1,720,971 research outputs found

    PENGARUH PES PLANUS PLANTARIS METATARSALIA TERHADAP STABILITAS POSTURAL VERTEBRA ATLET OLAHRAGA DENGAN WEIGHT-BEARING

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    Overuse activity is at risk of injury to the lower limb and will decrease curvature in the plantar arch. Sports athletes with continuous weight-bearing exercise activity will affect the curvature of the plantar, causing the malformation of the foot arch to become flatter (flatfoot). This condition is reported to affect postural stability during the move. This is a quantitative cross-sectional analytics study involving basketball athletes for all 47 subjects. Subject's foot arch index determined with footprint on the graph paper, followed by AMTI Accupower Force flatform posturography (force plate) as postural stability determintion. The examination is performed in static positition to determine body,s postural sway diameter of CoP on the base of support area while standing. The result revealed that 80,9% of subjects had flat plantar arch (pes planus plantaris). Footprint results showed majorities of basketball athletes having pes planus plantaris. The mean value of the postural sway diameter of CoP while standing (static) on the subject with pes planus plantaris have significant correlation on the postural stability. This condition will significantly affect postural stability in quite standing conditions

    Efek Ingesti Seduhan Daun Sungkai (Peronema canescens) terhadap Perubahan Glukosa Darah dan Kerusakan Ginjal Tikus Diabetes Mellitus

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    Gangguan aktivitas kualitatif atau kuantittatif jaringan ginjal pada diabetes melitus merupakan gangguan metabolisme dan homeostasis glukosa yang ditandai dengan hiperglikemia yang terjadi secara kronis karena menurun dan atau berkurangnya sensitifitas reseptor insulin dalam tubuh. Sungkai (Paronema canescens Jack) terdapat kandungan antioksidan seperti flavonoid, folifenol, alkaloid tanin, dan saponin. Flavonoid dapat menurunkan kadar glukosa darah dengan kemampuannya sebagai zat anti oksidan. Penelitian ini menguji efektivitas seduhan daun sungkai terhadap profil glukosa darah dengan indikasi terjadinya perubahan kadar glukosa darah, dan terjadinya proses kerusakan jaringan organ ginjal pada tikus wistar diinduksi diabetes melitus. Penelitian ini menggunakan desain true experiment dengan randomized pre-post-test with control group design. Hasil penelitian data selisih kadar gula darah tikus sebelum dan sesudah intervensi memperlihatkan terjadinya penurunan kadar gula darah pada kelompok K+(40.00±37.084), P-1 (90.17±24.441), P-2 99.17±14,442), sedangkan pada kelompok K- (-.83±2.927) terjadi penurunan.  Hasil uji paired t-test memperlihatkan nilai P value pada masing-masing kelompok adalah K- (P= .517), K+ (.046), P-1 (P= .001), P-2 (P= .001), sehingga terdapat pengaruh pemberian rebusan daun sungkai terhadap kadar gula darah pada tikus wistar yang diinduksi diabetes melitus. Penelitian ini juga menunjukan adanya perbedaan kerusakan jaringan organ ginjal tikus disetiap kelompok perlakuan pada persentase yang berbeda. Hasil analisis komposisi kandungan antioksidan dan flavonoid yang cukup tinggi pada daun Sungkai diyakini menjadi indikasi terjadinya perbaikan jaringan ginjal yang semakin membaik pada dosis sungkai yang lebih tinggi

    Faktor-Faktor yang Mempengaruhi Kepuasan Pengguna Jaminan Kesehatan Nasional: Factors Influencing User Satisfaction with the National Health Insurance

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    Purpose: This study aims to identify the factors influencing user satisfaction with the National Health Insurance in Indonesia. Design/Methodology/Approach: This is a quantitative study with an analytical method using a cross-sectional approach. The population in this study consists of Indonesian citizens, utilizing data from the 2014 Indonesian Family Life Survey (IFLS). The total sample used in this study is 5,041 respondents. Data processing is conducted using the Stata application, employing the logit analysis method. Findings: There is a positive and significant influence of healthcare facility utilization and health insurance ownership on user satisfaction with health insurance. However, out-of-pocket payments beyond regular insurance contributions and waiting time do not affect user satisfaction with health insurance. Research Implications: Policies are needed to anticipate dissatisfaction among health insurance users by minimizing additional costs beyond the regular insurance contributions. Efforts should also be made to reduce waiting times for healthcare services

    The effect of Kawa Daun (Coffea canephora) decoction on blood glucose levels and pancreatic β-cells regeneration in rats with diabetes

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    Giving coffee leaves Kawa Daun (Coffea canephora), which contains flavonoids and chlorophyll, which are antioxidants, is one of the therapies that may be used to treat diabetes mellitus, which is expected to affect 783 million people worldwide by 2045. This study, therefore, aims to demonstrate Kawa Daun decoction’s potency in lowering blood glucose levels and restoring pancreatic β-cells in rats with diabetes mellitus. Wistar rats (2-3 months, 200 g, n = 28) were used in this true experimental study, which applied a pre-post-control group design. Regular feeding + no intervention was for the group (K-); Kawa Daun was not provided to (K+) DM (alloxan) rats + regular feeding; (P1) DM rats (alloxan) received 3.6 ml/200 g BW/day of Kawa Daun decoction along with regular feeding; Kawa Daun decoction 7.2 ml/200 g body weight/day in addition to regular feeding was given to (P2) DM rats (alloxan). For 14 days, the intervention was given orally. A spectrophotometer was utilized to detect blood glucose levels, and histological analysis using H&E staining was employed to determine the state of the pancreatic β-cells. In comparison to the (K+) group, the intervention group significantly decreased blood glucose levels (p = 0.001), according to the findings. The P2 group's reduction in blood sugar levels (∆ = 139.33 mg/dl 38.45) was more significant than that of the P1 group (∆ = 109.17 mg/dl 35.32). Compared to the (K+) (27.1% damage) group, the intervention group's pancreatic β-cells revealed improvement according to the histopathological examination results. The group's (P2 = 14.9%) damage area was less than the group's (P1 = 22.4%). This study emphasizes how administering Kawa Daun decoction can improve blood glucose levels and reconstruct the pancreatic β-cells damage and its protection. Finally, this kind of leaf could be a substitute compound for diabetic herbal therapy

