bluuebunny/crossref_metadata_2025_split huggingface dataset:
Meningkatkan Keaktifan Belajar Siswa Menggunakan Media Gambar Di Sekolah Dasar
Authors: Chan Faizal , Sofwan Muhammad , Putri Nike Dwi 
Published: November 2019

Tujuan penelitian ini untuk mengetahui penggunaan media gambar dalam meningkatkan keaktifan siswa pada pembelajaran IPS Siswa kelas IV Sekolah Dasar Negeri 109 Kota Jambi. Penelitian ini merupakan Penelitian Tindakan Kelas(PTK). Kolaboratif subjek penelitian adalah seluruh siswa kelas IV yang berjumlah 26 siswa, objek penelitian adalah keaktifan belajar siswa dengan menggunakan media gambar. Hasil penelitian menunjukkan adanya peningkatan keaktifan siswa pada siklus I mencapai 57,30% (kriteria cukup), pada siklus II meningkat menjadi 78,265% (kriteria baik). Artinya ada peningkatan sebesar 24%. Peningkatan terjadi karena adanya perbaikan di siklus II yaitu memberikan variasi terhadap gambar dengan memberi kesan yang menarik, memperbanyak gambar teknologi masa lalu dan masa kini. Kesimpulan yang dapat diambil dari hasil penelitian ini yaitu dari penggunaan media gambar pada saat proses pembelajaran IPS di kelas IV dapat meningkatkan keaktifan belajar siswa dalam pembelajaran IPS di SD Negeri 109 Kota Jambi tahun ajaran 2016/2017
Penerapan Nilai Pendidikan Karakter Peduli Lingkungan Di Kelas Tinggi Sekolah Dasar
Authors: Marjohan M , Afniyanti Ria 
Published: November 2019

ABSTRAK. Tujuan penelitian ini adalah untuk mengetahui bagaimana Penerapan Nilai Pendidikan Karakter PeduliLingkungan di Kelas Tinggi SDN 55/1 Sridadi.Penelitian ini menggunakan metode kualitatif.Lokasi penelitian ini di SDN 55/1 Sridadi, kecamatan Muara Bulian, kabupaten Batanghari. Alat pengumpulan data yang digunakan dalam penelitian ini adalah observasi, wawancara dan dokumentasi.Untuk mengecek keabsahan data dalam rangka membuktikan kesesuaian data penelitian dengan kenyataan dilapangan, peneliti menggunakan teknik triangulasi sumber dan triangulasi peneliti.Hasil penelitian menunjukkan bahwa Penanaman Pendidikan Karakter Peduli Lingkungan pada Siswa Kelas Tinggi SDN 55/1 Sridadi dilaksanakan oleh pihak sekolah baik itu langsung dari kepala sekolah, para guru beserta staf, dan siswa-siswa itu sendiri. Cara guru menanamkan pendidikan karakter peduli lingkungan kelas pada siswa adalah membuat jadwal piket kelas, membiasakan siswa agar membuang sampah pada tempat dan sesuai jenis sampah tersebut, melakukan gotong royong, memberi arahan kepada siswa agar tidak merusak fasilitas sekolah, dan memelihara tanaman yang ada dikelas maupun sekolah.Berdasarkan hasil penelitian tersebut, maka dapat ditarik kesimpulan bahwa sikap peduli lingkungan siswa kelas IV dan V SDN 55/1 Sridadi sudah baik. Peneliti mengharapkan agar siswa-siswa dapat mempertahankan sikap tersebut, dan para guru dapat memberikan teladan.
Kata kunci : Pendidikan Karakter, Peduli Lingkungan
Pengembangan Media Melalui Aplikasi Adobe Flash Dan Photoshop Berbasis Pendekatan Saintifik
Authors: Sofnidar S , Yuliana Riski 
Published: November 2019

