bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Latihan Kekuatan Otot Tungkai Terhadap Hasil Smash Peserta Ekstrakurikuler Bola Voli Pendidikan Olaharaga Universitas PGRI Palembang
Authors: Daryono Daryono
Published: March 2019

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh latihan kekuatan otot tungkai terhadap hasil smash pada peserta ekstrakukikuler bola voli di Pendidikan Olahraga Universitas PGRI Palembang. Metode penelitian yang digunakan adalah metode eksperimen dengan jenis penelitian One-Group Pratest-Posttest. Sampel dalam penelitian ini berjumlah 20 orang yang mengikuti ekstrakulikuler bola voli di Universitas PGRI Palembang. Instrument tes yang digunakan yaitu tes smash. Teknik analisis data yang digunakan adalah uji-t. Hasil penelitian menunjukan bahwa hasil uji t diperoleh nilai t-hitung (6,735) > t-tabel (2,405), hasil tersebut diartikan Ha: diterima dan Ho: di tolak, sehingga dapat disimpulkan ada pengaruh siknifikan latihan kekuatan otot lengan terhadap hasil Kekuatan otot tungkai pada peserta ekstrakurikuler bola voli di Universitas PGRI Palembang, Pengaruh tersebut ditunjukan dengan meningkatnya kemampuan smash sebesar 30,35 %.
PENERAPAN PRODUKSI BERSIH DI INDUSTRI PEMINDANGAN IKAN DESA BAJOMULYO KECAMATAN JUWANA, PATI
Authors: Astuti Arieyanti Dwi
Published: March 2019

ENGLISHBoiled fish industry in Bajomulyo, Juwana causes environmental degradation because of it’s waste. One of the causes of environmental degradation is wastewater that the waste is not managed properly. This study aimed: 1) to describe the activity of boiled fish production; 2) to review cleaner production effort that can be applied in boiled fish industry. This is a descriptive research. Data were obtained from interviews, field observations and relevant literature. The results showed that: 1) The process of boiled fish production starts from raw material preparation (thawing) if the raw fish were obtained from cold storage. Next, the fish washed and laid out in baskets and then boiled with salt water. Waste generated from this industry is in solid and liquid forms; 2) The approach of cleaner production in boiled fish industry can be applied by further processing of waste generated by simple processing. That process will produce diversified products, i.e. raw material of animal feed ingredients that have better economic value. Moreover, utilization of the waste will reduce environmental pollution load. INDONESIAIndustri pemindangan ikan di Bajomulyo Juwana menyebabkan penurunan kualitas lingkungan akibat limbah yang dihasilkannya. Penyebab penurunan kualitas lingkungan salah satunya disebabkan limbah cair yang tidak terkelola dengan baik. Penelitian ini bertujuan untuk mendeskripsikan aktivitas produksi ikan pindang serta melakukan pengkajian tentang upaya produksi bersih yang bisa diterapkan dalam industri ikan pindang. Penelitian ini merupakan penelitian deskriptif. Data diperoleh dari hasil wawancara, observasi lapangan dan literatur yang relevan. Hasil penelitian menunjukkan bahwa: 1) Proses produksi ikan pindang dimulai dari penyiapan bahan baku (thawing) jika ikan yang digunakan diperoleh dari cold storage. Setelah itu, ikan dicuci dan ditata di besek untuk kemudian direbus dengan air garam. Limbah yang dihasilkan dari industri ini berupa limbah padat dan limbah cair; 2) Pendekatan produksi bersih pada industri pemindangan ikan dapat dilakukan dengan mengolah lebih lanjut limbah yang dihasilkan dengan pengolahan sederhana. Dari pengolahan tersebut, dihasilkan diversifikasi produk berupa bahan baku pakan ternak yang memiliki nilai ekonomis yang lebih baik serta pemanfaatan limbah yang akan mengurangi beban pencemaran terhadap lingkungan.
PENGEMBANGAN PERANGKAT PEMBELAJARAN MODEL PEMBELAJARAN KOOPERATIF TIPE TWO STAY TWO STRAY (TSTS) BERORIENTASI PENDIDIKAN KARAKTER BERBASIS KONSTRUKTIVISME MATERI LINGKARAN KELAS VIII
Authors: Bardina Sofia
Published: March 2019

ENGLISHThis research aimed to develop the valid and effective learning set of mathematics through cooperative learning model of TSTS type character education oriented based on constructivism by CDP of circles materials, and then it resulted an effective and valid learning set. The learning set would be developed were: syllabus, RPP, BPD, CDP, and THB. Data were obtained by observation and test. Data were analyzed descriptively using completeness test, t-test, and regression analysis. The mean scores for validation test were: Syllabus = 4.54; RPP = 4.53; BPD = 4.62; CDP = 4.80 and THB was valid. Field test showed that the learning sets were effective. It was proofed by the completeness of TBH with the average score was higher than 67 (exceeding 75% of total student). Learning activities positively affected 80% of THB. The mean THB of experiment group was 73.36, while that of control class was 55.00. It proofed that experiment group showed higher skill than control group. Based on those results, it can be concluded that the learning set was valid and effective. It meant that the development of learning set succeeded and it was qualified to be used as mathematic learning method in Junior High School level. INDONESIAPenelitian ini untuk mengembangkan perangkat pembelajaran matematika dengan Model Pembelajaran Kooperatif Tipe TSTS Berorientasi Pendidikan Karakter Berbasis Konstruktivisme Berbantuan CDP kelas VIII yang valid dan efektif. Tujuan dari penelitian ini adalah untuk menghasilkan perangkat pembelajaran yang valid dan efektif. Perangkat pembelajaran yang dikembangkan adalah Silabus, RPP, BPD, CDP dan THB. Cara pengambilan data dengan observasi dan tes. Data tes diolah dengan analisis deskriptif uji ketuntasan, uji banding t dan uji regresi. Hasil validasi terhadap perangkat pembelajaran valid dengan rata-rata skor untuk Silabus = 4,54; RPP = 4,53; BPD = 4,62; CDP = 4,80 dan THB valid. Uji coba lapangan diperoleh hasil perangkat pembelajaran efektif. Keefektifan, diperoleh dari hasil uji ketuntasan THB dengan rataan nilai > 67 melebihi 75% dari peserta didik, ada pengaruh positif aktivitas terhadap THB sebesar 80%. Rataan THB pada kelas eksperimen sebesar 73,36 sedangkan rataan THB di kelas kontrol sebesar 55,00 sehingga rataan kemampuan kelas eksperimen lebih besar dari kelas kontrol. Dari analisis hasil tersebut di atas dapat disimpulkan bahwa perangkat adalah valid dan efektif. Hal ini berarti bahwa pengembangan perangkat tercapai dan layak digunakan dalam pembelajaran matematika di SMP.
FAKTOR-FAKTOR LINGKUNGAN YANG MEMPENGARUHI PENGEMBANGAN BUDIDAYA BAWANG MERAH (Allium ascalonicum, sp) DI KABUPATEN PATI
Authors: Sutrisno Sutrisno
Published: March 2019

