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Promoting Storytelling in Enhancing Health Vocational Students’ Speaking Achievement Wisnu Istanto; Diah Arumita Candra; Heni Heryani
Anglophile Journal Vol 2 No 1 (2021): Anglophile Journal
Publisher : CV. Creative Tugu Pena

Soft skills development requires the use of education media and forums. While storytelling may be used in competitions, media classes do not use it as a teaching media. Storytelling in the classroom hasn't been used to its fullest potential. English language proficiency can be improved through the use of digital storytelling, specifically on YouTube, by students. The study is intended to achieve similarities and discrepancies in the importance of the English-language achievement with general English and the implementation of digital storytelling. This study may be graded as an experimental investigation and classroom action research. This study employed cross-sectional research with independent speaking pre-test and post-test for experimental and control group design. Talking with storytelling therapy triggering different strategies is advised in experimental classes. It uses intervention research to change people's "talking," "doing" and "related practices". For the control group data combined with T-tests findings, a value of 0.417 has been achieved with an average value of -10.97436. In achieving speaking test outcomes, one may interpret that the treatment group has a more important meaning than the control group. The outcome of this study show that storytelling learning can help students at vocational health Level 2, more than the general English learning, achieve the high speaking achievement. Keywords: Promoting Storytelling, Speaking Achievement, Speaking Skill

PERBEDAAN KADAR KOLESTEROL HDL DAN KADAR KOLESTEROL TOTAL PADA PEROKOK AKTIF DENGAN PEROKOK PASIF YANG MENDERITA DIABETES MELITUS DI PUSKESMAS TANJUNGANOM KABUPATEN NGANJUK Hera Samudra, Sadgassusi; Haryanto, Edy; Arifin, Syamsul; Istanto, Wisnu
Analis Kesehatan Sains Vol. 10 No. 1 (2021): Analis Kesehatan Sains
Publisher : Politeknik Kesehatan Kementerian Kesehatan Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/anakes.v10i1.9

ABSTRACTCigarettes contain various harmful substances that can endanger health. One of them is nicotine which causeslipid metabolism disorders, including a decrease in HDL cholesterol levels and an increase in total cholesterollevels. Smoking habits in people with comorbidities such as diabetes mellitus can exacerbate existingdyslipidemia conditions. If not managed properly, it can cause complications that lead to increased mortality inpeople with diabetes mellitus. This study aims to determine the differences in HDL cholesterol and totalcholesterol levels in active smokers and passive smokers patients with diabetes mellitus at PuskesmasTanjunganom, Nganjuk Regency. This research uses observational study with a cross sectional approach whichwas conducted in January-May 2021 on 30 patients with diabetes mellitus at Puskesmas Tanjunganom, NganjukRegency, consisting of 15 active smokers and 15 passive smokers. Checking total cholesterol levels was carriedout at Puskesmas Tanjunganom, Nganjuk Regency. While the examination of HDL cholesterol levels wascarried out at UPT Labkesda, Nganjuk Regency. Based on the independent sample t-test statistical test, it wasfound that the p-value of difference HDL cholesterol levels in active smokers and passive smokers with diabetesmellitus was 0,000 and the difference total cholesterol levels in active smokers and passive smokers withdiabetes mellitus was 0.012. So it can be concluded that statistically there are differences in HDL cholesteroland total cholesterol levels in active smokers and passive smokers who suffer from diabetes mellitus atPuskesmas Tanjunganom, Nganjuk Regency.Keywords: Diabetes Mellitus; Cholesterol Levels; Active Smoker; Passive SmokerABSTRAK Rokok mengandung berbagai zat berbahaya yang dapat menggangu kesehatan. Salah satunya nikotin yangmengakibatkan gangguan metabolisme lipid antara lain penurunan kadar kolesterol HDL dan peningkatan kadarkolesterol total. Kebiasaan merokok pada orang dengan penyakit penyerta seperti diabetes melitus dapatmemperburuk kondisi dislipidemia yang sudah ada. Apabila tidak dikelola dengan baik dapat mengakibatkankomplikasi yang menyebabkan peningkatan mortalitas penderita diabetes melitus. Penelitian ini bertujuan untukmengetahui perbedaan kadar kolesterol HDL dan kolesterol total pada perokok aktif dengan perokok pasif yangmenderita diabetes melitus di Puskesmas Tanjunganom Kabupaten Nganjuk. Penelitian ini merupakan penelitanobservasional dengan pendekatan cross sectional yang dilakukan pada bulan Januari-Mei 2021 terhadap 30pasien penderita diabetes melitus di Puskesmas Tanjunganom Kabupaten Nganjuk yang terdiri atas 15 orangperokok aktif dan 15 orang perokok pasif. Pemeriksaan kadar kolesterol total dilakukan di LaboratoriumPuskesmas Tanjunganom Kabupaten Nganjuk. Sedangkan pemeriksaan kadar kolesterol HDL dilakukan di UPTLabkesda Kabupaten Nganjuk. Berdasarkan uji statistik independent sampel t-test diperoleh p-value perbedaankadar kolesterol HDL pada perokok aktif dengan perokok pasif penderita diabetes melitus sebesar 0,000 sertaperbedaan kadar kolesterol total pada perokok aktif dengan perokok pasif penderita diabetes melitus sebesar0,012. Sehingga dapat disimpulkan bahwa secara statistik terdapat perbedaan kadar kolesterol HDL dankolesterol total pada perokok aktif dengan perokok pasif yang menderita diabetes melitus di PuskesmasTanjunganom Kabupaten Nganjuk.Kata Kunci : diabetes melitus; kadar kolesterol; perokok aktif; perokok pasif