Abstrak. Penelitian ini bertujuan mengembangkan media pembelajaran tematik menggunakan aplikasi adobe flash dan fhotoshop berbasis pendekatan saintifik. Jenis penelitian ini adalah penelitian pengembangan, menggunakan model ADDIE (Analysis, Desain, Development, Implementation, Evaluation). Instrumen penelitian ini adalah lembar validasi materi, media, pembelajaran, angket tanggapan guru dan siswa, tes hasil belajar siswa, dan angket respon siswa. Berdasarkan hasil penelitian diperoleh, (1) hasil angket ahli materi 80% (baik), hasil angket ahli media 81,3% (sangat baik), hasil angket tanggapan perorangan yang teridiri dari siswa dan guru 86,22% (sangat baik), dan hasil angket tanggapan untuk kelompok besar yang terdiri dari siswa 86,3% (2) hasil belajar siswa setelah menggunakan aplikasi adobe flash dan fhotoshop adalah 84,84% nilai siswa mencapai nilai KKM 70, serta (3) respon siswa terhadap media pembelajaran menggunakan aplikasi adobe flash dan fhotoshop yang digunakan mencapai 89,86% “sangat baik”. Kesimpulan dari penelitian yaitu media pembelajaran yang dikembangkan melalui aplikasi adobe flash dan fhotoshop di kelas IV SDN 55/1 Sridadi sangat efektif dan layak digunakan sebagai bahan ajar guna memenuhi kebutuhan kurikulum 2013 untuk kemajuan pendidikan bangsa.

Kata kunci : Pengembangan, Media, Adobe Flash, Fhotoshop
THE HIGH DOSE TOXICITY OF BETEL NUT (Areca catechu L.) ON REPRODUCTION ORGAN OF RATS
Authors: Rahman Ave Olivia , Herlambang Herlambang , Simanjuntak Charles A , Dewi Hasna , Syauqy Ahmad , Lipinwati Lipinwati 
Published: November 2019

ABSTRACT
Background : The use of long-term herbal medicines and high doses can damage organs, including the reproductive organs. Betel nut (Areca catechu L.) is one of the herbal ingredients that is consumed as a stamina enhancing beverage. The purpose of this study was to determine the effect of longterm treatment of raw betel nut at a dose of 10,000 mg/kg on testicular and ovary tissue of rats. Rats were Rattus norvegicus, Sprague Dawley strain, 2-3 months. Methods : Tweenty rats divided into 2 groups, each groups were 5 male and 5 female. Control group was given aquades and the treatment group was given raw betel nut with a dose of 10,000 mg/kgBW for 45 days with a gastrictube. Histopathological examination with Haematoxylin-Eosin staining was used to assses testicular and ovary tissues. Results: The ovaries of treatment groups had significantly lower de graff follicle compared to the control group (p < 0,05). The testis of treatment groups had significantly smaller diameter of tubulus seminifery, significantly higher necrosis of spermatogonia and spermatosit (p<0,05). Conclusion: Treatment of raw betel nut dose 10,000 mg /kgBW along 45 days causes damage of testicular and ovary tissues of rats.Keywords: Betel Nut, Areca Catechu L., Histopathology, Testicular, Ovary, Herbal Toxicity

ABSTRAK
Latar Belakang: Pemakaian obat herbal jangka panjang dan dosis tinggi dapat menyebabkan kerusakan organ tubuh, termasuk organ reproduksi. Biji pinang (Areca catechu L.) merupakan salah satu bahan herbal yang dikonsumsi sebagai minuman penambah stamina.Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian biji pinang muda dosis 10.000 mg/ kgBB selama 45 hari terhadap gambaran histopatologis testis dan ovarium tikus.
Metode : Tikus yang digunakan adalah Rattus norvegicus galur Spague Dawley, usia 2-3 bulan, sebanyak 10 ekor jantan dan 10 ekor betina yang dibagi menjadi 2 kelompok, yaitu kelompok kontrol diberikan aquades dan kelompok perlakuan diberikan biji pinang dosis 10.000 mg/ kgBB dengan sonde. Pemeriksaan histopatologi dengan pewarnaan Haematoxylin-Eosin untuk organ testis dan organ ovarium. Hasil: Jumlah folikel de draf pada kelompok perlakuan lebih sedikit dibandingkan kelompok kontrol (p<0,05). Persentase nekrosis spermatogonia dan spermatosit pada kelompok perlakuan lebih tinggi dibandingkan kelompok kontrol (p<0,05), diameter tubulus seminifeus pada kelompok perlakuan juga lebih kecil dibandingkan kelompok kontrol (p<0,05).
Kesimpulan: Pemberian biji pinang 10.000 mg/kgBB selama 45 hari menyebabkan kerusakan pada jaringan testis dan ovarium pada tikus.
Kata Kunci : Biji Pinang, Areca Catechu L, Histopatologi, Ovarium, Testis, Toksisitas herbal
Hyperosmolar Hyperglycemic State (HHS)
Authors: Oktaliani Rahayu , Zamri Aywar 
Published: November 2019