ENGLISHOnion is one of the featured vegetable commodities that have long been cultivated by farmers intensively. This study aims to analyze the factors internal and external environment (IE) in the development of onion cultivation in Pati regency. Research used descriptive method with data sources derived from primary and secondary data. Analysis of data using the strategy formulation consisting of (1) Matrix Internal Factor Evaluation (IFE) and External Factor Evaluation (EFE), (2) Matrix Internal External (IE). The results showed the total value of the average score of 2.67 on a matrix IFE located on the cell II (on average), while the total score of the matrix EFE gained an average of 2.80 lies in cell IV (moderate). These results position the development of onion cultivation in Pati regency in cell II and IV, called a strategy to grow and build. INDONESIABawang merah merupakan salah satu komoditas sayuran unggulan yang sejak lama telah diusahakan oleh petani secara intensif. Penelitian ini bertujuan untuk menganalisis faktor-faktor lingkungan internal dan eksternal (IE) dalam pengembangan budidaya bawang merah di Kabupaten Pati. penelitian menggunakan metode deskriptif dengan sumber data berasal dari data primer dan sekunder. Analisis data menggunakan formulasi strategi terdiri dari (1) Matriks Internal Factor Evaluation (IFE) dan External Factor Evaluation (EFE), (2) Matriks Internal External (IE). Hasil penelitian menunjukkan nilai total skor rata-rata pada matriks IFE sebesar 2,67 terletak pada sel II (rata-rata), sedangkan matriks EFE memperoleh total skor rata-rata sebesar 2,80 terletak pada sel IV (sedang). Hasil tersebut menempatkan posisi pengembangan budidaya bawang merah di Kabupaten Pati pada sel II dan IV, disebut strategi tumbuh dan membangun.
KENAKALAN REMAJA AWAL DI LINGKUNGAN SEKOLAH DITINJAU DARI KETIDAKHADIRAN ORANG TUA KARENA MERANTAU
Authors: Aini Siti Qorrotu
Published: March 2019

ENGLISHEarly adolescent phase that coincided with the beginning of secondary school age have characteristics that emotionally still volatile because of the influence of hormonal changes in adolescents. This forms a distinctive characteristic in early adolescence which includes aspects social behavior, moral, religious, affective, cognitive and personality. The reviewed purpose is to explain the potential of early adolescent delinquency in the school environment on students whose parents migrated for temporary. Adolescent phase needs nurturing, guidance, direction and supervision. The parents roles is needed for the success of adolescent development. Adolescent who left by their parents for temporal migration have psychosocial youth impact in their school life. Adolescent beside studied academicly also required to comply with the applicable rules at school. Adolescent who are left for temporal migration and have psychosocial problem, forms of delinquency includes substance abuse such as alcohol, behavioral problems includes coming late, ditching, not doing homework, words are rude, alcohol, viewing pornography, fighting, courting school environment, write inappropriate words on the walls of the bathroom and indications brawl. INDONESIAFase remaja awal yang bertepatan dengan usia sekolah menengah memiliki karakteristik yang secara emosional masih bergejolak karena pengaruh perubahan hormonal dalam diri remaja. Hal ini membentuk karakteristik yang khas pada masa remaja awal yang meliputi aspek perilaku sosial, moral, religi, afeksi, kognitif dan kepribadian. Tujuan penulisan untuk menjelaskan potensi kenakalan remaja awal di lingkungan sekolah pada siswa yang orang tuanya merantau. Fase remaja membutuhkan pengasuhan, bimbingan, arahan dan pengawasan. Peran orang tua sangat dibutuhkan untuk keberhasilan perkembangan anak remaja. Remaja yang ditinggal orang tuanya merantau memiliki dampak psikososial remaja dalam kehidupannya bersekolah. Remaja, selain belajar secara akademis juga dituntut untuk mematuhi aturan yang berlaku disekolah. Remaja yang ditinggal merantau dan memiliki masalah psikosial, bentuk-bentuk kenakalannya meliputi penyalahgunaan zat berupa minuman keras, masalah perilaku meliputi terlambat, membolos, tidak mengerjakan tugas/PR, perkataan yang kasar, minuman keras, melihat pornografi, berkelahi, pacaran dilingkungan sekolah, menulis kata-kata tidak pantas di tembok kamar mandi dan indikasi tawuran.
PENERAPAN PENDEKATAN DISCON UNTUK MENINGKATKAN AKTIVITAS DAN HASIL BELAJAR TATA NAMA SENYAWA (Studi Pada Siswa Kelas X SMA N 1 PATI)
Authors: Nurhayati Idha
Published: March 2019

