73 research outputs found
Kepemimpinan kepala madrasah dalam meningkatkan kompetensi guru: Studi kasus kepala MTs Putri Siti Hajar Cileunyi, Kab. Bandung
No full textKepala madrasah sebagai pemimpin pendidikan perannya sangat penting untuk membantu guru dan muridnya. Didalam kepemimpinnya kepala harus dapat memahami, mengatasi dan memperbaiki kekurangan-kekurangan yang terjadi di lingkungan madrasah. Untuk meningkatkan kualitas pendidikan seorang kepala madrasah harus mampu meningkatkan kinerja para guru atau bawahannya. Banyak faktor yang dapat mempengaruhi kompetensi seseorang, sebagai kepala madrasah harus mampu memberikan pengaruh-pengaruh yang dapat menyebabkan guru tergerak untuk melaksanakan tugasnya secara efektif sehingga kinerja mereka akan lebih baik.
Tujuan penelitian ini untuk mengetahui kompetensi guru di MTs Putri Siti Hajar Cileunyi, Implementasi program kepala madrasah, evaluasi program kepala madrasah, faktor pendukung dan penghambat kepala madrasah dalam meningkatkan kompetensi guru, serta dampak program kepala madrasah dalam meningkatkan kompetensi guru di MTs Putri Siti Hajar Cileunyi.
Metodologi penelitian ini adalah penelitian lapangan yang bersifat kualitatif deskriptif. Jenis penelitian ini termasuk Field Research (penelitian lapangan). Pendekatan yang digunakan adalah 1) pendekatan penelitian yaitu: fenomenologi, etnometodologi, interaksi simbolik, dan pendekatan manajemen. 2) pendekatan studi yaitu: pendekatan pedagogis, sosiologis, dan psikologis. Sumber data terdiri dari data primer dan data sekunder. Instrumen penelitian yaitu human instrumen, pedoman observasi, dan pedoman wawancara. Metode pengumpulan data yaitu obervasi, wawancara, dan dokumentasi. Teknik pengolahan dan analisis data dilakukan dengan cara reduksi data, penyajian data, dan verifikasi data.
Hasil penelitian menunjukan bahwa program kepala madrasah dalam meningkatkan kompetensi guru meliputi: meningkatkan kompetensi pedagogik, meningkatkan kompetensi kepribadian, meningkatkan kompetensi sosial, dan meningkatkan kompetensi profesional. Implementasi program kepala MTs Putri Siti Hajar Mempunyai peran sebagai Edukator, manajer, administrator, supervise, dan leader sehingga harus mampu meningkatkan beberapa aspek kompetensi pedagogik yang dimiliki guru di MTs Putri Siti Hajar Cileunyi. Maka dari itu kepala madrasah sesuai dengan kapasitasnya memaksimalkan keempat peran tersebut untuk meningkatkan kompetensi pedagogik para guru salah satunya dengan cara mengikutsertakan pelatihan guru ditingkat Kabupaten Bandung
In vitro and in vivo anti-diabetic effects of Marantodes pumilum and Rhinacanthus nasutus and their active compounds / Siti Hajar Adam
No full textDiabetes Mellitus (DM) is a chronic metabolic disorder characterized by insulin
resistance and defective insulin secretion. The aims of DM treatment is to modulate
insulin secretion and ameliorate insulin resistance, in order to protect the target organs
from damage. Herbal medicines are used as an alternative treatment for DM, as they could
have lesser side effects, compared to the currently available conventional drugs. Two
tropical herbs i.e Marantodes pumilum (M. pumilum) and Rhinacanthus nasutus (R.
