Universitas Sriwijaya (UNSRI): E-Journal
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    PENGARUH STADIUM KANKER PAYUDARA TERHADAP DERAJAT NYERI DAN KUALITAS HIDUP PASIEN KANKER PAYUDARA DI RSU. HAJI MEDAN

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    ABSTRAK Kanker payudara terjadi karena pertumbuhan sel-sel payudara yang tidak dapat terkendali. Salah satu gejala klinis pada pasien kanker adalah rasa nyeri yang dapat mempengaruhi sekitar 66% pada penderita kanker. Rasa nyeri tersebut dapat terjadi akibat infiltrasi tumor itu sendiri ataupun efek dari pengobatan kemoterapi dan radioterapi. Rasa nyeri juga dapat meningkat ketika kanker payudara berkembang ke stadium yang lebih tinggi. Rasa nyeri tersebut dapat mengganggu aktivitas fisik, menghambat kegiatan sehari-hari, mengganggu kebiasaan tidur dan makan. Hal tersebut dapat menurunkan kualitas hidup seseorang. Penelitian ini bertujuan untuk mengetahui penngaruh stadium kanker terhadap derajat nyeri dan kualitas hidup pasien kanker payudara. Jenis penelitian ini adalah analitik dengan desain cross sectional. Sampel pada penelitian adalah seluruh pasien yang telah didiagnosis kanker payudara. Pengukuran derajat nyeri menggunakan kuesioner Brief Pain Inventory Short Form(BPI-SF) dan pengukuran kualitas hidup menggunakan kuesioner European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ - C30). Dari 50 responden didapati rata-rata usia 37 tahun dan telah berada di stadium lanjut. Hasil dari uji fisher exact didapati pengaruh stadium kanker dengan derajat nyeri (p <0,05) dan juga didapati hasil stadium kanker dengan kualitas hidup ( p <0,05). Terdapat pengaruh stadium kanker terhadap derajat nyeri dan kualitas hidup pasien kanker payudara Kata kunci: kanker payudara, derajat Nyeri, kualitas hidup ABSTRACT The Effect Of Breast Cancer Stadium On Pain Degree And Quality Of Life Of Breast Cancer Patients In RSU Haji Medan. Breast cancer occurs due to uncontrolled growth of breast cells. One of the clinical symptoms in cancer patients is pain which can affect around 66% of cancer patients. This pain can occur due to tumor infiltration itself or the effects of chemotherapy and radiotherapy treatment. Pain can also increase when breast cancer progresses to a higher stage. This pain can interfere with physical activity, hinder daily activities, interfere with sleeping and eating habits. This can reduce a person's quality of life. This study aims to determine the effect of cancer stage on the degree of pain and quality of life of breast cancer patients. This type of research is analytic with a cross-sectional design. The sample in this study were all patients who had been diagnosed with breast cancer. Measuring the degree of pain used the Brief Pain Inventory Short Form (BPI-SF) questionnaire and measuring the quality of life used the European Organization for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ - C30). Of the 50 respondents, it was found that the average age was 37 years and was in an advanced stage. The results of the Fisher's exact test found the effect of cancer stage on the degree of pain (p <0.05) and found the results of cancer stage with quality of life (p <0.05). There is an effect of cancer stage on the degree of pain and quality of life of breast cancer patients.Keywords: breast cancer, degree of pain, quality of life

