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CASE-BASED LEARNING MENINGKATKAN CLINICAL REASONING PADA BLOK PENYAKIT INFEKSI TROPIS MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM INDONESIA Sulistyoningrum, Evy; Lusiyana, Novyan
Jurnal Penelitian Pendidikan Vol 35, No 2 (2018): Oktober 2018
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jpp.v35i2.15253

Abstract

Case-based learning (CBL) is a newer modality of teaching healthcare, combining medical theory and practices. Many researchs reported effectivity of CBL to improve student-centered learning. The aim of this study is to evaluate how CBL improved students’ clinical reasoning compared with other method such as problem-based learning. An interventional research involved 4th grade medical students receiving PBL and CBL methods supervised by a tutor or instructure. An alternative method combining CBL and structured role play (in an Integrated-Patient Management method) also performed using clinical scenario with medical practice setting. The result showed that student received CBL had better clinical reasoning indicated from better miniquizz result compared with PBL students (p < 0,05, Mann Whitney U test. Students exposed with CBL had final MCQ and essay exam grade compared with unexposed students. Students exposed with CBL also had better clinical skill indicated from Objective Structure Clinical Examination (OSCE) result (p < 0,05, independent t test). Students’ acceptance level on CBL method is 79, 4%. It is concluded that compared with PBL, CBL is more effective in improved students’ performance, learning outcomes and clinical reasoning and also had high acceptance among medical students.
CASE-BASED LEARNING MENINGKATKAN CLINICAL REASONING PADA BLOK PENYAKIT INFEKSI TROPIS MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM INDONESIA Sulistyoningrum, Evy; Lusiyana, Novyan
Jurnal Penelitian Pendidikan Vol 35, No 2 (2018): October 2018
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jpp.v35i2.15253

Abstract

Case-based learning (CBL) is a newer modality of teaching healthcare, combining medical theory and practices. Many researchs reported effectivity of CBL to improve student-centered learning. The aim of this study is to evaluate how CBL improved students’ clinical reasoning compared with other method such as problem-based learning. An interventional research involved 4th grade medical students receiving PBL and CBL methods supervised by a tutor or instructure. An alternative method combining CBL and structured role play (in an Integrated-Patient Management method) also performed using clinical scenario with medical practice setting. The result showed that student received CBL had better clinical reasoning indicated from better miniquizz result compared with PBL students (p 0,05, Mann Whitney U test. Students exposed with CBL had final MCQ and essay exam grade compared with unexposed students. Students exposed with CBL also had better clinical skill indicated from Objective Structure Clinical Examination (OSCE) result (p 0,05, independent t test). Students’ acceptance level on CBL method is 79, 4%. It is concluded that compared with PBL, CBL is more effective in improved students’ performance, learning outcomes and clinical reasoning and also had high acceptance among medical students.
SEGMENTASI MIKROFILARIA UNTUK DIAGNOSIS PENYAKIT KAKI GAJAH BERBASIS CITRA MIKROSKOPIS Izzati Muhimmah; Silvia Nurul Fata; Novyan Lusiyana
Teknoin Vol. 22 No. 10 (2016)
Publisher : Faculty of Industrial Technology Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/teknoin.vol22.iss10.art2

Abstract

Elephantiasis is a chronic disease (chronic) that could attack humans and animals, and causes a permanent disability if not immediately given treatment. Some filaria species in Indonesia include Wuchereria bancrofti, Brugia malayi, and Brugia timori. The main goal in the early treatment of people with this disease is to eradicate parasites or larvae that develop in the patient's body, so that the level of transmission can be reduced. To help identifying the type of microfilaria that develops in the body of the patient, the authors took the initiative to create a computer-assisted program that is expected to recognize microfilaria on peripheral blood preparation. In this case, there are 4 stages of analysis of the microscopic images, namely image readings, preprocessing, segmentation, and shape analysis to identity the microfilaria.
PURWARUPA SISTEM IDENTIFIKASI NYAMUK BERDASARKAN CITRA MIKROSKOPIS DIGITAL Izzati Muhimmah; Novyan Lusiyana; Rizky Eka Listanto; Ratri Agung Nugraheni
Teknoin Vol. 22 No. 11 (2016)
Publisher : Faculty of Industrial Technology Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/teknoin.vol22.iss11.art4