nasutus) have been claimed to be helpful in the treatment of DM, however, their
mechanisms of actions have yet to be fully identified. In this study, mechanisms
underlying anti-diabetic effects of these herbs and their active compounds were
investigated in vitro and in vivo. In the in vitro study, hexane, ethyl acetate, methanol,
ethanol and aqueous extracts from leaves of M. pumilum and R. nasutus were tested for
α-amylase and α-glucosidase inhibitory activity. Further, evaluation of their ability to
enhance glucose uptake was identified by using dexamethasone-induced adipocyte cells,
both in the basal and insulin-stimulated conditions. Meanwhile, in vivo study was
performed using streptozotocin-nicotinamide-induced diabetic male rats where an
aqueous extract of M. pumilum, naringin (a bioactive compound from M. pumilum) and
Rhincanthin-C (bioactive compound from R. nasutus) were administered orally. Their
effect on metabolic profiles and on the pancreas i.e. morphology, levels of oxidative
stress, inflammation and apoptosis were identified. Results: In vitro screening of αamylase
and α-glucosidase inhibitory activity showed that M. pumilum ethyl acetate
extract and R. nasutus ethyl acetate and ethanolic extracts were able to inhibit both
iv
enzymes and only α-amylase enzyme activities, respectively. In vitro glucose uptake
study showed ethyl acetate extract from both plants’ leaves was able to induce highest
glucose uptake at basal and insulin-stimulated conditions. In the meantime, in vivo study
showed an aqueous extract of M. pumilum, naringin and Rhinacanthin-C possess antihyperglycemic,
anti-hyperlipidemic, insulin-secretagogue aa well as were able to
ameliorate pancreatic damage as a result of oxidative stress, inflammation and apoptosis.
The improvement in the metabolic profiles was evidenced from the restoration of near
normal body weight, food and water intakes, fasting blood glucose, glycated hemoglobin
(HbA1c), lipid levels and insulin secretion. Amelioration of pancreatic oxidative stress
was evidenced from the reduced lipid peroxidation and the increased in anti-oxidative
enzymes’ level including superoxide dismutase, glutathione peroxidase and catalase.
Amelioration of pancreatic inflammation was evidenced by the decreased in NF-kB,
IKκB, TNF-α and IL-1β levels while amelioration of apoptosis was evidenced by the
decrease in caspase-3, caspase-9 and Bax levels. On the other hand, levels of antiinflammatory
and anti-apoptosis marker Nrf-2 and Bcl levels in the pancreas increased,
respectively. In addition, the morphology of pancreatic islets in diabetic rats improved
following administration of these compounds, with naringin enhance the proliferation of
the pancreas as indicated by high proliferative cell nuclear antigen (PCNA) levels. Both
naringin and Rhinacanthin-Cwere able to stimulate GLUT-2 expression in the pancreas.
In conclusions. M. pumilum and its active compound naringin and R. nasutus with its
active compound, Rhinacanthin-C possess a wide range of anti-diabetic effects in which
they can potentially be used in the treatment of DM
Industrial training report: National Archives of Malaysia, Melaka / Siti Hajar Ismail
No full textIn this report it has describe about the introduction of an organization, organizational information, training activities and special project, and conclusion. Furthermore, for the conclusion it will more explain about knowledge that has been gained, lesson learn from industrial training, content of training activities, and limitations and recommendations. Furthermore, in this report also will be discus about training activities that has been done during industrial training for five month which are in administrative activities and record management activities. For the training activities the author have included with workflow of process and steps this is to ensure easy to understand that activities. Besides, for the special project the author have choose classification of coding system in federal and state department in Melaka. As well known, classification of coding system is an important element in record management and filling in order to have a correct standard classification and for a fast and accurate retrieval of file. So, from the observation the author have proposed some of simple system in order to store and review the information about federal and state department in Melaka and their coding that has been used. So, this proposed system will give many benefits for the organizations and their staff.
