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All Journal Proceedings Series on Social Sciences & Humanities Jurnal Klinik dan Riset Kesehatan
Purwaningsih, Tri
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Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Flipped-Differentiated Learning (FDL) as an Innovative Learning Model to Improve Learning Outcomes Purwaningsih, Tri
Proceedings Series on Social Sciences & Humanities Vol. 25 (2025): Proceedings of International Conference on Social Science (ICONESS)
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pssh.v25i.1741

Abstract

The Flipped-Differentiated Learning (FDL) model is an innovative approach that combines the concepts of Flipped Classroom and Differentiated Instruction to enhance student learning outcomes. This model allows students to access materials before class, while class activities are focused on problem-solving and deeper interactions. The purpose of this research is to examine the effectiveness of the FDL model in improving student learning outcomes compared to conventional learning models. The research method used is an experiment with a pretest-posttest control group design. The results of the study indicate that the implementation of FDL significantly improves student learning outcomes, particularly in conceptual understanding and active engagement in learning. The implications of this research suggest that FDL can be an effective solution in more flexible learning that meets the individual needs of students.
Profil Tekanan Darah, Kontraksi Rahim, dan Denyut Jantung Janin pada Gravida dengan Terapi Neuroprotektan di RSUD Dr. Saiful Anwar : Profile of Blood Pressure, FHR, and Uterine Contractions Of Gravid Women with MgSO4 Neuroprotectant Therapy at HCU Ranu Grati RSUD Dr. Saiful Anwar Sagita, Rahma Furi; Purwaningsih, Tri; Azizah, Firda; Damayanty, Ayu; Amila, Ruri
Jurnal Klinik dan Riset Kesehatan Vol 4 No 3 (2025): Volume 4 No 3, Juni 2025
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.3.3

Abstract

Background: Neuroprotectants are substances used to protect the nerves of fetuses at risk of premature birth. Administration of MgSO4 as a neuroprotectant is one of the interventions given to gravida at risk of premature birth at Dr. Saiful Anwar Hospital. MgSO4 has a vasodilator side effect that is thought to cause a hypotensive effect. Magnesium also has a relaxing effect on smooth muscles which is expected to have the effect of reducing uterine contractions. It is not yet known how MgSO4 affects fetal heart rate. Aim: This study aims to determine the condition of maternal blood pressure, maternal uterine contractions, and fetal heart rate when MgSO4 is administered at the Ranu Grati HCU, Dr. Saiful Anwar Hospital in 2022-2023. Method: Retrospective descriptive study using secondary data. Data were collected from medical records from January 2022 to December 2023 at the Ranu Grati HCU, Dr. Saiful Anwar Hospital. The subjects in this study were all clinical data of gravida patients who received MgSO4 therapy as a neuroprotectant. Preeclampsia gravida patients who received MgSO4 were included in the exclusion criteria. Results: The study or 36 respondents, showed the average of systolic blood pressure of respondents decreasing up to 6,469 mmHg at 16thof MgSO4 admisnistration, then at the 24th hour of administration, systolic blood pressure increased by 0.3 mmHg. The average of diastolic blood pressure decreased by 4.4723 mmHg which occurred from the 0th hour to the 24th hour. Fetal Heart Rate showed a decrease in DJJ frequency of an average of 5,2x/minute. In uterine contractions, 91.7% of patients did not experience uterine contractions during neuroprotectant administration. Conclusion: Neuroprotectant administration has an insignificant effect on reducing blood pressure, fetal heart rate, and maternal uterine contractions. Keywords: Neuroprotectant; MgSO4
Co-Authors Amila, Ruri Azizah, Firda Damayanty, Ayu Sagita, Rahma Furi