Articles
Combination of Gabapentin and Vitamin B12 Compared with Gabapentin Monotherapy on Pain Improvement of Diabetic Neuropathy Patients
Mochamad Firdaus Bhuanaputra;
Alya Tursina;
Yuktiana Kharisma
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung
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DOI: 10.29313/gmhc.v8i1.3676
Diabetic neuropathy is the most common microvascular complication of diabetes mellitus (DM) occurring in 60–70% of the world's DM population, 40% of the DM population in Asia, and 41% of the DM population in Indonesia. The primary treatment of diabetic neuropathy pain in Indonesia is gabapentin and vitamin B12. The study aimed to compare pain improvements in diabetic neuropathy patients. The drug used was a combination of gabapentin and vitamin B12 and gabapentin monotherapy. For the pain degree measurement, we used the visual analogue scale (VAS). This experimental study was a pretest-posttest randomized control trial using a single-blind method at Dr. M. Salamun Air Force Hospital Bandung from March to May 2017. Samples were 44, type two diabetic neuropathy patients. The Mann-Whitney test to compare pain improvement between 2 groups applied. The results indicated there were differences in pain improvement between diabetic neuropathy patients with gabapentin and vitamin B12 combination compare to gabapentin monotherapy (p=0.002). This result showed a synergistic effect of gabapentin as an inhibitor of neurotransmitter and vitamin B12 expenditure as an improvement in peripheral nerve cells. This study concluded that gabapentin and vitamin B12 combination is better in improving pain in diabetic neuropathy patients compared to gabapentin monotherapy. KOMBINASI GABAPENTIN DAN VITAMIN B12 DIBANDING DENGAN MONOTERAPI GABAPENTIN TERHADAP PERBAIKAN NYERI PASIEN NEUROPATI DIABETIKNeuropati diabetik merupakan komplikasi mikrovaskular terbanyak diabetes melitus (DM) yang terjadi pada 60–70% populasi DM di dunia, 40% populasi DM di Asia, dan 41% populasi DM di Indonesia. Pengobatan utama nyeri neuropati diabetik di Indonesia adalah gabapentin dan vitamin B12. Tujuan penelitian ini membandingkan perbaikan rasa nyeri pada pasien neuropati diabetik. Obat yang diberikan adalah kombinasi gabapentin dan vitamin B12 serta monoterapi gabapentin. Pengukuran tingkat nyeri menggunakan visual analogue scale (VAS). Penelitian eksperimental ini adalah pretest-posttest randomized control trial dengan menggunakan metode single-blind yang dilakukan di RSAU Dr. M. Salamun Bandung dari bulan Maret hingga Mei 2017. Sampel berjumlah 44 jenis, dua pasien neuropati diabetik. Sampel berjumlah 44, pasien neuropati diabetik tipe dua. Uji Mann-Whitney dilakukan untuk membandingkan perbaikan nyeri antara 2 kelompok perlakuan. Hasil penelitian menunjukkan terdapat perbedaan perbaikan rasa nyeri pasien neuropati diabetik yang diberi pengobatan kombinasi gabapentin dan vitamin B12 dibanding dengan monoterapi gabapentin (p=0,002). Hasil ini menunjukkan efek sinergis gabapentin sebagai inhibitor neurotransmiter dan vitamin B12 yang berfungsi memperbaiki sel saraf tepi. Simpulan penelitian ini adalah pengobatan kombinasi gabapentin dan vitamin B12 lebih baik dalam memperbaiki rasa nyeri pada pasien neuropati diabetik dibanding dengan gabapentin saja.
