The Influence Of Pre-Operative Health Education To The Self-Concept Improvement On Femoral Fracture Patientsat Haji Medan Hospital Of North SumateraGovernment In 2021

Femoral fracture is continuity disconnected of the femoral shaft occurring due to direct trauma (traffic accidents, falls from the height), and it is usually experienced by the adult males. Fractures of this area affects heavy bleeding and impacts the shock. This study aimed to find out whether there is the influence of pre-operative health education to the self-concept improvement on femoral fracture patients At Haji Medan Hospital of North Sumatera Government in 2021The research type used was Quasi Experiment design. This study used one group pre-test and post-test design. The research location was at Haji Medan Hospital of North Sumatera Government in 2021. The population were all femoral fracture patients having treatment at Haji Medan Hospital of North Sumatera Government. Based on RSU Haji Medical record data, there were 30 patients in July- December 2020. The sampling technique was purposive sampling. The total sample were 20 femoral patients.The outputs described that there is a significant correlation between pre operative health education and self-concept improvement on femoral fracture patients At Haji Medan Hospital of North Sumatera Government in 2021. The value is p < α as 0.000 < 0.05. It is proved that pre operative health education to be effective in improving self-concept on femoral fracture patients At Haji Medan Hospital of North Sumatera Government in 2021.The suggestion of the study is required to be applied by medical practitioner in the hospital, particularly the nurses providing the nursing care to the femoral fracture patients and support the patients in overcoming the anxiety of the disease by maximizing the existing social supports.

Building Numerical Design Matrix and Managing Functional Couplings for Concept Improvement of The Existing Product

Because parametric values are unknown during initial concept generation, the Axiomatic Design Theory uses the binary design matrix (DM) to represent the coupling relationship between functional requirements and design parameters. However, given an existing product, it would be possible to employ the numerical DM that has more detailed information than the binary DM to help improve the design concept. This paper proposed a two-phase method to create a numerical DM in phase I and manage the functional couplings in phase II for concept improvement of existing product. A decomposition-definition-levelling framework and the Puritan-Bennett’s 0-1-3-9 level rating are employed to evaluate the system impact of each functional coupling to create the numerical DM of an existing design concept. The Design Coupling Sequence (DCS) approach was extended to use the numerical DM to improve this design concept. Compared with other numerical matrices for product development and the structured approach by Su et al., our method is more generic and faster, providing useful details yet still able to maintain the dominance of the high-level couplings.

PENERAPAN MODEL PEMBELAJARAN ACTIVE LEARNING DENGAN MENGGUNAKAN MEDIA FLIP CHART UNTUK MENINGKATKAN PEMAHAMAN KONSEP PESERTA DIDIK KELAS XI IPA SMA NEGERI 1 TANJUNG BUNGA PADA MATERI SISTEM ORGAN

Learning should be centered on the students centered this is in accordance with the demands of Education Unit Level Curriculum (KTSP). Learning in schools today is still conventional, which is teacher centered so that less reflects a meaningful learning for learners. Implementation of active learning model using flip chart media is expected to improve understanding of students' concept of class XI IPA SMA Negeri 1 Tanjung Bunga on organ system material. This research is a Classroom Action Research (PTK) consisting of two cycles. Population in this research is all student of SMA Negeri 1 Tanjung Bunga with sample is student of class XI IPA SMA Negeri 1 Tanjung Bunga. Improved understanding of learners' concepts can be measured using tests. The success of active learning model using flip chart media is seen through comparison between cycle I with cycle II. Based on the result of cycle I with cycle II, the percentage of concept improvement is 1.06%, the result can be obtained through division of the second cycle gain divided by the acquisition of cycle I (80.95%: 76.19%). From these results it can be concluded that by applying the learning model of active learning by using the medi flip chart can improve understanding of the concept of learners.

Managing Functional Coupling Sequences to Reduce Design Complexity During Concept Improvements

A large part of design complexity is originated during the concept generation phase when coupling relationships are established between functional requirements and design parameters. Therefore, one of the important tasks in concept improvement is to properly manage the sequence of these functional couplings to minimize the design complexity. This paper introduces a new method, called Design Coupling Sequence (DCS), which, given a design matrix generated during conceptual design, can symmetrically guide the designer through this sequencing task to reduce the design complexity. DCS is developed with sound foundations from logics and mathematics, and useful in engineering practice as real-world design tasks become increasingly complex.