ABSTRACK
Introduction: The Hyperosmolar Hyperglycemic State (HHS) is rare case and the most serious acute hyperglycemic emergency in patients with type 2 diabetes, are characterized by severe hyperglycemia, hyperosmolality, and dehydration in the absence of ketoacidosis. Immediately treatment is necessary to reinstate hemodynamic stability, as mortality rates for HHS are exceptionally high and can have multiple complications.
Case Presentation: In this case report, a 63-year-old man with a chiefly complaint from the body became weaker. Patients present with compos mentis, blood pressure 100/70 mmHg, regular pulse rate 110 times per minute with sufficient content and respiration 20 times per minute, and temperature 37,90C. Physical examination shows signs of dehydration. Investigation found white blood cell 12.580 103/mm3, plasma glucose 741 mg / dL, and a negative urine ketone.
Conclusion: Case has been reported, a 63-year-old man with a diagnosis of HHS, the trigger factor for HHS in these patient are the discovery of infections as bronchopneumonia, elderly, and irregular diabetes treatment. The importance of treatment in this case is because the patient is elderly, treatment must be right because where too rapid rehydration may precipitate heart failure but insufficient may fail to reverse acute kidney injury.
Keywords: Diabetes Mellitus, Hyperosmolar Hyperglycemic State, Hyperglycemia

ABSTRAK
Latar Belakang : Hyperosmolar Hyperglycemic State (HHS) merupakan kasus yang jarang dan komplikasi emergensi akut dari pasien diabetes melitus tipe 2, dengan karakteristik hiperglikemi, hiperosmolar dan dehidrasi atau tidak adanya ketoasidosis. Tatalaksana segera penting dilakukan untuk menstabilkan hemodinamik, mortalitas dari HHS tinggi dan dapat menyebabkan banyak komplikasi.
Presentasi Klinis : Pada laporan kasus ini, seorang laki-laki berusia 63 tahun dengan keluhan utama badan semakin lemas. Pasien datang dengan kesadaran kompos mentis, tekanan darah 100/70 mmHg, nadi teraba 110 kali per menit kuat regular dengan isi cukup dan respirasi 20 kali per menit, dan suhu 37,90C . Pemeriksaan fisik didapatkan tanda-tanda dehidrasi. Pemeriksaan penunjang dijumpai sel darah putih 12.580, glukosa plasma 741 mg/dL, dan keton urine negatif.
Kesimpulan : Telah dilaporkan kasus, laki-laki usia 63 tahun dengan diagnosa HHS, faktor pencetus terjadinya HHS pada pasien ini yaitu ditemukannya infeksi berupa bronkopneumonia, usia lanjut, pengobatan diabetes yang tidak teratur. Pentingnya perawatan dalam kasus ini adalah karena pasien berusia lanjut, pengobatan harus benar karena ketika rehidrasi yang terlalu cepat dapat memicu gagal jantung tetapi tidak cukup dapat gagal untuk membalikkan cedera ginjal akut.
Kata Kunci : Diabetes Melitus, Hyperglycemic Hyperosmolar State, Hiperglikemi
STUDI KASUS: OBSERVASI PENERAPAN METODE BEDSIDE PADA PROSES BEDSIDE TEACHING DI BANGSAL PENYAKIT DALAM RUMAH SAKIT SARDJITO YOGYAKARTA
Authors: Wijayanto Rhendy 
Published: November 2019

ABSTRACT
Bedside teaching is an excellent opportunitiy for spontaneuous interaction between student, clinical supervisor, and patient. In bedside teaching sessions there are possibilities for appropriate and inappropriate encounter. Clinical supervisor observes and gives feedback in order to create a useful bedside teaching session for student. Bedside teaching session observed in Internal Ward of Sardjito Hospitol has applied Briefing, Expectation, Demonstration, Specific feedback, Inclusion of microskill teaching, Debriefing and Education accordingly. Student has obtained optimal learning opportunity from the event.
Keywords: Bedside teaching, clinical, feedback