Friedman Tongue Position with the Obstructive Sleep Apnea Syndrome (OSAS) Correlation on Patient with Ischemic Stroke
Yuniarti Yuniarti;
Alya Tursina;
Shenny Dianathasari Santoso;
Ahda Febiyanti;
Putri Adinie Esca Nissa
Global Medical & Health Communication (GMHC) Vol 7, No 2 (2019)
Publisher : Universitas Islam Bandung
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DOI: 10.29313/gmhc.v7i2.3359
Stroke is the number one cause of disability in the world. Sleep disturbances exacerbate post-stroke disabilities in addition to physical disorders. Sleep disorder breathing (SDB), especially obstructive sleep apnea syndrome (OSAS) is the most commonly found in stroke patients (more than 50%). Sleep disorders in patients with ischemic stroke may occur because of obstruction in the upper airway. To facilitate the assessment of the upper airway, Friedman set up a standard naso-velo-oropharyngeal examination area. There are four degrees of Friedman tongue position. This check can predict the presence or absence of OSAS. Obstructive sleep apnea syndrome can be assessed using STOP-BANG questionnaire, an instrument designed to rapidly detect obstructive sleep apnea (OSA) disorder, with an indication of score 5–8 is high-risk, 3–4 is moderate-risk, and 0–2 is low-risk. The method of this study was observational with cross-sectional design in acute phase ischemic stroke patient based on head CT-scan in RSAU dr. M. Salamun Bandung from August–December 2016. Statistical analysis using non-parametric Kruskal-Wallis test and Spearman's rank correlation test. The total subjects of this study were 38 people. The results showed that there was a significant relationship between Friedman tongue position and OSAS in stroke patients at RSAU dr. M. Salamun with p value=0.007. In conclusion, the tongue is an important anatomical structure in OSA patients, so evaluation of the position of the tongue is important to predict the severity of OSA. HUBUNGAN DERAJAT FRIEDMAN TONGUE POSITION DENGAN KEJADIAN OBSTRUCTIVE SLEEP APNEA SYNDROME (OSAS) PADA PENDERITA STROK ISKEMIKStrok merupakan penyebab disabilitas nomor satu di dunia. Disabilitas pascastrok selain gangguan fisik diperburuk dengan gangguan tidur. Sleep disorder breathing (SDB) terutama obstructive sleep apnea syndrome (OSAS) paling sering ditemukan pada pasien strok (lebih dari 50%). Gangguan tidur pada penderita strok iskemik dapat terjadi karena obstruksi pada saluran napas atas. Untuk memudahkan penilaian saluran napas atas, Friedman membuat standar pemeriksaan daerah naso-velo-orofaring. Terdapat empat derajat Friedman tongue position. Pemeriksaan ini dapat memprediksi ada tidaknya OSAS. Obstructive sleep apnea syndrome dapat dinilai menggunakan STOP-BANG questionnaire, suatu instrumen yang dibuat untuk dapat secara cepat mendeteksi obstructive sleep apnea (OSA), dengan indikasi skor 5–8 risiko tinggi, 3–4 risiko sedang, dan 0–2 risiko rendah. Metode penelitian ini adalah observasional dengan rancangan cross-sectional pada pasien strok iskemik fase akut berdasar atas hasil CT-scan kepala di RSAU dr. M. Salamun pada Agustus–Desember 2016. Analisis statistik menggunakan uji nonparametrik Kruskal-Wallis dan uji korelasi rank Spearman’s. Total subjek penelitian 38 orang. Hasil penelitian menunjukkan bahwa terdapat hubungan bermakna antara derajat Friedman tongue position dan kejadian OSAS pada pasien strok di RSAU dr. M. Salamun dengan nilai p=0,007. Simpulan, lidah merupakan struktur anatomi yang penting pada pasien OSA sehingga evaluasi posisi lidah penting untuk memprediksi tingkat keparahan OSA.
