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The Effectiveness of The Powerpoint Assisted SQ4R Model on Reading Skills In Class V Students Selfie, Selfie; Hartati, Hartati
Elementary School Teacher Vol 5, No 1 (2021): Elementary School Teacher
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/est.v5i1.33821

Abstract

Based on the results of interviews, observations, and documentation at Ki Hajar Dewantara Cluster Elementary School, Kebumen, it was found that the reading comprehension learning had not been carried out optimally. The research objective was to test the effectiveness of Survey, Question, Read, Recite, Review, Reflect learning model assisted by powerpoint on reading comprehension skills of the fifth grade students at Ki Hajar Dewantara Cluster Elementary School. This research used quantitative approach, Quasi-experimental type with nonequivalent control group design. The data collection techniques used observation, documentation, and tests. The results of the t test using the Independent Sample T-Test showed the value (2-tailed) 0.05, the column (2-tailed) of 0.002 was smaller than 0. 05 which means that there was a significant difference between the posttest results of the experimental class and the control class. The N-Gain calculation of the control class included in low criteria and the experimental class included in moderate criteria. In conclusion, the powerpoint assisted SQ4R learning model was more effective than the lecture and group discussion methods on reading comprehension skills in the fifth grade students at Ki Hajar Dewantara Cluster Elementary School.Keywords: SQ4R, reading comprehension, powerpoint
Analisis Efektivitas Biaya Seksio Sesarea Metode Eracs Dan Non-Eracs Pada Pasien Bpjs Kesehatan Selfie, Selfie; Arrozi, MF; Silviana Mustikawati, Intan
Journals of Ners Community Vol 14 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2782

Abstract

Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas biaya operasi seksio sesarea antara metode Eracs dan Non-Eracs pada pasien BPJS Kesehatan di RS Krakatau Medika IHC Cilegon. Desain penelitian yang digunakan adalah potong lintang dengan metode analisisnya yang bersifat kuantitatif komparatif, dimana efektivitas biaya dilakukan analisis dengan metode Average Cost Effectiveness Ratios (ACER). Terdapat 2 kelompok sampel penelitian, yaitu kelompok pertama; 25 pasien yang dilakukan seksio sesarea metode Eracs dan kelompok kedua; 25 pasien yang dilakukan seksio sesarea metode Non-Eracs. Penelitian ini menunjukkan bahwa terdapat perbedaan rerata biaya operasi seksio sesarea antara metode ERACS dan Non-ERACS. Biaya operasi seksio sesarea lebih rendah pada kelompok dengan metode ERACS secara signifikan (p<0,05). Juga didapatkan bahwa operasi seksio sesarea metode ERACS lebih cost effective dibandingkan dengan metode Non-ERACS. Implikasi hasil penelitian terdiri dari implikasi teoritis dan implikasi praktis. Berdasarkan hasil analisis yang dilakukan bahwa operasi seksio sesarea metode ERACS lebih cost effective dibandingkan dengan metode Non- ERACS. Hal ini dapat digunakan sebagai pertimbangan dalam mengambil keputusan dan kebijakan yang sesuai dengan kendali mutu dan kendali biaya pada pasien dengan penjaminan BPJS Kesehatan, sehingga dapat disarankan pada pasien yang direncanakan persalinan secara operasi seksio sesarea agar dipilih metode ERACS.
Analisis Efektivitas Biaya Seksio Sesarea Metode Eracs Dan Non-Eracs Pada Pasien Bpjs Kesehatan Selfie, Selfie; Arrozi, MF; Silviana Mustikawati, Intan
Journals of Ners Community Vol 14 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2782

Abstract

Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas biaya operasi seksio sesarea antara metode Eracs dan Non-Eracs pada pasien BPJS Kesehatan di RS Krakatau Medika IHC Cilegon. Desain penelitian yang digunakan adalah potong lintang dengan metode analisisnya yang bersifat kuantitatif komparatif, dimana efektivitas biaya dilakukan analisis dengan metode Average Cost Effectiveness Ratios (ACER). Terdapat 2 kelompok sampel penelitian, yaitu kelompok pertama; 25 pasien yang dilakukan seksio sesarea metode Eracs dan kelompok kedua; 25 pasien yang dilakukan seksio sesarea metode Non-Eracs. Penelitian ini menunjukkan bahwa terdapat perbedaan rerata biaya operasi seksio sesarea antara metode ERACS dan Non-ERACS. Biaya operasi seksio sesarea lebih rendah pada kelompok dengan metode ERACS secara signifikan (p<0,05). Juga didapatkan bahwa operasi seksio sesarea metode ERACS lebih cost effective dibandingkan dengan metode Non-ERACS. Implikasi hasil penelitian terdiri dari implikasi teoritis dan implikasi praktis. Berdasarkan hasil analisis yang dilakukan bahwa operasi seksio sesarea metode ERACS lebih cost effective dibandingkan dengan metode Non- ERACS. Hal ini dapat digunakan sebagai pertimbangan dalam mengambil keputusan dan kebijakan yang sesuai dengan kendali mutu dan kendali biaya pada pasien dengan penjaminan BPJS Kesehatan, sehingga dapat disarankan pada pasien yang direncanakan persalinan secara operasi seksio sesarea agar dipilih metode ERACS.
Clinical Interpretation of Urinalysis for Early Detection of Kidney Disorders: A Narrative Review Dewi, Adinda Puspita; Selfie, Selfie; Adhayati, Baety; Prameswari, Yuda Nabella; Dewi, Lola Febriana; Hermawati, Luluk
International Journal of Cell and Biomedical Science Vol 4 No 12 (2025)
Publisher : Stem Cell and Cancer Research (SCCR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59278/cbs.v4i12.79

