Nusantara Hasana Journal

PENGEMBANGAN MEDIA POWTOON PADA MATERI KERAGAMAN SOSIAL BUDAYA DI INDONESIA UNTUK SISWA KELAS 5 SD NEGERI DUDUKLOR

2024-11-09T09:21:27+07:00

The development of Powtoon media on socio-cultural diversity material in Indonesia for 5th grade students of SD Negeri Sitting Lor aims to determine the effectiveness, validity, and responses received by students. In this study, the development of learning media uses the ADDIE model which has 5 stages of development, namely Analysis, Design, Development, Implementation, Evaluation. In the analysis stage, the analysis used is media validity analysis, media effectiveness analysis, and student response analysis. The effectiveness analysis is carried out by means of media testing to students, distributing student response questionnaires and using an assessment of media and material validation which will later be assessed directly by media and material experts. The results of the final assessment given to Powtoon media experts on socio-cultural diversity in Indonesia are 95% and 85%, the media developed by researchers is categorized as very valid and feasible to be applied in classroom learning by media experts. the effectiveness of the media is assessed from the results of student responses and trials using 3 learning models, namely the question and answer learning model, inquiry and kooperatif STAD type. The assessment using the question and answer model obtained 95.2% results in the very good category, the assessment using the Inquiry model obtained 85.7% results in the very good category, and the assessment using the STAD Kooperatif model obtained 91.4% results in the very good category. good. So that this Powtoon media can be applied and used in the learning process in the classroom on the condition that it sees the suggestions and comments given by the validators so that the learning media becomes the perfect medium

PREVALENSI DIABETES MELLITUS TIPE 2 PADA ANAK DAN REMAJA (STUDI LITERATUR)

2024-11-09T09:37:02+07:00

Type 2 Diabetes Mellitus is a long-term medical illness marked by high blood sugar levels caused by the body's ineffective use of insulin. The increasing frequency of this problem in not just adults but also in children and adolescents is causing alarm. An overview of Type 2 Diabetes Mellitus detection, diagnosis, treatment, and risk factors is intended to be provided by this review of the literature. The review's research sources come from a number of respected scientific periodicals.The information included in this literature review comes from a variety of scientific papers that have been published in the recent five to ten years in both domestic and foreign journals. Using the following keywords, a comprehensive search of several databases, including PubMed, the Cochrane Library, and Google Scholar, produced these articles: "type 2 diabetes mellitus," "children," "adolescents," "epidemiology," and "risk." The findings indicate that Type 2 Diabetes Mellitus is becoming more common in children and teenagers, particularly in developing nations. Unhealthy lifestyle choices such an unbalanced diet and inactivity are associated with this trend (Rahmayunita et al., 2023). Significant concern also surrounds the long-term consequences of Type 2 Diabetes Mellitus in children and adolescents, which include retinopathy, nephropathy, cardiovascular disease, and neuropathy (Rahmayunita et al., 2023; Wijayanti et al., 2020; Kusumastuti et al., 2023; Andriyani et al., 2022).Medical teams, parents, and the patients themselves must work together to manage Type 2 Diabetes Mellitus in children and adolescents. For this condition to be prevented and controlled from progressing, early detection, suitable treatment, and lifestyle modifications toward healthy habits are essential.

ANALISIS KADAR GLUKOSA DARAH SEBELUM DAN SESUDAH OPERASI BERDASARKAN LAMA OPERASI DI RSUP Dr. M. DJAMIL PADANG

2024-11-09T17:03:38+07:00

Glucose functions as the human body main fuel which is responsible for producing energy. Risk factors are related to blood glucose levels: age, genetics, exercise habits, diet, stressors/trauma, smoking habits, obesity. The duration of surgery can affect blood glucose levels and cause the anesthesia to take longer, which can have an impact on blood glucose levels. The stress response to surgery is a change in the metabolic and hormonal systems, responses resulting in an increase in blood glucose levels or reactive hyperglycemia. To analyze of blood glucose levels pre and post operative based on duration of surgery at Dr. M. Djamil Hospital, Padang. This research using a cohort study design with T-test analysis. The sample in this study was selected using consecutive sampling techniques and the number of samples in this study 54 patients. The highest mean of blood glucose levels were found at the neurosurgery, which was 111.20+18.62 mg/dL in preoperative and 182.60+58.94 mg/dL in postoperative. The highest mean of blood glucose levels were found in the severe duration of surgery (>120 minutes), 94.69+16.90 mg/dL in preoperative and 122.19+42.37 mg/dL in postoperative with significant increase (p<0.05). The severe duration of surgery increased postoperative blood glucose levels.

