scholarly journals PENGARUH PENAMBAHAN LATIHAN CORE STABILITY TERHADAP PENINGKATAN KESEIMBANGAN BERDIRI PADA PENDERITA STROKE DI KECAMATAN MEDAN TUNTUNGAN

2020 ◽  
Vol 15 (3) ◽  
pp. 502-507
Author(s):  
Harrijun Kapabella Siregar ◽  
Tinah Tinah
Keyword(s):  
Test Group ◽  
T Test ◽  
The Body ◽  
Core Stability ◽  
Standing Balance ◽  
Stroke Patients ◽  
Balance Disorders ◽  
The Core ◽  
The Mean ◽  
Paired T Test

  Patients with stroke will experience various balance disorders. Standing balance disorders in stroke patients are related to the inability to regulate weight transfer and decreased muscle mobility so that body balance decreases. Patients with recurrent strokes have problems with postural control, thus hindering their movement. Balance is also a parameter for stroke patients to the success of their therapy, so that the functional ability of stroke survivors will suffer a lot. A good intervention by providing activation of the core muscles in the form of Core Stability exercises is expected to be able to increase the strength of the core muscles that are able to support the body to stay strong. This study aims to determine the effect of core stability with improved standing balance in stroke patients in Medan Tuntung District. The treatment was carried out at the Physioroom Clinic in Medan. The type of research used is a quasi experiment using a pre test and post test group design. The study was conducted on 20 stroke patients who were given Core Stability exercises before and after the intervention. The statistical test used was paired t-test. The results showed that the mean value of pre 53.40 and the mean of post was 43.75. The results of the analysis using the paired t-test obtained the value of p = 0.000 where p <0.001. So the results obtained there is an effect of core stability training on improving standing balance in stroke patients in the Medan fortune district.  

scholarly journals EFFECT OF SPIRITUAL NURSING CARE ON THE LEVEL OF ANXIETY IN PATIENTS WITH STROKE

2018 ◽  
Vol 4 (1) ◽  
pp. 98-103
Author(s):  
Bernadeta Trihandini ◽  
Diyah Fatmasari ◽  
Lucia Endang Hartati YK ◽  
Sudirman Sudirman
Keyword(s):  
Nursing Care ◽  
Rating Scale ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Life Changes ◽  
Stroke Patients ◽  
The Mean ◽  
And Control ◽  
Paired T Test

Background: Anxiety in stroke patients occurs as a normal reaction to stress with life changes; however, when it becomes excessive, It becomes disabling. Effort to deal with anxiety is needed and spiritual approach nursing care is considered useful in caring patients with stroke.Objective: To examine the effect of spiritual nursing care on anxiety in stroke patients in the inpatient ward.Methods: This study used a quasy experimental design with pretest-postest control group. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in the experiment and control group. The Hamilton Anxiety Rating Scale was used to measure anxiety. Data were analyzed using paired t-test and independent t-test.Results: The results showed that the mean level of anxiety in the experiment group before intervention was 29.33 and decreased to 9 after intervention, while in the control group the mean level of anxiety before intervention was 29.47 and decreased to 17.73 after intervention. Paired t-test obtained p-value 0.000 (<0.05), which indicated that there was a significant effect of spiritual nursing care on anxiety levels in patients with stroke.Conclusion: Spiritual nursing care could reduce anxiety in patients with stroke. 

scholarly journals PENGARUH TERAPI AKUPUNKTUR PADA TITIK BL 56 (CHENGJIN) DAN SP 6 (SANYINJIAO) TERHADAP PENURUNAN NYERI DI OTOT GASTROCNEMIUS

2018 ◽  
pp. 65-71
Author(s):  
Joko Tri Haryanto ◽  
Ardan Purwanto Nugroho ◽  
Wahyu Eka H
Keyword(s):  
Acupuncture Therapy ◽  
Gastrocnemius Muscle ◽  
Chronic Fatigue ◽  
Pain Scale ◽  
Mean Value ◽  
T Test ◽  
The Body ◽  
Significance Level ◽  
The Mean ◽  
Paired T Test