Abstract

Background: Chronic kidney disease (CKD) is a global health issue with a steadily increasing prevalence and often remains asymptomatic in its early stages. This silent progression contributes to delayed diagnosis and limited therapeutic options. Urinalysis is a simple, inexpensive, and noninvasive examination that remains relevant as an early screening tool to detect renal abnormalities before clinical manifestations appear. Methods: This narrative review summarizes the latest scientific evidence regarding the diagnostic value of urinalysis in the early detection of kidney disorders by highlighting the physical, chemical, and microscopic parameters of urine. Literature searches were conducted using PubMed, Scopus, and Google Scholar databases for studies published between 2020 and 2025 with the keywords urinalysis, kidney disease, early detection, uACR, and eGFR. Only English- or Indonesian-language articles relevant to the topic and containing empirical data were included. Results: Urinalysis has been shown to provide early indicators of proteinuria, hematuria, and pathological casts that reflect glomerular and tubular injury. Integration of urinalysis results with uACR and eGFR measurements, as recommended by KDIGO 2024, improves diagnostic accuracy and risk stratification. Additionally, automated digital microscopy and emerging biomarkers such as NGAL and KIM-1 show substantial potential in strengthening early detection capabilities. Discussion and Clinical Implications: Urinalysis not only serves as a screening tool but also holds prognostic value in guiding follow-up and clinical management of high-risk individuals. Proper interpretation of urinalysis findings can assist clinicians in determining the need for further assessment, initiating earlier interventions, and optimizing prevention of CKD progression. Conclusion: Urinalysis remains an essential basic examination for the early detection of kidney impairment. Its integrated application with modern laboratory parameters can enhance diagnostic effectiveness, accelerate clinical intervention, and reduce the global burden of chronic kidney disease.
Hubungan Diabetes Melitus Tipe 2 dengan Penyakit Ginjal Kronis: Tinjauan Literatur: The Relationship Between Type 2 Diabetes Mellitus and Chronic Kidney Disease: A Literature Review Salsabila, Nuzulia Hikmah; Adhayati, Baety; Selfie, Selfie; Harahap, Alfuu Nur; Sitanggang, Ervina Julien; Prameswari, Yuda Nabella
Journal of Health and Physical Vol. 2 No. 1 (2026): April
Publisher : BALE LITERASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58218/jhp.v2i1.2703

Abstract

Type 2 diabetes mellitus is a major global health problem and one of the leading causes of chronic kidney disease. Chronic hyperglycemia in diabetes plays a crucial role in the development of kidney damage, which may progress to end-stage renal disease if not properly managed. This review aims to explore the relationship between type 2 diabetes mellitus and chronic kidney disease, focusing on underlying pathophysiological mechanisms and clinical implications. A narrative review approach was conducted using literature from PubMed, ScienceDirect, and Google Scholar published between 2016 and 2026. The findings indicate that persistent hyperglycemia contributes to kidney damage through multiple interconnected mechanisms, including oxidative stress, inflammation, and fibrosis. These processes lead to structural and functional alterations in the kidney, such as glomerular dysfunction, declining glomerular filtration rate, and accumulation of metabolic waste products. Furthermore, the coexistence of diabetes and chronic kidney disease is associated with a higher risk of systemic complications, particularly cardiovascular disease, anemia, and metabolic disturbances, which significantly impact patient outcomes. Overall, type 2 diabetes mellitus and chronic kidney disease have a strong and complex relationship. Effective glycemic control, early detection, and comprehensive monitoring of kidney function are essential strategies to prevent disease progression and reduce the burden of complications, highlighting the importance of integrated management in patients with diabetes.