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Pemberian Magnesium Sulfat Intravena Meningkatkan Efek Analgesia Pascaoperasi pada Bedah Mayor Menggunakan Anestesi Umum Hengki Irawan; I Made Subagiartha; I Made Gede Widnyana
Jurnal Anestesi Perioperatif Vol 2, No 3 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1159.515 KB)

Penatalaksanaan nyeri akut pascaoperasi merupakan tugas penting dokter anestesi. Morfin banyak digunakan untuk mengontrol nyeri pascaoperasi. Tujuan penelitian ini untuk mengetahui pengaruh pemberian MgSO4 intravena selama operasi terhadap efek analgesia dan kebutuhan morfin pascaoperasi. Penelitian ini adalah uji klinik blok tersamar ganda. Tiga puluh enam subjek usia 21–55 tahun dialokasikan ke dalam kelompok A yang diberikan MgSO4 30 mg/kgBB intravena 15 menit dilanjutkan 15 mg/kgBB/jam sampai akhir operasi dan kelompok B diberikan NaCl 0,9% dengan volume sama yang menjalani operasi bedah mayor di RSUP Sanglah Denpasar pada Juni–Agustus 2014. Data hasil penelitian dianalisis dengan Uji Mann-Whitney. Nilai visual analog scale (VAS) diam dan bergerak pada jam ke-4 dan ke-8 pada kelompok Mg berbeda bermakna (p<0,05). Perbedaan konsumsi morfin pascaoperasi pada jam ke-4, ke-8, dan ke-24 berbeda bermakna (p<0,05). Simpulan penelitian ini adalah pemberian MgSO4 intravena selama operasi meningkatkan efek analgesia dan menurunkan kebutuhan morfin pascaoperasi.Kata kunci: Analgesia pascaoperasi, anestesi umum, bedah mayor, magnesium sulfatIntravenous Magnesium Sulphate Administration to Improve Post-operative Analgesia Effect in Major Surgery with General AnesthesiaAbstractRelieving acute post-operative pain is an important role of anesthesiologist. Morphine is frequently used to control moderate to severe post operative pain. The objective of this study is to understand the effect of intravenous MgSO4 administration in improving post-operative analgesia effect. This study was a double-blind randomized block clinical trial. The subjects of this study were patients who underwent major surgeries in Sanglah Hospital during the period of June to August 2014. Thirty six subjects age 21–55 years allocated to group A received intravenous MgSO4 30 mg/kgBW intravenous bolus in 15 minutes followed by 15 mg/kgBW/hour until the surgery is finished and group B received NaCl 0.9% with the same volume. Data were then analyzed using the Mann-Whitney Test. The stationary and mobile VAS scores in the 4th and 8th hour in Mg group were significantly different (p<0.05). Post-operative morphine consumptions in the 4th, 8th, and 24th hour were significantly different between the Mg and NaCl 0.9% groups (p<0.05). It is concluded that the administration of intravenous MgSO4 during operation increases analgesia effect and reduces post-operative morphine needKey words: General anesthesia, magnesium sulfate, major surgery, post-operative analgesia DOI: 10.15851/jap.v2n3.335

Roles and Responsibilities of Notary in Deed Making Agreement on Sale and Purchase Agreement When the Parties Dispute Irfan Iskhak; Hengki Irawan; Aryani Witasari
Jurnal Akta Vol 6, No 2 (2019): June 2019
Publisher : Program Magister (S2) Kenotariatan, Fakultas Hukum, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/akta.v6i2.5017

Notary acts as a medium for the birth of a deed of authentic. Responsibility of notaries in the sale and purchase agreement to the party is limited to deed that made accordance with the authority of his post by UUJN. The purpose of this study are: 1. to know the roles and responsibilities in the making notary deed of sale and purchase agreement in the event of disputes for the parties. 2. To determine the notary solution in preparation of deed sale and purchase agreement in order to avoid disputes of the parties.Based on the results of data analysis concluded that: 1. The responsibility of the notary deed merely on early part deed / deed chief, section final / concluding notarial deed and have full accountability of the contents either formal and material. 2. In the duty of notary shall apply precautionary principle and do legal education in order to avoid disputes in the future.Keywords: Notary; Agreements; Sale and Purchase Agreement; Deed.