Abstract

The modeling of the proposed mosquito identification system is one of the efforts to support the efforts of the Indonesian people in handling zoonotic cases. The incidence of deaths caused by a disease that is naturally transmitted between animals and humans is still quite high. This group of zoonotic diseases include dengue hemorrhagic fever, leptospirosis, cikunguya, and so forth. In the stages of diagnosis, it is necessary to read and identify the type of vector that causes zoonotic disease through microscopic observation. This process is often not done because in this laboratory examination service is not available evenly at the clinic level. In addition, with various types of vectors that the number of variations is very much, needed a way to be able to recognize the vector easily and quickly. Therefore, the prototype of this mosquito identification system needs to be developed. The data used to test system modeling consists of digital microscopic images of mosquito preparations taken from the Parasitology Laboratory of the Faculty of Medicine, Islamic University of Indonesia. Lecturer coordinator of this Parasitology lab will serve as a resource in determining the characteristics of vector and also as a provider of ground truth in the testing phase of the system.
The Effect of Anticoagulant in Blood Meal Source on the Aedes aegypti Reproductive Ability in Laboratory Novyan Lusiyana; Budi Mulyaningsih; Sitti Rahmah Umniyati
Tropical Medicine Journal Vol 3, No 2 (2013): Tropical Medicine Journal
Publisher : Pusat Kedokteran Tropis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.018 KB) | DOI: 10.22146/tmj.5872

Abstract

ABSTRACTIntroduction: Aedes aegypti is one of the major vectors of dengue hemorrhagic fever (DHF) that can be reared in laboratory. Artificial membrane feeding (AMF) assay is used as a simulated host to blood feeding mosquitoes in laboratory.Objectives: The purpose of this study are to investigate the effect of heater and the most widely used anticoagulant of K3EDTA, heparin and sodium citrate on blood feeding sucsses, feeding rate, fecundity, hatchability, preadult development and survival rate of Aedes Aegypti colonies maintained by AMF system compared to direct human feeding.Methods: The system consisted of AMF with parafilm membrane which are warmed and not warmed by a waterbath. Human blood samples were used to feed Aedes aegypti using AMF. The number of eggs were counted seven days after feeding after mosquitoes laid the eggs. Every eggs were hatched in a 500 mL of rearing glass to evaluate the hatchability and preadult development. Survival rate is evaluated after blood feeding until 30 days. Data was analyzed using one-way ANOVA and paired t-tests and a p value <0.05 considered as significantly difference.Results: Blood feeding success of Aedes aegypti was not significantly differ when offered blood meal using anticoagulant heparin with heater (82.22%) compare to that of control groups (81.67%) (p=0.917). There was a significant difference in feeding rate (p=0.000), fecundity (p=0.000), hatchability (p=0.000) between groups. All results were higher in heparin than K3EDTA and sodium citrate, but in pre adult development and survival rate K3EDTA showed better result than that of control, heparin and sodium citrate groups. So this anticoagulant was acceptable for maintenance of laboratory colonies of Aedes aegypti.Conclusion: We conclude that heater can increase the blood feeding sucsses. The K3EDTA, heparin and sodium citrate can affect the feeding rate, fecundity, hatchability, and preadult development, but do not affect survival rate. Heparin can be used for routine colonization of laboratory strain of Aedes aegypti with  AMF assay.Keywords: Anticoagulants, artificial membrane feeding, reproductive ability, survival rate
Survei Entomologi, Kerentanan Aedes aegypti terhadap Insektisida Organofosfat, dan Identifikasi Gen VGSC di Dusun Malangrejo, Sleman, Yogyakarta novyan lusiyana; Siti Fitiah; Andrias Atmaja Putri; Muthia Tsabita Rahmi; Dian Maknalia Ilham
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 11 No 1 (2019): Jurnal Aspirator Volume 11 Nomor 1 2019
Publisher : Loka Litbang Kesehatan Pangandaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (864.029 KB) | DOI: 10.22435/asp.v11i1.438