ADULT GRANULOSA CELL TUMORS: A COMPREHENSIVE REVIEW OF CLINICOPATHOLOGICAL FEATURES AND MOLECULAR INSIGHTS

2024-11-04T09:24:13+07:00

Adult granulosa cell tumor (AGCT) is a rare subtype of ovarian cancer, accounting for 2-5% of all ovarian malignancies and originating from granulosa cells that are involved in oocyte development and sex steroid production. Although AGCT is often diagnosed at an early stage and has a better prognosis compared to other types of ovarian cancer, challenges in diagnosis persist. Clinical symptoms such as abdominal pain and distension are often nonspecific and may be accompanied by signs of hyperestrogenism. Histopathological examination of AGCT reveals a characteristic cell pattern; however, variations in histological appearance can complicate diagnosis. Despite a favorable prognosis, there remains a risk of recurrence, with many cases experiencing relapse several years post-initial treatment. This underscores the necessity for long-term monitoring of patients following treatment. This article aims to explore the clinicopathological characteristics of AGCT and provide guidance for more effective patient management through a deeper understanding of molecular mechanisms and appropriate therapeutic approaches

DETEKSI DINI BABY BLUES SYNDROME TERHADAP IBU NIFAS YANG MELAHIRKAN DENGAN CARA SECTIO CAESAREA (SC) DI RSIA MUTIARA BUNDA PADANG PADA TAHUN 2023

2024-11-09T17:10:40+07:00

Background: Baby blues syndrome or postpartum blues is an emotional disorder experienced by a woman after giving birth due to emotional stress before and after giving birth. The resolution of baby blues cases so far uses health and psychological approaches. Baby blues syndrome often appears within the first week after delivery and peaks on days 3 to 5 and lasts for 14 days after delivery. Research Objectives:This study aims to determine early baby blues syndrome in postpartum mothers who give birth by Sectio Caesarea (SC) at RSIA Mutiara Bunda Padang. Method: This type of research is categorically descriptive with a cross sectional design involving postpartum mothers who gave birth by sectio caesarea (SC) at RSIA Mutiara Bunda as many as 100 people. The primary data obtained will be through univariate analysis. Results: This study resulted in postpartum mothers who experienced the most baby blues syndrome in the age range of 20-34 years, which was 27 people (31.0%), with the most jobs as housewives as many as 24 people (35.3%). Meanwhile, from the level of education, postpartum mothers who experience baby blues syndrome have the most undergraduate education as many as 16 people (31.4%). Postpartum mothers with primiparous parity experienced baby blues syndrome as many as 19 people (34.0%). Based on the husband and family support questionnaire, postpartum mothers with baby blues syndrome did not receive the most husband support, 20 people (36.0%), but the most received support from family as many as 20 people (25.3%). Conclusion: The results of this study show early detection of postpartum mothers including age, occupation, education, parity, husband support, and family support.

ANALISIS HUBUNGAN TINGKAT KEMANDIRIAN LANSIA DALAM MELAKUKAN ACTIVITY-DAILY-LIVING (ADL) DENGAN FAKTOR-FAKTOR TERKAIT DI PROVINSI-SUMATERA-BARAT