Legal Protection For Victims Of Traffic Violations That Lead To Death (Case Study On Police Traffic of Rembang) Hengki Irawan; Sri Endah Wahyuningsih; Jawade Hafidz
Jurnal Daulat Hukum Vol 2, No 4 (2019): December 2019
Publisher : Magister of Law, Faculty of Law, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/jdh.v2i4.8349

The purpose of this study is to know, shortly describe, analyze and assess the implementation, barriers, and the remedies to overcome obstacles in the legal protection for victims of traffic abuses resulting in death by Police Traffic of Rembang. The method used in this study, using a kind of sociological juridical research, analytical, descriptive, with data used are primary data and secondary data, and analyzed Qualitative. The results of this study are: (1) legal protection for victims of traffic abuses resulting in death by Police Traffic of Rembang preferably through peace settlement with restitution, (2) barriers in the legal protection for victims of terms: (a) the substance of the law: Act No.22 of 2009 and the Criminal Procedure Code has not been providing legal protection for victims and their families; (B) the legal structure: lack of personnel and infrastructure; and (c) the legal culture: the lack of public awareness; (3) the remedies to overcome these obstacles, in terms of: (a) the substantive law: consideration of material and immaterial damages the victim or the victim's family, (b) the legal structure: additional personnel and high-tech infrastructure, human resource development; and (c) legal cultures: socialization and education traffic rules, and concept of restorative justice. (A) the substantive law: consideration of material and immaterial damages the victim or the victim's family, (b) the legal structure: additional personnel and high-tech infrastructure, human resource development; and (c) legal cultures: socialization and education traffic rules, and concept of restorative justice. (A) the substantive law: consideration of material and immaterial damages the victim or the victim's family, (b) the legal structure: additional personnel and high-tech infrastructure, human resource development; and (c) legal cultures: socialization and education traffic rules, and concept of restorative justice.Keywords: Death; Victim; Traffic; Abuse; Legal Protection.

Pengaruh Motivasi, Minat Dan Kecerdasan Emosional Terhadap Prestasi Belajar Mahasiswa Semester VI di Akademi Keperawatan Dharma Husada Hengki Irawan
coba Vol 4 No 2 (2016): Mei 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

Introduction : Learn to represent very basal element in management each, every education ladder and type. Efficacy of school activity can be seen from attainment of achievement learn reachedly. The aim of this research is to identify the influence between motivation, interest, and emotional intellegence with achievement learn semester student of VI Nursing Academy Of Dharma Husada Kediri. Desain Research is quantitative with cross sectional approach. The study was held on December, 2012 at Nursing Academy Of Dharma Husada Kediri. Variables in this study were Motivation, Interest and Emotional Intellegence as independent variables, and the Achievement him Learnas dependent variable. Population in this research was all VI semester student, andsample size was 82 persons. Sampling technique used was total sampling. Data was being collected by questionnaire and index to cumulative achievement. Data Analyzed by using double Linear regression test. Result of of study was the influence of motivation, interest and emotional intellegence to achievement learn with coefficient value of regresi 0.02 and 0.01 (t=5.987 and 4.334, interest do not have an effect on by signifikan to achievement learn with coefficient of regresi 0.03 ( test of t 0. 064) so that can be concluded that there are influence betwee motivation, interest and emotional intellegence to achievement learn with value of R2 = 0.696 and F Value = 93.800 significant = 0.000 < its 0.05 meaning equal to 69.6% achievement variation of learn to be explained by motivation variable, emotional intellegence and interest, the rest 30.4% determined by other factor and by simultan motivation variable, emotional intellegence and enthusiasm can explain achievement learn student. Conclusion According to research, there is significant betwenit the influence of motivation, interest and emotional intellegence to achievement learn.It is suggested to educator to increase ability teach it and risk motivation, interest and emotional intellegence and suggested for futher research on exploring physic and Phisicologist factor related/influence the achievement learn student.