THE EFFECT OF DELAY IN TEMPERATURE VARIATIONS ON RESULTS OF GLUCOSE TEST IN DM PATIENTS WITH HYPERCHOLESTEROLEMIA Khotul Ula, Chori; Edy Haryanto, Edy Haryanto; Syamsul Arifin, Syamsul Arifin; Istanto, Wisnu
Journal of Vocational Health Studies Vol. 7 No. 1 (2023): July 2023 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V7.I1.2023.10-16

Background: The pre-analytic stage has the most significant contribution to error, which is 60% to 70%. This is an excellent contribution to the dependability of laboratory results. Delays in the examination often occur in the laboratory due to various factors influencing glucose examination outcomes. Purpose: To ascertain the effect of long delays in various temperatures on the results of plasma NaF and serum glucose tests in diabetes mellitus patients who have hypercholesterolemia. Method: Pre-test and post-test design used in a pre-experimental method. In the pretest, plasma NaF and serum glucose levels were checked immediately. In the posttest, the plasma NaF and serum samples were delayed for 4 and 8 hours at the temperature of the refrigerator (4°C) and room temperature (25°C). Result: The results of One-way ANOVA test analysis of the plasma NaF glucose level with an immediate examination, a delay of 4 and 8 hours at room temperature (25°C) showed no effect with a Sig. of 0.423 > 0.05. Plasma NaF glucose level with an immediate examination, 4 and 8 hours delay in refrigerator temperature (4°C) showed no effect with Sig. of 0.772 > 0.05. Serum glucose levels with an immediate examination, 4 and 8 hours delay at room temperature (25°C) showed no effect with a Sig. of 0.333 > 0.05. Serum glucose levels with an immediate examination, 4 and 8 hours delay in refrigerator temperature (4°C) showed no effect with a Sig. of 0.604 > 0.05. Conclusion: There was no effect of 4 hours and 8 hours of delay at the temperature of the refrigerator (4°C) and room temperature (25°C) on the results of NaF and serum glucose examinations in patients with diabetes mellitus who have hypercholesterolemia.