ENGLISHResults of studying chemistry class X SMA N 1 Pati from year to year in material Nomenclature Compounds are always low. The research objective was to determine the increase in activity and learning outcomes of chemical compounds on the material Nomenclature for class X MIA 9 SMA Negeri 1 Pati, by applying the approach DISCON (Discovery-Contectual) and games Tameo (Take Me Out). The research method is descriptive with qualitative and quantitative approaches, implemented January to March 2014 in SMA Negeri 1 Pati. The primary source is obtained from class X MIA 9 SMA Negeri 1 Pati consisting of 34 students (24 girls and 10 boys) and partner teachers. While secondary data derived from the study documents. Descriptive data were analyzed qualitatively and quantitatively. Results of the research is the liveliness of students in active and very active categories of the initial condition of 58.82%; cycle 1 of 73.53%; cycles 2 of 91.17%. The average value of 71.35 with an initial condition in classical learning completeness 64.71%; cycle1 of the average value of 76.94 with a classical mastery learning 76.47%; cycle 2 average value of 84.29 with a classical mastery learning 85.30%. Affective value in cycle 1 in the category of good and very good by 70.58%; cycle 2 of 88.23. INDONESIAHasil belajar kimia siswa kelas X SMA N 1 Pati dari tahun ke tahun pada materi Tata Nama Senyawa selalu rendah. Tujuan penelitian adalah untuk mengetahui peningkatan aktifitas dan hasil belajar kimia pada materi Tata Nama Senyawa bagi siswa kelas X MIA 9 SMA Negeri 1 Pati, dengan menerapkan pendekatan Discon (Discovery-Contectual) dan permainan Tameo (Take Me Out). Metode penelitian yaitu deskriptif dengan pendekatan kualitatif dan kuantitatif, dilaksanakan bulan Januari sampai Maret 2014 di SMA Negeri 1 Pati. Sumber primer diperoleh dari siswa kelas X MIA 9 SMA Negeri 1 Pati yang terdiri dari 34 siswa (24 siswa perempuan dan 10 siswa laki-laki) dan guru mitra. Sedangkan data sekunder berasal dari dokumen pembelajaran. Analisis data dilakukan secara deskriptif kualitatif dan kuantitatif. Hasil penelitian yaitu keaktifan belajar siswa pada kategori aktif dan sangat aktif kondisi awal 58,82%; siklus 1 sebesar 73,53%; siklus 2 sebesar 91,17%. Nilai rata-rata kondisi awal 71,35 dengan ketuntasan belajar secara klasikal 64,71%; siklus 1 nilai rata-rata 76,94 dengan ketuntasan belajar secara klasikal 76,47%; siklus 2 nilai rata-rata 84,29 dengan ketuntasan belajar secara klasikal 85,30%. Nilai afektif pada siklus 1 pada kategori baik dan sangat baik sebesar 70,58 %; siklus 2 sebesar 88,23.
Hubungan Motivasi Perawat dengan Pelaksanaan Discharge Planning di ruang Vincentius RS St. Elisabeth Semarang
Authors: - Windyastuti , Kustriyani Menik
Published: March 2019

AbstrakDischarge planning (perencanaan pulang) adalah serangkaian keputusan dan aktivitas-aktivitasnya yang terlibat dalam pemberian asuhan keperawatan yang kontinu dan terkoordinasi ketika pasien dipulangkan dari lembaga pelayanan kesehatan. Hasil Uji Rank Spearman menunjukkan bahwa nilai (p Value= 0,005) < (α=0,05), maka Ha diterima dan Ho ditolak yang artinya ada hubungan motivasi kerja perawat dengan pelaksanaan discharge planning di RS St. Elisabeth Semarang. Berdasarkan nilai koefesien korelasi hasil uji Rank Spearman diketahhi bahwa nilai r = 0,431 yang berarti bahwa korelasi antara motivasi kerja perawat dengan pelaksanaan discharge planning di RS St. Elisabeth Semarang menunjukkan tingkat hubungan korelasi yang sedang.Kata Kunci : Discharge Planning, Motivasi
PERSEPSI DOKTER TERHADAP TUNTUTAN HUKUM
Authors: Iswandari Hargianti Dini
Published: March 2019

Pada saat aturan baru diberlakukan, tidak otomatis dipersepsi positif oleh para dokter, bahkan bisa dinilai sebagai ancaman karena dianggap membelenggu kebebasan keilmuannya dan bisa menimbulkan konflik dalam melaksanakan pelayanan kesehatan kepada masyarakat,Penelitian ini dilakukan untuk menggali pemahaman dan persepsi dokter terhadap Pasal 66 ayat (3) UU No 29 Tahun 2004 tentang Praktik Kedokteran yang telah ditolak oleh Mahkamah Konstitusi pada akhir tahun 2014. Dalam kajiannya, penelitian kualitatif yang didukung kuantitatif ini menggunakan metode induktif dalam grounded theory, permasalahan dibahas dengan paradigma konstruktivisme.Hasilnya: dokter sadar bahwa profesi kesehatan rentan terhadap tuntutan dan perlu adanya perlindungan hukum bagi dokter.Saran:Dokter harus mengeliminir pendapat bahwa dengan memperdalam ilmu kedokteran, menjamin bersangkutan akan terhindar dari berbuat salah maupun sengketa medis.Dokter harus sadar bahwa sebaik apapun kewajibannya telah dilaksanakan, ketidak puasan dan tuntutan pasien sangat mungkin terjadi. Tuntutan kepada dokter dapat diajukan dalam ranah etika, ranah disiplin serta ranah hukum.Perlu ditumbuh kembangkan keinginan dokter untuk mempelajari hukum, perlu memahami kedudukannya di mata hukum untuk menghindarkan diri bermasalah dengan hukum nantinya.Kata kunci: Persepsi, pelayanan kesehatan, konflik. Doctors perceptions against legal claimsWhen a new rule is introduced, doctors may not accept it in positive way. They may instead perceive the rule as threat binding their will to search deeper knowledge, and it may raise conflicts when the medical services are being implemented to the community.                                                                        This research is to seek the understandings and the doctor’s perceptions on clause 66 ayat (3) UU No 29 Tahun 2004 concerning medical practices opposed by Mahkamah Konstitusi (Constitutional Court of the RI) at the end of 2014.In the analysis, qualitative as well as quantitative research using inductive methodology in grounded theory, cases are discussed with constructive paradigm.The result was, the doctors acknowledged that the medical profession is very crucial against claims of which law protections are needed.Suggestions:Doctors should not assume that going deeper in to the medical practices, will guarantee and release oneself from medical claim against such profession.Doctors should assume that unsatisfatory level of patients on medical treatment may waive all the best efforts done by the doctors. The claims against the doctors may happen in the case of Ethics, disciplines and legal.It is good to promote the idea that the doctors shall equip themselves with legal knowledge, to understand the legal standings of their profession, to dealt with the lawKeywords: Perception, medical services, conflict.
PENGARUH TINGKAT PENGETAHUAN TENTANG KALIBRASI TERHADAP PERILAKU MENGKALIBRASIKAN ALAT SPHYGMOMANOMETER PADA BIDAN PRAKTEK MANDIRI DI PUSKESMAS WILAYAH KABUPATEN DEMAK
Authors: Nugroho Agung Satrio , Wardaningsih Prima Widyawati , Yono Mul
Published: March 2019

