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Gugging Swallowing Screen (GUSS) Sebagai Metode Skrining Kemampuan Menelan Pasien Stroke Akut Ngatini; Rudi Haryono
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Acute-onset dysphagia after stroke is frequently associated with an increased risk of aspiration pneumonia. Because most skrining tools are complex and biased toward fluid swallowing, we developed a simple, stepwise bedside screen that allows a graded rating with separate evaluations for nonfluid and fluid nutrition starting with nonfluid textures. The Gugging Swallowing Screen (GUSS) aims at reducing the risk of aspiration during the test to a minimum; it assesses the severity of aspiration risk and recommends a special diet accordingly. One important issue is the sequence of the subtests of a swallowing screen. Nearly every dysphagia screen reported starts with liquids. Clinical observation of acute-stroke patients shows that most of them have more problems swallowing liquids than semisolid textures. Studies of dysphagic patients during motion fluoroscopy found that penetration into the larynx was more likely when swallowing liquids than semisolid textures. On the basis of such findings, we developed a stepwise procedure of assessment aimed at reducing the risk of aspiration during the test to a minimum and enabling a graded rating with separate evaluations for nonfluid and fluid nutrition, starting with nonfluid textures. This would not result in an overall diagnosis of dysphagia based only on insufficient fluid swallowing and thus, in the recommendation to refrain from oral feeding altogether, but it might enable a considerable proportion of patients with acute stroke to continue with semisolid food while recommending that fluids should be applied via intravenous line or nasogastric tube.
Faktor-Faktor Penyebab Kejadian Preeklamsia/Eklamsia Pada Ibu Bersalin di Ruang Bersalin Rumah Sakit Umum Daerah Panembahan Senopati Bantul Mahayanti, Agnes; Ngatini
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 2 No 1 (2021): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v2i1.120

Abstract

Background: Preeclampsia / eclampsia is the second leading cause of maternal death in Indonesia, which be marked by an increase in blood pressure, positive urine protein and edema. Objective: The purposes of this study to determine the factors that cause the incidence of preeclampsia / eclampsia in delivery women in Labour Room Of Panembahan Senopati Hospital Bantul. Methods: This study used a cross sectional design. The research subjects were 86 mothers giving birth from January-June 2019. The data analysis technique used univariate analysis with frequency distribution, bivariate analysis with chi-square and multivariate analysis was used to determine the Fiiting Information Model, Pseudo R-Square and parameter estimates of causal factors. the occurrence of preeclampsia / eclampsia. Results: 58.1% of respondents had preeclampsia / mild eclampsia, 41.9% were moderate preeclampsia / eclampsia. The results of the C-square analysis p value <0.05 was found in the variables of chronic disease, maternal age, family planning, ANC and maternal education. The Chi-Square statistical value is 2466.177 (Pearson) (> 90.00) with a significance value of 0.000 (<0.000). The independent variables of chronic disease, maternal age, family planning, ANC and maternal education contributed 62.2% to the incidence of preeclampsia / eclampsia. Conclusion: Factors causing the incidence of preeclampsia / eclampsia in women giving birth at Panembahan Senopati Hospital include chronic disease with a p-value of 0,000, maternal age with a p value of 0,000, ANC examination behavior with p value of 0.00, family planning with p value of 0.013 , maternal education with a p value of 0.013. Variables history of complications, parity did not have a significant effect on the incidence of preeclampsia/eclampsia in women who gave birth. From the results of this study, it is hoped that it can provide useful knowledge about factors that are closely related to the incidence of preeclampsia and eclampsia so that pregnant women with one or more factors can get attention for health workers so that prevention can be carried out.
Analisis Pemetaan Mutu Pendidikan SMP N 1 Boja Kabupaten Kendal Ngatini; Titik Haryati
Jurnal Penelitian Multidisiplin Ilmu Vol 3 No 4 (2024): Desember
Publisher : Melati Institute

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Abstract

This study aims to describe the analysis of education quality mapping at SMP N 1 Boja, Kendal Regency. The research approach used is qualitative. This type of research is a case study. This research uses triangulation of sources and methods. Data analysis with three steps: data reduction, presenting data, and drawing conclusions. The results showed that: Implementation at SMP N 1 Boja Kendal Regency has generally gone well. The independent curriculum is well implemented with good learning and assessment processes. Changes in several components of the curriculum structure of SMP N 1 Boja Kendal Regency appear to provide challenges for teachers in preparing learning tools in accordance with applicable regulations. In the end, the achievement of learning quality is included in the medium category, not as expected. Therefore, further studies and action plans are needed to improve the quality of learning.
Asuhan Kebidanan Continuity of Care (COC) pada Ny. U Umur 42 Tahun Ngatini; Afriyani, Luvi Dian
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