ABSTRAK
Bedside teaching adalah suatu kondisi yang baik untuk interaksi yang spontan antara mahasiswa, pembimbing klinik, dan pasien. Dalam sesi Bedside teaching terdapat kemungkinan terjadi prosedur yang sesuai ataupun yang kurang sesuai. Seseorang pembimbing klinik berperan untuk mengamati dan memberi umpan balik sehingga dapat menjadi sesi bedside teaching yang berguna bagi mahasiswa. Pelaksanaan Bedside teaching di Bangsal Penyakit Dalam RS Sardjito menerapkan tahapan Briefing, Ekspektasi, Demonstrasi, Umpan balik spesifik, Penerapan pengajaran microskill, Debriefing, dan Edukasi telah diterapkan dengan baik. Mahasiswa memperoleh manfaat yang optimal dari proses tersebut.
Kata kunci: Bedside teaching, klinik, umpan balik
KADAR INTERFERON GAMMA (IFNγ) PADA PASIEN TOKSOPLASMOSIS YANG ASIMPTOMATIK
Authors: Darmawan Armaidi , Karolina Maria Estela , Hanina Hanina 
Published: November 2019

ABSTRACT
Background: Toxoplasma gondii is a species that is able to modulate its host immune system. T.gondii infection causes an increased Th1 response to produce IFNγ, TNFα and IL-12 secreted by T. IFNγ lymphocytes which are activated and cause increased production of Nitric Oxide (NO) which can cause cell apoptosis and IFNγ can destroy T.gondii with several mechanisms. The aim of this study was to determine IFN levels in patients with positive IgG and asymptomatic IgG toxoplasmosis.Methods: Case control research with experimental laboratories that use human blood as the object of research. The subjects were initially checked for blood with IgG Rapid Test to determine the positive or negative Toxoplasma infection. IFNγ levels are checked by the ELISA method. To analyze the average comparison of IFNγ levels using computer software. Test the data normality with Saphiro-wilk and comparison of IFNγ levels with Wilcoxon test.Results: IFNγ levels in the negative IgG group (4.69) were slightly lower on average compared to the positive IgG group (4.79). Wilcoxon test results of p> 0.05 (0.399) means that the hypothesis is rejected.Conclusion: There was no difference between IFNγ levels in the positive IgG group and the negative IgG group.Keywords: Toxoplasmosis, IFNγ level, IgG toxoplasmosis.

ABSTRAK
Latar belakang: Toksoplasma gondii merupakan spesies yang mampu memodulasi sistem imun inangnya. Infeksi T.gondii menyebabkan respon Th1 meningkat untuk memproduksi IFNγ, TNFα dan IL-12 yang disekresi oleh sel limfosit T. IFNγ diaaktifkan dan menyebabkan meningkatnya produksi Nitric Oxide (NO) yang bisa menyebabkan apoptosis sel dan IFNγ bisa memusnahkan T.gondii dengan beberapa mekanisme. Tujuan penelitian ini untuk menentukan kadar IFNγ pada pasien IgG positif dan IgG Toksoplasmosis yang asimptomatik.
Metode: Penelitian case control dengan eksperimental laboratorik yang mengunakan darah manusia sebagai objek penelitian. Subjek awalnya di cek darahnya dengan Rapid Test IgG untuk menentukan positif atau negatif infeksi toksoplasma. Kadar IFNγ dicek dengan metode ELISA. Untuk menganalisa perbandingan rerata kadar IFNγ menggunakan perangkat lunak komputer. Uji normalitas data dengan Saphiro-wilk dan perbandingan kadar IFNγ dengan uji Wilcoxon.
Hasil: Kadar IFNγ pada kelompok IgG negatif (4,69) rata-rata lebih rendah sedikit dibandingkan dengan kelompok IgG positif (4,79). Uji Wilcoxon hasil p>0,05 (0,399) artinya hipotesis ditolak.
Kesimpulan: Tidak ada perbedaan antara kadar IFNγ pada kelompok IgG positif dengan kelompok IgG negatif.
Kata Kunci : Toksoplasmosis, Kadar IFNγ, IgG Toksoplasmosis
PENGARUH DIET KETOGENIK TERHADAP PROLIFERASI DAN KETAHANAN SEL PADA JARINGAN PANKREAS
Authors: Tan Esa Indah Ayudia , Irfannuddin Irfannuddin , Murti Krisna 
Published: November 2019