Keyword: industrial training, classification of coding, federal and state department in Melaka, National Archive of Malaysia Melaka Branc
Prediksi Kadar Glukosa Darah Terhadap Mortalitas Pasien di RSUP H. Adam Malik Medan
No full textIntroduction: Blood glucose levels are important in the human body because to support health so that they can do work activities properly. The initial action in patients with blood glucose levels who experience a head injury determines the outcome in the hospital. Patients who cannot maintain their blood glucose levels within the first 24 hours of treatment can cause a bad outcome, in the end, even increasing the mortality rate due to blood glucose levels. Aims: This study aims to analyze the predictions of blood glucose levels on patient mortality at H. Adam Malik Hospital in Medan. Methods: In this study, the authors used observational analytic with a retrospective cohort study design. The population in this study were all patients with high blood glucose levels who suffered head injuries in the Emergency Room (IGD) of H. Adam Malik Hospital in Medan and used purposive sampling so that 40 patients selected for high blood glucose levels with a head injury. Results: Based on the tabulation result using chi-square test shows that mortality was more prone to occur in patients who had blood glucose levels> 145 mg/dl with p-value 0.00 and odds ratio of 0.18. Conclusion: So in conclusion, a severe head injury patients who have blood glucose levels > 145 mg/dl are prone to death but do not deny mortality in patients who have blood glucose levels <145 mg/dl due to a severe head injur
Hubungan Penderita Diabetes Melitus Tipe-2 Dengan Terjadinya Gangguan Pendengaran di RSUP. H. Adam Malik Medan
No full textIntroduction: Microangiopathy and neuropathy is either a complication of diabetes mellitus that can occur in the inner ear and result in hearing impairment. Microangiopathy in organ of Cortiis able to cause atrophy and loss of hair cells in the cochlea, neuropathy is caused by microangiopathy that eventually result in hearing impairment.
Objective: To determine whether there is a relationship between Type-2 Diabetes Mellitus andthe incidence of hearing impairment in Haji Adam Malik General Hospital, Medan.
Methods: An analytical study with 40 samples consist of 20 samples of Type-2 Diabetes Mellitus patients and 20 samples of non Diabetes Mellitus patients. Samplings were obtained by interview, ENT examiantion and pure tone audiometric examination.
Results: 20 samples of Type-2 Diabetes Mellitus patients, 11 samples possessed normal hearing as well as Non Diabetes Mellitus patients, while 9 samples possessed sensorineural hearing impairment. Statistic test results obtained significant differences between Type-2 Diabetes Mellitus patients and Non Diabetes Mellitus patients (p<0,05). Anova test results obtained significant differences between each age group at each frequency. Chi-Square test results obtained a relationship between duration of Type-2 Diabetes Mellitus and hearing impairment and there is a relationship between a regularity of treatment for Type-2 Diabetes Mellitus and hearing impairment (p<0,05).
Conclusion: There is a relationship between Type-2 Diabetes Mellitus and the incidence of hearing impairment.Pendahuluan : Mikroangiopati dan Neuropati ataupun keduanya merupakan komplikasi dari penyakit diabetes melitus yang dapat terjadi pada bagian telinga dalam dan dapat menyebabkan gangguan pendengaran. Mikroangiopati pada organ korti menyebabkan atrofi dan berkurangnya sel rambut pada koklea, neuropati terjadi akibat mikroangiopati sehingga akan mengakibatkan gangguan pendengaran.
Tujuan : Mengetahui apakah ada hubungan penderita DM Tipe-2 dengan terjadinya gangguan pendengaran di RSUP. H. Adam Malik Medan.
Metode : Penelitian ini bersifat analitik dengan 40 sampel yang terdiri dari 20 sampel penderita DM Tipe-2 dan 20 sampel Non DM. Pengambilan sampel dilakukan dengan wawancara, pemeriksaan THT rutin dan pemeriksaan audiometri nada murni.
Hasil Penelitian : 20 sampel penderita DM Tipe-2, 11 sampel berpendengaran normal, 9 sampel tuli sensorineural dan Non DM seluruhnya berpendengaran normal. Dari Uji Statistik diperoleh perbedaan yang signifikan antara penderita DM Tipe-2 dengan Non DM (p<0,05). Uji Anova diperoleh adanya perbedaan yang signifikan antara setiap kelompok umur pada tiap frekuensi. Uji Chi - Square diperoleh terdapat hubungan antara lama menderita DM Tipe-2 dengan gangguan pendengaran serta terdapat hubungan antara keteraturan berobat dari penderita DM Tipe-2 dengan gangguan pendengaran (p<0,05).
