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HUBUNGAN ANTARA KEJADIAN MULTI-DRUG RESISTANT TUBERCULOSIS (TB-MDR) TERHADAP PENDERITA DIABETES MELITUS Sirait, Debora; Pakpahan, Edwin; Tarigan, Juliyanti
Jurnal Kedokteran Methodist Vol. 12 No. 1 (2019): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Abstract

Background : Diabetes mellitus is a serious health problem that can increase the risk of active tuberculosis two to three times, which is poor blood sugar control and exposure to droplets so that it develops into Mycobacterium tuberculosis infection, which is the main cause. Mycobacterium tuberculosis can cause decreased cellular immunity and increased insulin resistance and decreased insulin production, which can lead to treatment failure and cases of relapse which can lead to the occurrence of Multi-drug resistant tuberculosis (MDR-TB). Methods : The research used literature review method using secondary data. Data were collected using documentation techniques. The research journals used are 7 journals, both national and international journals with a publication deadline for the last 5 years and use Indonesian and English. The inclusion criteria used in this study were multi-drug resistant tuberculosis (MDR-TB) patients with comorbid diabetes mellitus. Conclusion : There is an association between HbA1c levels, body mass index (BMI) and the patient's previous treatment history of the incidence of Multi-drug resistant tuberculosis (MDR-TB) and comorbid diabetes mellitus.
Needs Analysis of Redox Reaction E-Module Teaching Material Based on PjBL Integrated with Local Wisdom Pakpahan, Edwin; Silaban, Ramlan; Sianturi, Citra
Hydrogen: Jurnal Kependidikan Kimia Vol. 14 No. 1 (2026): February 2026
Publisher : Universitas Pendidikan Mandalika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/hjkk.v14i1.19587

Abstract

This study aims to identify the need for developing a redox reaction e-module based on Project-Based Learning (PjBL) integrated with ethnopedagogy in senior high school chemistry learning. The research addresses the gap between the Merdeka Curriculum’s emphasis on contextual, student-centered learning and the predominantly textbook-oriented instructional practices implemented in classrooms. A descriptive qualitative approach was employed at SMA Negeri 2 Percut Sei Tuan involving one chemistry teacher and 33 twelfth-grade students selected through purposive sampling. Data were collected through teacher interviews, student needs questionnaires, analysis of the Learning Objective Flow (ATP), and evaluation of existing textbooks using BSNP criteria. Quantitative data from questionnaires were analyzed using percentage calculations, while textbook feasibility was assessed using a five-point Likert scale. The findings indicate that 81.81% of students experience difficulties in understanding redox concepts, and learning remains largely expository and textbook-centered. Although the analyzed textbooks achieved a high feasibility score (89.36%, categorized as very suitable), they lack support for project-based, contextual, and ethnopedagogical integration. Furthermore, 96.96% of students expressed the need for interactive electronic learning media integrated with local wisdom. These results confirm the urgency of developing a structured e-module that aligns curriculum standards with active and culturally responsive learning. This study contributes theoretically by providing an empirical and systematic needs-analysis framework as a foundational basis for designing a PjBL-oriented redox e-module integrated with ethnopedagogy, addressing the limited research on culturally contextualized digital chemistry teaching materials.