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All Journal Medula Jurnal Sejarah dan Budaya JURNAL PENELITIAN PERAWAT PROFESIONAL JK Unila (Jurnal Kedokteran Universitas Lampung) Edukasi Tematik: Jurnal Pendidikan Sekolah Dasar Jurnal EduHealth Jurnal Impresi Indonesia Perspektif: Jurnal Pendidikan dan Ilmu Bahasa Khirani: Jurnal Pendidikan Anak Usia Dini Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Tutik Ernawati
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Religion Agriculture, Biological Sciences & Forestry Arts Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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A CONGESTIVE HEART FAILURE PADA PASIEN HYPERTENSIVE HEART DISEASE LAPORAN KASUS Djamil, Putri Amelia; Ernawati, Tutik
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1867

Abstract

Chronic heart failure is a major cause of morbidity among older adults and is frequently associated with uncontrolled hypertension. This case report aims to describe the management of chronic heart failure in a patient with hypertensive heart disease using a comprehensive family medicine approach. Data were obtained through detailed history taking, physical examination, medical record review, and home visits to assess family dynamics, health behaviors, and environmental factors influencing the patient’s condition. A 65 year old woman presented with progressive dyspnea that worsened during physical activity and when lying down. Her blood pressure was 142 over 95 mmHg, and chest radiography showed cardiomegaly. The patient was diagnosed with chronic heart failure with a history of long standing uncontrolled hypertension. Interventions included pharmacological and non pharmacological strategies consisting of optimization of antihypertensive therapy, low sodium diet education, fluid intake adjustment based on clinical status, structured physical activity recommendations, and active family involvement in monitoring treatment adherence and lifestyle modification. After three weeks of follow up, clinical improvement was observed with blood pressure reduced to 123 over 76 mmHg and a decrease in dyspnea severity measured by the visual analog scale from three to one. The knowledge score of the patient and family increased from 60 percent to 100 percent, accompanied by better medication adherence and routine follow up. A family based comprehensive approach contributed to symptom improvement, enhanced treatment adherence, and better blood pressure control in a patient with chronic heart failure and hypertension.
Analisis Penilaian Pembelajaran Matematika Berbasis Assessment of Learning Dengan Penerapan Media Tolkama Zakiyah, Yumi; Qudriyati, Ari; Ernawati, Tutik; Harsono, Harsono; Masduki, Masduki
Edukasi Tematik: Jurnal Pendidikan Sekolah Dasar Vol. 7 No. 1 (2026): EDUKASI TEMATIK: Jurnal Pendidikan Sekolah Dasar
Publisher : Program Studi Pendidikan Guru Sekolah Dasar - Universitas San Pedro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59632/edukasitematik.v7i1.716

Abstract

Penelitian ini bertujuan untuk mendeskripsikan praktik penilaian pembelajaran matematika berbasis Assessment of Learning dengan pemanfaatan media Botol Perkalian Matematika (Tolkama) di sekolah dasar. Penelitian menggunakan pendekatan kualitatif dengan jenis deskriptif. Subjek penelitian adalah guru kelas III di SD Birrul Walidain Muhammadiyah Sragen, sedangkan siswa kelas III menjadi subjek pendukung yang diamati selama proses pembelajaran. Data dikumpulkan melalui wawancara semi-terstruktur, observasi non-partisipatif, dan dokumentasi, kemudian dianalisis secara deskriptif kualitatif melalui tahapan reduksi data, penyajian data, dan penarikan kesimpulan. Keabsahan data dijaga melalui triangulasi sumber, teknik, dan waktu serta member check. Hasil penelitian menunjukkan bahwa guru telah merencanakan penilaian dengan menetapkan tujuan pembelajaran, indikator pencapaian kompetensi, dan bentuk penilaian akhir yang sesuai dengan karakteristik Assessment of Learning. Media Tolkama dimanfaatkan dalam kegiatan inti pembelajaran sebagai alat bantu konkret untuk memahami konsep perkalian dan sebagai sarana pengamatan awal terhadap pemahaman siswa sebelum penilaian akhir. Penilaian hasil belajar secara formal masih didominasi oleh tes tertulis dan soal cerita, sedangkan hasil pengamatan selama penggunaan media digunakan sebagai pertimbangan tambahan. Kendala yang dihadapi guru meliputi keterbatasan waktu pembelajaran dan belum tersedianya instrumen penilaian yang terintegrasi dengan penggunaan media Tolkama. Secara umum, praktik penilaian yang diterapkan dinilai cukup efektif dalam mendukung pemahaman konsep perkalian siswa, meskipun integrasi media ke dalam instrumen penilaian formal masih perlu dikembangkan.
Analisis Kepuasan Orang Tua terhadap Kualitas Pelayanan SD Birrul Walidain Muhammadiyah Sragen Tutik Ernawati; Ari Qudriyati; Harun Joko Prayitno; Dhany Efita Sari
Khirani: Jurnal Pendidikan Anak Usia Dini Vol. 4 No. 2 (2026): KHIRANI: Jurnal Pendidikan Anak Usia Dini
Publisher : Institut Nalanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47861/khirani.v4i2.2365