    PERAN DULOXETINE DALAM KOMORBID NYERI DAN DEPRESI KRONIK

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    AbstrakNyeri merupakan keluhan yang paling sering membawa pasien untuk mencari dokter. Nyeri kronik biasanya didefinisikan sebagai nyeri intermiten atau persisten yang berlangsung lebih dari 3 bulan. Nyeri kronik merupakan beban sosial maupun finansial baik bagi individu maupun negara. Nyeri kronik merupakan salah satu faktor penting yang menentukan adanya depresi. Hubungan dua arah komorbiditas nyeri kronik dan depresi sudah diketahui dengan baik, akan tetapi manajemen klinisnya sampai saat ini masih merupakan tantangan tersendiri. Pembahasan tentang duloxetine untuk manajemen komorbiditas nyeri kronik dan depresi masih belum diketahui dengan baik. Makalah kami akan membahas tentang duloxetine untuk manajemen komorbiditas nyeri kronik dan depresi.Kata Kunci: nyeri kronik, depresi, faktor risiko, SNRI. AbstractPain is the most common complaint making patients seeking the doctor. Chronic pain is usually defined as any intermittent or persistent pain that lasts more than 3 months. Chronic pain is a social and financial burden for both individuals or country. Chronic pain is one of the critical factors for determining depression. The bidirectional relationship between depression and chronic pain is well-recognized, but their clinical management remains challenging. The discussion about duloxetine for the management of comorbid chronic pain and depression is still not well understood. Our paper will discuss duloxetine for the management of comorbid chronic pain and depression.Keywords: chronic pain, depression, risk factors, SNRIs

    KADAR GLUKOSA Mus musculus MODEL DIABETES DENGAN PERLAKUAN BEBERAPA JENIS MAKANAN LOKAL

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    Abstrak Penatalaksanaan penyakit diabetes bertujuan untuk mengendalikan kadar glukosa. Pengendalian dapat dilakukan bersama dengan adaptasi gaya hidup dan pola makan. Penerapan diet yang salah dapat memperburuk kondisi penderita diabetes. Terdapat beberapa temuan di wilayah kerja puskesmas taniwel dimana pasien beranggapan bahwa beras subsidi dan beberapa jenis makanan lokal memiliki kadar glukosa yang rendah, sehingga dapat dikonsumsi dalam jumlah banyak. Untuk membuktikan itu perlu diuji secara ilmiah. Tujuan penelitian ini adalah untuk menguji beberapa makanan lokal yang dianggap memiliki kadar glukosa rendah terhadap penderita diabetes. Penelitian ini menggunakan rancangan acak lengkap dengan 5 perlakuan dan 3 ulangan. Data kemudian dianalisa dengan ANOVA one-way dan uji lanjut LSD. Hasil menunjukkan perbedaan penurunan kadar glukosa pada K+, P1, P2, dan P3. K- tidak mengalami penurunan GDS dari menit 30 sampai 120. Uji anova menunjukan nilai signifikansi 0,001. Hasil uji lanjut LSD menunjukkan perbedaan yang tidak bermakna (p > 0,05) pada kelompok K+, P1, P2, dan P3. Hasil analisa ini menyimpulkan bahwa kadar glukosa mencit yang mengkonsumsi beras subsidi, beras komersil, keladi dan pisang tidak memiliki perbedaan bermakna dalam penurunan kadar glukosa. Konsumsi berlebih tidak dianjurkan, sehingga diet dengan makanan lokal ini tetap perlu mendapatkan anjuran dan pengawasan dari tenaga kesehatan. Kata kunci: diabetes, makanan lokal, mus musculus Abstract Management of diabetes aims to control glucose levels. Control can be done together with lifestyle adaptations and diet. Application of the wrong diet can worse the condition of diabetics. There were several findings in the area of the Taniwel Health Center where there are patients who think that subsidized rice and some types of local food have low glucose levels, so they can be consumed in large quantities. To prove it, the teory needs to be tested scientifically. The purpose of this study was to test some local foods that are considered to have low glucose levels for diabetics. This study used a completely randomized design with 5 treatments and 3 replications. The data were then analyzed by one-way ANOVA and LSD test. The results showed differences in the decrease in glucose levels at K+, P1, P2, and P3. K- did not decrease from 30 to 120 minutes. The ANOVA test showed a significance value of 0.001. The results of the LSD test showed no significant difference (p > 0.05) in the K+, P1, P2, and P3 groups. The results of this analysis concluded that the glucose levels of mice consuming subsidized rice, commercial rice, taro and bananas did not have a significant difference in decreasing glucose levels. Excessive consumption is not recommended, so a diet with local foods still needs to get advice and supervision from health workers. Keywords: diabetic, local foods, mus musculu