Abstract

Upaya pencegahan dan pengendalian penyakit demam berdarah masih bergantung pada penggunaan insektisida untuk mengendalikan nyamuk vektor. Di Indonesia, penggunaan insektisida golongan organofosfat (temefos dan malation), dan piretroid merupakan kunci penting dalam pengendalian penyakit dengue. Penelitian ini bertujuan untuk menentukan status entomologi, kerentanan Ae. aegypti terhadap insektisida organofosfat dan identifikasi gen VGSC di Dusun Malangrejo, Yogyakarta. Jenis penelitian ini adalah observasional dengan desain cross sectional. Prosedur survei entomologi menggunakan teknik single larvae, uji hayati kerentanan Ae. aegypti terhadap insektisida organofosfat menggunakan teknik WHO (temefos), CDC (malation), biokimia, dan deteksi gen VGSC menggunakan metode PCR. Hasil penelitian ini menunjukkan bahwa bak mandi merupakan tempat perkembangbiakan potensial untuk Ae. aegypti. Status kerentanan Ae. aegypti terhadap temefos masih toleran (95,4%), sedangkan malation menunjukkan resisten (13,75%). Uji hayati dan uji biokimia menunjukkan potensi resistensi terhadap insektisida yang berkaitan dengan peningkatan aktivitas enzim esterase non spesifik. Deteksi gen VGSC menunjukkan hasil positif pada kedua gen yaitu (V1016G; S989P) dan F1534C. Untuk selanjutnya, penilaian status resistensi secara rutin dapat membantu pemerintah daerah untuk menetapkan kebijakan pengelolaan pengendalian vektor seperti dengan melakukan rotasi penggunaan insektisida guna mencegah perkembangan resistensi pada nyamuk Ae. aegypti.
Terapi Okupasi pada Orang dengan Skizofrenia (ODS) di Desa Sindumartani Yogyakarta Abdur Rafik; Yosi Febrianti; Novyan Lusiyana
E-Dimas: Jurnal Pengabdian kepada Masyarakat Vol 11, No 3 (2020): E-DIMAS
Publisher : Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/e-dimas.v11i3.5589

Abstract

Salah satu gejala umum skizofrenia adalah ketidakmampuan Orang dengan Skizofrenia (ODS) untuk bersosialisasi dan berinteraksi dengan lingkungan sekitar secara baik. Ketidakmampuan ini menyebabkan kognisi sosial ODS rendah dan berpotensi meningkatkan kadar kekambuhan pada ODS jika tidak ditangani secara baik. Oleh karena itu, berbagai intervensi sosial yang salah satunya melalui terapi okupasi perlu dilakukan guna membantu ODS menguatkan kognisi sosialnya. Pengabdian masyarakat ini dirancang dalam rangka memberikan terapi okupasi bagi ODS di Desa Sindumartani, Kecamatan Ngemplak, Yogyakarta. Terapi okupasi diberikan dalam bentuk pelatihan kewirausahaan dan pendampingan pembuatan aneka olahan bakso dan gorengan. Pasca pelatihan dan pendampingan, ODS dipilih untuk diberikan bantuan peralatan dan modal kerja untuk dimanfaatkan sebagai modal berusaha. Luaran akhir yang ingin dicapai dari pengabdian ini adalah meningkatnya pengetahuan dan keterampilan ODS dalam mengolah dan memasarkan olahan bakso dan gorengan, yang pada gilirannya diharapkan akan berdampak pada penguatan kognisi sosial mereka. Hasil evaluasi terhadap pelaksanaan kegiatan menunjukkan adanya peningkatan pengetahuan dan keterampilan ODS dalam membuat dan menghasilkan olahan bakso dan gorengan yang layak jual. Terapi okupansi dalam bentuk aktivitas lain perlu diinisiasi agar kognisi sosial ODS bisa ditingkatkan secara berkesinambungan.
Identifikasi Stadium Plasmodium Vivax untuk Penegakan Diagnosis Penyakit Malaria dengan Sistem Berbantuan Komputer Indri Dwi Febriani; Izzati Muhimmah; Novyan Lusiyana
AUTOMATA Vol. 2 No. 1 (2021)
Publisher : AUTOMATA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Penyakit malaria menjadi masalah kesehatan di seluruh dunia, termasuk Indonesia. Kesalahan diagnosis dan perawatan medis yang tidak tepat dapat berakibat fatal, seperti kematian pasien. Pemeriksaan mikroskopis masih menjadi standar penegakan diagnosis malaria. Tetapi metode pemeriksaan tersebut memakan waktu dan hasil akurasi diagnosisnya bergantung pada tingkat keahlian serta pengalaman dokter atau ahli patologi. Deteksi dini penyakit malaria diperlukan untuk menekan angka kematian pasien. Sejumlah penelitian berbasis pengolahan citra dikembangkan untuk mengidentifikasi parasit malaria secara otomatis. Penelitian ini bertujuan untuk mengusulkan metode pengolahan citra yang dapat digunakan untuk identifikasi stadium parasit malaria Plasmodium vivax. Berdasarkan citra mikroskopis sediaan darah, stadium Plasmodium vivax diidentifikasi dan diklasifikasikan menjadi trofozoit, skizon, dan gametosit. Metode yang digunakan pada penelitian ini di antaranya mengubah citra RGB ke kanal S (saturation) pada ruang warna HSV, lalu segmentasi dan operasi morfologi. Selanjutnya dilakukan ekstraksi fitur tekstur, ukuran, serta bentuk. Fitur-fitur yang didapatkan kemudian diseleksi dengan metode CSF dan untuk proses klasifikasinya digunakan metode Support Vector Machine (SVM). Hasil evaluasi pada 30 citra sediaan darah tipis menunjukkan bahwa metode yang diusulkan mendapatkan nilai akurasi sebesar 64%.
Identifikasi Stadium Plasmodium Ovale Penyebab Penyakit Malaria dari Apusan Darah Tipis dengan Sistem Berbantuan Komputer adelia sukma ardana; Izzati Muhimmah; Novyan Lusiyana
AUTOMATA Vol. 3 No. 1 (2022)
Publisher : AUTOMATA