Aplikasi Desktop Perhitungan Biaya Pembuatan Gerobak Alumunium CV. Mitra Alumunium
M. Sofjan;
Tumiran Tumiran
JURNAL SISFOTEK GLOBAL Vol 5, No 2 (2015): JURNAL SISFOTEK GLOBAL
Publisher : Institut Teknologi dan Bisnis Bina Sarana Global
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DOI: 10.38101/sisfotek.v5i2.86
Saat ini sering kita temui para pedagang terutama pedagang makanan yang menggunakan gerobak aluminium dengan berbagai model dan ukuran. Banyaknya minat penggunaan gerobak aluinium sekarang ini menjadikan perusahaan yang membuat gerobak aluminium menjadi peluang untuk terus berkebang dan mendapat banyak pesanan pembuatan gerobak dari para pengusaha franchise tersebut dan CV Mitra Aluminium adalah salah satu perusahaan yang membuat gerobak aluminium. Pesatnya perkembangan usaha pembuatan gerobak ini ternyata tidak dibarengi dengan pengelolaan dan perhitungan biaya pembuatan gerobak tersebut. Perusahaan masih menggunakan sistem yang manual dengan menggunakan buku besar dan menggunakan Microsoft Office (Word dan Exel). Berbagai permasalahan akibat penggunaan sistem yang manual ini mengakibatkan perusahaan sulit mengetahui harga bahan baku yang akan digunakan, sulit menghitung biaya pembuatannya, sulit menetapkan harga jual, sulit mengelola data-data dan transaksi dengan cepat dan sulit untuk menyimpan dan menggunakan kembali data yang diperlukan. Metode penelitian tentang perhitungan biaya pembuatan gerobak aluminium ini pertama-tama dilakukan dengan metode pengumpulan data yaitu dengan cara wawancara, observasi dan studi pustaka. Tahap kedua adalah metode perancangan sistem dengan menggunakan UML Diagram (Use Case Diagram, Activity Diagram, Sequence Diagram, Class Diagram), perancangan basis data dan kemudian perancangan menu antarmuka. Tahap ketiga yaitu implementasi dan pengujian unit dengan menggunakan Visual Basic 6.0. Tahap keempat metode testing dengan Black Box Test. Dari penelitian yang dilakukan dihasilkan Aplikasi Perhitungan Biaya Pembuatan Gerobak Aluminium Berbasis Desktop. Aplikasi ini memiliki menu master data, menu transaksi dan menu laporan yang dapat digunakan dalam mengelola bisnis bagi CV. Mitra Aluminium.
Pelatihan pemeriksaan payudara sendiri (Sadari) dalam upaya pemberdayaan masyarakat di Dusun Nyamplung lor Balecatur Gamping Sleman
Suyani Suyani;
Sri lestari
Masyarakat Berdaya dan Inovasi Vol. 2 No. 2 (2021): Oktober
Publisher : Research and Social Study Institute
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DOI: 10.33292/mayadani.v2i2.63
Masih kurangnya pengetahuan masyarakat terhadap pengetahuan tentang SADARI (Periksa Payudara Sendiri). Masyarakat Nyamplung Lor Masih kental dengan budaya bahwa jika melakukan pemeriksaan akan ketahuan penyakitnya, Kehidupan masyarakat yang masih belum sadar akan pentingnya deteksi dini kanker payudara, Peran serta masyarakat masih kurang. Dengan masalah tersebut kegiatan yang kami lakukan adalah dengan mengadakan penyuluhan dan pelatihan terkait deteksi dini pada kanker payudara yaitu SADARI. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan tentang SADARI. Metode pelaksanaanya terbagi menjadi beberapa tahap yaitu tahap pertama koordinasi awal yaitu melakukan pendataan terkait jumlah anggota PKK yang ada di mitra melalui diskusi dengan pengurus PKK Nyamplung Lor. Tahap kedua Persiapan atau perencanaan terkait program. Menyusun media berupa leaflet dan video yang berisi tentang SADARI, selain itu menyusun waktu pelaksanaan program dimana mitra berperan menentukan jadwal kegiatan. Tahap ketiga pelaksanaan, Tahap keempat Evaluasi dilakukan setelah pelaksanaan program kegiatan. Hasil dari kegiatan pengabdian yang dilakukan pada bulan Agustus 2021 dengan peserta wanita usia subur (WUS) anggota PKK berjumlah 35 peserta. Pelaksanaan kegiatan penyuluhan dan pelatihan pemeriksan SADARI berjalan dengan lancar. Luaran kegiatan ini adalah memberdayakan peserta dengan meningkatkan pengetahuan tentang SADARI. Kesimpulan diharapkan ibu-ibu PKK dapat melakukan deteksi dini untuk kanker payudara dengan melakukan SADARI.