Abstract

The quality of educational services in elementary schools is an important factor in building trust and satisfaction among parents as the primary stakeholders. The increasing expectations of parents toward educational services, which focus not only on academic outcomes but also on the quality of the learning process, encourage schools to evaluate the level of parental satisfaction. This study aims to analyze the level of parents’ satisfaction with the quality of services at SD Birrul Walidain Muhammadiyah Sragen and to identify service aspects that need improvement. The study employed a descriptive quantitative approach with a survey design. The respondents consisted of 98 parents of first-grade students, and data were collected through a Google Form–based questionnaire. Data analysis was conducted using descriptive statistical techniques (percentages and means) as well as Importance Performance Analysis (IPA) to measure the gap between service expectations and performance. The results showed that the overall level of parents’ satisfaction was categorized as good, with indicator conformity levels above 85%. The main strengths were found in teachers’ attention and the provision of learning motivation. However, several aspects still need improvement, particularly in teaching methods, assignment distribution, and opportunities for students to ask questions in class. These findings emphasize the importance of improving learning quality as a key factor in increasing parents’ satisfaction. Nevertheless, the results of this study are limited to first-grade respondents and therefore cannot yet be generalized to all grade levels.
Faktor Higiene dan Lingkungan terhadap Kejadian Tinea Korporis Berulang pada Wanita Usia 41 Tahun dengan Obesitas: Laporan Kasus Alief Gusnirwan Sulaiman; Tutik Ernawati
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.1995

Abstract

Tinea corporis is a recurrent superficial dermatophyte infection influenced by personal hygiene, environmental conditions, and patients' knowledge and treatment adherence. A family medicine approach is essential to identify internal and external risk factors and provide comprehensive, continuous management. This case report describes a 41-year-old housewife who presented to the Long Inpatient Health Center with recurrent erythematous, pruritic patches in the right inguinal region that had relapsed three times within three months due to self-discontinuation of treatment after symptom improvement. Physical examination revealed a body mass index of 26 kg/m² (WHO Asian classification: obesity class I) and well-demarcated erythematous plaques with central healing. Home visits identified a damp living environment with inadequate ventilation as a contributing risk factor. Medical treatment consisted of 2% ketoconazole cream, oral ketoconazole 200 mg for 14 days, and cetirizine 10 mg for pruritus. Non-pharmacological interventions were conducted during three home visits using a family medicine framework, including patient education on the disease, risk factors, and medication adherence; family involvement in treatment supervision and environmental improvement; and community-oriented health promotion recommendations through the local health center. At the third follow-up, the patient demonstrated clinical improvement with reduced pruritus and increased knowledge following educational interventions. This case highlights that a holistic, patient-centered, family-focused, and community-oriented approach can improve clinical outcomes, enhance patient knowledge, promote healthier living conditions, and reduce the risk of recurrence in recurrent tinea corporis.
Co-Authors Adela Putri Agata Adli, Farhan Kamali Alief Gusnirwan Sulaiman Alnisrina, Dea Amalia, Shafira Ari Qudriyati Asadha, Syahfa Alzena Asyifa, Takhfa Nur Attara Rafilia Adhata deralitha Dhany Efita Sari Dian Isti Angraini Dinda Afifa Djamil, Putri Amelia Dzakwan Cedri Ketierteu Eko Budi Santoso Farida, Lulu Farizy, Diaru Fauzan Harmaina Harsono Harsono Harun Joko Prayitno Hasan Hasan Ilmiani, Tasya Khalis Intanri Kurniati Karyus, Aila Masduki Masduki Muhammad Fitra Wardhana Sayoeti Munthe, Rafif Muhaimin Ikhsan Musyayyadah, Musyayyadah Nararya Budiyono Niken Rahmatia Pratiwi, Bella Putra, Mahardika Putri Octavia Sari Qudriyati, Ari Radharani, Radhika Reni Zuraida Retno Mareintika Rini Sekartini Rizqillah, Laili Yumna Sahbani, Muhammad Hasbi Saptawati Bardosono Sari, Merry Indah Sasmita, Anggi Marta Dwi Shafa Inayatullah Sianturi, Efry Theresia Sinum, Muhammad Burdadi Adiwinoto Sofia Tyasni Darma Perbasya Susianti Susianti Syamhudi, Muhammad Farras Afif Vinezzia, Dillyana Zakiyah, Yumi