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Pelatihan PELATIHAN PEMBELAJARAN KLINIK TERINTEGRASI DENGAN MENGGUNAKAN MODUL YANG BERBASIS PENDEKATAN SYMPTOM PADA PRECEPTOR DI PUSKESMAS Siti Munawaroh; Veronika Ika Budiastuti; Eti Poncorini Pamungkasari; Atik Maftuhah; Dian Nugroho; Maria Sekar Cahyaningrum; Stefanus Erdana Putra; Muhammad Hafidzan
Abdimas Universal Vol. 3 No. 2 (2021): Oktober
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Balikpapan (LPPM UNIBA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36277/abdimasuniversal.v3i2.137

Abstract

Primary healthcare is one of the vehicles in learning for students of the medical profession. The preceptor clinic in primary healthcare is expected to guide and direct students studying there so that it can be effective. Integrated learning in all fields of medical science that is applied is expected to prepare medical graduates who are ready to enter the community. The symptom and sign approach is considered one of the effective methods in learning primary healthcare. Therefore, we intend to provide integrated clinical learning training using a module based on the symptom approach at primary healthcare. This community service involves ten primary healthcare located in the Boyolali and Klaten areas. The activity begins with exploring the problems that exist when guiding students of the medical profession who study primary healthcare. Then proceed with introducing guidance methods using clinical learning guides with a sign and symptom approach and ends with training evaluations. The participants of this activity received this training and provided some input regarding the existing modules. Suggestions from the primary healthcare preceptors were used as input to improve the modules that had been prepared.
Senam Menurunkan Risiko Kejadian Jatuh Pada Lansia Siti Munawaroh; Muhammad Raditia Septian; Desy Kurniawati Tandiyo
Abdimas Universal Vol. 4 No. 1 (2022): April
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Balikpapan (LPPM UNIBA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36277/abdimasuniversal.v4i1.174

Abstract

Fall is one of the most case that occur on elderly. Exercise such as  elderly gymnastic can overcome the problem of falling in elderly. It can increase flexibility, muscle strength, balance, and also reduce the risk of falls and injury. There needs to be a study of the eldery gymnastic correaltion with the risk of falls. This study aims to determine the correlation between elderly gymnastics with risk of falls based on DGI. Methods: This study was an analytic observational study with cross sectional approach. Sample was taken by purposive sampling. Samples were taken by 30 respondents that consist of 15 respondents join gymnastic elderly and 15 respondenst didn't join gymnastic elderly program. Respondents assessed the risk of falling by the DGI. Data were analyzed using Chi Square test, Fisher absolute test and Relative Risk (RR) measurement. Results: The result showed the value of p = 0.003 with a RR of 0.2, which showed significant research as p <0.05. Most respondents at the age of 60-74 years old and most were male. Conclusions:Elderly Gymnastic will reduce the risk of falls in elderly.
The Effects of Reading Activity on Episodic Memory in Elderly Ummu Ma’rifatul Afifah; Nanang Wiyono; Yunia Hastami; Siti Munawaroh
Berkala Kedokteran Vol 17, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.154 KB) | DOI: 10.20527/jbk.v17i1.10269

