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Hubungan Tingkat Pengetahuan Ibu Tentang Gizi dengan Kejadian Stunting Balita 12-59 Bulan di Wilayah Kerja Puskesmas Tegallalang 1
No full text[The correlation between mother’s knowledge regarding nutrition with the prevalence of stunting among children aged 12-59 months within the area of Tegallalang I Primary Health Centre]
Stunting is condition when a toddler exhibits a height or length that falls below the median standard growth set by WHO, with a deviation of more than minus two standard deviations. Stunting arises due to chronic malnutrition during the initial 1000 days of a child's life. The main aims of this research are to establish the correlation between the level of maternal comprehension regarding nutrition and the occurrence of stunting among toddlers aged 12-59 months within the jurisdiction of Tegallalang I Primary Health Centre, Gianyar Regency. The research methodology applied for this investigation is a quantitative analytical study with a case-control designs. The total sample size were 96 respondents, evenly divided between 48 cases and 48 controls. The sample technique employed is consecutive sampling for the control group and total sampling for the case group. The sampling methods was consecutive sampling to ensuring the inclusion of all qualifying subjects in attained the required sample size. Data were gathered through the assessment of height or length measurements and the completion of questionnaires. Data were analysed used chi-square analysis to examine the relationship between the mother’s knowledge of nutrition and stunting prevalence. The findings indicated a significant correlation betweens the mother knowledge about nutrition and the occurrence of stunting, with a significance level of < 0.001. As a result, mothers with inadequate nutritional knowledge may contribute to an increased risk of stunting in toddlers, as those with less knowledge experienced a 19.35-fold rise in stunting cases among toddlers aged 12 untill 59 months within the working area of Tegallalang I Primary Health Centre.
Keadaan stunting (kerdil) terjadi ketika pertumbuhan balita memiliki tinggi atau panjang badan kurang dari dua standar deviasi di bawah median standar pertumbuhan anak yang ditetapkan oleh WHO. Dampak tersebut terjadi akibat kurangnya asupan gizi yang berlangsung terus-menerus selama 1000 Hari Pertama Kehidupan (HPK). Penelitian ini bertujuan untuk meneliti hubungan antara pengetahuan ibu tentang gizi terhadap kejadian stunting di balita berusia 12 hingga 59 bulan di area kerja Puskesmas Tegallalang 1, Kabupaten Gianyar. Metode penelitian yang digunakan adalah analisis kuantitatif dengan desain kasus kontrol (case-control design), melibatkan 96 sampel yang terdiri dari 48 kasus stunting dan 48 kontrol. Teknik pengambilan sampel menggunakan teknik consecutive sampling untuk kelompok kontrol dan total sampling pada kelompok kasus, dimana semua subjek yang sesuai kriteria masuk dalam penelitian hingga jumlah sampel yang diperlukan terpenuhi. Pengumpulan data dilakukan dengan pengukuran tinggi atau panjang badan dan pengisian kuesioner. Teknik analisis data menggunakan analisis chi square untuk meneliti hubungan antara tingkat pengetahuan ibu dengan kejadian stunting. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara tingkat pengetahuan ibu tentang gizi dengan kejadian stunting, dengan taraf signifikansi yaitu < 0,001, artinya ibu dengan pengetahuan gizi kurang memiliki risiko meningkatnya kejadian stunting dimana ibu dengan pengetahuan kurang memiliki risiko meningkatnya 19,35 kali kejadian stunting pada balita usia 12 hingga 59 bulan di wilayah kerja Puskesmas Tegallalang 1.