Kesimpulan : Adanya hubungan antara kejadian DM Tipe-2 dengan gangguan pendengaran.120 HalamanTesis Magiste
Pengaruh Hemodialisa terhadap Gangguan Pendengaran pada Penderita Gagal Ginjal Kronis di RSUP H Adam Malik Medan
No full textBackground : Sensoneural Hearing loss has been reported in patients with
Chronic Renal Failure that treated by haemodialise. Haemodialysis role in
causing sensoneural hearing loss still in controversy. Some authors reported
there was depression fom the hearing level after the haemodialysis. On the
other hand, others reported there was no correlation between them. Some
studies with femporal bone study shows the cotlaps of the endolymphatic
systems, edema and atrophy of the special cells from the hearing and
balance system. These problem were suspected because of the osmotic
imbaiance, that caused absent of the hair cells from the cochlea and induced
the sensoneural hearing loss .
Goa! : to observe the haemodialisis role of the hearing impairment from the
chronic renalfailur patients in RSup H. Adam Malik Medan.
study Method : this study was using pre and posf fesf design with non
probability consecutive sampling that started since September 2009. and the
data was anaiized with Anova dan t - independen tests.
Results : Twenty five patients were evaluated, there was 12 patients (4g%)
suffer mild levei of the hearing impairment. For the mild and severe level were
found 1 patient (4%) in each level. From the otoaccoustic emmission
examination were found pass in 11 patients and refer in 14 patients. Conclusions : there was no effect between haemodialise with the hearing
impairment levet on the chronic renal faiture even in the otoacoustic emition
examination was found hearing impairment70 HalamanTesis Magiste
Korelasi Ekspresi Cyclooxygenase-2 dengan Microvessel Density pada Karsinoma Nasofaring di RSUP H. Adam Malik Medan
No full textIntroduction : Tumor needs new blood vessel formation to grow and metastase. New blood vessel formation known as angiogenesis. Angiogenesis is detemined by Microvessel density (MVD) using immunohistochemistry examination. Angiogenesis was affected by various angiogenic factors. Recent studies found elevated COX-2 expression in cancers. COX-2 can stimulate VEGF, an angiogenic factor. This research assesed correlation between COX-2 and angiogenesis, determined by MVD.
Purpose : To determine the correlation between COX-2 and MVD in nasopharyngeal carcinoma in H. Adam Malik Hospital.
Method : This is a cross sectional analitical research. Twenty four sample was examined by immunohistochemistry examination for COX-2 expression and MVD. The results then analized using Spearman correlation test.
Result : Positive COX-2 expression was found in 17 (70,83%) subjects and negative in 7 (29,17%) subjects. COX-2 positive was found more in T3 and T4 sized tumors, that is 12 subjects. COX-2 positive was found in all lymph node metastasis subject, including in N0. COX-2 positive was mostly found in stage III and IV((4,1%). High MVD was mostly found in T3 and T4 sized tumor (58,8%). High MVD was found in N1-N3 lymph node metastasis. No high MVD was found in subjects without lymph node metastasis. Hing MVD was found in stage III and IV (88,2%). There was moderate positive correlation between COX-2 expression and MVD ( r = 0,559 ; p = 0,005).
Conclusion: COX-2 is correlated with MVD in nasopharyngeal carcinoma.Pendahuluan : Tumor memerlukan proses pembentukan pembuluh darah baru untuk tumbuh dan bermetastasis yang dikenal dengan proses angiogenesis. Angiogenesis dapat dinilai secara imunohistokima dengan Microvessel density (MVD). Proses angiogenesis dapat dipicu oleh berbagai faktor angiogenik. Beberapa penelitian menemukan ekspresi Cyclooxygenase-2 (COX-2) meningkat pada kanker. COX-2 dapat merangsang VEGF, yang merupakan suatu faktor angiogenik. Pada penelitian ini akan dilihat apakah angiogenesis, yang dinilai dengan MVD, pada karsinoma nasofaring memiliki korelasi dengan COX-2.