Dengan seringnya terjadi kesalahan pengukuran yang berakibatkan terjadinya kesalahan pendiagnosaan yang tidak tepat sehingga akan mempengaruhi pemberian obat. Oleh karena itu perlu dilakukan pengujian terhadap peralatan kesehatan yang baru dibeli ataupun yang telah dipakai meliputi tahapan uji fungsi, uji coba dan pengukuran unjuk kerja dan keamanan alat kesehatan tersebut. Demikian juga dalam upaya mempertahankan fungsi dan keandalannya diperlukan pemeliharaan dan pengalibrasian / peneraan secara terprogram yang berkesinambungan untuk mendukung jaminan mutu pelayanan kesehatan. Tujuan penelitian ini yaitu untuk Mengetahui Pengaruh Tingkat Pengetahuan Tentang Kalibrasi Terhadap Perilaku Mengkalibrasikan Alat Sphygmomanometer Pada Bidan Praktek Mandiri Di Puskesmas Wilayah Kabupaten Demak.Jenis penelitian ini adalah observasional dengan metode penelitian survei analitik yaitu survey atau penelitian yang mencoba menggali bagaimana dan mengapa fenomena kesehatan itu terjadi. Populasi dalam penelitian ini adalah Bidan Praktik Mandiri di Puskesmas Wilayah Kabupaten Demak. Sampel dalam penelitian ini adalah 35 orang Bidan Praktik Mandiri di Puskesmas Wilayah Kabupaten Batang. Pengumpulan data dengan menggunakan kuesioner. Analisa hubungan 2 variabel menggunakan uji Chi-Square.Dari hasil penelitian didapatkan bahwa 21 responden (60%) berpengetahuan kurang baik dan 28 responden (80%) tidak mengkalibrasikan alat sphygmomanometer. Berdasar hasil uji ANOVA diketahui bahwa nilai signifikansi sebesar 0,015. Nilai signifikansi sebesar 0,015 lebih kecil dari batas signifikansi yang telah ditetapkan yaitu sebesar 0,05. Nilai signifikansi sebesar 0,015 dapat diinterpetasikan bahwa H0 ditolak atau dengan kata lain H1 diterima. Sehingga hipotesa sementara yang menyatakan bahwa terdapat hubungan antara variabel tingkat pengetahuan dan perilaku kalibrasi sphygmomanometer seseorang dapat diterima. Hal ini dapat disimpulkan bahwa terdapat pengaruh antara tingkat pengetahuan seseorang tentang kalibrasi dengan perilaku orang tersebut untuk mengkalibrasi sphygmomanometer dengan tingkat signifikansi sebesar 0,015. Saran yang dapat diberikan untuk pengembangan penelitian ini adalah perlu dilakukan penelitian lagi untuk mengetahui variabel yang mempengaruhi perilaku seseorang mengkalibrasi selain tingkat pengetahuan tentang kalibrasi. Kata kunci : pengetahuan, kalibrasi sphygmomanometer
Pemodelan Aliran Pembuluh Darah Carotid : Aplikasi Perangkat Lunak FreeFem++
Authors: Rahmat Basuki
Published: March 2019

Objek studi ini dilakukan bertujuan untuk membuat sebuah simulasi pola aliran darah pada pembuluh carotid dengan kasus carotid normal, carotid stenosis 40 %, dan carotid stenosis 60 % menggunakan program perangkat lunak FreeFem++ dua dimensi. Metode yang digunakan dalam penelitian ini menggunakan rancang bangun pemodelan dalam perangkat lunak FreeFem++ yang disesuaikan atau mendekati semirip mungkin dengan kondisi pembuluh darah carotid. Pada tahap awal terlebih dahulu dibuat mesh untuk pola percabangan sesuai dengan pola dan diameter pembuluh carotid, kemudian dibuat mesh pembuluh carotid normal, selanjutnya dibuat mesh carotid stenosis dengan penyumbatan pembuluh 40% dan pembuatan mesh pembuluh darah carotid stenosis dengan penyumbatan pembuluh 60%. Buildmesh yang telah dibuat kemudian dibuat program simulasinya dengan iterasi sebesar 15 kali. Hasil aktivasi pada simulasi pola aliran dengan iterasi 15 kali daidapat hasil bahwa pada pembuluh carotid normal pola aliran yang didapat berupa pola aliran yang laminar dan nilai tekanan berbanding lurus dengan lebar pembuluh. Pola aliran pada carotid stenosis dengan penyumbatan sebesar 40% memiliki pola aliran yang tidak laminar, ada sedikit pola aliran yang turbulence dan terjadi perubahan nilai tekanan pada external  carotid dan internal carotid. Pola aliran pada carotid stenosis dengan penyumbatan sebesar 60% memiliki pola aliran yang tidak laminar dan ada pola aliran turbulence serta terjadi pergantian aliran dari pembuluh externalcarotid ke pembuluh internalcarotid.Hasil penelitian tadi menunjukan bahwa program FreeFem++ dapat digunakan untuk membuat simulasi pola aliran pada pembuluh darah carotid dengan kasus carotid stenosis.Kata Kunci: Carotid Stenosis,FreeFem++, external  carotid,internal carotidThe Modeling of Blood Vessel Flow : The Application of FreeFem++ SoftwareThe objective of this research is to make the simulation of carotid blood vessel’s flow pattern with the case : normal carotid, 40% stenosis carotid, and 60% stenosis carotid using the two dimension of FreeFem++software program. The methodology is using the modeling of FreeFem++ software that is almost same with the carotid blood vessel condition. The mesh is created to the branch pattern is the first step, then the normal carotid vessel mesh is created. The stenosis carotid mesh with 40% clogging and the manufacture of stenosis carotid mesh with 60% blood vessel clogging. The simulation program of Buildmesh have been created needs to be produced with 15 times iteration. The processes above stated that the normal carotid vessel’s flow pattern is laminar and the pressure is directly proportional to the vessel wide. The stenosis carotid pattern with 40% clogging have no any laminar, just a little bit turbulence flow pattern and there is some pressure changing in the external and internal carotid.
HUBUNGAN SLEEP HYGIENE DENGAN KUALITAS TIDUR PADA LANJUT USIA
Authors: Rahmah Ifana Z. , Retnaningsih D. , Apriana Rista
Published: March 2019