    THE IMPLEMENTATION OF WEB-BASED E-CRM IN IMPROVING CUSTOMER SATISFACTION IN SMALL AND MEDIUM ENTERPRISES

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    To enhance the services provided to small- and medium-sized business customers. Specifically for traditional retail enterprises and small and medium firms, take advantage of information and communication technology improvements that have emerged quickly but have yet to be applied well in the lower middle-class sector. They still need help to use and gain access to modern technology. Another connected issue is the tendency of consumer numbers to vary and decline as a result of the expansion of contemporary retail firms with vast and robust networks. This study will develop an electronic customer relationship management (e-CRM) program that can be used to support business operations to boost sales, and that makes it simpler for small and medium-sized firms to provide services

    Computational Thinking Skills Indicators in Number Patterns

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    This research aims to examine a) what computational thinking indicators have been developed by researchers, b) what computational thinking indicators can be used in learning mathematics appropriately, and c) how to describe the development of student computational thinking indicators from the answers of computational thinking tests. This research is a qualitative descriptive study through a process of collecting data from literature reviews, integrated computational thinking math tests, and interviews. Data collection instruments used research notes, interview sheets, and CT question sheets. The results showed that a) 20 computational thinking indicators had been studied by researchers, b) computational thinking indicators that could be used in learning mathematics include problem decomposition, abstraction, pattern recognition, procedural algorithms, and generalizations, and c) From the student answers, five proposed computational thinking indicators can be developed even though they were not perfect. The general implication of this research is that there are five indicators of computational thinking skills that can be used in mathematics learning, specifically in number patterns, which include problem decomposition, abstraction, pattern recognition, pattern recognition, procedural algorithm, and generalization. The researchers developed all five computational thinking skills indicators in the instructional designs of not only the number pattern concept but also combination, geometry, combinatorics, etc

    SURVIVAL INDUK BETINA IKAN LELE LOKAL ACEH YANG DIPELIHARA PADA SUBSTRAT YANG BERBEDA

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    Aceh local catfish (variant limbek) is one of the high-potential freshwater fish. It tastes better than sangkuriang catfish so the demand product is higher than supply. Economically, this fish is very potential if developed in aquaculture system, and domesticated. This study aimed to describe the initial stages of domestication of wild fish species through several methods such as (i) broodstocks collection; (ii) broodstocks selection; and (iii) experiment. It was an experimental-single-factor research with three treatments namely; A: no substrate pond; B: soil substrate pond; and C: soil substrate pond with pipe (shelter). The results of the analysis showed that the highest survival rate is in treatment C (a soil substrate pond with pipe) with the first and second sampling percentage of 88% and 68% respectively. The percentage of local catfish that reached the reproductive phase did not differ between the treatment (P>0.05) so the sheltered pond did not affect the reproductive of local catfish, and it was influenced by the quality and quantity of feed.Key words : Aquaculture, Substrate, Domestication

    Does Economic Growth, Wage Rate, and Industrial Development Matter for Labor Absorption?

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    The dimensions of employment problems are not just limited field or job opportunities and low productivity but are much more serious with different causes. This study aims to determine the effect of the rate of economic growth, economic growth, minimum wages, and the number of industrial units on employment in South Sumatra Province. The data analysis method used in this study is a quantitative analysis method using panel data regression and usage. This research covers a broad scope, namely as many as 17 districts/cities in South Sumatra for 6 years (2014-2019). Based on the results of the analysis and discussion that has been carried out, it can be concluded that the districts/cities in South Sumatra Province in 2016-2019 had the highest employment by looking at the Random Effect Model (REM) labor estimation coefficient which shows that the highest employment is in Palembang City at 75,452,015. Meanwhile, the lowest value is in the Ogan Ilir district at 68,194,663

    Study of ethnography and character education values at the Situntun pencak silat college