Abstract

Abstract: The aging process is a natural event that cannot be avoided. Especially in the elderly, this is accompanied by a decrease in episodic memory function, which can reduce the quality of life. Therefore, efforts are needed to maintain cognitive function in elderly, one of which is through routine cognitive activities such as reading which can affect memory function in elderly through neuroplasticity. This study aims to determine the effect of reading activity on episodic memory function in the elderly. This research is a quasi-experimental study with a pre-test post-test control group design method. The total research subject were 30 people in Desa Demangan Siman, Kabupaten Ponorogo and Kelurahan Ngadirejo, Kota Kediri, with a sample technique using random purposive sampling. The research subjects were then divided into 3 groups with random allocation techniques using microsoft excel. Group 1 was the control group, group 2 was the 15-minute reading aloud intervention group, and group 3 was the 30-minute reading aloud intervention group. The results of the Dependent T-test showed that there was a significant difference in mean scores between the pre-test and post-test scores in group 2 (p = 0.000) and group 3 (p = 0.000), but not significant in group 1 (p = 0.111). The One Way ANOVA test results showed a significant difference in post-test scores in the three groups (p = 0.043), and the Post-hoc LSD test found a significant difference in scores between the post-test scores in group 1 with group 2 (p = 0.025) and group 1 with group 3 (p = 0.034), but there was no significant difference between the post-test scores in group 2 with group 3 (p = 0.883). It can be concluded, there is a significant effect between the duration of reading activity and episodic memory function in the elderly. Keywords: aging, elderly, episodic memory, reading, neuroplasticity.
TINGGI BADAN REMAJA DI DAERAH ENDEMIS GONDOK DI NGARGOYOSO KARANGANYAR: A CROSS SECTIONAL STUDY Siti Munawaroh; Asadullah Fathy Muhammad; Selfi Handayani
Jurnal Kedokteran Universitas Palangka Raya Vol 9 No 2 (2021): Jurnal Kedokteran
Publisher : Fakultas Kedokteran, Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.51 KB) | DOI: 10.37304/jkupr.v9i2.3526

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Asupan yodium yang kurang dapat menimbulkan berbagai gejala termasuk gondok atau pembesaran kelenjar tiroid yang disebut juga Gangguan Akibat Kekurangan Yodium (GAKY). Yodium diperlukan untuk membentuk hormon tiroid yang mengatur pertumbuhan dan perkembangan tubuh manusia. Tidak terpenuhinya kebutuhan yodium dapat menyebabkan hipotiroidisme, penyerapan kalsium terhambat, gangguan metabolisme karbohidrat dan protein, dan gangguan pertumbuhan, seperti tinggi badan. Penelitian ini bertujuan untuk menganalisis perbedaan tinggi badan antara remaja di daerah endemis gondok dan daerah non endemik gondok di Karanganyar. Penelitian cross sectional yang dilakukan di Karanganyar yang terbagi menjadi dua, yaitu di Ngargoyoso sebagai daerah endemis gondok dan di Colomadu sebagai daerah bebas gondok. Sampel penelitian adalah remaja fase akhir, yaitu siswa SMK kelas XII. Pengambilan sampel dilakukan dengan teknik simple random sampling dan diperoleh 187 responden. Data diperoleh dari pengukuran tinggi badan remaja kemudian dianalisis secara menggunakan uji t independen. Rerata tinggi badan pada kelompok remaja daerah endemis gondok (N = 84) adalah 162,29 dan remaja di daerah bebas gondok (N = 103) adalah 167,01. Hasil analisis uji t-independen terhadap tinggi badan kedua kelompok menunjukkan adanya perbedaan yang signifikan (p = 0,001). Tinggi badan remaja di daerah endemis gondok di kecamatan Ngargoyoso Kabupaten Karanganyer lebih rendah dibandingkan remaja di daerah non-endemis gondok
Penggunaan AC/ID dan Active Learning dalam Pembelajaran Anatomi dalam Large Group Siti Munawaroh
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 1 (2015): MARET
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (235.016 KB) | DOI: 10.22146/jpki.25260

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Background: Anatomy is a basic medical science that very important for medical students and other health professions. With a good understanding of the anatomy, they can understand the condition of the patient's illness. However, many of students who complain about the difficulty of anatomy. This paper aims to provide an alternative choice of instructional design in large classes (large group) to improve the quality of learning.Method: literature review.Results: There are many designs of learning that can be applied in a large group. Each has advantages and disadvantages. To improve the quality of student learning, need to be actively involved students in the learning process, so that the material being studied can understand and survive long in the memory of the student.Conclusion: Management of the large group on anatomy lesson is required to produce effective learning. One of the instructional design that can be applied to achieve these objectives is the 4C / ID by applying the principles of active learning.
Identification of Anatomy Contents for Medical Students Using DELPHI Technique Siti Munawaroh; Gandes Retno Rahayu; Efrayim Suryadi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 2 (2017): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.845 KB) | DOI: 10.22146/jpki.32254

