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Single-Shot Anestesi Spinal Segmental Thoracic Atau Thoracic Spinal Anesthesia (TSA) Untuk Operasi Embolectomy Pada Pasien Dengan Acute Limb Ischemia (ALI) Stadium IIB : Laporan Kasus Imam Ghozali; Tasrif Hamdi; Rizki Arisandi; Alda Putri Rahmadilla
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.530

Abstract

General anesthesia is the most widely used anesthetic and is the standard for most surgeries. However, general anesthesia has several disadvantages, including side effects of the drugs used, longer recovery time, and inadequate pain control. Therefore, the use of regional anesthesia is an alternative option to reduce the adverse effects of general anesthesia, one of which is spinal segmental thoracic anesthesia. In this case report, a 52-year-old woman that diagnosed with Stage IIb Acute Limb Ischemia (ALI) underwent embolectomy under thoracic spinal segmental anesthesia. The patient presented with ASA III physical status with type II DM, CHF, CAD3VD and increased coagulation factors. Thoracic spinal anesthesia with a paramedian approach at the level of the T10-11 vertebrae using a regimen of levobupivacaine 5 mg and bupivacaine 2.5 mg. The adjuvants used were dexmedetomidine 5 mcg, ketamine 15 mg, and fentanyl 25 mg. During the operation there were no hemodynamic fluctuations. Post-operative monitoring of the patient's condition was stable, pain control was good, and there were no complaints of headache, nausea, and vomiting. Segmental thoracic spinal anesthesia has several advantages such as the need for lower anesthetic doses, safer than lumbar spinal anesthesia, good pain control, faster recovery, and avoiding the side effects of general anesthesia. Therefore, this anesthetic technique can be an effective alternative choice for general anesthesia
Segmental Thoracic Spinal Anesthesia (TSA) for Open Reduction with Internal Fixation (ORIF) Surgery in Right Humeral Fracture Patients: A Case Report Imam Ghozali; Natalia Danayati
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.830

Abstract

General anesthesia is used in most surgeries, but there has disadvantages, such as drug side effects and a long recovery. Spinal anesthesia such as TSA is starting to get attention and become an alternative option to reduce adverse effects and more effective. This case report, a 33-year-old woman diagnosed complete closed fracture of the 1/3 proximal right humerus underwent Open Reduction and Internal Fixation (ORIF) surgery with segmental thoracic Spinal Anesthesia (TSA). The patient presented with ASA II with mild electrolyte imbalance. Thoracic spinal anesthesia with a paramedian approach at the level of T4-5 vertebrae using a regimen levobupivacaine 5 mg. The adjuvants used were dexmedetomidine 5 mcg, ketamine 5 mg, and fentanyl 25 mcg. Intraoperative and postoperative monitoring of the patient's condition was stable, pain control was good, and no postoperative complications such as headache, nausea and vomiting. Thoracic segmental spinal anesthesia has several advantages such as the need for lower doses of anesthetic drugs and relatively safer than lumbar spinal anesthesia, good pain control, faster recovery, and can avoid the side effects of general anesthesia, so that TSA can be an alternative technical choice for anesthesia.
A Case Report of Modified Radical Mastectomy (MRM) In A 59-Year-Old Female Patient With Comorbid Bronchiectasis Using Thoracic Segmental Spinal Anesthesia (TSA) Imam Ghozali; Hario Tri Hendroko; Dansen Rudyanto; Marcella Dena Fernanda
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.831

Abstract

Breast cancer is a disease with the highest incidence of malignancy in Indonesia and the world. Epidemiological studies have shown that cancer affects billions of women each year. The incidence of breast cancer increases with age. In the elderly, the possibility of co-morbidities which are comorbid major medical problems makes anesthetic management decisions more complicated and perioperative care more challenging. Increasing age and comorbidities are the most important risk factors for postoperative complications. TSA was performed on a 59-year-old female patient with comorbid bronchiectasis who received MRM. The level of needle insertion was between T5-T6, premedication in the form of 0.5 mg alprazolam tablets, initiation of TSA with 1 ml of 0.5% hyperbaric bupivacaine and 20 mcg of fentanyl. The level of sensory block achieved was between T1-T7. TSA resolved without complications. The patient remained comfortable during the operation and there was no significant change in the patient's hemodynamics, airway and breathing. There were no postoperative complications. Thoracal segmental spinal anesthesia (TSA) is a safe alternative in performing modified radical mastectomy (MRM) and other breast surgeries because it has highly selective spinal block capabilities, ensures better control during induction and surgical processes, stability of the respiratory system and cardiovascular, and reduces the need for local anesthetics and has a lower risk of toxicity.
PENDEKATAN SCIENTIFIC LEARNING DALAM MENINGKATKAN PRESTASI BELAJAR SISWA Imam Ghozali
PEDAGOGIK : JURNAL PENDIDIKAN Vol 4, No 1 (2017)
Publisher : Nurul Jadid University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.293 KB) | DOI: 10.33650/pjp.v4i1.5