In order to accelerate the achievement of the target of The method used by the author is to use a case study by taking the case of a pregnant woman. The care provided is comprehensive care starting from pregnancy, maternity, postpartum, newborns, neonates and family planning. The data collection method uses primary data through interviews, observations and examinations as well as secondary data through the KIA book. Presentation and analysis of data using a variety of management thinking patterns and documentation with SOAP (Subjective Objective Management Analysis).’ ‘The care provided during pregnancy is based on an assessment of subjective and objective data to encourage mothers to exercise during pregnancy to reduce complaints. The care provided during the birth process uses 60 APN steps. The care provided during postpartum is monitoring KF1 at 5 days postpartum, KF2 at 8 days postpartum. Care for newborns aged 8 days, the baby's weight increases, this shows that the baby's nutrition is adequate because the baby is always given breast milk on demand so that the baby's weight continues to increase every week, and there is no gap between theory and fact. Conclusion: A gap between practice and theory occurs in care during childbirth.   Abstrak Dalam rangka mempercepat pencapaian target penurunan Angka Kematian Ibu dan Angka Kematian Bayi, Indonesia memiliki program yang sudah terfokus pada pelayanan kebidanan yang berkesinambungan (Continuity of Care). Continuity of care dalam bahasa Indonesia dapat diartikan sebagai perawatan yang berkesinambungan mulai dari kehamilan, persalinan, asuhan bayi baru lahir, asuhan postpartum, asuhan neonatus dan pelayanan KB yang berkualitas yang apabila dilaksanakan secara lengkap terbukti mempunyai daya ungkit yang tinggi dalam menurunkan angka mortalitas dan morbiditas yang sudah direncanakan oleh pemerintah. Metode yang digunakan penulis yaitu menggunakan studi kasus dengan cara mengambil kasus ibu hamil. Asuhan yang diberikan adalah asuhan secara komprehensif mulai dari hamil, bersalin, nifas, bayi baru lahir, neonatus dan KB. Metode pengumpulan data menggunakan data primer dengan wwancara, observasi dan pemeriksaan serta data sekunder melalui buku KIA. Penyajian dan analisis data menggunkan pola piker manajemen varney dan pendokumentasian dengan SOAP (Subyektif Obyektif Analisa Penatalsanaan ) Asuhan yang diberikan saat hamil berdasarkan pengkajian data subyektif dan obyektif menganjurkan ibu senam hamil untuk mengurangi keluhan. Asuhan yang diberikan saat proses persalinan  menggunakan 60 langkah APN . Asuhan yang diberikan saat nifas yaitu melakukan pemantauan KF1 pada 5 hari postpartum, KF2 pada 8 hari postpartum . Asuhan pada bayi baru lahir usia 8 hari berat badan bayi mengalami kenaikan, hal ini menunjukkan bahwa nutrisi bayi telah tercukupi karena bayi selalu diberikan ASI secara on demand sehingga berat badan bayi terus naik setiap minggunya, serta tidak ada kesenjangan antara teori dan fakta.
Pengembangan Pemodelan Harga Beras di Wilayah Indonesia Bagian Barat dengan Pendekatan Clustering Time Series Sekarsari Utami Wijaya; Ngatini
Limits: Journal of Mathematics and Its Applications Vol. 17 No. 1 (2020): Limits: Journal of Mathematics and Its Applications Volume 17 Nomor 1 Edisi Ju
Publisher : Pusat Publikasi Ilmiah LPPM Institut Teknologi Sepuluh Nopember

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Abstract

Beras merupakan bahan pokok pangan bagi masyarakat Indonesia dan hampir 90% masyarakat Indonesia mengonsumsi beras. Pada awal tahun 2018 harga beras mengalami peningkatan. Kenaikan harga beras ini jika terus dibiarkan akan menyebabkan terjadinya inflasi yang berdampak pada melambatknya pertumbuhan ekonomi nasional serta dampak negatif lainnya. Dalam rangka perumusan kebijakan pengendalian inflasi maka data dan informasi terkait proyeksi keadaan pasar sangat dibutuhkan. Oleh karena itu, pemodelan harga beras di Indonesia sangat perlu dilakukan. Sebagian besar sentra beras di Indonesia berasal dari provinsi di wilayah Indonesia bagian barat, sehingga pada penelitian ini dilakukan pengembangan model harga beras untuk wilayah Indonesia bagian barat dengan menggunakan pendekatan clustering time series. Pemodelan dilakukan dengan tahapan pengumpulan data, pemodelan ARIMA pada level provinsi, pemodelan ARIMA pada level klaster dan evaluasi keakuratan model dengan menggunakan MAPE. Hasil penelitian ini menunjukan model ARIMA level klaster memiliki keakuratan yang lebih tinggi daripada level provinsi.