Tujuan : Mengetahui korelasi ekspresi COX-2 dengan MVD pada penderita karsinoma nasofaring di RSUP H. Adam Malik Medan
Metode : Penelitian ini penelitian analitik dengan studi potong lintang. Dua puluh empat sampel diperiksa secara imunohistokima untuk ekspresi COX-2 dan MVD. Kemudian hasil dianalisa dengan uji Spearman.
Hasil Penelitian : Ekspresi COX-2 positif ditemukan pada 17 (70,83%) subjek dan dijumpai negatif pada 7 (29,17%). Ekspresi COX-2 positif ditemukan lebih banyak pada ukuran tumor T3 dan T4 sebanyak 12 subjek. Ekspresi COX-2 positif ditemukan pada semua ukuran pembesaran kelenjar getah bening termasuk pada N0. Ekspresi COX-2 positif ditemukan terutama pada stadium III dan IV (94,1%). MVD yang tinggi paling banyak ditemukan pada ukuran tumor primer T3 dan T4 (58,8%). MVD yang tinggi paling banyak ditemukan pada pembesaran kelenjar getah bening N1- N3. Tidak ditemukan MVD yang tinggi pada karsinoma nasofaring tanpa pembesaran kelenjar getah bening leher. MVD yang tinggi paling banyak ditemukan pada stadium III dan IV (88,2%), Ditemukan adanya korelasi positif sedang antara ekspresi COX-2 dengan MVD (r = 0,559 ; p = 0,005)
Kesimpulan : Ditemukan ada korelasi positif sedang antara ekspresi COX-2 dan MVD pada karsinoma nasofaring.94 HalamanTesis Magiste
Strategic technical performance criteria of post occupancy evaluation of refurbished heritage museum buildings / Siti Hajar Quraisha Rahim
No full textHeritage buildings in Malaysia are important in view of the fact that it reveals the history of the country besides acting as a landmark and also as tourism booster. Due to many important roles they play, conservation refurbishment is executed to conserve and preserve heritage buildings for future generation and some of them were adapted into new uses such as a museum. Post Occupancy Evaluation (POE) is executed to evaluate the building performance after they undergone a refurbishment process. Technical performance is one of the elements POE. Previous studies focus on limited technical performance criteria; however this study will establish the technical part from a more holistic perspective focuses on a heritage museum building. This research aims to establish the technical performance criteria of post occupancy evaluation of refurbished heritage museum buildings. The research begins with semi-structured interview by interviewing five (5) experts which were the curators to identify any other missing criteria and also to confirm the technical performance criteria that the author had found from the literature review. The research proceeded by distributing 126 survey questionnaire to respondents; that related to museum either the management or technical from 18 different museums in order to identify the importance of each criteria that the author had found during semi-structure interview. Both data from semi-structured interview and survey questionnaire showed that there were eleven (11) technical performance criteria of POE of refurbished heritage museum buildings. The technical performance criteria identified were then formulated into three POE instruments; Survey Questionnaire, Observation Evaluation, and Physical Measurement based on their suitability of methods of data collection. However, prior to testing out the POE instruments, the three (3) POE instruments were formulated into a survey questionnaire to identify the suitability of each question in the POE instruments. The survey questionnaires were distributed to 100 experts (curator) from ten (10) museums and lecturers from UiTM. Results showed that all respondents were agreed on the how the Survey Questionnaire, Observation Evaluation, and Physical Measurement were formulated. Finally, the POE instruments were tested on two (2) museums. The data between those three (3) were correlated and showed a positive correlation. Therefore, the Survey Questionnaire, Observation Evaluation, and Physical Measurement can be used to evaluate the technical performance of heritage museum building in Malaysia. It is hoped that the study can contribute to the improvement of technical performance of heritage museum buildings in Malaysia