ABSTRAK Myalgia atau disebut juga Nyeri otot merupakan gejala dari banyak penyakit dan gangguan pada tubuh. Penyebab umum Myalgia adalah penggunaan otot yang salah atau otot yang terlalu tegang. Myalgia yang terjadi tanpa riwayat trauma mungkin disebabkan oleh infeksi virus. Myalgia yang berlangsung dalam waktu yang lama menunjukkan myopati metabolik, defisiensi nutrisi atau sindrom fatigue kronik. Tujuan penelitian ini untuk mengetahui pengaruh terapi akupunktur pada titik Bl 56 (Chengjin) dan Sp 6 (Sanyinjiao) terhadap penurunan nyeri di otot gastrocnemius. Penelitian ini dilakukan pada Bulan Febuari – Maret 2017 di sekitar Pusat Grosir Solo, Kedung Lumbu Kecamatan Pasar Kliwon, Surakarta. Penelitian ini merupakan penelitian Pre-eksperimental dengan rancangan penelitian one group pretest- postest design dengan sampel 20 orang yang didapat secara total sampling. Data dianalisis dengan uji Paired T-Test dengan taraf signifikasi 0,05. Nilai rata-rata skala nyeri di otot gastrocnemius sebelum terapi akupunktur adalah sebesar 5,70 dan sesudah 10x terapi akupunktur nilai rata-rata skala nyeri di otot gastrocnemius adalah sebesar 2,40. Nilai rata-rata penurunan skala nyeri secara umum pre dan post terapi sebesar 3,30 (p < 0,05). Sehingga dapat disimpulkan ada pengaruh terapi akupunktur pada titik Bl 56 Chengjin dan Sp 6 Sanyinjiao terhadap penurunan nyeri di otot gastrocnemius.   Kata Kunci : Akupunktur, Bl 56 (Chengjin) , Nyeri, Otot gastrocnemius, Sp 6 (Sanyinjiao)     ABSTRACT Myalgia or muscle pain is also referred to as a symptomof many diseases and disorders on the body. Common causes of Myalgia is the use of the wrong muscle or muscles that are too tense. Myalgia happens without a history of trauma may be caused by viral infections. Myalgia thata long time shows the myopati metabolic, nutritional deficiency or chronic fatigue syndrome.This purpose of this study was to know the influence of acupuncture therapy on point Bl 56 (Chengjin) and Sp 6 (Sanyinjiao) against a decrease in pain in gastrocnemius muscle.This research was conducted on a February-March 2017 around in Pusat Grosir Solo, Kedung Lumbu Subdistrict Pasar Kliwon, Surakarta.This is research Pre-experimental designswith one group pretest-postest design with a sample of 20 people who result by in total sampling. Data were analyzed with Paired T-test with significance level 0.05. The results of this study is mean value of pain scale in gastrocnemius muscle pre acupuncture therapy was 5.70 and after 10x acupuncture therapy the mean value of pain scale in the gastrocnemius muscle was 2.40. The mean value of pain scale reduction in general pre and post therapy was 3.30 (p <0.05). So it can be conclusion there is influence of acupuncture therapy at point Bl 56 Chengjin and Sp 6 Sanyinjiao against the decrease of pain in gastrocnemius muscle.   Keywords :acupuncture, Bl 56 (Chengjin), pain, muscle gastrocnemius, Sp 6 (Sanyinjiao)

Efektivitas Aroma Terapi Lemon untuk Menangani Emesis Gravidarum

2019 ◽  
Vol 11 (4) ◽  
pp. 277-284
Author(s):  
Vitrianingsih Vitrianingsih ◽  
Sitti Khadijah
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
T Test ◽  
The Body ◽  
Nausea And Vomiting ◽  
P Value ◽  
Purposive Sampling ◽  
Body Tissues ◽  
Quasi Experimental ◽  
Paired T Test

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment  dengan  one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah  pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama.  Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM   ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum.  Keywords: lemon aromatherapy, emesis gravidarum

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

Digital volumetric measurements based on 3D scans of the lower limb: A valid and reproducible method for evaluation in lymphedema therapy. (Preprint)

2019 ◽  
Author(s):  
Daniel Schiltz ◽  
Natalie Kiermeier ◽  
Dominik Eibl ◽  
Christoph Koch ◽  
Karolina Müller ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lower Leg ◽  
T Test ◽  
Volume Changes ◽  
Quick Method ◽  
Reproducible Method ◽  
The Mean ◽  
3D Scans ◽  
Paired T Test ◽  
Volumetric Measurements