ABSTRACT
The ketogenic diet is a diet that uses a lot of fat as an energy source and reduces carbohydrate and protein consumption when the body does not get enough glucose from carbohydrates, the body usually uses alternative energy sourced from the ketone body, namely acetoacetate and b-hydroxybutyrate. The ketone body comes from the breakdown of fatty acid metabolism in the liver where at the moment the concentration is low in the blood. Ketogenic diet is a diet that uses a lot of fat as an energy source and reduces carbohydrate consumption. The ketogenic diet makes the body burn fat instead of carbohydrates.
The pancreas is the center of control of energy metabolism. The role of metabolism affected by endocrine function of the pancreas is located on the islands of langerhans, in the form of epithelial cells spread throughout the organs. Changes in diet patterns will certainly have an impact on proliferation and apoptosis cell in pancreas.
Keywords: ketogenic diet, pancreas, proliferation, cell resistance

ABSTRAK
Diet ketogenik adalah diet yang menggunakan banyak lemak sebagai sumber energi dan mengurangi konsumsi karbohidrat dan protein ketika tubuh tidak mendapatkan cukup glukosa dari karbohidrat, tubuh biasanya menggunakan energi alternatif yang bersumber dari tubuh keton, yaitu asetoasetat dan b- hidroksibutirat. Tubuh keton berasal dari pemecahan metabolisme asam lemak di hati di mana saat ini konsentrasi rendah dalam darah. Diet ketogenik adalah diet yang menggunakan banyak lemak sebagai sumber energi dan mengurangi konsumsi karbohidrat. Diet ketogenik membuat tubuh membakar lemak, bukan karbohidrat.
Pankreas adalah pusat kendali metabolisme energi. Peran metabolisme yang dipengaruhi oleh fungsi endokrin pankreas terletak di pulau-pulau langerhans, dalam bentuk sel-sel epitel yang menyebar ke seluruh organ. Perubahan pola diet tentu akan berdampak pada proliferasi dan sel apoptosis pada pankreas.
Kata Kunci: diet ketogenik, pankreas, proliferasi, resistensi sel
24-Month Clinical Evaluation of Different Bulk-Fill Restorative Resins in Class II Restorations
Authors: Guney T , Yazici AR 
Published: November 2019

SUMMARYThe objective of this study was to evaluate the 24-month clinical performance of three different bulk-fill restorative resin materials in class II restorations. Forty patients with at least three approximal lesions in premolar and molar teeth participated in the study. A total of 120 class II cavities were restored using Tetric EvoCeram Bulk Fill (n=40), SureFil SDR flow + Ceram.X mono (n=40), and everX Posterior + G-aenial Posterior (n=40) with their respective adhesives according to the manufacturers' instructions. All restorations were placed by one operator. The restorations were evaluated at baseline and at six, 12, 18, and 24 months using modified US Public Health Service criteria by one examiner. The restoration groups for each category were compared using the Pearson chi-square test, while the Cochran Q-test was used to compare the changes across different time points within each restorative material (p&lt;0.05). At the end of 24 months, 94 restorations were evaluated in 33 patients, with a recall rate of 82.5%. There were no statistically significant differences between the groups in terms of retention (p&gt;0.05). At the 24-month recall, two restorations from the SureFil SDR flow + Ceram.X mono group and four from the everX Posterior + G-aenial Posterior group showed slight marginal discoloration and were rated as bravo. No marginal discoloration was observed in any of the Tetric EvoCeram Bulk Fill restorations. Six restorations from the Tetric EvoCeram Bulk Fill group, six from the SureFil SDR flow + Ceram.X mono group, and 12 from the everX Posterior + G-aenial Posterior group received bravo scores in terms of marginal adaptation. No difference was found among the three groups for any of the evaluation criteria tested (p&gt;0.05). There were statistically significant differences between the baseline and 24-month recall in the everX Posterior + G-aenial Posterior group in terms of marginal discoloration (p&lt;0.05). For marginal adaptation, a significant difference was observed between baseline and 24 months for all the restorative resins (p&lt;0.05). All the restorative resins tested performed similarly and showed acceptable clinical performance during the 24-month evaluation.
Open Questions of Life Satisfaction and Burnout in Anesthesiology and Resuscitation
Authors: Sinbukhova E. V. , Petrikov S. S. , Shabanov A. K. , Plotnikov G. P. , Lubnin A. Y. , Sinbukhova N. I. 
Published: November 2019

