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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.
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

Abstract

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

Abstract

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.
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

Abstract

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

Abstract

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.
Pengaruh Usia Menarche terhadap Tinggi Badan Wanita di Daerah Endemis Gondok Muhammad Taufiq Hidayat; Selfi Handayani; Siti Munawaroh
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.816 KB) | DOI: 10.13057/smj.v1i2.28882

Abstract

Introduction: Height affected by various factor. One factor that can affect female’s height is menarcheal age. Sexual hormone in female’s body will be activated at menarche and it will stimulate the closure of epiphyseal plate. Final height in female with late menarche is higher than female with early menarche. While in goiter endemic areas with Iodine Deficiency Disorder especially in mountain area, it has earlier menarcheal age than normal female that live in non goiter endemic area. This study aimed to analyze the relationship between age at menarche and height endemic goiter.Methods: This study was an observational study with cross-sectional design. It was held in the goiter endemic Ngargoyoso, Karanganyar. Samples of women aged over 20 years with upright posture that live in Ngargoyoso were obtained by simple random sampling, then measuring the height using statometer and obtaining menarcheal age by questioner. Data were analyzed using Pearson correlation test (α = 0.05), which had previously been tested for normality by Kolmogorov Smirnov.Results: The mean age of menarche sample was 13.38 years with the lowest age of 11 years and the highest age of 18 years. While the average height was 156.8 cm samples with the lowest height was 139 cm and the highest was 168 cm. Pearson correlation test results showed that height was significantly associated with age at menarche woman endemic goiter (p = 0.001).Conclusions: Age of menarche associated with height in an endemic goiter area.The earlier age of menarche will affect the final height of the woman. 
Konsensus Dokter Umum Mengenai Materi Inti Anatomi Sistem Reproduksi Wanita Untuk Mahasiswa Kedokteran INTAN PRATIWI; YUNIA HASTAMI; NANANG WIYONO; SITI MUNAWAROH
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (192.187 KB) | DOI: 10.13057/smj.v1i2.28706

Abstract

Introduction: The anatomy of the female reproductive system is one of the basic sciences of medical clinical practice needed by general practitioners. Until now there has been no standardization regarding anatomical material of the female reproductive system that medical students need to know. Meanwhile, the medical curriculum has undergone many changes that have impacted on reduced learning time resulting in a reduction in anatomical material given to students. This causes the different emphasis on anatomical material given to be different for each medical institution. This study aims to compile the subject matter of the anatomy of the female reproductive system in order to facilitate anatomical learning for medical students. Methods: This research is a qualitative research with Delphi method two rounds. The subjects were general practitioners from 9 institutions in Indonesia selected through purposive sampling as many as 20 people. The initial Delphi questionnaire was compiled based on three anatomical textbooks, one anatomic terminology, and one study on the anatomical core material. Delphi round I panel is asked to choose material that are important and can add material if it doesn't already exist. Delphi round II panel was asked to rank 1-4 in each material. Researchers set a consensus level of 53%.Results: The results of Delphi round I obtained 176 materials from a total of 178 materials and no additional material was obtained. Delphi round II obtained 84 (47.72%) core anatomical materials from 176 material.Conclusion: General practitioners consensus of core materials of female reproductive system anatomy is 84 materials.