XVI + 86 halaman + 7 tabel + 2 Gambar + 12 LampiranLatar Belakang: Kualitas tidur adalah kemampuan individu untuk tetap tertidur dan mendapatkan tidur REM dan NREM yang pas. Perubahan tidur akibat proses penuaan pada lansia dapat mempengaruhi kualitas tidur. Sehingga lanjut usia perlu mendapatkan praktik sleep hygiene yang baik dan tepat agar dapat meningkatkan kualitas tidur pada lansia. Tujuan: Mengetahui hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang. Metode            : Metode penelitian menggunakan metode deskriptif korelatif dengan desain penelitian cross sectional. Sampel yang digunakan dalam penelitian ini sebanyak 35 lansia.Teknik pengambilan sampel menggunakan sampling jenuh. Metode pengumpulan data menggunakan kuesioner. Analisa data menggunakan uji rank spearman dengan nilai signifikasi 5%. Hasil : Hasil uji rank spearman di dapatkan bahwa ada hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang dengan nilai p value = 0,000 yang berarti ≤0,05 (5%), maka H0ditolak dan Ha diterima. Kesimpulan : Ada hubungan antara sleep hygiene dengan kualitas tidur pada lansia di Panti Wredha Harapan Ibu Ngaliyan Semarang dengan arah korelasi positif dan tingkat keeratan tinggi. Saran : Untuk pelayanan keperawatan dapat menerapkan praktik sleep hygiene yang dapat di jadikan intervensi mandiri perawat dalam upaya meningkatkan kualitas tidur lansia.Kata Kunci           : Sleep hygiene, kualitas tidur, lansia.Daftar Pustaka   : 37 (2006-2017) Xvi + 87 pages + 7 Tables + 2 Pictures + 12 EnclosuresBackground       :  Sleep quality is the ability of the individual to stay asleep and get a proper REM and NREM sleep. Sleep changes due to the aging process in the elderly can affect sleep quality. So that the elderly need to get a good sleep hygiene practices and appropriate in order to improve the quality of sleep of elderly. Method : Research method using correlative descriptive method with cross sectional studied design. The samples were 35 elderly persons. Simple random sampling used as total sampling. This study employed the questionnaires as data collecting methods. The spearman rank test used as statistical data analysis with significant value 5% . Result : The result of spearman rank statistic test show that there is relation between sleep hygiene and sleep quality at the elderly with p value = 0,000 which mean ≤ 0,05 (5%) then H0 is rejected and Ha is received. Conclusion: There is a relationship between sleep hygiene and sleep quality at the elderly in the nursing home Harapan Ibu Ngaliyan Semarang with the direction of positive and level of high closeness. Advice                : For nursing service can apply the the practice of sleep hygiene that can be made in the independent intervention of nurses in an effort to improve the quality of elderly sleep.Keywords            : Sleep hygiene, sleep quality, elderly.References         : 36 (2006-2017)
PENYULUHAN TENTANG DIABETES MILITUS DAN SENAM DIABETES MILITUS DI RW IV KELURAHAN WONOPLUMBON, KECAMATAN MIJEN DI WILAYAH KERJA PUSKESMAS MIJEN SEMARANG
Authors: Astuti Windy , Kustriyani Menik
Published: March 2019

Masyarakat banyak yang tidak paham tentang tanda dan gejala Diabetes Militus, menganggap  penyakit orang tua, sebagian besar menderita Diabetes tipe 2 yang disebabkan faktor keturunan. Terdapat 40% penderita Diabetes Militus yang menyadari sepenuhnya tentang pentingnya olahraga dan melakukan aktifitas senam dengan teratur. Senam  diabetes yang efektif dapat menurunkan kadar gula darah dan memperlancar peredaran darah perifer. Senam direkomendasikan dilakukan dengan intensitas sedang, durasi 30 menit dengan frekuensi 3-5 kali per-minggu dan tidak lebih dari 2 hari berturut-turut tidak melakukan senam. Senam diabetes militus yaitu gerakan menyenangkan dan tidak membosankan serta dapat diikuti oleh semua umur. Kebanyakan penderita tidak pernah melakukan senam diabetes ataupun kegiatan fisik lain. Mereka lebih berfokus pada penggunaan obat oral dan insulin, sedangkan diit dan latihan jasmani mereka lakukan jika kondisi gula darah mereka meningkat dan setelah keluar dari rumah sakit karena anjuran dokter untuk mengatur diit dan latihan jasmani, jika mereka merasa sudah membaik, maka diit dan jasmani tidak dilakukan lagi.Kata kunci : penyuluhan, diabetes militus, senam. Many people do not understand clearly about the sign and the symptom of Diabetes Militus, they consider it as a disease of only elderly people. Most of them suffer from Diabetes Militus type 2 which is caused by heritage factor. There are 40 percents of them who understand clearly about the importance of doing sport and gymnastics regularly. The effective Diabetes gymnastics can decrease the level of blood sugar and smoothen the perifer blood circulation. This gymnastics is recommended to do with a medium intensity, 30 minutes per session with the frequency of 3-5 times per week and not more than 2 days serially without doing it. This Diabetes Militus gymnastics is a fun movement and will not make people feel bored. Besides, people of all ages can do it easily. Most people who suffer from Diabetes Militus never do this gymnastics or other physical activities. They focus more on the use of medicine and insulin. Meanwhile, they just arrange their dietary program and do exercise when the level of blood sugar has already increased. They do it merely just because it is the doctor’s advice right after they leave the hospital. When they are getting better, they will not arrange their dietary program nor do exercise anymore.Keywords : Counseling, Diabetes Militus, Gymanstic
Akurasi Indeks Singh Dibandingkan Dual Energy X-Ray Absorptiometry (DEXA) dalam Evaluasi Osteoporosis
Authors: Candra Lissiani , Iskandar Arief , Normahayu Indrastuti , Suryana Putra , Setijowati Nanik
Published: March 2019