Promoting Storytelling in Enhancing Health Vocational Students’ Speaking Achievement Istanto, Wisnu; Candra, Diah Arumita; Heryani, Heni
Anglophile Journal Vol. 2 No. 1 (2021): Anglophile Journal
Publisher : CV. Creative Tugu Pena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51278/anglophile.v2i1.266

Soft skills development requires the use of education media and forums. While storytelling may be used in competitions, media classes do not use it as a teaching media. Storytelling in the classroom hasn't been used to its fullest potential. English language proficiency can be improved through the use of digital storytelling, specifically on YouTube, by students. The study is intended to achieve similarities and discrepancies in the importance of the English-language achievement with general English and the implementation of digital storytelling. This study may be graded as an experimental investigation and classroom action research. This study employed cross-sectional research with independent speaking pre-test and post-test for experimental and control group design. Talking with storytelling therapy triggering different strategies is advised in experimental classes. It uses intervention research to change people's "talking," "doing" and "related practices". For the control group data combined with T-tests findings, a value of 0.417 has been achieved with an average value of -10.97436. In achieving speaking test outcomes, one may interpret that the treatment group has a more important meaning than the control group. The outcome of this study show that storytelling learning can help students at vocational health Level 2, more than the general English learning, achieve the high speaking achievement. Keywords: Promoting Storytelling, Speaking Achievement, Speaking Skill

Validation and Reliability of Self-Efficacy English Learning of Health Vocational Students with Jigsaw Learning Strategy Istanto, Wisnu; Amelia, Noer; Anggoro, Sapto Dwi
Anglophile Journal Vol. 3 No. 1 (2023): Anglophile Journal
Publisher : CV. Creative Tugu Pena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51278/anglophile.v3i1.481

The purpose of this study was to put to the test a self-efficacy survey of four language skills (listening, speaking, writing, and reading) using the Jigsaw Learning Strategy. This study was a descriptive qualitative study in which 20 question items about self-efficacy and four language skills in English mastery for health vocational students are tested. This qualitative study was carried out in two classrooms with 39 health vocational students each from January 2021 to August 2022. Two classrooms were set up for the lecture group, one for Jigsaw and one for non-Jigsaw. Self-efficacy questionnaires were used to gather information. In the learning group, there were fourteen sessions totaling two hours, during which each class learned the same practice and comprehension material. Four language skills were worked on by the students. The questionnaire data was analyzed by the product moment to determine validity, and all were found to be valid with results greater than the value of the r table and less than 0.025. The reliability test results on questionnaire data revealed that the data were reliable or consistent. The Keiser-Meyers-Oklin Self-Efficacy Measure in the group of questions for all questionnaire items could be considered appropriate. The Measure of Sampling Adequacy results were also used to determine whether the self-efficacy variable was large enough for further analysis. The communality value was greater than 0.03, indicating a positive relationship between variables. Descriptive analysis, jigsaw classes respond better to self-efficacy surveys than non-jigsaw classes, implying increased self-confidence in the English learning process. Keywords: Jigsaw Learning Strategy, Self-Efficacy English Learning, Validation and Reliability

The Implementation of Jigsaw Methods in Enhancing English Language Comprehension among Health Polytechnic Students Amelia, Noer; Istanto, Wisnu; Edi-Krause, Sulistyaning; Anggoro, Sapto Dwi; Suemith, Merlissa
Anglophile Journal Vol. 3 No. 2 (2023): Anglophile Journal
Publisher : CV. Creative Tugu Pena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51278/anglophile.v3i2.844

The purpose of this research is to find out how much students at Health Polytechnic benefit from using Jigsaw techniques to better understand written English. In order to effectively communicate and understand medical principles and procedures, having a strong grasp of the English language is crucial in the healthcare industry. The study looked at how well 78 students from Poltekkes Kemenkes Surabaya learned using a Reading Proficiency test, traditional methods, and pre- and post-test experimental designs. It also used T-tests to look at the results. for a subset of the larger topic, which improves the group's ability to solve problems and make informed decisions. When students from different backgrounds have mastered a subject, they get together to share what they've learned and help each other out. The use of a group strategy not only leads to better overall comprehension, but also to the growth of interpersonal and communicative skills. The purpose of this research is to determine if teaching English using the Jigsaw method is effective for students at Health Polytechnics. The study will rely on statistical methods. Keywords: Jigsaw Method, Reading Proficiency, Cooperative Learning Strategy