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    This study discusses ethnography and the values of character education at the Situntun Pencak Silat College in Banjar Village, Banjar District, Buleleng Regency. The Situntun Pencak Silat College is a long-established college, this makes the Situntun Pencak Silat College also known as the Traditional Pencak Silat College. However, until now there is no valid documentation and information from the pencak silat school of Situtun, so many people do not know about the existence of the Pencak Silat School of Situtun. This study aims to determine the existence of the pencak silat school of Situtun and its character education values so that it can publish or disseminate information and documents related to the Pencak Silat School of Situtun. This study uses a qualitative research method with an ethnographic approach and uses interview techniques to collect data. The discussion in this article includes knowledge of the history of the Situntun Pencak Silat College from its inception, the ethnography of the Situntun Pencak Silat College, and the values of character education contained and applied to the Situntun Pencak Silat College. The results showed that the Situtun Pencak Silat College was founded in 1879 until now. Situntun pencak silat college has spread to villages and banjar villages. The values of character education have also been instilled since the beginning of the fighter starting practice. The school of pencak silat situntun is less active and even begins to dim and many people do not know about the existence of the pencak silat school of situtun. This study was conducted to determine the profile and character education of the Situtun Pencak Silat College. With this research, the martial arts college of Situtun can be known by many people. The results of this study can be used as study material to explore the ethnography of the Situntun pencak silat college, especially for the community in the village of Banjar Buleleng, and increase the character education values of the Situtun pencak silat school fighter

    ANALISIS DETERMINAN INTEGRASI EMPLOYABILITY SKILLS - KECAKAPAN DIGITAL: STRUCTURAL EQUATION MODELING

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    Penelitian ini bertujuan untuk mengetahui ketercapaian integrasi employability skills – kecakapan digital (ESKD), serta peran efikasi diri dan bimbingan kejuruan terhadap ketercapaian ESKD siswa SMK program keahlian teknik otomotif. Metode yang digunakan adalah kuantitatif korelasional dengan analisis struktural equation modelimg (SEM). Tingkat ketercapaian ESKD siswa berada pada kategori tinggi. Akan tetapi rata-rata skor aspek keterampilan interpersonal digital, terutama pada indikator ‘ekspresi diri digital’, ‘interaksi dengan mesin’, ‘memahami simbol digital’, ‘kolaborasi digital’, dan  ‘komunikasi digital’ berada pada kategori rendah dan sedang. Bimbingan kejuruan memiliki pengaruh besar terhadap peningkatan ESKD, akan tetapi variabel ini harus dimediasi oleh efikasi diri, sehingga kegiatan bimbingan kejuruaan dalam meningkatkan ESKD harus sejalan dengan peningkatan efikasi diri. Pada konteks integrasi employability skills dan kecakapan digital, kegiatan bimbingan kejuruan dan efikasi diri perlu memanfaatkan teknologi digital, sehingga pada satu sisi kegiatan dapat lebih efektif dan efisien, sedangkan di sisi lain dapat meningkatkan employability skills dan kecakapan digital siswa

    IMPLEMENTASI BIMBINGAN KELOMPOK BERBASIS AL-QUR’AN UNTUK MENINGKATKAN KESABARAN MAHASISWA

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    Tidak semua hal di dunia ini akan sesuai dengan keinginan manusia. Adakalanya kesedihan dan kebahagiaan datang silih berganti. Hanya seorang manusia yang memiliki kesabaran yang dapat bertahan di jalan Allah swt. Dengan sabar, manusia akan memperoleh pahala yang sangat besar di sisi Allah swt. Penelitian ini mempunyai tujuan yakni untuk mengetahui bagaimana implementasi bimbingan kelompok berbasis al-qur’an untuk meningkatkan kesabaran mahasiswa. Pendekatan kualitatif dengan metode penelitian deskriptif digunakan peneliti dalam penelitian ini. Mahasiswa Prodi Bimbingan Penyuluhan Islam dengan jumlah sepuluh orang dipilih untuk menjadi subjek penelitian. Data dianalisis dengan menggunakan teknik analisis data yakni teknik deskriptif kualitatif setelah melakukan pengumpulan data dengan teknik wawancara, dokumentasi serta observasi. Penelitian ini mendapatkan hasil yakni (1) implementasi dari bimbingan kelompok berbasis al-qur’an untuk meningkatkan kesabaran mahasiswa dilaksanakan dengan menggunakan lima tahapan yakni tahap pembentukan, peralihan, kegiatan, penyimpulan, serta penutupan, dan (2) peningkatan terjadi pada kesabaran mahasiswa di mana mahasiswa telah dapat menahan diri dari keputusasaan, tenang, tidak mudah mengeluh, serta menganggap bahwa semuanya akan kembali kepada Allah swt.Kata Kunci: Bimbingan kelompok berbasis al-qur’an, kesabara

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