Background: Osteoporosis is a metabolic bone disease that commonly occurs, characterized by decreased bone mass and prone to fracture. Breast carcinoma patients have a higher risk developing osteoporosis, due to a decrease in estrogen levels resulting from the e?ect of a given treatment, thus early detection of osteoporosis is needed.Objective: To compare the accuracy of the Singh Index with DEXA as the gold standard in the evaluation of osteoporosis in breast carcinoma patients with positive estrogen receptor.Materials and method: This is a diagnostic test, comparing the accuracy of the Singh Index on hip joints radiography with DEXA in the evaluation of osteoporosis in 35 breast carcinoma patients with positive estrogen receptors who have been getting therapy. All patients were examined by hip joints radiography and DEXA. The result of hip joints radiography are read double-blindedly by 3 observers.Results: Examination of Singh Index compared with DEXA by using limit values of osteoporosis of ? 3 on Singh Index and ? -2.5 SD on T-score DEXA achieves the best sensitivity on total hip but low positive predictive value, whereas with the limit values of osteoporosis of ? 4 on Singh Index and ? -1 SD on T-score DEXA achieves most excellent sensitivity and accuracy at the femoral collum showing low bone mineral density.Conclusion: Singh Index has a low diagnostic value in screening osteoporosis, but can be used to assess low bone mineral density in breast carcinoma patients with estrogen receptor positive, especially in areas that do not have DEXA equipment
Analisis Keselamatan Radiasi Tindakan Radiologi Intervensional dan Kateterisasi Jantung Vaskular di Cath-Lab Room RSUP Dr. Sardjito
Authors: Dian Fransiska , Poedjomartono Bagaswoto , Trikasjono Toto
Published: March 2019

Background: Attention control in interventional radiology is not yet optimal if compared with diagnostic radiology, but the risk of radiation in interventional radiology is greater than the diagnostic radiology.Objective: To evaluate the level of radiation safety measures by conducting analysis on interventional radiology and vascular cardiac catheterization both therapy and diagnosis in Cath-Lab Room, especially in the Cath-Lab Room 2 of Radiology Unit, RSUP Dr. Sardjito.Materials and methods: Evaluation is done on the structural design of retaining, the leakage rate of X-ray machine, the environmental rate of radiation exposure and dose of radiation workers by comparing between the data with theory.Results: Most of the thick primary and secondary structural barrier has a thickness sufcient although there are still some parts are less. Average of environmental radiation exposure rate is 0,01664 ?R/hr. Then, average of radiation leak rate is 9,225 mR/hr. The average dose received by the doctors and assistants are still far from 20 mSv/year as Dose Value Limit, that is 19,2242 ?Sv/measures for physicians and 9,403 ?Sv/measures for the assistant. The number of measure in the Cath-Lab Room 2 so as not to exceed the NBD 20 mSv/year is a 1.040 measure by doctor and 1.305 act by assistant.Conclusions: In general, the examination room and X-ray machine in Cath Lab Room 2 of Radiology Unit, RSUP Dr. Sardjito Yogyakarta is in a safe condition to operate. Designing of structural barrier, control of environmental radiation exposure rates and the rate of leakage of X-ray machine, and the use of personal protection equipment can reduce radiation dose of Cath-Lab Room 2 sta? in to the lowest possible value so as to ensure the safety of sta? and the community around the Cath-Lab Room 2.
Emphysematous Pyelonephritis in Patient with Diabetes and Renal Cell Carcinoma
Authors: Soeprijanto Bambang , Djatisoesanto Wajoe , Kusumastuti Etty Hary
Published: March 2019

Emphysematous pyelonephritis (EPN) usually happens in diabetes. It is reported a correlation between the Renal Cell Carcinoma (RCC) with diabetes. This is a rare case of PEN and RCC in diabetes which occur simultaneously. We present a case of 51 year old male referred with right ?ank mass and medical history of diabetic disease. Renal ultrasound revealed a solid tumor at the upper pole of the right kidney. Plain abdominal X-ray showed a lot of gas, fecal material, and patches of  alcifcation in the right upper abdomen. On abdominal computed tomography found a collection of gas located in the upper right abdomen. An irregular solid tumor detected at the upper pole of the right kidney. The tumors was obtained at surgery and  emphysematous pyelonephritis was found and then nephrectomy performed. Histopathological examination revealed a Renal Cell Carcinoma besides emphysematous pyelonephritis. The patient had no postoperative serious complications during his hospital stay and his symptoms resolved completely. We report the rare case with an occurrence of EPN and RCC simultaneously in diabetes.
Positron Emission Tomography
Authors: Faisal Arif
Published: March 2019

The aim of this study to evaluate the positron emission tomography (PET) scan technology and its role as a diagnostic tool in health care. New PET technology provide the integrated PET and CT or MRI scan have been applicated globally.

In performing PET scan, a small amount of a radioactive substance (18F-FDG is widely used) is injected into a vein, and this substance is absorbed mainly by organs and tissues that use the most energy.The patients recieve internal radiation exposure from injected radiotracer and external radiation from CT component technology. PET and integrated PET seem to be used in oncology for diagnosis, tumor staging, evaluation after therapy and fnding recurrent cancer.