 
Pelatihan Interpretasi Elektrokardiogram bagi Tenaga Kesehatan di Puskesmas III Denpasar Selatan
No full textHenti jantung merupakan salah satu penyebab kematian utama didunia. Sekitar 85% penderita penyakit kardiovaskuler meninggal akibat henti jantung. Aritmia juga berkontribusi dalam menyebabkan kematian hingga mencapai 50% kasus. Prevalensi aritmia di Indonesia meningkat seiring dengan bertambahnya usia yaitu 70% pada usia 65-85 tahun dan 8% pada usia diatas 85 tahun. Penderita gangguan kardiovaskuler umumnya mendapatkan pemeriksaan elektrokardiogram (EKG) untuk menegakkan diagnosis. Tenaga medis harus mampu menginterpretasikan hasil rekaman EKG, meliputi gangguan konduksi, aritmia, dan gangguan miokard sehingga dapat mengetahui mengidentifikasi kegawatdaruratan di bidang kardiovaskuler. Wawancara bersama tenaga kesehatan di Puskesmas III Denpasar Selatan menemukan fasilitas untuk mendeteksi penyakit jantung masih terbatas. Mesin EKG di Puskesmas tergolong cukup jarang digunakan sehingga keterampilan dalam menggunakan EKG dan menginterpretasikannya mengalami penurunan. Tujuan dari program kemitraan ini adalah untuk meningkatkan pengetahuan tenaga kesehatan mengenai kegawatdaruratan kardiovaskuler serta meningkatkan keterampilan tenaga kesehatan di lingkungan Puskesmas III Denpasar Selatan mengenai penggunaan EKG serta interpretasinya. Mengacu pada permasalahan tersebut, maka dilaksanakan kegiatan pengabdian dengan memberikan edukasi mengenai kegawatdaruratan di bidang kardiovaskuler, melatih tenaga kesehatan dalam menggunakan mesin EKG serta menginterpretasikan hasil rekaman EKG. Program ini diharapkan dapat membantu tenaga kesehatan di lingkungan Puskesmas III Denpasar Selatan menambah wawasan mengenai penyakit kardiovaskuler serta menurunkan angka kematian akibat penyakit kardiovaskuler. Program kemitraan ini dilaksanakan di ruang pertemuan Puskesmas III Denpasar Selatan dengan kehadiran peserta sebanyak 100%. Berdasarkan nilai pretest dan postest didapatkan peningkatan pengetahuan peserta mengenai penyakit kardiovaskuler (36,9%). Keterampilan mitra dalam menggunakan mesin EKG dan menginterpretasikannya juga meningkat dari observasi yang dilakukan oleh tim pengabdian
Vascular cognitive impairment after ischemic stroke
No full textBackground Post-stroke cognitive impairment is the leading cause of post-stroke morbidity and mortality worldwide. This impairment is often associated with ischemic stroke and intracerebral hemorrhage. Cognitive impairment could affect attention, memory, language, orientation, and executive and social functioning domains.
Case We reported a male patient, 45 years old, Javanese, who came with confusion and memory impairment. When asked a question, the patient tends to think and answer slowly with a wrong response. He also felt weakness in the right half of the body, slurred speech, pursed lips, and had been diagnosed with ischemic stroke. One week after he was sent home, patient still had difficulty arranging words to form a sentence and could not work. Cognitive function screening showed impairment in attention and memory domain with a MOCA-INA score of 19/30. Patients received antihypertensive therapy, dual antiplatelet, statin, and cognitive stimulation. His condition improved with this treatment.
Conclusion Early identification of cognitive impairment could reduce morbidity in stroke patients.
 
Probability-based Equation for Predicting Mortality in COVID-19 Patients
No full textBackground The global mortality rate for coronavirus disease-2019 (COVID-19) continues to climb. The study goal is to provide a proper equation to predict mortality in COVID-19 patients based on medical history, and laboratory examination
Methods This was a case-control study. Patients with COVID-19 confirmed case was taken for medical history, physical, and laboratory examination. CBC and D-Dimer were checked when patients were admitted to the hospital. Statistical analysis that was use include Chi-Square or Fisher’s test as comparative study, risk estimate for odds ratio, and logistic regression to formulated the equation.