Abstract Anesthesiologists and resuscitators are at high risk of developing burnout, which can lead to various unfavorable consequences, such as suicide and/or medical errors. The aim of the study The dependence between happiness (satisfaction with life) and burnout in staff of anesthesiology and intensive care departments. Multicenter, anonymous, blind observational study.Materials and methods Maslach Burnout Inventory (MBI), Flourishing Scale (FS), Satisfaction with Life Scale (SWLS), the study also included a series of general questions (gender, age, specialization, subjective definition of “happiness”). The study included 361 participants, including 311 specialists from the departments of anesthesiology and intensive care, and a control group of 50 non-medical workers.Results According to the MBI, high burnout scores were registered for all three subscales: 15% of anesthetists, 17.5% of resuscitators, 9.9% of nursing staff, 0% in the control group. The high figures of some of the three subscales of burnout: 82% of anesthesiologists, 66.25% of resuscitators, 59.4% of nurses and nursing assistants, 14% in the control group. The life satisfaction level was significantly lower in all groups of health care staff in the study, compared to the control group. Only a little more than half of the medical workers (56.59%) never thought about suicide, which means that almost half of the staff of the anesthesiology and resuscitation departments thought to some extent about suicide.Conclusion There is a growing awareness of the problem of occupational stress and burnout in anesthesiology and resuscitation. The timely identification of the first symptoms of burnout, and the provision of anesthesiology-resuscitation staff with psychological tools/psychological support to deal with occupational stress and burnout are required today.
The Importance of X-Ray in Examination of Lungs in Patients with Inhalation Trauma
Authors: Beresneva E. A. , Spiridonova T. G. , Zhirkova E. A. , Barinova M. V. , Semenova T. I. , Brygin P. A. , Zabavskaya O. A. , Sokolova E. P. , Lapshina E. A. , Orlov A. S. 
Published: November 2019

Relevance Inhalation trauma (IT) is a combined injury of the respiratory tract, lung parenchyma and the central nervous system. Alterations of a mucous membrane during thermochemical airway burn as a result of inhalation of combustion products is most fully described in the literature, while the lesion of pulmonary parenchyma hasn’t been studied. The aim of the study To determine the capabilities and significance of the X-ray method in the study of lungs in patients with IT.Material and methods We examined 184 victims with IT, of which 53 patients had airways burn of the 1st degree, 92 patients had airways burn of the 2nd degree, and 39 patients had airways burn of the 3rd degree. Methods used: X-ray, chest X-ray computed tomography, ultrasound of the chest, study of the function of external respiration, morphological examination of lungs, statistical methods.Results X-ray studies in patients with IT revealed changes in peripheral parts of both lungs like network deformation of pulmonary pattern to forms resembling “mulberries” or “a bunch of grapes”. A study of the function of external respiration revealed signs of decreased lung ventilation and obstructive changes in bronchioles. The X-ray computed tomography of peripheral regions of the lungs in some patients revealed multiple local areas of reduced density with no visible walls corresponding to alveoli holding the air. Histological examination of the peripheral parts of the lungs found round air formations and significantly expanded alveoli. These changes are associated with exhalation disorders due to the constriction of respiratory bronchioles.Conclusion The X-ray method allows to detect signs of damage to the pulmonary parenchyma in patients with IT. Using a statistical evaluation, we showed that the presence of network deformation of the pulmonary pattern under the conditions of IT is an objective feature, confirmed with Cohen’s kappa coefficient (0.6±0.14; 95% CI [0.32–0.88]).