Abstract

This paper describes the scientific learning approach in improving student achievement in madrasah. Scientific approach is a strategy used by teachers in learning activities, which is done through a scientific process. Something learned and acquired learners, done with the senses and minds themselves, so that they directly gain knowledge. The scientific approach is one of the characteristics of the application of the 2013 curriculum, in which students are invited to experience firsthand what is being learned from the theory of science through five processes, namely the process of observing, questioning, experimenting, associating, communicating. By inviting students directly, students are expected to easily achieve the purpose of learning, which then has an impact on improving learning achievement.
ENCOURANGING WRITING SKILL USED ENGLISH DIARY WRITING Zahro, Khalifatus; Endah Nur Tjendani; Imam Ghozali
Argopuro: Jurnal Multidisiplin Ilmu Bahasa Vol. 3 No. 6 (2024): Argopuro: Jurnal Multidisiplin Ilmu Bahasa
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6734/argopuro.v3i6.5480

Abstract

ABSTRACTThis study aims to implement an English diary to encouraging the improvement of students' writing skills. This study was conducted using quantitative methods with quasi-experimental design. The study population consisted of 15 students from the experimental and control classes. The classes were then randomly assigned to the experimental and control classes. The experimental class was taught by applying diary writing, while the control class was taught by applying conventional teaching techniques or without applying diary writing. The study was further conducted by following the procedure: giving a pre-test, implementing the intervention, and giving a posttest. Data were collected through tests and interviews. The test data were then calculated using t-test on SPSS 21 with sig. 5% and the interview data was described. The t-test was conducted by calculating the posttest and the scores obtained in both classes showed that the t value on the posttest (2.094) and the acquisition score (2.703) was higher than the t table (1.667) with df = 70 at the 0.05 significance level. So, the t-test result > t-table which means H0 (null hypothesis) is rejected and Ha (alternative hypothesis) is accepted. In addition, this finding is also in line with the interview results which show that diary writing is effective, especially in helping students find writing ideas, improve writing fluency, and develop their writing.Key word; Diary Writing, Writing Skill
PELATIHAN DIVERSIFIKASI PRODUK OLAHAN DARI BAHAN TEPUNG UNTUK MENUMBUHKAN WIRAUSAHA IBU RUMAH TANGGA Hikmah Hikmah; Sri Suprapti; Galuh Juniarto; Tri Widayati; Imam Ghozali
JURNAL PENGABDIAN MANDIRI Vol. 3 No. 4: April 2024
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jpm.v3i4.7668

Abstract

Kegiatan pengabdian kepada masyarakat ini adalah melakukan pelatihan diversifikasi produk olahan dari bahan tepung serta memsosialisasikan nilai tambah sehingga diharapkan akan menjadi alternative pendapatan ibu Rumah Tangga di Kelurahan Gemah Kecamatan Pedurungan Kota Semarang. Metode pelaksanaan kegiatan ini dilakukan dengan 2 tahapan, yaitu Memberikan penyuluhan tentang pentingnya diversikasi produk sehingga akan memberikan nilai tambah, selanjutnya diadakan pelatihan pengolahan tepung menjadi beberapa jenis makanan kerjasama dengan Rose Brand. Hasil kegiatan menunjukkan bahwa para peserta mengikuti penyuluhan pelatihan diversifikasi produk olahan dari bahan tepung dan pelatihan pengolahan tepung menjadi berbagai jenis makanan dengan cukup baik dan antusias yang tinggi. Hal ini terlihat dari banyaknya pertanyaan-pertanyaan yang diajukan para peserta serta terjadi diskusi yang cukup interaktif antara pemateri dan para peserta. Dari kegiatan ini juga dihasilkan beberapa produk olahan tepung antara lain klepon, onde-onde, kue apem tape singkong santan dan carabikang
Analisis Korelasi Antara Kesejahteraan Ekonomi dan Keamanan Nasional Dalam Konteks Strategi Nasional Imam Ghozali; Vicky Chandra; Faiza Ayrul; Indah Rachma; Niken Ayu; Amelia Nur
Journal Economic Excellence Ibnu Sina Vol. 2 No. 2 (2024): Juni : Journal Economic Excellence Ibnu Sina
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/excellence.v2i2.1285