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Background: Anatomy is one of basic science in medicine. As doctors are obligated to assure their service is safe and efficient, they need to master anatomy science to support their work on comprehend the patient condition. In another condition, there is a shifting on medical curricula that impacted on decrease of anatomy instructional hours. This condition result in lower of anatomy academic achievement among medical students. The third of ten question Harden in curriculum development, that is what content should be included? need to be resolved so that the limited time available can be utilized as well as possible. This study aims to achieve national scope consensus among anatomical expert about anatomical material course that must be delivered to medical students.Method: This study was design in qualitative approach with specified method of two round Delphi Technique. Using purposive sampling method, the subject of study involved was 20 experts of anatomical science in Indonesia. The questionnaire as instrument in this study arranged based on anatomy text book. The first Delphi purpose to select the anatomical course material and additional course material. The second Delphi round intent to provide level range from 1-4. The consensus level established by the researcher at 80% point.Results: The first Delphi round result in 760 anatomy topics consist of 636 original material arranged by researcher and 124 additional material added by the Delphi panel. Additional materials are osteomyology and sesnsory system. The second Delphi round agree 64% material of first Delphi round (489).Conclusion: Indonesian anatomical experts agree in which not all of anatomy material need to be learned by medical student. Their consensus is about 64% of all the material that must be learned.
DELPHI TECHNIQUE: CONSENSUS OF ANATOMY CIRCULATORY SYSTEM CORE SYLLABUS FOR MEDICAL STUDENT Siti Munawaroh; Farhah Millata Hanifa; Nanang Wiyono; Yunia Hastami; Nur Dewi Kartikasari; Bulan Kakanita Hermasari
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 2 (2018): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.034 KB) | DOI: 10.22146/jpki.39101

Abstract

Background: Anatomy is a very important basic science in medical education. However, the advance of science and technology affected medical curriculum. One of the changes is the decreased time available for anatomy learning. Therefore, an anatomy lecturer needs to sort and choose from many existing anatomical materials to adjust with time allocation. The purpose of this study is to gain consensus on what minimum anatomical knowledge is for a physician candidate in order to practice safely. Method: This study was design in qualitative approach with two round Delphi Technique. Using purposive sampling method, the subjects of the study were 20 general-physicians in Indonesia. The questionnare was arranged based on anatomy text book and the research about anatomic core syllabus. The firts Delphi aimed to select the anatomical course material and additional course material. The second Delphi round intended to provide level range from 1-4. The consensus level established by researcher at 60% point.Results: There is not any additional topics in the first Delphi round. So the number of first and second round topics is 270 topics. The Delphi second round agree that anatomic core syllabus of circulation system is 110 of 270 topics. There are 30 topics of cor, 3 topics of pericardium, 10 topics of mediastinum, 37 topics of artery, 9 topics of vena, 9 topics of lymphathic system, 4 topics of postnatal circulation, 5 topics of prenatal circulation, and 3 topics of portal hepatic system.Conclusion: The anatomy core syllabus consists of 110 of the 270 anatomical circulatory system topics.
LEARNING OBJECTIVE OF THE ANATOMY CIRCULATION SYSTEM FOR THE MEDICAL STUDENTS: A DELPHI STUDY Marwatunnisa Al Mubarokah; Siti Munawaroh; Yunia Hastami; Nanang Wiyono
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.48768

