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PEMBERIAN VIRGIN COCONUT OIL UNTUK MENINGKATKAN JUMLAH DAN MOTILITAS SPERMATOZOA: STUDI PADA TIKUS WISTAR DENGAN DIET TINGGI LEMAK Asmarita Jasda; Winarto Winarto; Tri Nur Kristina
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 37 No. 2 (2014)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v37i2.4020.160-167

Abstract

ABSTRACTObesity is one of several causes of infertility in men, this accurs because off changes lifestyle, accurring in the diet. Consuming foods high in cholesterol and fatty foods can trigger obesity. High-fat diet can increase the production of free radicals that have a negative impact on the quality and amount of sperm motility. Virgin Coconut Oil contains lauric acid and polyphenols, which can capture free radicals. Objective of this study was to prove that Virgin Coconut Oil administration might increase the number and motility of spermatozoa in Wistar rats with high-fat diet (HFD). The study using Randomized Posttest Only Control Group Design. Thirty male Wistar rats aged 2 months and weighing 150-200 grams were divided into 5 groups: negative control (normal diet), positive control (HFD), first treatment group (HFD with VCO 1 ml/day), second treatment group (HFD with VCO 1.2 ml /day), and third treatment group (HFD with VCO 2 ml/day). The mean number of sperm in three treatment groups increase compared to the positive control group (375 million/ml), P1 (566.67 million/ml), P2 (510 million/ml) and P3 (500 million/ml), however statistically was went significant (p = 0.1). The mean percentage of sperm motility in the 3 treatment groups increase compared to the positive control group, P1 (43.33%), p2 (36%) and P3 (32.50%). however, statistically was not sinificant (p = 0.2). Virgin Coconut Oil cannot increase the number and motility of spermatozoa in male Wistar rats with hig-fat diet (p > 0.05).Keywords: high fat diet, virgin coconut oil, sperm number, sperm motilityABSTRAKSalah satu penyebab infertilitas pada pria adalah obesitas, ini terjadi karena adanya perubahan gaya hidup, terjadi pada pola makan. Mengonsumsi makanan berkolesterol tinggi dan berlemak dapat mencetuskan terjadinya obesitas. Diet tinggi lemak dapat meningkatkan produksi radikal bebas yang dapat berdampak buruk pada kualitas jumlah dan motilitas spermatozoa. Virgin coconut oil (VCO) mengandung asam laurat dan polifenol yang memiliki fungsi menangkap radikal bebas sehingga diharapkan mampu meningkatkan jumlah dan motilitas spermatozoa. Penelitian ini bertujuan untuk membuktikan pemberian virgin coconut oil dalam meningkatkan Jumlah dan motilitas spermatozoa pada tikus Wistar yang diberi diet tinggi lemak (DTL). Penelitian menggunakan Posttest Only Randomized Control Group Design. Tiga puluh tikus jantan Wistar umur 2 bulan dan berat 150-200 gram, dibagi menjadi 5 kelompok: kontrol negatif (pakan normal), kontrol positif (DTL), perlakuan I dengan DTL dan VCO 1 ml/hari, perlakuan II VCO 1,2 ml/hari dan perlakuan III VCO 2 ml/hari. Hasil penelitian menunjukkan bahwa rerata jumlah spermatozoa pada 3 kelompok perlakuan menunjukkan peningkatan dibanding kelompok kontrol positif (375 jt/ml), P1(566,67jt/ml), P2 (510 jt/ml) dan P3 (500 jt/ml). Analisis uji statistik untuk rerata jumlah spermatozoa pada semua kelompok tidak berbeda bermakna (p=0,1). Rerata presentase motilitas spermatozoa pada tiga kelompok perlakuan juga menunjukkan peningkatan dibanding kelompok kontrol positif, P1 (43,33%), P2 (36%) dan P3 (32,50%). Namun uji statistik tidak bermakna (p=0,2). Pemberian VCO tidak dapat meningkatkan jumlah dan motilitas spermatozoa pada tikus jantan Wistar yang diberi diet tinggi lemak (p > 0.05). [Penel Gizi Makan 2014, 37(2): 161-167]Kata kunci : diet tinggi lemak, virgin coconut oil, jumlah motilitas spermatozoa
A Model of Interprofessional Education in the Community with Family Health Approach: Perspectives from Indonesia Asmara, Fatikhu Yatuni; Kristina, Tri Nur; Afifah, Diana Nur; Bakrie, Saekhol; Dewi, Dian Puspita; Widyandana, Doni; Mawardi, Fitriana; Pamungkasari, Eti Poncorini; Lestari, Endang
Jurnal Keperawatan Soedirman Vol 20 No 1 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.1.10479