Attitude Relationship With The Role of Family In Providing Asi Assembly Food Hengki Irawan; Erna Susilowati
coba Vol 7 No 1 (2018): Nopember 2018
Publisher : Akademi Keperawatan Dharma Husada Kediri

The feeding of babies is mostly determined by the mother. The role of the mother is shaped by the knowledge and attitudes of the mother and her family. The attitude of mothers regarding feeding to children is a factor that determines a person to behave and plays a role in providing the right food for children. Aging in this study is to determine the relationship between maternal attitudes and the role of mothers in providing complementary foods. This study was conducted on 50 mothers who have children aged 6-12 months in the posyandu area of the Lirboyo village in the Campurejo Community Health Center area. The time for conducting the research is 3 months, namely June to August 2018. This study uses the Cross Sectional method. The independent variable in this study is the attitude of the mother. The dependent variable in this study is the role of mothers in providing complementary food for breast milk. Data collection using Quasioner. The data obtained were analyzed using SPSS to identify data on attitudes and roles of mothers in the supply of ASI complementary foods, using the Spearman Rho test to see the relationship between attitudes and maternal roles, a significant level of p <0.05. The results showed that there was a relationship between attitudes and the role of parents in providing complementary ASI foods (p = 0.00) Communities and respondents were expected to be able to apply the knowledge gained through proper self-care and provide knowledge to others who did not know it, so It is expected that the community will also participate in helping create a conducive environment for child development. Keywords: Attitudes, Roles, ASI Companion, Family

Motivasi Ibu Tentang Toilet Training Pada Anak Usia I-3 Tahun Di Wilayah Kerja Posyandu Dahlia Puskesmas Campurejo Kota Kediri Hengki Irawan; Irma Dewi L
coba Vol 1 No 2 (2013): Mei 2013
Publisher : Akademi Keperawatan Dharma Husada Kediri

Toilet Training on child constitutes an effort to see child to be able to controls deep poo and pee. So required by task for toilet training. Toilet Training is very important for the child's independence and psychological. So desperately needed readiness Mother, How the implementation and the role of mother in teaching Children Toilet Training. The purpose of this study was to determine maternal motivation in making toilet training in children aged 1-3 years in the working area of Dahlia IHC Health Center Campurejo Kediri.The design of this study using a descriptive design,this research in the working area of Dahlia IHC Health Center Campurejo Kediri.Its research subject is all Mother that have age child 1-3 years in IHC Dahlia June Dahlia 2011 as much 25 respondents (Total sampling). Collecting data with questionnaires and interviews. Its research variable is motivate mother in does toilet training. Data processing utilizes kualitatif's scale passes through editing, coding, tabulating, and scoring. so research measure is divided as tall motivation, motivation be and low motivation.Result respondenting to figure 6 respondents (24%) having motivation less, 5 respondents (20%) having motivation be and a considerable part which is 14 respondents (56%) having tall motivation.So gets to be concluded by tall mother motivation to do toilet training caused total families deep child which more than one more make to have more experience ripe,mother work a large part housewife so mother time to do toilet training more intensive.The advice given is expected given the huge benefits to the mother and child about toilet training. Mother ought to applies toilet training on child and toilet training my mother taught to children early on. Keywords: motivation, Mother, Toilet Training

Pengaruh Konseling Kesehatan Terhadap Penurunan Tingkat Kecemasan Pasien TBC Paru Di Puskesmas Campurejo Kota Kediri Hengki Irawan
coba Vol 4 No 1 (2015): Nopember 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Lung Tuberculosis germ. The treatment and supporting facilities have been available. The Government effort to overcome this disease by Directly Observed Treatment Shortcourse (DOTS). The old treatment and expensive cost caused the patient feels anxiety. The Nurse’s role is to overcome the anxiety through health counseling. It is a kind of method used to solve the patient’s problem. The research aims to know the influence of health counseling toward the reduction of anxiety level in lung TBC of the patient in Puskesmas Campurejo Kediri city. This research is called Pre-Experimental with One Group Pretest- Posttest design. The samples consists of 25 respondents, taken with Non Probability Sampling by type Pusposive Sampling Method, which new lung TBC patient’s. Variable Tuberculosis (TBC) is contagious disease caused by Mycobacterium measured in this research are patient’s anxiety level before and after given the health counseling. The result shows that before given the health counseling, 32% patient experience in low, middle, and high anxiety level, while 4% patient experience in panic. After given health counseling, the result shows that 44% patients experience in middle anxiety level, 36% patients experience in low anxiety level, 28% patients experience in high anxiety level. These data indicate that 28% respondents show the alteration in reduction of anxiety level, 72% do not show the alteration in reduction of anxiety level. The result shows that 80% respondents experience the alteration in reduction of anxiety level while 20% respondents do not experience this. Based on the results of Wilcoxon (α=5%), the level anxiety in health counseling of towards the reduction of anxiety level in Lung TBC of the patients. For the next research hope to make a contact and therapeuticall communication with patients. Key words: Lung TBC, anxiety level, health counseling