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Background: Anatomy is basic science that is important for preclinical students, clinics, and specialists. The development of medical science led to a reduced allocation of learning time in Anatomy. The imbalance between the amount of learning material with time allocation makes various effective teaching methods carried out and examined. The learning objectives guide the faculty in selecting teaching methods as well as appropriate evaluation to measure the progress of student understanding. This study aims to obtain detailed anatomical learning objectives regarding the circulation system for medical students as part of the development of the medical curriculum in Indonesia.Method: This research is qualitative research with the modified Delphi method. The research subjects were anatomy lecturers in Indonesia who. The first round of the Delphi questionnaire was filled out by selecting the Bloom cognition domain between C1-C6 and the respondent composing the sentence of learning objectives according to the core material. The second round of respondents was asked to choose an important level from each point of learning objectives on the Likert Scale 1-4. The consensus level chosen is that 60% of the panel chooses on level 3 or 4.The results of the second round are then processed to ensure the most appropriate selection of operational verbs and cognitive domains.Results: The first Delphi round resulted in 74 learning objectives from 110 core material points with the cognitive domain between C1-C3. While the second round, Delphi generates 59 learning objectives. The third round which was not part of the Delphi method, these results were then consulted to anatomists of the circulatory system and came up with the 32 learning objectives.Conclusion: The learning objectives of the circulation system that need to be known are 32 learning objectives, with cognitive domains varying between C1-C3, include cor, pericardium, mediastinum, arteries, veins, lymphatics system, prenatal and postnatal circulation, dan hepatic portal  system. Keywords: anatomy of circulatory system, Delphi method, anatomy learning objectives, lecturer consensus 
LEARNING OBJECTIVES OF NEUROANATOMY FOR UNDERGRADUATE MEDICINE: A DELPHI PROCESS Gabriela Claudia; Siti Munawaroh; Nanang Wiyono; Yunia Hastami
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 1 (2020): MARET
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.235 KB) | DOI: 10.22146/jpki.53394

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Background: Anatomy is a basic science needed by clinicians in order to perform medical procedures safely and effectively. Nowadays, the amount of time available for teaching anatomy is reduced because of the introduction of new subjects to medical program.  Whereas, the anatomy itself is already too complex to learn, especially neuroanatomy. As the result, medical students tend to find difficulties in mastering anatomy. In fact, inadequate understanding of anatomy has an impact to medical errors. The aim of this study is to compose neuroanatomy learning objectives based on consensus of anatomy lecturers in Indonesia.Methods: Two-rounds Delphi process was employed in this qualitative study. Twenty anatomy lecturers from all over Indonesia were recruited as panels based on purposive sampling technique. Panels of first round of Delphi were requested to compose learning objectives based on neuroanatomy core syllabus available in the questionnaire. They had to list each learning objective with cognitive level according to Bloom’s taxonomy. In the second round, panels were asked to score each learning objectives based on their level of importance  from 1 to 4. Learning objectives scored 3 or 4 by 60% panels were qualified as the final results. Results: 66 learning objectives were obtained in the first round of Delphi and became 68 due to modification process conducted by expert. In the second round, 67 learning objective were achieved, and became 52 after final process of expert modification. The learning objectives cognitive level varied in C1-C3 according to Bloom’s Taxonomy.Conclusion: This study obtained 52 learning objectives of neuroanatomy.  
INSTO (Integrated Sustainable Multiproject) Sebagai Upaya Memaksimalkan Potensi Penggunaan Sampah Musthofa Chandra Ramabuana; Agung Budi Laksono; Maulidi Izzati; Nanda Kurnia Ramadhan; Vita Pertiwi; Siti Munawaroh
JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) VOL. 6 NOMOR 1 MARET 2022 JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat)
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.566 KB) | DOI: 10.30595/jppm.v6i1.7582

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Sampah adalah salah satu masalah utama di Indonesia. Tidak adanya pengelolaan limbah yang baik membuat beberapa orang membuang sampah mereka ke TPA, membakar atau membuangnya ke sungai. Ini akan memperburuk kondisi lingkungan. Masalah yang disebabkan oleh limbah ini membutuhkan penanganan serius dari pemerintah dan masyarakat. Untuk mengatasi masalah ini kami melakukan Integrated Sustainable Multiproject (INSTO). Untuk mengatasi masalah ini, INSTO mengusulkan strategi tidak hanya untuk menghilangkan kebiasaan membuang sampah yang tidak bertanggung jawab tetapi juga meningkatkan kesadaran mereka untuk mengolah limbah dengan benar dan memanfaatkan potensi komersialnya dengan sebuah proyek multi-terintegrasi yang diatur di bawah bank sampah.