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Abstract

Malaria merupakan penyakit yang ditularkan dari gigitan nyamuk Anopheles betina infektif yang menghisap darah manusia. Pada tahun 2016 World Health Organization (WHO) melaporkan terdapat 216 juta kasus di dunia dan tercatat 445.000 jiwa diantaranya meninggal. Parasit yang menyebabkan penyakit malaria adalah parasit dari genus Plasmodium yang terdiri dari empat jenis, yaitu: Plasmodium malaria, Plasmodium falciparum, Plasmodium vivax, dan Plasmodium ovale. Setiap jenis parasit tersebut akan melewati tiga stadium dalam hidupnya, yang terdiri dari stadium tropozoit, skizon dan gametosit. Masing-masing dari jenis dan stadium parasit memiliki gejala dan ketahanan yang berbeda-beda terhadap obat. Oleh karena itu, dibutuhkan diagnosis yang tepat untuk dapat mengidentifikasinya. World Health Organization (WHO) menyarankan untuk menggunakan metode yang disebut pengujian diagnosis berbasis parasit, contohnya adalah analisis mikroskopis. Namun, metode ini membutuhkan ahli mikroskopis yang berpengalaman dan berkompetensi. Diagnosis (CAD) dapat dilakukan untuk mendeteksi dini penyakit malaria. CAD merupakan sistem yang digunakan untuk membantu menginterpretasikan citra medis dalam waktu singkat dan meningkatkan hasil akurasi diagnosis. Pada penelitian ini dilakukan cara untuk mengidentifikasi Plasmodium ovale dengan metode thresholding dan mengklasifikasikan parasit plasmodium berdasarkan stadiumnya. Citra dari hasil akuisisi dilakukan ROI dengan cropping manual yang berukuran 200 x 200 piksel sebagai tahap preprocessing. Dari 30 citra parasit Plasmodium ovale terdapat tiga jenis stadium yang terdiri dari 20 citra tropozoit, 6 citra skizon, dan 4 citra gametosit. Fitur yang digunakan adalah fitur bentuk, ukuran dan tekstur. Pengelompokan dilakukan dengan metode J48 dan “cross validation” berjumlah 10 folds. Dari proses tersebut diperoleh nilai akurasi 63,3333% dengan total 19 citra tepat, 11 citra tidak tepat. Dari hasil akurasi tersebut dapat dilakukan pengelompokan perbandingan citra yang tepat atau tidak tepat dengan data berupa grafik.
Survei Entomologis dan Status Kerentanan Larva Aedes aegypti terhadap Insektisida Organofosfat di Desa Banguntapan Yogyakarta Novyan Lusiyana
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 15 Nomor 1 Juni 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1557.812 KB) | DOI: 10.22435/blb.v15i1.1780

Abstract

Aedes aegypti is a vector of many arboviruses. Information of the breeding site of this vector is important for preventing many diseases and for design intervention programs. This study was to determine the breeding place of Ae. aegypti, type of water-holding container and susceptibility for organophosphate insecticide in Banguntapan village. Design of this research was cross-sectional study that located in Banguntapan village from November 2016 until January 2017 on 400 houses. All water holding container that present in and around houses were inspected for the presence of Ae. aegypti with single larvae method. Susceptibility test using bioassay and biochemist test was applied on F1 generation larvae. Risk indicator of the entomological survey was the free larvae index (FLI), house index, container index and breteau index. A total 696 container were inspected, of which 149 containers were positive Ae. aegypti, with FLI 73%, HI 27%, BI of 33%, CI 18.14% and PI of 17.5%. The most common breeding habitats for larvae were bathtub, bucket, plant’s pot, birds drinking pot. Susceptibility status to temephos was susceptible, whiles for organophosphate insecticide was medium resistance. Banguntapan village was a high potential for arbovirus transmission and bathtub is the most potential breeding place for Ae. aegypti mosquitoes.