkatan nilai rata-rata dan standard deviasi namun secara statistik tidak menunjukkan perbedaan yang significant antara hasil pencapaian siswa di metode blended learning dan di metode tatap muka. Oleh karena itu pemahaman guru secara kontekstual dalam penggunaan blended learning sangat dibutuhkan untuk meningkatkan hasil pencapaian siswa.]

Abstract 529: Muscle Sympathetic Nerve Activity is Higher in Winter than Other Seasons

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
Jian Cui ◽  
Matthew D Muller ◽  
Allen R Kunselman ◽  
Cheryl Blaha ◽  
Lawrence I Sinoway
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Sympathetic Nerve ◽  
Sympathetic Nerve Activity ◽  
Muscle Sympathetic Nerve Activity ◽  
Epidemiological Data ◽  
Repeated Measurements ◽  
Nerve Activity ◽  
Cardiovascular Morbidity And Mortality ◽  
Significant Difference

Epidemiological data suggest that blood pressure tends to be higher in winter and lower in summer, particularly in the elderly. Moreover, hospitalization and mortality rates due to cardiovascular disease have higher rates in winter than summer. Whether autonomic adjustment including muscle sympathetic nerve activity (MSNA) varies with season is unclear. To test the hypothesis that resting MSNA varies along the seasons, we retrospectively analyzed the supine baseline (6 min) MSNA and heart rate (from ECG) of 57 healthy subjects (33M, 24F, 29 ± 1 yrs, range 22-64 yrs) from studies in our laboratory (room temperature ~23 °C). Each of these subjects from central Pennsylvania was studied during 2 or more seasons (total 231 visits). A linear-mixed effects model, which is an extension of the analysis of variance model accounting for repeated measurements (i.e. season) per subject, was used to assess the association of season with the cardiovascular outcomes. The Tukey-Kramer procedure was used to account for multiple comparisons testing between the seasons. MSNA burst rate in winter (21.3 ± 1.0 burst/min) was significantly greater than in summer (13.7 ± 1.0 burst/min, P < 0.001), spring (17.5 ± 1.6 burst/min, P = 0.04) and fall (17.0 ± 1.2 burst/min, P < 0.002). There was no significant difference in MSNA in other comparisons (spring vs. summer, P = 0.12; spring vs. fall, P = 0.99; summer vs. fall, P = 0.054). Heart rate (63.6 ± 1.1 vs. 60.8 ± 1.2 beats/min, P = 0.048) was significantly greater in winter compared to summer. Blood pressure (automated sphygmomanometry of the brachial artery) was not significantly different between seasons. The results suggest that baseline sympathetic nerve activity varies along the seasons, with peak levels evident in winter. We speculate that the seasonal MSNA variation may contribute to seasonal variations in cardiovascular morbidity and mortality.

scholarly journals Program on Building Positive Self-Concept in Girls to Suppress the Number of Early Marriages in Pengotan Village of Bangli, Bali

2018 ◽  
Vol 2 (1) ◽  
pp. 61
Author(s):  
Made Diah Lestari ◽  
Ni Putu Natalya ◽  
Indri Oktavia Rospita ◽  
Wayan Citra Wulan Sucipta Putri ◽  
Ni Made Dian Susilowati
Keyword(s):  
Peer Pressure ◽  
Dropout Rate ◽  
Marriage Rate ◽  
Early Marriage ◽  
Self Concept ◽  
Average Value ◽  
Preventive Effort ◽  
Significant Difference ◽  
Post Test ◽  
Rate Evaluation

Early marriage is a phenomenon found in many countries, particularly in countries with high levels of poverty. Most of the victims are girls. Early marriage robs themtheir opportunity for self-development. At the community level, early marriage brings pressure to the development of human resources, increases the dropout rate, and triggers poverty. Early marriage is driven by various factors, such as the family’s attempts to maintain their financial viability, family and peer pressure, early marriage being used as a means of controlling girls’ sexual behavior, and due to socio-cultural conditions. In Bali, one of the practices of early marriage caused by economic pressures, family, and culture is found in the village of Pengotan in Bangli. This program is a preventive effort that aims to increase the positive assessment of local girls against themselves to reduce the number of early marriages. If one has a positive self-concept, they will appreciate themselves more and will certainly be appreciated by others. This program realized in the form of training was given to girls from grade fifth and sixth of elementary school. This age group falls into the category of transition age from childhood to adolescent which is prone to change. Through this program, girls are expected to be aware of their existence, to appreciate their gender, realize that girls have equal opportunities to boys, and understand the breadth of skills and opportunities that girls can have. At the end of the program, there was increased knowledge shown by the significant difference between the average value of the pre-test and post-test. Participants were satisfied with the program that they had followed. Changes in attitudes and behavior were then measured during one year after the program indicated by the number of girls who continue their study at school and the early marriage rate. Evaluation of attitudes and behaviors were conducted by interviews.