Abstract

There is no standardized model of interprofessional education (IPE) that is performed in community settings. This study aimed to develop and acquire suggestions for a model of IPE implementation in such environments. This study employed educational design research (EDR) with a qualitative research approach. Step 1 (Analysis and Exploration) was carried out through focus group discussions (FGDs) with students and instructors to explore their experiences with the IPE program, which then proceeds to Step 2 (Design and Construction) by developing a draft model. Eventually, Step 3 (Evaluation and Reflection) was carried out by conducting in-depth interviews with experts to obtain suggestions for the draft model. This study revealed three key themes from FGDs: 1) preparedness of students and families, 2) Coordination, and 3) Students’ assessments. Based on in-depth interviews, the experts provided suggestions categorized into four themes: 1) Characteristics of Participants, 2) Detailed preparation and implementation, 3) Student assessment, and 4) Former thematic definition of health problems. The IPE model in a community setting was perceived as a positive learning experience, and several recommendations were added to increase its effectiveness. Further research is recommended to facilitate broader implementation of the model widely
Fluid restriction adherence in hemodialysis patients using the ESRD-AQ: A multicenter study Hidayati, Wahyu; Ermawati, Eli; Firdaus, Iftinan Nida; Lestariningsih, Lestariningsih; Kristina, Tri Nur
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns155

Abstract

Background: Patients with chronic kidney disease (CKD) undergoing hemodialysis must adhere to fluid intake restrictions to prevent fluid accumulation, which can lead to complications such as edema, hypertension, and cardiovascular events. Excess intravascular and interstitial fluid volume contributes to fluid overload, a major risk factor for morbidity and mortality in this population. Objective: To describe adherence to fluid restriction among CKD patients receiving hemodialysis and identify common barriers to adherence. Methods: This descriptive survey study was conducted from January to June 2021 at two hospitals. A total of 129 CKD patients undergoing hemodialysis were recruited through purposive sampling. Inclusion criteria were age ?18 years, receiving routine hemodialysis for at least 3 months, and ability to communicate verbally. Fluid restriction adherence was assessed using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), previously validated and culturally adapted. Descriptive statistics summarized adherence patterns and patient characteristics. Results: Most participants were male, in late adulthood, had completed college, were unemployed, had been on hemodialysis for approximately 5 years, and underwent treatment twice weekly. Overall, 66% adhered to fluid restrictions, with 36.4% reporting following restrictions all the time. However, 62.8% indicated barriers to adherence, including lack of interest, inability to control fluid intake, and not understanding how to follow the restriction. Conclusion: While most CKD patients complied with fluid restrictions, a substantial proportion faced challenges that could undermine long-term outcomes. Continuous education, motivational support, and individualized counseling are essential to improve adherence. Future research should explore the association between adherence, fluid overload, and clinical outcomes.
Interdialytic weight gain and pre-dialysis mean arterial pressure on patients with chronic hemodialysis Wahyu Hidayati; Elingga Widi Pangestu; Lestariningsih Lestariningsih; Tri Nur Kristina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (630.212 KB) | DOI: 10.30604/jika.v8i2.2059