BACKGROUND Exact quantification of volumetric changes of the extremities is difficult. There are several direct and indirect methods to assess extremity volume. As water displacement volumetry is rarely viable in a clinical setting and circumference measurements are prone to errors due to poor reproducibility and high inter- and intra-observer variability, an objective and easily reproducible method is indispensable. OBJECTIVE The aim of this study was to establish a standardized method based on 3D scans with defined caudal and cranial landmarks of the lower leg which allows for measurements of exactly the same body area. Furthermore, this study tests the method in terms of reproducibility and evaluates volume changes after surgical therapy in patients suffering from lymphedema. METHODS 3D-scans of the lower limb were performed with a mobile 3D-scanner. Volumetric calculation was done digitally. “Repeatability“ and “Inter-observer reliability” of digital volumetry were tested. Furthermore, the method was applied on 31 patients suffering from chronic lymphedema. ANOVA (analyses of variance) was conducted to compare the digital volumetric measurements. To assess the sensitivity to changes in digital volumetry, the mean volume of 31 patients before and 3 months after therapy were compared by a paired t-Test. RESULTS Calculations of repeatability of the volume based on 20 3D-scans of the same lower leg showed a mean volume of 2,488 ± 0,011 liters (range: 2,470 – 2,510). The mean volume of the 7 measurements of the 3 examiners did not differ significantly (F(2,18) = 1,579, p = .233). The paired t-Test showed a significant mean volume decrease of 375ml (95% CI = 245/505ml) between pre and post treatment (t (30) =5,892, p < .001). CONCLUSIONS 3D-Volumetry is a noninvasive, easy and quick method to assess volume changes of the lower leg. Other than the costs, it is reproducible and precise and therefore ideal for evolution of therapy in lymphedema.

scholarly journals KEBUGARAN FISIK SISWA RETARDASI MENTAL RINGAN SEKOLAH DASAR LUAR BIASA KUNCUP BUNGA DENPASAR LEBIH TINGGI SESUDAH MELAKUKAN PELATIHAN SENAM PINGUIN DARI PADA SENAM RIA ANAK INDONESIA

2018 ◽  
Author(s):  
I Putu Eka Jaya ◽  
Nyoman Mangku Karmaya ◽  
Made Jawi ◽  
Wayan Weta ◽  
Ida Bagus Ngurah ◽  
...  
Keyword(s):  
Physical Fitness ◽  
Test Group ◽  
T Test ◽  
Percentage Increase ◽  
Test Results ◽  
Physical Fitness Test ◽  
Fitness Test ◽  
Group 2 ◽  
Paired T Test ◽  
Group 1

Physical fitness is ability to perform the activity or activities without feeling tired excessively. Physical fitness associated with a person`s organs to carry out its tasks properly every day without experiencing significant fatigue. In a child’s mental retardation with a les mobile lifestyle that will affect his physical fitness. The purpose of this study to determine which type of gymnastic exercise better to the physical fitness on the students in Sekolah Dasar Luar Biasa Kuncup Bunga Denpasar.This research used experimental method using Randomized study Pre and Post Test Group Design. The subjects in this study were students in Sekolah Dasar Luar Biasa Kuncup Bunga Denpasar. There were 18 students which is divided into two groups: group-1 is senam penguins and group-2 is senam ria anak Indonesia. Data were obtained after a six-week training analyzed by paired t-test and unpaired t-test.The results of physical fitness test before training with Senam Penguins was 23.39 ± 1.69 and the test results after the training was 27.87 ± 3.28. the physical fitness test in group-2 before training with Senam Ria anak Indonesia was 22.69 ± 1.76 and the results after training was 24.64 ± 2.11. Paired t-test in both group before and after training showed significant differences after training in group-1 and group-2 with a value of p > 0.05 with an increase in physical fitness test results of (19.15) in group-1 and (8.64) in group-2. The percentage increase physical fitness test results of group-1 with senam penguins is higher than those in group-2 with senam ria anak Indonesia.So we can conclude that the training of senam penguin in Sekolah Dasar Luar Biasa Kuncup Bunga Denpasar improved the physical fitness test results higher than senam ria anak Indonesia.

scholarly journals The effectiveness of additional core stability exercises in improving dynamic sitting balance, standing balance, lower-limb spasticity, falls and gait in subacute stroke patients (CORE-trial). Study protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
Rosa Cabanas-Valdés ◽  
Lidia Boix-Sala ◽  
Montserrat Grau-Pellicer ◽  
Juan Antonio Guzmán-Bernal ◽  
Fernanda Maria Caballero-Gómez ◽  
...  
Keyword(s):  
Lower Limb ◽  
Daily Living ◽  
Controlled Trial ◽  
Core Stability ◽  
Standing Balance ◽  
Stroke Patients ◽  
Randomized Controlled ◽  
Limb Spasticity ◽  
Lower Limb Spasticity ◽  
Dynamic Sitting