Kolesterol dan Tekanan Darah Lansia di Posyandu Abiyoso Polkesbaya Christyaningsih, Juliana; Rusyadi, Luthfi; Minarti, Minarti; Mamik, Mamik; Pestariati, Pestariati; Mutiarawati, Diah Titik; Suliati, Suliati; Sasongkowati, Retno; Woelansari, Evy Diah; Suhariyadi, Suhariyadi; Istanto, Wisnu; Endarini, Lully Hanni; Museyaroh, Museyaroh
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 2 No 2 (2023): Jurnal Rakat Sehat: Pengabdian Kepada Masyarakat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jrs.v2i2.35

As people age, the physical state of the human body will gradually deteriorate due to a decrease in the quantity of cells present, leading to a gradual reduction in functionality referred to as the aging process. In elderly humans (aged more than 60 years) excessive cholesterol levels and high blood pressure are one of the causes of diseases such as heart disease which has been recognized by WHO as the number one cause of death in the world. The buildup of fatty deposits on the linings of blood vessels has the potential to lead to obstructions within the blood vessels. The objective of this initiative is to enhance understanding regarding the hazards associated with cholesterol. This outreach effort took place in July 2023, conducted at Posyandu Abiyoso, Surabaya Health Polytechnic. The activity consists of several processes 1). conducting a survey of the location of the Abiyoso posyandu of the Surabaya Health Polytechnic, 2). Opening registration and taking participants' personal data, 3) conducting participant health interviews, 4). Checking cholesterol levels and blood pressure of participants. From the community service activities carried out, it was found that 42 of the 65 (64.6%) participants who took part in the examination at the integrated service post had high cholesterol levels, and 60 of the 65 (92.3%) participants had high blood pressure or hypertension. By conducting health checks on cholesterol levels and blood pressure, there is an expectation that the society will come to realize and comprehend. the dangers of hypertension and hypercholesterolemia so that the community can prevent the occurrence of sustainable diseases.

KORELASI LEUKOSIT DAN IGM ANTI-SALMONELLA SEBAGAI PENUNJANG DIAGNOSIS PASIEN SUSPEK DEMAM TIFOID Ariyani, Ahna Fitri; Krihariyani, Dwi; Istanto, Wisnu; Suhariyadi, Suhariyadi
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 2 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i2.5826