Pengaruh Sikap Caring Perawat Terhadap Kepuasan Pelayanan Pasien Rawat Inap Terpadu A Di RSUP H. Adam Malik Medan
No full textHak setiap warga negara salah satunya adalah kebutuhan akan hak tingkat hidup yang memadai untuk kesehatan diri dan keluarganya. Ketersediaan pelayanan di rumah sakit sebagai kebutuhan di bidang kesehatan sangat bervariasi di setiap negara dan ketersediaan pelayanan kesehatan tersebut ditentukan oleh kondisi sosial dan ekonomi. Tujuan penelitian ini secara umum adalah untuk mengetahui pengaruh sikap caring Perawat terhadap kepuasan pelayanan pasien rawat inap A di RSUP H. Adam Malik Medan. Jenis penelitian ini merupakan penelitian kuantitatif dengan bentuk survei analitik dengan pendekatan cross sectional . Populasi dari penelitian ini adalah seluruh pasien rawat inap ruang RINDU A RSUP H. Adam Malik Medan, dimana rata-rata perbulan sebanyak 1.125 pasien. Metode pengambilan sampel yang digunakan dengan tehnik purposive sampling, yaitu pengambilan sampel yang didasarkan pada suatu pertimbangan tertentu yang dibuat oleh peneliti sendiri berdasarkan ciri populasi yang sudah diketahui sebelumnya. Ciri atau sifat tersebut ialah berdasarkan pada lamanya rawat inap yang memenuhi kriteria inklusi yang telah ditetapkan, dengan jumlah sampel sebanyak 196 responden.Hasil. Nilai F hitung sebesar 39.883 dengan tingkat signifikansi < 0.05 yaitu sebesar 0.000, atau dapat dilihat dari nilai t hitung sebesar 6.315 dengan nilai signifikansi 0.000 < 0.005. Kesimpulan ada pengaruh sikap caring berpengaruh terhadap kepuasan pasien
The Effect of Curcumin Administration on Improving Hearing Loss in Chronic Kidney Disease Patients on Regular Hemodialysis Reviewed from Otoacoustic Emission Examination, Pure Tone Audiometry and Indoxyl Sulfate Levels at H. Adam Malik General Hospital Medan
No full textIntroduction: Chronic kidney disease (CKD) is a disorder of kidney structure or function that occurs for >3 months and has an impact on health. Waste products of metabolism by the kidneys cause the circulation of these toxic materials in the body. This can cause damage to tissues and organ systems including the hearing system. Uremic toxins which are commonly found in CKD patients can cause oxidative stress and cause complications of CKD. Curcumin has antioxidant, anti-inflammatory, and antiapoptotic effects that have the potential to be used to protect against complications of CKD.
Methods: This study was conducted on 48 chronic kidney failure patients who were divided into 3 groups, namely the placebo group, the group of subjects given 500 mg curcumin and the group of subjects given 1000 mg curcumin given for 12 weeks. Each group consisted of 16 patients. OAE and pure tone audiometry examinations were carried out at the Haji Adam Malik General Hospital, Medan, while Indoxyl sulfate level examinations will be carried out at the Integrated Lab of the USU Faculty of Medicine. Data analysis was performed using univariate analysis by looking at the mean and standard deviation for each group.
Results: There was a significant decrease in Indoxyl sulfate levels in the 500 mg curcumin group (P = 0.008) and the placebo group (P = 0.019). In the hearing function results, there was a significant decrease in the SNR results of the 500 mg curcumin group at three frequencies of 2 kHz (P = 0.003), 8 kHz (0.018), 10 kHz (P = 0.042) and the 1000 mg curcumin group at 4 frequencies of 1.5 kHz (P = 0.023), 2 kHz (P = 0.019), 3 kHz (P = 0.009), 10 kHz (P = 0.028). There was a significant increase in hearing threshold in all three treatment groups (P = 0.001) with the lowest median increase of 0.21 dB in the 500 mg group.
Conclusion: Curcumin can play a role in preventing the deterioration of hearing function in PGK patients as seen from the SNR value and hearing threshold by reducing Indoxyl sulfate levels.97 PagesTesis Magiste
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