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All Journal Kieraha Medical Journal Jurnal Ilmu Pendidikan dan Sains Islam Interdisipliner
Faris, Achmad
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Religion Humanities Biochemistry, Genetics & Molecular Biology Health Professions Library & Information Science Nursing Public Health Social Sciences

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PENGARUH KOMBINASI TENS DAN MC. KENZIE EXERCISE TERHADAP NILAI NYERI PADA PASIEN HNP LUMBALIS DI KLINIK ZEN PHYSIO SURABAYA Fitriania, Fitriani; Faris, Achmad; Halimah, Nurul; Hargiani, Fransisca Xaveria
Kieraha Medical Journal Vol 7, No 1 (2025): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v7i1.9097

Abstract

Hernia Nucleus Pulposus (HNP) lumbalis adalah kondisi yang menyebabkan nyeri punggung bawah (LBP) serta mengganggu aktivitas sehari-hari. Berdasarkan data dari Klinik Zen Physio Surabaya, terdapat peningkatan kasus HNP secara signifikan selama periode 2020-2023. Untuk mengurangi nyeri pada pasien HNP lumbalis, terapi kombinasi Transcutaneous Electrical Nerve Stimulation (TENS) dan latihan Mc. Kenzie dapat dijadikan pilihan. Penelitian ini bertujuan untuk mengevaluasi efektivitas kombinasi TENS dan Mc. Kenzie exercise dalam menurunkan nyeri pada pasien HNP lumbalis di Klinik Zen Physio Surabaya. Penelitian dilakukan menggunakan desain quasi-eksperimental dengan metode one group pre-post test design. Sampel terdiri dari 20 pasien HNP lumbalis yang memenuhi kriteria inklusi dan eksklusi. Tingkat nyeri diukur menggunakan Visual Analogue Scale (VAS) sebelum dan sesudah intervensi, kemudian dianalisis menggunakan uji Wilcoxon. Hasil menunjukkan rata-rata nyeri sebelum intervensi sebesar 7,45, yang menurun menjadi 3,10 setelah intervensi. Uji Wilcoxon menghasilkan nilai p=0,000 (0,05), menunjukkan adanya pengaruh signifikan dari kombinasi TENS dan Mc. Kenzie exercise terhadap penurunan nyeri. Kombinasi TENS dan Mc. Kenzie exercise terbukti efektif dalam menurunkan nyeri pada pasien HNP lumbalis di Klinik Zen Physio Surabaya, dengan rata-rata penurunan nilai nyeri sebesar 4,35. Hasil ini menunjukkan bahwa terapi ini dapat digunakan sebagai salah satu modalitas fisioterapi yang efektif untuk menangani kasus HNP lumbalis.
The Effect of Substrate Mixture Ratio on Biogas Volume in Co-digestion of Water Hyacinth (Eichhornia crassipes) and Cow Manure through Anaerobic Digestion Aziz, Ahmad Musonnifin; Dhaniswara, Trisna Kumala; Azizah, Zahrotul; Ferdiansyah, Ferdiansyah; Proboncono, Dharma Putra; Faris, Achmad
Jurnal Ilmu Pendidikan dan Sains Islam Interdisipliner Vol. 4 No. 4 November 2025: Jurnal Ilmu Pendidikan dan Sains Islam Interdisipliner
Publisher : Yayasan Azhar Amanaa Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59944/jipsi.v4i4.684

Abstract

Biogas is a renewable energy source that can be produced from organic waste, such as water hyacinth and cow dung. Utilizing these two materials through co-digestion has the potential to increase biogas production due to a better nutrient balance. This study aims to analyze the effect of the substrate ratio on the volume of biogas produced through anaerobic digestion. The method used is a Systematic Literature Review (SLR) by reviewing five relevant scientific articles based on certain inclusion and exclusion criteria. The parameters analyzed include the substrate ratio, biogas volume, and hydraulic retention time (HRT) or fermentation duration. The results of the study indicate that the substrate ratio has a significant influence on biogas production. Ratios that are close to balance, such as 50:50 and 47:53, tend to produce more optimal and stable biogas volume. Conversely, unbalanced ratios, such as 33:67, show varying results depending on operational conditions. Differences in biogas volume between studies are also influenced by other factors, such as retention time, raw material characteristics, and process conditions such as pH and temperature. The lignocellulose content of water hyacinth can inhibit the degradation process if not balanced with an adequate nitrogen source from cow dung. In conclusion, a balanced substrate ratio plays a crucial role in increasing biogas production, but it needs to be supported by controlling other operational parameters to achieve optimal and sustainable results.
Co-Authors Aziz, Ahmad Musonnifin Ferdiansyah Ferdiansyah Fitriania, Fitriani Hargiani, Fransisca Xaveria Nurul Halimah Proboncono, Dharma Putra Trisna Kumala Dhaniswara Zahrotul Azizah