Results Ninety-six patients were gathered at the end of study. The study grouped patients based on survival at end of care which is life and death as dependent variable. We also grouped patients based on several parameter like geriatric age, comorbidities, symptoms (fever, cough, anosmia, cold, dysphagia, and shortness of breath), anemia, leukocytosis/leukopenia, thrombocytopenia, elevated D-Dimer, and pneumonia, as independent variables. Geriatric, comorbidities, fever, cough, shortness of breath, anemia, leukocytosis/leucopenia, lymphopenia, and elevated D-Dimer had significant differences with p < 0.05. Odds ratio and 95%CI for these parameters were 3.02 (1.11-8.20), 4.07 (1.35-12.27), 3.57 (0.96-13.23), 5.04 (1.08-23.34), 4.75 (1.02-22.02), 3.26 (1.15-9.25), 6.40 (2.19-18.63), 3.16 (0.97-10.30), and 0.70 (0.61-0.81), respectively. Multivariate analysis using logistic regression based on this result was calculated and we were able to make this probability equation, p = 1/(1+e-y), with e =2.7, and y = - 24.99 + 1.621(comorbidities) + 1.944(cough) + 1.643(leukocytosis/leukopenia) + 1.397(anemia) + 20.625(elevated D-Dimer). ROC was use to confirm this predicted probability with AUC 0.88
Conclusion This equation was simple enough to be used as tool for clinician to predict mortality in COVID-19 patients. If we were to assume that for example patient with COVID-19 with comorbidities had cough as symptoms, and also had leukocytosis/leukopenia, anemia, and elevated D-Dimer level based on laboratory result, then that patient had 90.25% probability of death as outcome. The study was able to predict death in COVID-19 patients with up to 90.25% probability using our equation with excellent discrimination between these patients
 
Enhancing Speaking Skills through EngBreaking: A Revolutionary Language Learning Platform
No full textMastery of speaking skills in a foreign language is a major challenge for many language learners. To address this challenge, a revolutionary new language learning platform called EngBreaking has emerged. EngBreaking combines innovative approaches and advanced technology to enhance speaking skills in English. Through interactive speaking practice sessions, games, and real-time feedback, EngBreaking enables learners to practice speaking confidently and acquire the skills needed to communicate effectively in real-life situations. This research examines the role of EngBreaking in improving foreign language speaking skills and its potential impact on language learners at various proficiency levels. Data were collected through questionnaires involving 50 students at BASMAH Dormitory. The results indicate a significant improvement in English speaking abilities, with high scores in many aspects: 70% regarding the quality of the EngBreaking platform, 65% of respondents experienced an increase in English language skills, and 75% were satisfied with the EngBreaking platform service. Based on the questionnaire score results, it can be concluded that the use of the EngBreaking platform effectively enhances English speaking skills. This suggests that EngBreaking not only boosts confidence and speaking skills but also expands vocabulary and grammar understanding. The implications of these findings are that EngBreaking has great potential to change the paradigm of language learning and provide broader access for learners to achieve higher proficiency levels in foreign languages
Analysis of Language Errors at the Morphological Level in Students’ Papers at the Islamic University of Riau
No full textLanguage errors are the ignorance of individuals or groups of people about the basic concepts of language learning, the result of this ignorance will cause deviations from the determining factors of communication or social norms as well as deviations from applicable grammatical rules. There are still errors in the student papers of the Indonesian Language and Literature Education Study Program, Riau Islamic University. This error is seen at the morphological level. Therefore, this research was carried out with the aim of identifying errors in students' papers at the morphological level. The method used in this research is a content analysis method with a qualitative approach. Data collection techniques use documentation techniques, reading techniques and note-taking techniques. In this study, the author found 81 errors including 4 errors in omitting affixes, 24 errors in sounds that should have melted but were not melted, 3 errors in decaying sounds that should not have melted, 4 errors in replacing morphs, 2 errors in abbreviating morphs mem-, men-, meng-, meny-, and menge-, 23 errors in inappropriate use of affixes, 2 errors in determining the base form incorrectly, 6 errors in inappropriate affixes in word combinations, and 2 errors in inappropriate repetition of compound words
A Semiotic Analysis of Verbal and Visual Signs with Denotative and Connotative Meaning in iPhone 14 Advertisements