    HUBUNGAN LINGKUNGAN PERAWATAN DENGAN KUALITAS TIDUR PASIEN POST OPERASI MAYOR

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    Tindakan operasi mayor merupakan pengalaman yang sulit hampir bagi semua pasien karena berhubungan dengan adanya insisi yang luas. Pasien post operasi mayor akan mengalami terganggunya kualitas tidur karena berbagai factor dimana salah satunya adalah kenyamanan lingkungan ruangan perawatan seperti pencahayaan, suhu ruangan, kebisingan. Kurang tidur memiliki dampak serius termasuk penurunan toleransi rasa sakit, peningkatan imunosupresi, lambatnya pemulihan. Penelitian ini bertujuan untuk mengetahui hubungan lingkungan perawatan dengan kualitas tidur pasien post operasi mayor di Ruangan Rawat Inap Bedah RSUD Sungai Dareh Kabupaten Dharmasraya. Desain penelitian menggunakan metode kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian ini berjumlah 110 orang. Pengambilan sampel menggunakan teknik accidental sampling pada pasien post operasi di Ruangan Bedah RSUD Sungai Dareh. Sampel pada penelitian ini berjumlah 52 orang. Pengolahan data dilakukan secara komputerisasi menggunakan program spss dengan analisa univariat dan bivariat, uji statistik yang dipakai adalah chi-square. Pada penelitian ini diperoleh hasil yaitu keluhan lingkungan perawatan yang tidak nyaman sebanyak (53,8%), lebih dari separoh responden mengalami kualitas tidur yang buruk sebanyak (75%) dan hasil analisis uji chi square didapatkan nilai p value 0,00. Berdasarkan hal tersebut disimpulkan bahwa adanya hubungan antara lingkungan perawatan dengan kualitas tidur pasien post operasi mayor di Ruangan Rawat Inap Bedah RSUD Sungai Dareh Kabupaten Dharmasraya. Oleh karena itu diharapkan rumah sakit melengkapi sarana dan prasarana serta pelayanan asuhan keperawatan sehingga pasien dapat merasakan kenyamanan selama dirawat dan kualitas tidur pasien dapat menunjukan hasil yang baik

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Aktivitas antioksidan dan senyawa bioaktif Kopi Kawa (Coffea canephora) sebagai alternatif pangan fungsional penyakit degeneratif

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    Pendahuluan: Penyakit degeneratif utama, seperti diabetes dan kanker merupakan penyakit faktorial gaya hidup, yang diinduksi dari ketidakefektifan pola makan, inaktivitas fisik, dan paparan radikal bebas. Data International Diabetes Federation (IDF) menunjukkan 19,47 juta penderita diabetes tahun 2021 di Indonesia. Salah satu upaya pencegahannya adalah konsumsi makanan/ minuman antioksidan tinggi. Daun kopi robusta, sebagai bahan dasar kopi kawa daun di Sumatera, mengandung komposisi antioksidan (terutama flavonoid) yang dipercaya dapat mencegah penyakit degeneratif. Tujuan: Penelitian ini menganalisis kadar aktivitas antioksidan dan total flavonoid kopi kawa daun melalui perbandingan proses pengeringan (dehidrasi) tradisional dengan disangai dan pengeringan langsung sinar matahari. Metode: Penelitian dengan uji laboratorium ini menentukan kadar aktivitas antioksidan (DPPH), kadar flavonoid ( spektrofotometri UV-Vis AlCl3), analisis serat, uji organoleptic, proksimat, dan mutu hedonic. Uji normalitas menggunakan Shaphiro-Wilk dan dilanjutkan analisis uji Kruskal- Wallis pada data tidak terdistribusi normal. Hasil: Analisis komposisi kopi kawa daun dehidrasi disangai menghasilkan nilai IC50 aktivitas antioksidan 28,89 ppm dan nilai kadar flavonoid 1,1 mgQE/g. Sedangkan pengeringan dibawah sinar matahari langsung didapatkan nilai IC50 aktivitas antioksidan 30,99 ppm dengan nilai kadar flavonoid 1,3 mgQE/g. Hasil uji kandungan lain (klorofil, serat kasar, proksimat) menunjukan perbedaan komposisi, dan uji organoleptik panelis menyukai aroma dan rasa pada kopi kawa daun yang disangai, namun presentasi warna menunjukan hasil tidak signifikan. Kesimpulan: Kopi kawa daun disangai memiliki rasa dan aroma lebih disukai dengan nilai IC50 aktivitas antioksidan yang lebih tinggi, namun pengeringan sinar matahari memiliki kadar flavonoid lebih tinggi. Diharapkan pemanfaatan kopi kawa daun tetap dijadikan produk pangan alternatif dengan banyak manfaat bagi kesehatan, terutama preventif penyakit degeneratif
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