Abstract BackgroundTrunk impairment produces disorders of motor control, balance, and gait that are correlated with increased risk of falls and reduced mobility in stroke survivors. This creates disability and dependency to perform their activities of daily living. Alterations in body alignment occur, requiring treatment strategies focused on improving the postural control. bearing. Core stability exercises (CSE) are a good strategy to improve local strength of trunk, dynamic sitting, standing balance, and gait. There is some evidence about its effectiveness but it is still necessary to run a large multicenter trial to ratify that existing evidence.MethodsThis is a single-blind multicenter randomized controlled trial. Two parallel groups are compared and both perform the same type of therapy. A control group (CG) (n=110) performs conventional physiotherapy (CP) (1 hour per session) focused on improving balance. An experimental group (EG) (n=110) performs CSE (30 minutes) in addition to CP (30 minutes) (1 hour/session in total). EG is divided in two subgroups, in which only half of patients (n=55) perform CSE plus transcutaneous electrical nerve stimulation (TENS). Primary outcome measures are dynamic sitting, assessed by Spanish-version of Trunk Impairment Scale and stepping, assessed by Brunel Balance Assessment. Secondary outcomes are postural control, assessed by Postural Assessment Scale for Stroke patients; standing balance and risk of fall assessed by Berg Balance Scale; gait speed by BTS G-Walk (accelerometer); rate of falls, lower-limb spasticity by Modified Ashworth Scale; activities of daily living by Barthel Index; and quality of life by EQ-5D-5L. These are evaluated at baseline (T0), at 3 weeks (T1), at 5 weeks -at the end of the intervention (T2), at 17 weeks (T3) and at 29 weeks (T4). Study duration per patient is 29 weeks (a 5-week intervention, followed by a 24-week post-intervention). DiscussionThe study will provide useful information on the short and long term effects of a physiotherapy rehabilitation program based on core stability exercises performed in subacute phase.Trial registrationClinicalTrials.gov Identifier NCT03975985. Data registration June 5th, 2019. Retrospectively registered. Date of registration in primary registry: June 5, 2019. Protocol version 1

scholarly journals PENGARUH PENKES MENGGUNAKAN METODE CERAMAH DAN LEAFLET TERHADAP TINGKAT KECEMASAN PRIMIGRAVIDA

2021 ◽  
Vol 11 (22) ◽  
pp. 110-118
Author(s):  
Admin ◽  
Yuli Suryanti
Keyword(s):  
Test Group ◽  
T Test ◽  
Anxiety Scale ◽  
Purposive Sampling ◽  
Taylor Manifest Anxiety Scale ◽  
Post Test ◽  
Manifest Anxiety ◽  
Paired T Test ◽  
Quasi Experiment

Pendidikan kesehatan merupakan cara penyampaian informasi kesehatan yang mudah diterima oleh ibu hamil dengan berbagai media yang digunakan. Masalah emosional yang terjadi pada kehamilan trimester III adalah perasaan cemas. Penelitian ini bertujuan untuk menganalisa pengaruh pendidikan kesehatan menggunakan metode cemarah dan leaflet terhadap tingkat kecemasan ibu hamil trimester III. Penelitian Quasi Experiment dengan pre-test dan post-test group sebanyak 48 responden dengan teknik Purposive Sampling. Instrumen yang digunakan untuk mengukur skala kecemasan Taylor Manifest Anxiety  Scale (TMAS). Analisis data menggunakan Paired T test dan Independen T test. Hasil penelitian di dapatkan ada perbedaan tingkat kecemasan ibu hamil trimester III sesudah diberikan pendidikan kesehatan dengan menggunakan metode ceramah dan leaflet dengan nilai p =0,000. Pendidikan kesehatan yang diberikan pada ibu hamil saat melakukan pelayanan antenatal terbukti mampu meningkatkan pengetahuan ibu hamil terhadap kehamilannya. Leaflet sangat efektif untuk menyampaikan pesan singkat dan padat media ini juga mudah dibawa dan disebarluaskan karena ukurannya lebih ringkas dan jumlah yang dibawa lebih banyak dari pada poster.

scholarly journals Perubahan nilai laktat serum dan nilai leukosit pasca penanganan pasien multitrauma