ABSTRACT Typhoid fever is an infectious disease that remains prevalent in Indonesia and often presents with non-specific clinical symptoms, necessitating supportive diagnostic examinations. Two commonly used parameters are leukocyte count and anti-Salmonella typhi IgM serological testing using the rapid test method. This study aims to determine the correlation between leukocyte count and the results of the anti-Salmonella IgM rapid test in patients suspected of having typhoid fever as a diagnostic aid. This research employed an analytical observational method with a cross-sectional approach. A total of 32 out of 45 suspected typhoid fever patients were selected through purposive sampling at RSUD Dr. Sayidiman Magetan. Leukocyte counts were measured using an automated hematology analyzer, and IgM testing was performed using the immunochromatographic rapid test method. The results showed that 59.4% of patients had leukopenia, and only 21.9% tested positive for IgM. Spearman’s rank correlation test yielded a significance value (p) = 0.027 and a correlation coefficient (r) = 0.391, indicating a moderate and statistically significant correlation between the two variables. In conclusion, there is a significant positive correlation between leukocyte count and anti-Salmonella IgM results, suggesting that both tests can serve as complementary diagnostic tools for the early diagnosis of typhoid fever. ABSTRAK Demam tifoid merupakan penyakit infeksi yang masih sering dijumpai di Indonesia dan menimbulkan gejala klinis yang tidak spesifik, sehingga diperlukan pemeriksaan penunjang untuk membantu diagnosis. Dua parameter yang umum digunakan adalah jumlah leukosit dan uji serologis IgM anti-Salmonella typhi dengan metode rapid test. Penelitian ini bertujuan untuk mengetahui korelasi antara jumlah leukosit dan hasil rapid test IgM anti-Salmonella pada pasien suspek demam tifoid sebagai penunjang diagnosis. Penelitian ini menggunakan metode observasional analitik dengan pendekatan cross-sectional. Sampel sebanyak 32 pasien dari 45 pasien suspek demam tifoid yang diambil di RSUD Dr. Sayidiman Magetan secara purposive sampling. Pemeriksaan jumlah leukosit dilakukan dengan alat hematologi otomatis dan uji IgM dilakukan menggunakan metode rapid test imunokromatografi. Hasil penelitian menunjukkan bahwa 59,4% pasien mengalami leukopenia dan hanya 21,9% pasien yang menunjukkan hasil IgM positif. Uji korelasi Rank Spearman menunjukkan nilai signifikansi (p) = 0,027 dan koefisien korelasi (r) = 0,391, yang menunjukkan adanya hubungan yang cukup kuat dan signifikan secara statistik antara kedua variabel. Kesimpulannya, terdapat hubungan positif yang signifikan antara jumlah leukosit dan hasil IgM anti-Salmonella, sehingga keduanya dapat digunakan sebagai pemeriksaan penunjang yang saling melengkapi dalam diagnosis awal demam tifoid.

AKSI KOMPETENSI BERSAMA DI PANTI ASUHAN YAYASAN PEMELIHARAAN ANAK DAN BAYI PERMATA HATI SURAKARTA Pratiwi Hermiyanti; Wisnu, Nurwening Tyas; Ginarsih, Yuni; Mujayanto; Intiyati, Ani; Yunariyah, Binti; Widyastuti, Dwi Utari; Pratami, Evi; Maharrani, Titi; Mamik; Rokhmalia, Fitri; Husni, Ervi; Windi, Yohanes Kambaru; Sari, Ira Rahayu Tiyar; Istanto, Wisnu; Widarti, Luluk; Sumaningsih, Rahayu; Sulistyowati, Dwi Wahyu Wulan; Kusumaningtyas, Kharisma; Kasiati, Klanting; Setiawan; Sukesi; Rijanto; Triana, Wahyuningsih
Jurnal Ilmiah Tatengkorang Vol 7 No 1 (2023): Jurnal Ilmia Tatengkorang
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat, Politeknik Negeri Nusa Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54484/tkrg.v7i1.558

Panti Asuhan merupakan tempat pemeliharaan bagi anak dan bayi yang sengaja diserahkan dikarenakan orang tua mengalami kesulitan ekonomi atau bahkan tanpa orang tua. Yayasan Pemeliharaan Anak dan Bayi (YPAB) Permata Hati adalah salah satu Panti Asuhan yang memelihara anak dan bayi yang membutuhkan perlindungan dan pendidikan di Kota Surakarta. Pada masa pandemic covid-19, layanan kesehatan bagi anak dan bayi di YPAB Permata Hati jarang mendapatkan kunjungan dan pemeriksaan. Tujuan pengabdian masyarakat ini untuk membantu pelayanan kesehatan bagi anak dan bayi di YPAB Permata Hati Kota Surakarta dalam memantau pertumbuhan dan perkembangan serta status gizi. Metode pelaksanaan yang dilakukan berupa pemeriksaan tumbuh kembang anak dan status gizi, penyuluhan Perilaku Hidup Bersih dan Sehat, serta penyuluhan cara menyikat gigi yang benar. Hasil pemeriksaan status gizi dan tumbuh kembang anak dan bayi di YPAB Permata Hati Kota Surakarta terdapat 30 persen termasuk kurus dan 1 orang anak termasuk suspek perkembangan Denver II (lingkar kepala termasuk mikro). Penyuluhan Perilaku Hidup Bersih dan Sehat dan cara sikat gigi yang benar diikuti secara antusias oleh anak-anak YPAB Permata Hati Kota Surakarta Orphanages are places of care for children and babies who are handed over due to parents who are experiencing economic difficulties or even without parents. The Permata Hati Child and Infant Care Foundation (YPAB) is one of the orphanages that care for children and babies who need protection and education in the city of Surakarta. During the Covid-19 pandemic, health services for children and infants at YPAB Permata Hati rarely received visits and checks. The purpose of this community service is to help provide health services for children and infants at YPAB Permata Hati Surakarta City in monitoring growth and development as well as nutritional status. The implementation method used is in the form of examining children's growth and development and nutritional status, counseling on Clean and Healthy Behavior, as well as counseling on how to brush their teeth properly. The results of examinations on the nutritional status and development of children and infants at YPAB Permata Hati, Surakarta, found that 30 percent were underweight and 1 person was suspected of developing Denver II (head circumference including micro). Counseling on Clean and Healthy Behavior and how to brush your teeth was enthusiastically followed by YPAB Permata Hati Surakarta children