Abstract

In recent decades, countries have faced significant challenges involving economic instability and increasingly complex security threats. Threats to security can disrupt economic activity, and trigger instability that inhibits economic growth and vice versa. This research aims to analyze the reciprocal relationship between economic well-being and national security in the context of national strategy. Through a literature study approach, this research collects and analyzes relevant sources on economic welfare, national security, and the context of national strategy. The results of this study reveal that increased economic prosperity can also improve people's welfare, thereby strengthening national security. Likewise, secure national security can enable more stable and sustainable economic development. Therefore, there is a need for policies that are integrated with national strategies, such as policies with security strategies, policies with economic strategies, and policies with welfare strategies to ensure the realization of national interests.
Kepemimpinan dalam Orientasi Kepemimpinan Imam Ghozali; Anindya Khalisha Nurdiati; Evan Aswitiya Listanto; Intan Maiyuni; M. Azriel Yaqi Akbar; Sabila Ilma Irjayana
urn:multiple://2988-7828multiple.v2i128
Publisher : Institute of Educational, Research, and Community Service

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Abstract

Dalam sejarah suatau negara Pemimpin sangat bepengaruh besar bagi bangsanya . Saat dalam proses memperjuangkan kemerdekaan negara kita , Para pahlawan kita menjadi sosok yang menginspirasi dan menyatukan bangsa. Perjuangan merak tak cukup sampai di situ, Setalah Kemerdekaan para Pemimpin Juga menghadapi tantangan yang besar , seperti membangun negara dari nol, mengatasi berbagai konflik, dan memajukan kesejahteraan rakyat. Seorang pemimpin sangat penting bagi sebuah negara ,Karena merka yang menentukan arah tujuan negara, mengarahkan seluruh rakyatnya, dan mengambil keputusan-keputusan penting. .Jika seorang pemimpin bijaksana dan memiliki visi yang jelas, negara akan maju dan berkembang. Sebaliknya, jika seorang pemimpin korup dan tidak peduli pada rakyat, negara akan mengalami kemunduran. Jadi, kepemimpinan itu sangat penting. Pemimpin yang baik adalah aset berharga bagi suatu bangsa. . Artikel ini menyarankan kebijakan pendidikan pertahanan nasional sebagai kerangka dasar untuk membentuk karakter moral dan kewarganegaraan para pemimpin di berbagai sektor, serta mencari cara untuk mengatasi hambatan dalam pelaksanaannya.
Pancasila Sebagai Dasar Hukum Dalam Mewujudkan Keadilan Sosial Daffa Fittaktahta Putra; Ali Fahmi; Agung Prasetyo; Fandra Firmansyah; Imam Ghozali
Aliansi: Jurnal Hukum, Pendidikan dan Sosial Humaniora Vol. 1 No. 5 (2024): September: Aliansi: Jurnal Hukum, Pendidikan dan Sosial Humaniora
Publisher : Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/aliansi.v1i5.412

Abstract

Pancasila as the legal basis for realizing social justice in Indonesia. Pancasila is also the basis of the State in Indonesia, which contains the values ​​of justice, democratic unity and social welfare. Social justice is a fundamental principle in the legal system in Indonesia which aims to create equality, balance and prosperity for all citizens. Pancasila is the basis for the formation of legal regulations oriented towards social justice, as well as how to implement Pancasila values ​​in social and political life in Indonesia. Through legal analysis and literature review, it is hoped that this journal will provide a deeper understanding of the relationship between Pancasila and realizing social justice in the legal context in Indonesia.
Pentingnya Pendidikan Agama Islam dan Nilai Moral Bagi Gen Z Zaky Fadli, Ahmad; Naida Nasywa Cahyarani; Naila Putri Susanto; Nisrina Fairuz Burhani; Vania Indri Gunawan; Imam Ghozali
Jurnal Kajian Islam dan Sosial Keagamaan Vol. 2 No. 2 (2024): Oktober - Desember
Publisher : CV. ITTC INDONESIA

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Abstract

Pendidikan agama islam dan nilai moral berperan penting dalam membentuk dan mengubah karakter dan identitas Gen Z yang tumbuh di tengah kemajuan teknologi dan globalisasi yang pesa. pendidikan agama islam yang menjunjung tinggi nilai-nilai moral sangat diperlukan untuk memberikan arah dan tujuan bimbingan dalam menjalani kehidupan yang seimbang antara kehidupan duniawi dan spiritual. Dengan menggunakan pendekatan kualitatif, penelitian ini mengkaji berbagai sumber literatur dan observasi terkait pendidikan agama islam yang efisien bagi Gen Z. Penelitian ini menunjukkan bahwa pendidikan agama islam yang berfokus pada pengembangan akhlak, etika, dan nilai-nilai universal agama sangat berperan penting dalam membentuk individu yang memiliki karakter kuat, bertanggung jawab, dan mampu mengatasi tantangan zaman. Selain itu, tantangan terbesar dalam pendidikan agama islam adalah cara beradaptasi terhadap perkembangan teknologi dan perubahan sosial yang dapat mempengaruhi pemahaman dan penerapan ajaran agama oleh Gen Z.