Pulse-synchronous sympathetic burst power as a new index of sympathoexcitation in patients with heart failure

2004 ◽  
Vol 287 (4) ◽  
pp. H1821-H1827 ◽  
Author(s):  
Yoshitaka Oda ◽  
Hidetsugu Asanoi ◽  
Hiroshi Ueno ◽  
Kunihiro Yamada ◽  
Shuji Joho ◽  
...  
Keyword(s):  
Heart Failure ◽  
Sympathetic Nerve ◽  
Sympathetic Activity ◽  
Sympathetic Nerve Activity ◽  
Class Ii ◽  
Plasma Norepinephrine ◽  
Class Iii ◽  
Nerve Activity ◽  
Significant Difference ◽  
Patients With Heart Failure

The upper limit of incidence of muscle sympathetic neural bursts can lead to underestimation of sympathetic activity in patients with severe heart failure. This study aimed to evaluate the pulse-synchronous burst power of muscle sympathetic nerve activity (MSNA) as a more specific indicator that could discriminate sympathetic activity in patients with heart failure. In 54 patients with heart failure, the pulse-synchronous burst power at the mean heart rate was quantified by spectral analysis of MSNA. Thirteen patients received a central sympatholytic agent (guanfacine) for 5 days to validate the feasibility of this new index. Both burst incidence and plasma norepinephrine level showed no significant difference between patients in New York Heart Association functional class III (94 ± 6 per 100 heartbeats and 477 ± 219 pg/ml, respectively) and class II (79 ± 14 per 100 heartbeats and 424 ± 268 pg/ml, respectively). In contrast, the burst power was useful for discriminating patients in class III from those in class II (61 ± 8% vs. 39 ± 10%; P < 0.05). Inhibition of sympathetic nerve activity by guanfacine was more sensitively reflected by the change of burst power (−36 ± 25%) than by that of burst incidence (−12 ± 14%; P < 0.001). The sympathetic burst power reflects both burst frequency and amplitude independently of the absolute values and provides a sensitive new index for interindividual comparisons of sympathetic activity in patients with heart failure.

scholarly journals The Quality of E-Learning Based on Learning Media Using Moodle LMS on Text of Observation Reports of Grade 10th Students of Vocational School Telkom Shandy Putra Medan

2020 ◽  
Vol 2 (2) ◽  
pp. 688-699
Author(s):  
Sukma Adelina Ray ◽  
Abdurahman Adisaputera ◽  
Isda Pramuniati
Keyword(s):  
Learning Outcomes ◽  
Vocational School ◽  
Development Research ◽  
Average Value ◽  
Significant Difference ◽  
Post Test ◽  
E Learning ◽  
The Difference ◽  
Media Learning

The aims of this study to find out the quality of E-learning based on learning media using Moodle LMS on text of observation. This type of research is development research in the field of education known as Research and Development (R&D). Development research (development research) is research that is used to produce certain products and test the effectiveness of these products (Tegeh and I.M, 2013). The result of this study show that The quality of e-learning based learning media using LMS Moodle which was developed as a learning media on the observation report text material is stated to be a useful and effective contribution in improving the quality of learning outcomes of 10th grade TJA1 Vocational School Telkom Shandy Putra Medan. This is because there is a significant difference in the learning outcomes of the average value of students before using e-learning based learning media (pre-test) ie 57.0 or only about 52% are able to exceed KKM and after using e-based learning media learning using LMS Moodle (post-test) the average value of students increased to 77.0% or can be interpreted as 100% of students able to exceed the KKM. Based on these data the difference is increased by 20% or can be interpreted student learning outcomes increased by 58%.

scholarly journals The Effect of Reminiscence Therapy for Elderly Depression in BPPLU of Bengkulu

2019 ◽  
Vol 26 (3) ◽  
pp. 50-57
Author(s):  
Dian Dwiana Maydinar ◽  
S. Effendi ◽  
Afifa Tusholehah
Keyword(s):  
Standard Deviation ◽  
Group Therapy ◽  
Health Workers ◽  
Secondary Data ◽  
Sampling Technique ◽  
The Elderly ◽  
Primary Data ◽  
Bivariate Analysis ◽  
Average Value ◽  
Post Test