An integrated PET/CT scan combines images from PET scan reveals any abnormal activity that might be going on tissues and organs inside the body, while a CT scan provides detailed pictures ofthere. In general, PET/CT can be considered similarly accurate to PET/MRI as whole-body staging approach. But PET/MRI will be indicated and performed superiorly to PET/CT that require high soft tissue contrast.  The average specifc activity of 18F-FDG was equal to 3.5 to 4.3 MBq/kg. In PET/CT examination,the injected18F-FDG activity was on an average 300 MBq for adult patient, and by using TOF technology the average activity decreased to 250 MBq.The average e?ective dose related to whole body PET/CT was about 14.3 mSv (8.6 mSv due to CT scan, 5.7 mSv due to PET-FDG component). Another center reported the average e?ective dose was 4.4 mSv for PET component alone and totally 13.5 mSv for PET/CT examination. A PET technology and integrated PET with CT or MRI as new machine for diagnostic imaging can be used mainly for oncologic patients. The PET/MRI technology is superior to PET/CT in detecting soft tissue contrast of organs and tissues.
Imaging of Beta-Rays from Tissue Blocks with Thorotrast Deposition by Autoradiography using Fuji Computed Radiography
Authors: Takekawa Shoichi , Ueda Yoshihiko , Ueda Yoshihiko , Hiramatsu Yoshihiro , Munechika Hirotsugu , Shishido Fumio
Published: March 2019

Background: Autoradiography of tissue with radioactive substance such as Thorotrast by Fuji Computed Radiography (FCR) has been available. We obtained autoradiographs from Thorotrast-deposited tissue by FCR. However, the nature of  radiation from tissue with Thorotrast was not certain, because alpha particles are shielded by the plastic front of the FCR cassette. Therefore, we undertook investigation to clearly explain the nature of radiation from Thorotrast in case of autoradiography.Materials and Methods: Tissue blocks of liver and spleen with Thorotrast deposition were imaged by autoradiography using FCR, and radioactivity of tissue blocks was measured by a GM survey meter. Measurement was carried out by both with and without an aluminum plate between the tissue and the surface of GM survey meter to shield beta-rays.Results: Autoradiographs of the liver and spleen with Thorotrast were successful. It took only one day to obtain autoradiograph of the spleen, and 14 days for the liver. The radioactivity count decreased dramatically when an aluminum plate was inserted between the specimen and GM survey meter, but some radiation remained. The tissue blocks were contained in a plastic bag and the front of the Cassette of Imaging Plate is covered by a thin plastic board, so alpha-rays from Thorium dioxide in Thorotrast had been shielded from the beginning.Conclusion: We concluded that the radiation from the tissue blocks with Thorotrast in a plastic bag was mostly from beta-rays and less than 5% of radiation was from gamma-rays from the daughter nuclei of Thorium dioxide.
Kesesuaian MRI 1,0 Tesla untuk Membedakan Spondilitis dan Metastasis Vertebra dengan Konfirmasi Hasil Histopatologi
Authors: Widiasi Dhanti Erma , Yueniwati Yuyun , Norahmawati Eviana , Setijowati Nanik
Published: March 2019

Background: Magnetic Resonance Imaging (MRI) is the most accurate modality imaging to evaluate vertebral abnormality. Infection and metastatic in musculoskeletal is most commonly found in the vertebra. It is often difcult to di?erentiate between spondylitis and metastatic, both clinically and radiographically, mainly on atypical case.Objective: To analyze the precision of MRI 1,0 Tesla in di?erentiation of radiological imaging between spondylitis and vertebral metastatic with histopathological confrmation.Materials and methods: This is an analytic observational study, with cross-sectional research design. Statistical analysis was performed with Mc Neemar test. Samples were selected by consecutive sampling with 35 patients (15 men, 20 women), 22samples of spondylitis and 13 of samples metastatic which were confrmed by histopathological examination.Result: From 22 samples of spondylitis confrmed by histopathology, only 86% (19 samples) were diagnosed as having spondylitis on MRI, whereas 13 metastatic samples 100% was correctly diagnosed on MRI.Conclusion: Statistically there was no signifcant di?erences between radiology diagnostic using 1,0 Tesla MRI with histopathological diagnosis, p=0,250 (p> 0,05), with tendency MRI 1,0 Tesla is more precise in diagnosing metastatic. MR imagesshow typical fndings in spondylitis such as anterior component corpus vertebral and discus intervertebralis involvement, disk signal abnormalities, paravertebral abscesses and involvement of multiple vertebral bodies sequentially. MR images show typical fndings in metastasis such as anterior and posterior corpus vertebral involvement, paravertebral soft tissue mass and skip lesion.
Hubungan antara Luas Lesi pada Foto Toraks Penderita TB Paru Dewasa yang Memiliki Riwayat Diabetes Melitus dengan Indeks Massa Tubuh di Rumah Sakit Hasan Sadikin Bandung
Authors: Edwina Ina , Soetikno Rista D , Hikmat Irma H
Published: March 2019

Background: Tuberculosis (TB) and diabetes mellitus (DM) prevalence rates are increasing rapidly, especially in developing countries like Indonesia. There is a relationship between TB and DM that are very prominent, which is the prevalence of pulmonary TB with DM increased by 20 times compared with pulmonary TB without diabetes. Chest X-ray picture of TB patients with DM is atypical lesion. However, there are contradictories of pulmonary TB lesion on chest radiograph of DM patients. Nutritional status has a close relationship with the morbidity of DM, as well as TB.Objectives: The purpose of this study was to determine the relationship between the lesions of TB on the chest radiograph of patients who su?er from DM with their Body Mass Index (BMI) in Hasan Sadikin Hospital Bandung.Material and Methods: The study was conducted in Department of Radiology RSHS Bandung between October 2014 - February 2015. We did a consecutive sampling of chest radiograph and IMT of DM patients with clinical diagnosis of TB, then the data was analysed by Chi Square test to determine the relationship between degree of lesions on chest radiograph of pulmonary TB on patients who have DM with their BMI.Results: The results showed that adult patients with active pulmonary TB with DM mostly in the range of age 51-70 years old, equal to 62.22%, with the highest gender in men, equal to 60%. Chest radiograph of TB in patients with DM are mostly seen in people who are obese, which is 40% and the vast majority of lesions are minimal lesions that is equal to 40%.Conclusions: There is a signifcant association between pulmonary TB lesion degree with BMI, with p = 0.03
Renovascular Hypertension
Authors: Takekawa Soichi D. , Sai Shouei , Kawakura Kenji , Miura Yoshikei , Imai Shigeki , Munechika Hirotsugu
Published: March 2019

