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Development of Edugame (Quartet Cards) Regarding Snacks for School Children (PJAS) At State Elementary School in Perhentian Raja Sub-District Kampar District Mustika Hana Harahap; Dida Akhmad Gurnida; Alamsyah Aziz
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.34953

Abstract

This study aims to develop learning media thorugh a game referred to as edugame, in this case is using quartet cards regarding snacks for school children. This was a development research (R&D) which referred to the ADDIE development model including 4 stages, namely: Analysis to analyze module development needs, Design of the product in the form of module, Development of the module which was further assessed for feasibility by material and media expert for improvement, Implementation of the module as learning and teaching material, and Evaluation as the result which indicated that edugame (quartet cards) was feasible to use. In fact, this study only reached the development process due to time and manpower limitations. The edugame development procedures included the stages of needs analysis, literature study, media selection, preparation of teaching materials, media design, product validation, and final product improvement. The study instruments used in this study were material validation questionnaire, media validation questionnaire and parental acceptance response questionnaire. It was found that according to material experts, the edugame (quartet cards) regarding healthy snacks for students (PJAS) was included in the “very good” category, both in the aspect of material quality and the aspect of material benefit. Furtehrmore, according to media expert, such edugane was included in the “good” category in terms of media quality, language use and media layout aspects. In addition, the acceptance response variable was included in the “Very good” category in terms of ease of use, attractiveness, and efficiency aspects. Thus, based on the results of the assessment results, it can be concluded that the edugame (quartet cards) regarding healthy snacks for students was feasible to use.
Reduced Left Ventricular Global Longitudinal Strain in Obese Adolescents Febrianda, Rilda Dwi; Hafsah, Tisnasari; Rahayuningsih, Sri Endah; Hakim, Dzulfikar Djalil Lukamnul; Kuswiyanto, Rahmat Budi; Apandi, Putria Rayani; Gurnida, Dida Akhmad
Althea Medical Journal Vol 13, No 1 (2026)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v13n1.4342

Abstract

Background: Obesity in adolescents is associated with early cardiac structural and functional alterations that may progress to ventricular dysfunction later in life. Two-dimensional speckle-tracking echocardiography (2D STE) enables early identification of subclinical ventricular dysfunction. Nevertheless, its application in the adolescents remains limited. This study aimed to assess differences in left ventricular (LV) function among well-nourished, overweight, and obese adolescents using 2D STE.Methods: A cross-sectional study was conducted among adolescents aged 15–18 years from five senior high schools in Bandung, Indonesia between June and August 2023. Participants were randomly categorized into well-nourished, overweight, and obese groups. Transthoracic echocardiographic using M-mode and 2DSTE was performed to evaluate LV function, particularly global longitudinal strain (GLS). Statistical analyses were performed using SPSS with significance defined as p<0.05.Results: Sixty adolescents were included, 65% were male with a mean age of 16.4±0.6 years. Conventional echocardiography showed no significant differences in systolic or diastolic function among groups. However, obese adolescents demonstrated significantly greater LV posterior wall thickness and larger LV and right ventricular basal volumes compared with other groups. GLS analysis revealed significantly reduced LV deformation in obese group compared with overweight and well-nourished groups (–20.0±1.9 vs. –22.3±1.4 vs. –22.7±1.9, respectively; p<0.001).Conclusion: Reduced LV GLS detected by 2D STE indicates early subclinical myocardial dysfunction in obese adolescents despite normal conventional echocardiographic findings. Early cardiovascular screening and lifestyle interventions, including balanced nutrition and regular physical activity, may help reduce future cardiometabolic risk.
Co-Authors Abdullah Ichsan Adhi Pribadi Akhmad Yogi Pramatirta, Akhmad Yogi Alamsyah Aziz Alex Chairulfatah Anas Subarnas Anggraini Alam Ari indra Susanti Aris Primadi Aziz, Muhammad Alamsyah Carla Pusparani Chin Annrie Eidwina Chin Annrie Eidwina, Chin Annrie Damayani, Ayi Diah Dany Hilmanto Dedi Rachmadi Deni Kurniadi Sunjaya Dewi Marhaeni Diah Herawati Dewi Marheini Diah Herawati Dicky Santosa Dwi Agustian Dzulfikar Djalil Lukmanul Hakim Dzulfikar Djalil Lukmanul Hakim Eddy Fadlyana Elsa Pudji Setiawati Erliana Ulfah Erwina Sumartini Febrianda, Rilda Dwi Fitria Nurwulansari Fransisca Sri Susilaningsih Fransisca Sri Susilaningsih Gaga Irawan Nugraha Galuhafiar Puratmaja Geraldo Laurus Giyawati Yulilania Okinarum Hadi - Susiarno Hadyana Sukandar Hadyana Sukandar Hakim, Dzulfikar Djalil Lukamnul Hani Hilda Kartika Heda Melinda Nataprawira Herri S. Sastramihardja Herry Garna Herry Herman Ichsan, Abdullah Ieva Baniasih Akbar Iis Rosita Insi Farisa Desy Arya Irna Sufiawati Irvan Afriandi Jusuf Sulaeman Effendi Jusuf Sulaeman Effendi Kusnandi Rusmil Kusteja, Nadya Fauzia Larasati, Putri Argi Laurus, Geraldo Lelani Reniarti Lia Faridah Lina Ferryana Melisa Lilisari Melsa Sagita Imaniar Mercy Amelia Mustika Hana Harahap Nanan Nur&#039;aeny Nanan Nur&#039;aeny Nanan Nur'aeny Nanan Sekarwana Novina Novina Nur Eva Aristina Nur'aeny, Nanan Nurfandi, Wendi Nurihsan, Achmad Juntika Nurul Auliya Kamila Nurwulansari, Fitria Oki Suwarsa Primadevi, Inggit Putria Rayani Apandi, Putria Rayani Rahmat Budi Kuswiyanto, Rahmat Budi Reni Ghrahani Rini Rossanti Ruswana Anwar Sembiring, Gaipyana Setyorini Irianti Siska Wiramihardja Siska Wiramihardja, Siska Siti - Damayanti Siti Aisyah Siti Nur Fatimah Siti Nur Fatimah Sri Endah Rahayuningsih Sri Endah Rahayuningsih Susiarno, Hadi Syarifah Prita Yulianty Syifa Rahma Septiani Tetty - Yuniati Tika - Lubis Tisnasari Hafsah, Tisnasari Tono Djuwantono Uni Gamayani Viiola Irene Winata Yesi Herawati Yudith Setiati Ermaya Zulmansyah , Zulmansyah