PERSENTASE KEBERHASILAN WAKTU PENUNDAAN PEMERIKSAAN SAMPEL DARAH EDTA PADA INDEKS ERITROSIT Sholihah, Irodatus; Krihariyani, Dwi; Istanto, Wisnu; Arifin, Syamsul
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v4i3.7061

A total of 70% of laboratory test results form the basis for medical decision-making. Approximately 61% of all laboratory errors are caused by pre-analytical procedures, including the length of time the test is delayed. K3EDTA is the anticoagulant used in this study. One important test for making a diagnosis is the assessment of erythrocyte indices. In this study, EDTA blood samples were evaluated immediately and after delays of two, four, and six hours to determine the success rate of erythrocyte index testing (MCV, MCH, and MCHC). This study used an analytical design and observational research methodology. Purposive sampling was used to identify 45 sixth-semester students from the Diploma Three program in Medical Laboratory Technology at the Surabaya Ministry of Health Polytechnic as the research population. This study was conducted in May 2025. The research data consisted of primary data obtained directly from laboratory test results. The data analysis techniques used were the Shapiro-Wilk normality test, homogeneity test, and parametric One-Way ANOVA test. The results of this study showed that delaying the EDTA blood sample examination did not affect the erythrocyte index values, with a success rate of 100%. ABSTRAKSebanyak 70% hasil pemeriksaan laboratorium menjadi dasar dalam pengambilan keputusan medis. Sekitar 61% dari semua kesalahan laboratorium disebabkan oleh prosedur pra-analitik, diantaranya adalah lama waktu penundaan pemeriksaan. K3EDTA adalah antikoagulan yang digunakan dalam penelitian ini. Salah satu tes penting untuk membuat diagnosis adalah penilaian indeks eritrosit. Dalam studi ini, sampel darah EDTA dievaluasi secara langsung dan setelah penundaan dua, empat, dan enam jam untuk menentukan tingkat keberhasilan pemeriksaan indeks eritrosit (MCV, MCH, dan MCHC). Penelitian ini menggunakan desain analitis dan metodologi penelitian observasional. Sampling purposive digunakan untuk mengidentifikasi 45 mahasiswa program Diploma Tiga jurusan Teknologi Laboratorium Medis semester keenam di Politeknik Kesehatan Kementerian Kesehatan Surabaya yang menjadi populasi penelitian. Penelitian ini dilakukan pada bulan Mei 2025. Data penelitian ini berupa data primer yang didapatkan langsung dari hasil pemeriksaan laboratorium. Teknik analisis data yang digunakan adalah uji normalitas menggunakan uji Shapiro-Wilk , uji homogenitas, dan uji parametrik One Away ANOVA. Hasil penelitian ini menunjukkan bahwa penundaan waktu pemeriksaan sampel darah EDTA tidak memengaruhi nilai indeks eritrosit, dengan tingkat keberhasilan mencapai 100%.

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