Renovascular hypertension is now a curable disease in most cases by interventional radiological techniques. The authors reviewed diagnostic and therapeutic aspects of renovascular hypertension, focusing on practical points, and introduced several cases of renovascular hypertension, treated by surgery or interventional radiological techniques.
Computer-Aided Detection (CAD) Berbasis Intensity Correlation Analysis (ICA)
Authors: Choridah Lina , Setyawan Nurhuda Hendra , Najamuddin Faisal , Nugroho Hanung Adi
Published: March 2019

Objectives: Mammography has an important role in the diagnosis of breast cancer. computer-aided detection (CADe) or computeraided diagnosis (CADx) systems have been developed to improve the capability of radiologists to interpret medical images and to di?erentiate benign and malignant lesions. We studied the capability of ICA as a technique used in CAD systems.Methods: An observational study involving 20 participants (5 radiologists and 15 last year radiology residents) has been initiated. First, they performed assessment of the 60 digitized flm mammograms consisting of 27 normal and 33 abnormal mammograms. Subsequently, from the 33 mammograms with pathological massed, they were asked to di?erentiate benign and malignant lesions (15 and 18 mammograms, respectively).Results: The sensitivity to detect the abnormal lesions in the mammograms was 70% and the specifcity was 72.78%, increased to 74% and 88%, respectively when using ICA. The sensitivity and specifcity to di?erentiate between benign and malignant lesions turned from 40.8 % and 80.3% to 62.5% and 68% after using ICA. The missed diagnostic rate in mammography increased especially in dense breast.Conclusion: ICA improves the radiologists detection of abnormal lesions in mammograms so that it can properly be used as CADe. However, ICA might not be used as a CADx.
Dual-Energy Computed Tomography untuk Menentukan Komposisi Batu Urin
Authors: Pramiadi Pramiadi , Utomo Bambang Purwanto , Setyawan Nurhuda Hendra
Published: March 2019

Urolithiasis is a common disease with a reported prevalence between 4% and 20% in the worldwide. Determination of urinary calculi composition is a key factor in preoperative evaluation, treatment, and recurrence prevention. Dual-energy computed tomography (DECT) is available methods for determining urinary stone composition were only available after stone extraction, and thereby unable to aid in optimized stone management prior to intervention. DECT utilizes the attenuation difference produced by two different x-ray energy spectra to quantify urinary calculi composition while still providing the information attained with a conventional CT. Knowledge of DECT imaging pitfalls and stone mimics is important, as the added benefit of dual-energy analysis is the determination of stone composition, which in turn affects all aspects of stone management.

This article describes DECT principles, scanner types and acquisition protocols for the evaluation of urinary calculi as they relate to imaging pitfalls (inconsistent characterization of small stones, small DECT field of view, and mischaracterization from surrounding material) and stone mimics (drainage devices) that may adversely impact clinical decisions.
La mujer objeto: Un caso de (ab)uso
Authors: Turmo Villanova Rebeca
Published: March 2019

En el caso que se refiere en este artículo se pone de relieve la predominancia de la regulación socionómica como efecto de la experiencia de abuso. Esta regulación se pone especialmente de manifiesto en las relaciones de pareja, dando lugar a la dependencia y al maltrato. En el proceso de terapia adquieren un papel principal la recuperación de los recuerdos asociados al episodio de abuso y su superación, así como la conciencia de ser persona, un sujeto y no un objeto.
Seguro de muerte, seguro de vida
Authors: Balcells Anna
Published: March 2019

Con frecuencia los niños son objeto de abuso sexual por parte de familiares cercanos. En esos casos se hace especialmente difícil hacer pública la situación de abuso. La necesidad de guardar el secreto de lo acontecido suele ir acompañada de sentimientos de culpa y vergüenza. La depresión que acompaña a estos sentimientos puede dar lugar fácilmente a ideas o intentos de suicidio, tal como se puede comprobar en este caso.
Effects of Feeding Garlic Powder on Growth Performance, Rumen Fermentation, and the Health Status of Lambs Infected by Gastrointestinal Nematodes
Authors: Zhong Rongzhen , Xiang Hai , Cheng Long , Zhao Chengzhen , Wang Fei , Zhao Xueli , Fang Yi
Published: March 2019

For the study, forty lambs were weighed and assigned into two treatments to determine the effects of feeding garlic powder on growth performance, rumen fermentation, and the health status of lambs infected with gastrointestinal nematodes (GINs). The lambs were fed with a basal diet without or with 50 g/kg garlic powder for 84 d. Data were analyzed by a general linear or mixed model of SAS software and differences were considered statistically significant if p ≤ 0.05. Results showed that garlic powder supplementation increased the lambs’ average daily gain (p = 0.025), digestibility of dry matter (p = 0.019), and crude protein (p = 0.007). No significant changes were observed on the dry matter intake, feed conversion ratio, as well as the apparent digestibility of lipid and fiber. An interactive effect between treatment and feeding day was observed on ruminal pH (p < 0.001) and ammonia nitrogen concentration (p < 0.001). Ruminal pH (p < 0.001) and ammonia nitrogen concentration (p < 0.001) decreased with garlic powder supplementation, while ammonia nitrogen concentration increased (p = 0.001) with the extension of the feeding period. Garlic powder supplementation increased the total volatile fatty acid concentration (p < 0.001) in the rumen fluid, the molar proportion of acetic acid (p = 0.002), propionic acid (p < 0.001), and isovaleric acid (p = 0.049), but it decreased the ratio of acetic acid to propionic acid (p = 0.015). The lambs’ fecal egg count decreased (p < 0.001), but the packed cell volume and body condition scores of lambs increased (p < 0.001) with garlic powder supplementation. In conclusion, feeding garlic powder increased growth performance, feed digestion, rumen fermentation, and the health status of lambs infected with GINs.