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Mengukur Kemampuan Kognitif Tingkat Tinggi dengan Pertanyaan Pilihan Ganda Zahra, Afifah Az; At-Taqiyyah, Alya Khonsa
Jurnal Pelita Nusantara Vol. 1 No. 4 (2024): Jurnal Pelita Nusantara : Kajian Ilmu Sosial Multidisiplin
Publisher : CV Global Research Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59996/jurnalpelitanusantara.v1i4.336

Abstract

Penelitian ini bertujuan mengetahui cara mengukur keterampilan kognitif dengan pertanyaan pilihan ganda tingkat tinggi potensi dan kendala, yang dimana keterampilan berpikir tingkat tinggi merupakan suatu keterampilan yang tidak hanya dengan membutuhkan kemampuan dalam mengingat, akan tetapi memerlukan kemampuan yang tingkatannya lebih tinggi lagi. penelitian ini merupakan penelitian pustaka dengan subjek penelitian kajian kepustakaan. maka Pertanyaan pilihan ganda tingkat tinggi melibatkan identifikasi hubungan antara metode, teknik, konsep, prinsip, teori, dll., menerapkan informasi pada situasi baru, membuat kesimpulan, dan membedakan informasi yang relevan dari informasi yang tidak relevan. Pertanyaan pilihan ganda sendiri memiliki beberapa potensi dan kendala diantara potensi tersebut ialah Mengukur Pemahaman Mendalam, Mendorong pemikiran Kritis, Mengembangkan Keterampilan Analitis, Mendorong Pemecahan Masalah, Menggali Multiple Intelligences, Persiapan untuk Pengujian Standardisasi. maka penerapan pertanyaan pilihan ganda tidak semata sebagai instrumen penilaian, tetapi juga sebagai instrumen pengajaran yang dapat merangsang pengembangan keterampilan kognitif tingkat tinggi.
Blast injury of the hand in a pediatric patient with open fracture: A case report Nugroho, Arie; Zahra, Afifah Az; Yahya, Taufik Nur
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 17, No 1, (2026)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol17.Iss1.art15

Abstract

Blast injuries can cause severe, multi-tissue damage, including open fractures and extensive lacerations. Management of pediatric hand blast injuries is particularly challenging due to a high risk of contamination and infection. We report the case of a 10-year-old boy who sustained a left-hand blast injury caused by a firecracker. The patient presented with a contaminated lacerated wound, active bleeding, tissue avulsion, and retained foreign bodies, accompanied by crepitus and cyanosis of the index finger. Initial management included debridement and irrigation. Surgical intervention consisted thorough debridement, exploration of tendon and neurovascular structure, and K-wires fixation of the index finger. Despite appropriate initial management, the patient developed chronic necrotic tissue infection, necessitating ray amputation of the index finger to control the infection. Further evaluation suggested that primary vascular disruption, exacerbated by contamination and infection, contributed to progressive necrosis, particularly at the metacarpophalangeal level. To prevent further infection spread and salvage overall hand function, repeated debridement followed by amputation at the metacarpophalangeal joint and removal of fixation wires was performed. Structured rehabilitation was subsequently initiated. Pediatric hand blast injuries represent complex traumatic conditions with a high risk of tissue necrosis. Early diagnosis and aggressive surgical management are essential; however, compromised tissue viability and severe infections may necessitate amputation as a limb-salvage strategy. This case underscores the importance of comprehensive management and highlights the need for improved community-based prevention efforts.
Maternal Risk Factors Associated with Neonatal Stunting: A Case–Control Study Rohhmah, Anita; Fitriyati, Yasmini; Zahra, Afifah Az; Rahmawati, Isna Arifah
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2465

Abstract

AbstractObjective: To identify maternal risk factors associated with neonatal stunting at Wonosari Hospital. Methods: A case–control study was conducted involving mothers who gave birth at Wonosari Hospital in 2023. Maternal sociodemographic characteristics (age, education, and occupation), nutritional status (body mass index and mid-upper arm circumference), and pregnancy-related factors (gestational age, gestational status, hemoglobin levels, blood pressure, pregnancy complications, and mode of delivery), as well as newborn length at birth, were obtained from medical records. Neonatal stunting was defined as a length-for-age z-score < ?2 SD according to World Health Organization (WHO) standards. Statistical analysis was performed using chi-square tests and multiple logistic regression. Results: A total of 154 participants were included, equally divided into case (stunted newborns) and control (non-stunted newborns) groups. Mothers with a lower educational level had significantly higher odds of delivering a stunted newborn (p= 0.010; aOR = 2.845; 95% CI = 1.286–6.293). Preterm birth was also associated with an increased risk of neonatal stunting (p= 0.033; aOR = 9.847; 95% CI = 1.210–80.152). In addition, pregnancy complications were significantly associated with higher odds of neonatal stunting (p = 0.020; aOR = 2.728; 95% CI = 1.171–6.352). Conclusion: Maternal factors, including low educational level, preterm birth, and pregnancy complications, were significantly associated with neonatal stunting at Wonosari Hospital. These findings underscore the importance of maternal education in neonatal health outcomes. Furthermore, close monitoring of fetal growth and nutritional status, along with appropriate management of pregnancy complications, may help reduce the risk of neonatal stunting. However, larger-scale studies are needed to assess the population-level impact of these factors. Keywords: neonatal, pregnancy complication, stunting.