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Patients with chronic kidney disease on hemodialysis (CKD-HD) frequently experience an increase in fluid volume, which is largely shown by interdialytic weight gain (IDWG). An increase in IDWG may cause the mean arterial pressure (MAP) during dialysis to increase. Chronic renal disease patients, it might worsen their condition and implies a change in intravascular. Patients must control their fluid intake, nevertheless, there are still a lot of patients who struggle with this. The aim of this study was to investigate the relationship between IDWG and pre-dialysis MAP in patients with chronic kidney disease. A descriptive correlation method with a cross-sectional approach was used in this study. The instruments were observation sheets to note the weight dan blood pressure, weight scales, and a sphygmomanometer. The purposive sampling method was used to select the respondents in this study. The respondents were 52 CKD-HD patients over the age of 18 who exercise at least twice a week and are not in intensive care. The data was collected at a hemodialysis unit. Statistical analysis used Pearson’s product-moment correlation. The results showed that most of the respondents had IDWG in the adequate category (78.8%) and pre-dialysis MAP in the optimal category (23.1%), p=0.003 (less than 0.05) and r=0,41. This study concluded that there was a relationship with moderate strength between IDWG and pre-dialysis MAP in patients with chronic kidney disease. Nurses are urged to strengthen monitoring of IDWG and pre-dialysis MAP, as well as monitoring of dietary compliance and patient fluid intake limitations, to identify potential issues in patients with chronic renal disease.
Scoping Review of Verbal De-Escalation in Psychiatric Emergency Pragholapati, Andria; Fitrikasari, Alifiati; Handayani, Fitria; Kristina, Tri Nur; Dewi, Nur Setiawati; Winarni, Tri Indah
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.2826

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This article presents an in-depth literature review on the practices and significance of verbal de-escalation in psychiatric emergency situations. Verbal de-escalation is a communication strategy aimed at reducing tension and conflict in psychiatric patients experiencing crises. The aim of this research is to explore the effectiveness of various training methods in implementing verbal de-escalation techniques in psychiatric emergencies. The research method with scoping review, this article provides an overview of the concept of verbal de-escalation, commonly used techniques, and its positive impact on enhancing safety and intervention effectiveness in psychiatric emergencies. Additionally, the article identifies factors influencing the success of implementing verbal de-escalation and emphasizes the need for training and a holistic approach in managing psychiatric emergencies. The findings of this research can offer insights for practitioners, researchers, and policymakers in improving the quality of psychiatric emergency services through the effective implementation of verbal de-escalation strategies.
Compliance of Nurses in Carrying Out Initial Assessment of Hospital Inpathement Wirananda, Abdi; Kristina, Tri Nur; Dwiantoro, Luky
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.3975

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Initial assessment of hospital inpatients is an important component of patient care, ensuring appropriate treatment planning and improving patient outcomes. Nurses' adherence to initial assessment protocols is critical to maintaining the quality and safety of patient care. This study aims to evaluate nurses' compliance in implementing initial assessment of hospital inpatients and to identify factors that influence nurses' compliance with established protocols. Methodology: This research adopts an approach scoping review with the framework developed by Arksey and O'Malley. Research includes searching articles through databases Google Scholar and Scopus with the keyword "Obedience" "Assasment"AND "Nurse". The research uses the PRISMA method with data sources from Google Scholar and Scopus resulting in a total of 92 articles. The articles were then filtered based on the inclusion criteria, namely using English and Indonesian with a range of 2014-2024 nurses' compliance in implementing initial assessments of hospital inpatients which resulted in 7 articles that met the requirements. Research shows nurses' compliance with initial assessment protocols is influenced by several factors, including training, workload, and organizational support. Addressing these factors through targeted interventions may improve adherence rates and, consequently, patient outcomes. Further research is needed to develop and implement effective strategies to improve nurse compliance in various health care settings.
Students' perceptions of the relevance of instructors' assessment items in online community-based interprofessional education Hangujiwat, Puspo Palupi Yekti; Kristina, Tri Nur; Dewi, Dian Puspita; Candra, Aryu; Afifah, Diana Nur; Asmara, Fatikhu Yatuni
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.51634