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Jimmy Koan ◽  
Laurens T. B. Kalesaran ◽  
Heber B. Sapan
Keyword(s):  
Blood Lactate ◽  
Analytical Study ◽  
Early Stage ◽  
Cellular Level ◽  
Metabolic Changes ◽  
T Test ◽  
Laboratory Markers ◽  
The Mean ◽  
Paired T Test

Abstract: Available laboratory markers in the early stage of injury are very helpful for the clinicians to predict the diturbances in cellular level concerning prevention of early decompensation, therefore, vital condition of the patient can improve faster. Lactate and leucocyte levels are assumed as sensitive markers of metabolic changes that occur at the time of injury. This study aimed to obtain the changes of lactate and leukocyte levels in multitraumatic patients after resusitation at Prof. Dr. R. D. Kandou Hospital Manado from August to September 2015. This was an observational analytical study. The results showed that there were 36 multitraumatic patients in this study, consisted of 27 males and 9 females. One patient died during this study. The mean decrease of blood lactate was 1.4611 mmol/L, meanwhile, of leukocytes was 5582.2000/mm3. The paired T test showed very significant changes of blood lactate and leukocyte levels (P < 0.001) after resusitation. Conclusion: Achievement of resusitation and improvement in cellular level could be monitored by using lactate and leukocyte levels after resusitation of multitraumatic patients although the definitive aim of the trauma was not final yet.Kata kunci: lactate, leukocyte, multitraumatic patientsAbstrak: Tersedianya penanda laboratorik pada fase awal cedera dapat memudahkan klinisi memrediksi kelainan yang terjadi di tingkat sel untuk mencegah terjadinya fase dekompensasi secara dini sehingga dapat memperbaiki kondisi vital pasien dengan segera. Kadar laktat dan jumlah leukosit telah lama dianggap sebagai salah satu penanda yang sensitif terhadap perubahan metabolisme yang terjadi saat cedera. Penelitian ini bertujuan untuk mengetahui perubahan nilai serum laktat dan leukosit darah yang terjadi pada pasien multitrauma setelah penanganan di RSUP Prof. Dr. R. D. Kandou Manado sejak bulan Agustus sampai dengan September 2015. Jenis penelitian ini observasional analitik dengan desain potong lintang. Hasil penelitian memperlihatkan terdapat 36 pasien multitrauma, terdiri dari 27 laki-laki dan 9 perempuan. Selama penelitian didapatkan 1 pasien meninggal saat penanganan. Pada pasca penanganan, rerata penurunan nilai asam laktat darah sebesar 1,4611 mmol/L dan nilai leukosit sebesar 5582,2000/mm3. Hasil uji T berpasangan memperlihatkan perubahan nilai laktat darah dan leukosit pasca penanganan yang sangat bermakna (P < 0,001). Simpulan: Tercapainya resusitasi dan perbaikan di tingkat sel dapat dimonitor dari nilai laktat dan leukosit darah pasca penanganan pasien multitrauma walaupun penanganan belum sampai pada tujuan definitif trauma.Kata kunci: asam laktat, leukosit, multitrauma

scholarly journals Buzz Group Technique to Promote Students Reading Comprehension

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Nurul Afifah
Keyword(s):  
Reading Comprehension ◽  
T Test ◽  
Eighth Grade ◽  
Control Group ◽  
Eighth Grade Students ◽  
The Mean ◽  
And Control ◽  
Academic Year ◽  
Paired T Test ◽  
Group Technique

This present study was quasi experiment research. This study aimed to find out whether or not there is any the improvement of the students’ reading comprehension by using buzz group technique. The population of the study was all the eighth grade students of SMP SENTOSA BAKTI BATURAJA in Academic Year 2019/ 2020. The sample was taken by using cluster random sampling. The sample is divided by two experimental class and control group. The try-out was done at VIII. C with 22 respondents. The data was collected by using test. The reliability of the data was taken through Alpha Cronbach. The data were analyzed by using paired T-test of control class and paired t-test of experimental class and independent t-test too. The result showed that from the mean score was 71 improved to be 84, 6 and based on independent T-test the value of T obtained was 8,122 as significant level of 0.05 for 2 tailed testing and degree of freedom (df) was 48 the critical value of T table 3, 425. The value was higher than T table (8,122>3,425) and the value sig, (2 tailed)= 0.000 less than the value of significant level (0.05).  It mean that there was significant improvement the students who was taught by using buzz group technique and those who was not at SMP SENTOSA BAKTI Baturaja. It concluded that Buzz group technique was effective to promote students’ reading comprehension at the Eighth Grade students of SMP SENTOSA BAKTI BATURAJA.

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