ANALISIS MEKANISME IZIN PEMASANGAN REKLAME DIKANTOR PELAYANAN PERIZINAN TERPADU KOTA MEULABOH
Alimas Jonsa;
Khairul Azwar
SOURCE : Jurnal Ilmu Komunikasi Vol 3, No 2 (2017): Source Jurnal Ilmu Komunikasi Volume 3 Nomor 2 Oktober 2017
Publisher : Universitas Teuku Umar
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DOI: 10.35308/source.v3i2.645
The purpose of this research is to know the licensing mechanism to install billboards, to knowwhat constraints faced by the Office of Integrated Licensing Service (KPPT) in licensing to installbillboard and to know the strategy of supervision on the implementation of advertisement byKPPT in West Aceh regency. The method used in this research is descriptive research methodwith qualitative approach. Selection of informants in this study carried out by purposive samplingmethod is a technique of sampling data sources with certain considerations. The informants inthis study were Head of Program and Information (KPPT), Petitioner of License (Public),Regional Financial Management and Wealth Official (Additional Informant) and Satpol PP(Additional Informant) with total of informant ie 7 people who made sample in this research .Based on the results of research indicate that the service procedure at KPPT when viewed fromthe aspect of simplicity, clarity and certainty of requirements as well as details of retribution fee(Tax), legal certainty, responsibility, completeness of facilities and infrastructure and ease ofaccess. Obstacles faced by the KPPT, among others, due to the large number of people who takecare of the billboard permit and the society did not complete the requirements requested so thatthe process of issuing the permit to establish a billboard become obstructed. Strategy ofsupervision on the implementation of advertisements is to follow up unlicensed billboards.Keywords: Analicys, Installation Permit Mechanism Billboards, KPPT.
Intention to Use E-wallet Dilihat dari Perceived Usefulness, Perceived Ease of Use, Perceived Security, dan Trust
Endah Pri Ariningsih;
Wijayanti Wijayanti;
Mahendra Galih Prasaja
Jurnal Maksipreneur Vol 11, No 2 (2022)
Publisher : Universitas Proklamasi 45
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DOI: 10.30588/jmp.v11i2.916
Currently, the lifestyle of modern society is changing, due to the support of increasingly sophisticated technology. Technology makes it easy for users to carry out various activities very easily. One form of this technology is the smartphone, it’s a multifunctional tool that can replace various products and functions in one hand. In addition to entertainment, smartphones are also used for work, and even make financial transactions very easily. However, risks can occur with the existence of these advanced technologies. Perceptions of the ease of use of technology and consumer confidence can reduce the risks faced. This study uses an e-wallet object for further analysis. The purpose of this study was to determine the factors that influence the intention to use the e-wallet. The sample of this study was young people, from 300 students who were determined by quota sampling technique, while the research instrument used a questionnaire that was tested for validity and reliability before data analysis. A multiple linear regression analysis methods was used to test the hypothesis proposed in this study. The results of this study indicate that perceived usefulness, perceived ease of use, and trust have a significant and positive effect on the intention to use the e-wallet, while perceived security has no significant effect.
Penguatan Karakter Pancasilais terhadap Pemuda Melalui Program Leadership Camp: Studi Kuantilatif
Palupi Lindiasari Samputra;
Muhammad Akbar Satrio
Societas Dei: Jurnal Agama dan Masyarakat Vol 8 No 2 (2021): Agama dan Keamanan
Publisher : Reformed Center for Religion and Society
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DOI: 10.33550/sd.v8i2.229
The human character of Pancasila which is based on faith in God. This research aims to identify the nationalist character produced through the Leadership Camp program, measure the level of nationalism character education, and analyze the strategies carried out by the mosque youth organizations at the Al Azhar Youth Leadership Institute in strengthening the nationalist character of youth. The quantitative method with the type of survey to 100 respondents uses EFA and the nationalism character education index. According to students in the Leadership Training, the nationalist leadership they get is integrity, cooperation, character, nationalism, devotion to worship, and independence. Religious nature consists of morals and obedience to worship. The nationalist Character Education index calculation is 92.51%, which means that the program classifies as a high portion of the nationalism character education learning. The best strategy that AYLI can choose is consistency with a program that is already running well.
Service Culture Chain: Increasing Public Satisfaction
Aldri Frinaldi;
Muhamad Ali Embi;
Aziza Bila
Iapa Proceedings Conference 2019: Proceedings IAPA Annual Conference: Theme 1
Publisher : Indonesian Association for Public Administration (IAPA)
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DOI: 10.30589/proceedings.2019.219
Job Satisfaction is a cognitive assessment of an employee's effective evaluation of work. Employee satisfaction at work must be the main thing to be realized before satisfaction service is provide to customer. Employee who have good satisfaction at work will give a good performance, because job satisfaction is results of assessmet of employee performance toward job quality. Employee are inseparable from work culture of organization. Therefore, to improve value and image of organization, a service culture is needed to increase work satisfaction. This research uses quantitative methods with survey strategy. Determination of respondent using total sampling techniques. While data were collected using a questionnaire instrument that was valid and reliable. The collected data was processed used IBM SPSS application version 20.0. Analysis of research data was used path analysis. This study found that work culture have direct and indirect effects on job satisfaction of employee in Health Office of Pariaman City.