No full textAdvertisements are a crucial tool for companies to promote their products, utilizing both verbal and visual signs. This study explores the verbal and visual signs in iPhone 14 advertisements, focusing on their denotative and connotative meanings. The research employs observational methods for data collection and qualitative descriptive methods for analysis, drawing on Saussure's (1983) theory for sign description and Barthes' (1967) theory for meaning interpretation. The findings reveal 12 verbal signs, 8 visual signs, 20 denotative meanings, and 16 connotative meanings across two advertisements. The study highlights how advertisers use verbal and visual signs to create distinct concepts and make their products known to the publi
The Meaning of Symbols in Nunas nede Ritual Tradition in Kesik Village
No full textNunas nede is a cultural ritual inherited from the ancestors of Kesik Village, Masbagik District, East Lombok. The nunas nede tradition is believed to be an expression of a request for rain and gratitude for the blessings of fertile agricultural land and harvests that have been given to the people of Kesik Village. The nunas nede tradition consists of two core activities, namely ngayu ayu and gawe adat (core event). Each procession in the Nunas nede tradition is a symbol of the beliefs of the people of Kesik Village. These symbols describe the meaning in the Nunas nede tradition. This research was conducted to analyze the meaning of the Nunas nede tradition using Clifford Geertz's symbolic interpretive theory. There are three concepts in Geertz's theory, namely the knowledge or cognitive system (mode of), the value or evaluative system (mode for); and (3) symbol system. These three concepts will produce a system of meaning from the nunas nede tradition. The results of the research show that the symbols in the nunas nede tradition are the begibung symbol meaning establishing ties of friendship and social equality in society, the dulang symbol meaning gratitude, the nyawik symbol meaning maintaining the balance of nature and the spring symbol meaning the source of life. From these symbols, the meaning of the nunas nede tradition is obtained, a request for rain to fall as well as a form of community gratitude which is a link between friendship and strengthening family ties, by working together to maintain the balance of the universe which is the source of life
A Grammatical Cohesion Analysis in the News Discourse: A Case of Russia-Ukraine War
No full textThis paper examines how the use of grammatical cohesion contributes to the coherent of the news discourse in The Jakarta Post reporting on the war between Russia and Ukraine. It identifies and analyzes grammatical cohesion, specifically reference, substitution, and ellipsis, which exist in the news text to bring coherence in the news text. The results revealed the most dominant type of references applied in the text were anaphoric references, and these references are very important to ensure the integrity and readability of the text. The study therefore reveals a lack of substitution because there is the need for precision in war reporting. The insights gained contribute to a deeper understanding of how linguistic devices are employed in the media to build cohesive and coherent narratives, offering valuable implications for both discourse analysis and English language education
: Plate Meal Method toward Self-management on Diabetes Mellitus Type 2
No full textPlate meal is a diet therapy program for Diabetes Mellitus Type 2 patients, which may balance the blood glucose by dividing food on the plate. Improving patient self-management may difference the patients, especially those with Diabetes Mellitus type 2. This research aimed to determine the difference of the plate meal method with diet program implementation toward self-management among patients with Diabetes Mellitus type 2. This research was a quasi-experiment with pre and post-test equivalent control group methods. The population of this research was thirty patients with Diabetes Mellitus type 2 in Ulee Kareng Regional Technical Implementation Unit Health Community Center of Banda Aceh, which was divided into two groups, consisting of 15 respondents from the intervention group and 15 from the control group. The technique used in taking the samples was purposive sampling. This research was conducted in Ulee Kareng Regional Technical Implementation Unit Health Community Center from June 19 to 27, 2023. The data analysis used was a paired t-test and an independent t-test. The result of the research showed that the p-value of the paired t-test on the intervention group was 0.002. Therefore, there was a difference. The p-value of the control group was 0.369, which showed that there was no difference toward the control group, while the p-value of the independent t-test was 0.047 (p-Value ? 0,05), indicating that there was an difference between the intervention and control group after the treatment of the intervention group. The conclusion of this study is that there is a difference in the application of the plate meal method diet program towards self-management in Type 2 DM patients at the UPTD Ulee Kareng Community Health Center, Banda Aceh between the control and treatment groups