Depression in the elderly if not immediately dealt with quickly can cause brain shrinkage, so that the elderly will experience a decrease in quality of life, decreased social and physical function, disability, suicide risk and increased mortality in the elderly. This study aimed to determine the effect of reminscene group therapy on depression in the elderly at BPPLU Kota Bengkulu. This study used a pre-experimental one group pre test and post test design. The population in this study were 60 elderly at the BPPLU in Bengkulu City. The sampling technique used Purposive Sampling techniques as many as 14 elderly. The data used are primary data and secondary data. Data were analyzed using univariate and bivariate analysis with Shapiro Wilk data normality test and Paired T test. The results showed that the average depression before reminiscene therapy was 8.21 with a standard deviation of 1.626, the average value of depression after reminiscene therapy was 6.71 with a standard deviation of 2.234, there was an effect of reminiscene group therapy on depression in the BPPLU city Bengkulu. It is expected that health workers can routinely carry out group therapy in treating depression in the elderly. Keywords: depression, elderly, reminiscene group therapy

scholarly journals The Influence of Health Education about Handling Choking on Children through Booklet Media on the Knowledge Level of Posyandu Cadres in Karangsari Village

2020 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Anggun - Sulistiyani ◽  
Meida Laely Ramdani
Keyword(s):  
Health Education ◽  
Quantitative Research ◽  
Research Result ◽  
Sampling Technique ◽  
Test Sample ◽  
Bivariate Analysis ◽  
P Value ◽  
Knowledge Level ◽  
Average Value ◽  
Post Test

Background: Choking deserves attention because it often happens to children. The inappropriate handling of choking becomes a vigilance. Caution and handling of choking become crucial even to cadres of Posyandu (the centre for pre- and post-natal health care and information for women and for children under five) in Karangsari Village. Thus, providing them with health education is necessary.Objective: To identify the influence of health education about handling choking on children through booklet media on the knowledge level of Posyandu cadres in Karangsari Village.Research Methods: This is a quantitative research using pre-experimental design with one group pre-test and post-test design approach. The research sample was taken through a total sampling technique. There were 30 cadres fulfilling the inclusion and exclusion criteria. The research instrument consists of pre and post-test questionnaire, which was modified and had been tested for its validity and reliability.Research Result: The research result indicates that the knowledge average value obtained by the 30 respondents before being given health education is 61.50 and after being given health education is 88.00. The result of bivariate analysis using t-test sample paired test shows the p-value of 0.0001.Conclusion: There is an influence of health education about handling choking on children through booklet media on the knowledge level of Posyandu cadres in Karangsari Village.

scholarly journals Students’ Conceptual Change On Human Reproduction Concept Using Scientific Approach

2017 ◽  
Vol 2 (1) ◽  
pp. 216 ◽  
Author(s):  
Lathifatuzzahra Taufiq ◽  
S Sriyati ◽  
D Priyandonko
Keyword(s):  
Quantitative Analysis ◽  
Conceptual Change ◽  
T Test ◽  
Human Reproduction ◽  
Scientific Concept ◽  
Average Value ◽  
Reproduction System ◽  
Significant Difference ◽  
Scientific Approach ◽  
Post Test

<p class="Abstract">This study aim was to describe students’ conceptual change and investigate the patterns of students’ conceptual change in human reproduction system concept through application scientific approach. The research method was weak experimental with one group pretest-post-test design and the number subject of this study were 34 students, 11<sup>th</sup> -grade students of SMAN 1 Indramayu. The instrument was three tier test which given at pretest and post-test. Data analyzed used qualitative and quantitative analysis. Qualitative analysis obtained through analyzed student answer then classified into category suitable. Quantitative analysis obtained through calculation N-gain value and one sample t test. The results showed mostly students had a misconception and lack of knowledge on all of the human reproduction concept. After a lesson, a conceptual change occurred, a percentage of students who have scientific concept increased from 27,74% to 79,23% and the average value of N-gain included into category medium (0,69). According to one sample t test, showed that there was a significant difference between post-test and minimum completeness criteria (KKM) value, 75 (amp. Sign 2 tailed = 0,048). Therefore, a scientific approach supported to build the concept. Furthermore, the analysis also showed students’ conceptual change patterns: changed to be positive, changed to be negative, still positive, and still negative. Pattern 4 (lack knowledge to be understanding a concept or changed to be positive) is the most which got 31,69%.</p>

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