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Introduction: This study aimed to acquire students' perceptions of the assessment items used by instructors implemented in the community-based Interprofessional Education (IPE) program during the COVID-19 pandemic. The study also compared the students' perceptions of the instructors' assessment items regarding student characteristics. Motivation for joining the IPE program and a comparison between motivation and gender and disciplines were also identified in this study. Methods: The research method is observational with a cross-sectional approach. Sixth-semester medical, nursing, and nutrition students who had completed the community-based IPE program were involved. Students' perception was measured using a questionnaire on the instructors' assessment items developed based on the IPE competencies. Motivation was measured using a Motivated Strategies for Learning Questionnaire (MSLQ). Results: A majority of students across the three programs agreed or strongly agreed with the assessment items, and there were no significant differences in student perceptions from the variables of gender (p = 0.23) and disciplines (p = 0.68). The correlation between students' motivation and their perception of the instructors' assessment items was significant (r_s = 0.61 with p < 0.01). However, there was a weak and not significant correlation between students' grade point average (GPA) with the perception of assessment items (r_s= 0.1 with p = 0.07). Conclusions: All instructors' assessment items were still perceived as relevant and can be used to assess the students during IPE online learning. Thus, the result of this study can be considered to be used in another setting with a similar situation.
Co-Authors Adhuri, Iesha Kinanthi Ageng Abdi Putra Agus Santoso Alifiati Fitrikasari Andra Novitasari Andria Pragholapati Anggit Prasetyo Mituhu Anggit Prasetyo Mituhu Anna Annisa Aarts Antari, Arlita Leniseptaria Ari Budi Himawan Ariani, Resti Arief Wahyudi Jadmiko Aris Puji Widodo Aryu Candra Ashaeryanto Ashaeryanto Awal Prasetyo Bakrie, Saekhol Chairunnisa, Andita Devi Nurmalia Dewi, Dian Puspita Dian Puspita Dewi Diana Nur Afifah, Diana Nur Doni Widyandana Dwiantoro, Luky Eli Ermawati Elingga Widi Pangestu Endang Lestari Endang Sri Lestari Erni Suprapti Ethyca Sari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Fatikhu Yatuni Asmara Firdaus, Iftinan Nida Firman Fuad Wirakusumah Fitria Handayani Fitriana Hangujiwat, Puspo Palupi Yekti Hardian Hardian Hario Seno, Heri Nugroho Hendro Wahjono Ika Pawitra Miranti Ilham Uddin Job FM Metsemakers Lestariningsih Lestariningsih Lestariningsih Lestariningsih Luky Dwiantoro M Martono Diel Madya Sulisno Madya Sulisno Madya Sulisno Mardiana, Sri Siska Marloes A van Bokhoven Masfiyah Masfiyah, Masfiyah Mawardi, Fitriana Mochamad Arif Nugroho Mora Claramita Muchlis Achsan Udji Sofro Nadia Dwi Rahmawati Novyanti, Baiq Mira Nur Patria Tjahjani Nur Setiawati Dewi Nur Wahyu Puspitasari Nuryanto Nuryanto Pratama, Yanuar Surya Purnomo, Luluk R Vivi Meidianawaty Rebriarina Hapsari Renni Yuniati Riski Dwi Utami Saekhol Bakri, Saekhol Saiful Ridlo Sari Sudarmiati Sri Rejeki Sri Wahyudati Subakir Subakir Sudaryanto Sudaryanto Surya Akbar Syaropi Simanjuntak, Victor Jeremia Tissa Octavira Permatasari Tri Hartiti Tri Indah Winarni Tridjoko Hadianto Tunik Saptawati Udadi Sadhana, Udadi Udin Bahrudin, Udin Untung Sujianto V. Rizke Ciptaningtyas Wahyu Hidayati Wahyu Hidayati Widyandana Widyandana Winarto - Winarto Winarto Winarto Winarto Wirananda, Abdi Yan Wisnu Prajoko Yayi Suryo Prabandari Yoni Syukriani Zulfa Atabaki, Zulfa ‪Arlina Dhian Sulistyowati‬