Pengembangan Buku Cerita Rakyat Sumbawa: “Lalu Dia Lala Jinis” Dalam Mata Pelajaran Bahasa Indonesia
Sunia Tri Putri;
Moh. Irawan Zain;
Safruddin
Journal of Classroom Action Research Vol. 4 No. 2 (2022): Mei
Publisher : Program Studi Magister Pendidikan IPA, Universitas Mataram
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DOI: 10.29303/jcar.v4i2.1665
This research and development was carried out against the background of the reality on the ground that there were no local wisdom-based textbooks, especially Sumbawa folklore, which were in accordance with the competencies to be achieved. In the conditions of people's lives that are experiencing a moral crisis, literature can actually be used as a 'helper' because learning literature besides being able to help students love to read and write, can also be used as a means to improve students' personalities. This study aims to describe the validity of the Sumbawa folklore book model "Lalu Dia Lala Jinis", determine the legibility of Sumbawa folklore books, and determine the feasibility of the Sumabawa folklore book "Lalu Dia Lala Jinis" in class students at SDN Brang Biji. The research method used in the research is research and R&D (Research and Development) with the ADDIE development model design. The steps for developing the ADDIE model include the stages of Analysis, Design, Development, Implementation, Evaluation. Data collection methods used in the form of questionnaires and study documentation. The subject of this research is the fifth grade students of SDN Brang Biji, Sumbawa Regency. The validity test of folklore books was carried out by two media experts and material experts. The legibility test of folklore books was carried out by fifth graders at SDN Brang Biji. The results showed that the Sumbawa folklore book "Then Dia Lala Jinis" was feasible and effective to be used as a learning medium, as seen from the results of media expert validation getting a percentage of 92%, material expert validation getting a percentage of 82%, and student responses to the use of the book getting percentage 98%.
Pengaruh Permainan Benteng terhadap Kemampuan Gerak Dasar Lari pada Pembelajaran Pendidikan Jasmani Olahraga dan Kesehatan Siswa Kelas IV SDN 2 Lendang Kunyit
Juan Haerul Rizal;
Safruddin;
Nurul Kemala Dewi
Journal of Classroom Action Research Vol. 4 No. 2 (2022): Mei
Publisher : Program Studi Magister Pendidikan IPA, Universitas Mataram
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DOI: 10.29303/jcar.v4i2.1695
Gerak dasar lari merupakan gerak dasar lokomotor yang perlu dikembangkan di sekolah dasar. Berdasarkan pengamatan yang dilakukan peneliti di SDN 2 Lendang Kunyit kemampuan gerak dasar lari siswa masih rendah dan mengakibatkan nilai pembelajaran pendidikan jasmani olahraga dan kesehatan menjadi ikut rendah. Hal ini dikarenakan siswa kurang meminati pembelajaran gerak dasar lari karena tidak menggunakan metode yang tepat. Penelitian ini bertujuan untuk mengetahui pengaruh permainan benteng terhadap kemampuan gerak dasar lari pada pembelajaran pendidikan jasmani olahraga dan kesehatan siswa kelas IV SDN 2 Lendang kunyit. Penelitian ini merupakan penelitian eksperimen dengan pre-eksperimental design tipe one group pretest-posttest design. Adapun hasil analisis data menggunakan uji dependent t-test memperoleh nilai Sig (2-tailed) yakni sebesar 0,000 < 0,05. Jika nilai signifikansi (P < 0,05) maka data memiliki perbedaan yang signifikan. Sehingga dapat disimpulkan bahwa hasil uji menunjukkan terdapat perbedaan yang signifikan antara selisih pretest dan posttest. Hasil uji hipotesis tersebut menunjukkan H0 ditolak dan Ha diterima, artinya terdapat pengaruh permainan benteng terhadap kemampuan gerak dasar lari pada pembelajaran pendidikan jasmani, olahraga, dan kesehatan siswa kelas IV SDN 2 Lendang Kunyit.