Pengaruh Terapi Bekam Terhadap Penurunan Tekanan Darah Pada Klien Hipertensi Hengki Irawan; Setyo Ari
coba Vol 1 No 1 (2012): Nopember 2012
Publisher : Akademi Keperawatan Dharma Husada Kediri

Hypertension or high blood pressure is one of the major health problems that require special attention. Cupping therapy is a process to remove dirty blood from the body through the skin surface. Cupping is an alternative to lower blood pressure. The purpose of this study was to determine the effect of therapy bruise to the decrease of blood pressure in hypertensive clients. This research is taking pre-experimental one group pretest-post test design. The sample was selected based on inclusion criteria using accidental sampling with total respondent 14 people. Here is the independent variable and dependent variable bleed therapy is to decrease blood pressure. Collect data by observation. Collecting and using data pengolahahan T test with a significant α ≤ 0.05. The results showed that there was a significant decrease in blood pressure between pre-test and post-test for systolic blood pressure decreased by an average of 22.857 mmHg and pre-test and post-test diastolic blood pressure by an average of 21.429 mmHg and testing with the T test indicates p = 0001 and 0003 (α <0.05). It can be concluded that there are significant bruise therapy to decrease blood pressure in hypertension patients. Doing the right skin bruise location will be on the mast cell, which will produce substances such as serotonin, histamine, bradykinin, slow-reacting substance, Nitric Oxide (NO) and endorphins. These substances will make repairs and reduce the capillary pressure darah.Hasilnya relaxing effect on muscle and vasodilatation of blood vessels, and eventually the blood pressure decrease. Needs further research with more respondents and considers factors - confounding factor in research. With this result can bleed into one alternative way of treatment of hypertension

PENINGKATAN KEMAMPUAN PROBLEM SOLVING PESERTA DIDIK MELALUI PENERAPAN STRATEGI PEMBELAJARAN SURVEY, QUESTION, COMPUT, RE-READ, QUESTION, COMPUT, QUESTION DALAM MODEL PEMBELAJARAN DIRECT LEARNING DI KELAS 9 SMPN 4 KOTO GASIB PADA POKOK BAHASAN HUKU Reni Herlin; Eko Wiand Adi Saputro; Hengki Irawan
Al-Ihda' : Jurnal Pendidikan dan Pemikiran Vol. 19 No. 1 (2024): Mei: Al-Ihda': Jurnal Pendidikan dan Pemikiran
Publisher : STAI Nurul Falah Airmolek

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55558/alihda.v19i1.109

Pemecahan masalah merupakan sarana sekaligus terget dari pembelajaran disekolah. Sebagaimana, pemecahan masalah dapat memungkinkan peserta didik untuk mengkronstruksi ide-ide matematis. Disamping itu suatu masalah dapat mengarahkan peserta didik untuk melakukan investigasi, mengeksplorasi pola-pola dan berpikir secara kritis. Untuk memecahkan masalah peserta didik perlu melakukan pengamatan yang cermat, membuat hubungan bertanya dan menyimpulkan”. Dengan pendekatan pemecahan masalah, diharapkan proses pembelajaran dan pengajaran matematika lebih dinamik dan hidup dimana peserta didik yang terlibat langsung dalam aktifitas berfikir.di sekolah. Kata kunci: Problem Solving, Peserta Didik, Survey, Question, Compute, Re-Read, Question, Compute, Question, Direct Learning.

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