2024-11-28T19:10:26+07:00

Background. Many factors are related to the independence of the elderly in fulfilling Activities-of-Daily-Living (ADL), namely age, health status, nutritional status, physical and mental health, history of chronic diseases, immobility, easy to fall, depression, mental and cognitive function, the role of midwives, the role of cadres, the role and support of the family, social, economic, religious conditions, physical activity and the activity of the elderly. Research Objectives. Analyze the relationship between the level of independence of the elderly in carrying out Activities-Daily-Living and related factors. Research Methods. Analytical-quantitative with a cross-sectional design, in August-2023 to January-2024, in Kecamatan-Tigo-Nagari, Kabupaten-Pasaman, Prvinsi-Sumatera-Barat. Purposive-sampling technique, obtained a sample of 105 elderly. KATZ Index research instrument. Univariate and bivariate data analysis using the Chi-square-Test. Results. Univariate analysis, the majority of elderly have the following levels of independence: independent 79 people (75.2%), aged between 60-69 years (Young Elderly) 58 elderly (55.2%) and female 61 elderly (58.1%), low education (elementary school) 90 elderly (85.7%) and previously unemployed 88 elderly (83.8%). The majority of elderly have income 85 elderly (81%), have a spouse 78 elderly (74.3%) and have few chronic diseases (<2) 60 elderly (57.1%). Bivariate analysis, the relationship between 7 related factors (age, gender, education, previous job, income, spouse, and chronic disease) with the level of independence of the elderly, which is significantly related only to income with p-value = 0.001. The strength of the relationship between income and level of independence was assessed from the Odds Ratio (OR)=5.704. While age (p-value=0.193), gender (p-value=0.782), education (p-value=0.348), previous job (p-value=1.000), partner (p-value=0.145), chronic disease (p-value=0.870) were not related. Conclusion. The majority of elderly living in West Sumatra Province have a high level of independence, aged 60-69 years (young elderly), female, low education (elementary school), previously unemployed, have a partner, have income, have few chronic diseases (<2). There is a significant relationship between income and the level of independence of the elderly with p-value = 0.001. Elderly who earn compared to those who do not earn have a 5 times greater chance of increasing the independence of the elderly with OR = 5.704.

HUBUNGAN TINDAKAN BUNUH DIRI DENGAN KESEHATAN MENTAL DI INDONESIA

2024-11-28T19:34:02+07:00

Introduction: Suicide is one of the causes of death that often occurs in individuals who have mental disorders. Suicide can start from depression that occurs in the sufferer. Spiritual aspects are often associated with preventing suicidal behavior. Several related studies have explained how spiritual support can reduce levels of depression in individuals. Method: This literature review aims to determine the role of spirituality in influencing the risk of suicidal behavior in adults. Writing this journal uses a literature study approach originating from a database, namely Google Scholar using keywords. Filtered 159,320 journals and managed to find 14 related journals. Using inclusion criteria which include literature sources taken from 2018 to 2023, using Indonesian, appropriateness of writing keywords, relevance of literature writing results to the discussion raised. Results: Mental health problems such as depression which cause the risk of suicide can be overcome with psychosocial and religious interventions in order to create good copying in solving individual problems. Several interventions provided to treat individuals with mental health problems who are at high risk of suicidal behavior include the Social Spiritual Group (SSG) which can be applied to health services (Forrester-Jones, Dietzfelbinger, Stedman, & Richmond, 2018). Psychosocial support also often helps reduce patients' depressive symptoms and possible risk of suicide, and has been shown to improve psychological well-being. Conclusion: Suicide attempts often occur, both among teenagers, adults and the elderly. This behavior is not only increasing sharply in Indonesia, but almost throughout the world. Before taking action on a cooperative patient, do not deny that there has been a suicide attempt. However, the client speaks slowly and finds it difficult to start a conversation. Clients also do not understand the coping patterns that can be applied when clients face a problem.

IMUNOPATOGENESIS LEPTOSPIROSIS

2024-11-28T21:10:30+07:00

Leptospirosis is a zoonotic disease caused by bacteria from the genus *Leptospira*. This disease is one of the infectious diseases that are widespread throughout the world, especially in tropical and subtropical areas. Leptospirosis is transmitted to humans through direct contact with water, soil, or materials contaminated by the urine of infected animals. Animals such as rats, dogs, and livestock are often the main reservoirs of this bacteria. Humans can be infected when their skin or mucosa comes into contact with water or soil containing *Leptospira* bacteria, especially during floods or when working in wet environments. Clinically, leptospirosis can vary from asymptomatic infection to severe disease that can be fatal. Severe clinical manifestations, known as Weil's disease, can involve organ failure, including liver and kidney, and severe bleeding. In the context of the hematological and immunological systems, leptospirosis can cause disorders of blood cell function, including hemolytic anemia, thrombocytopenia, and changes in the leukocyte profile. The immune response to *Leptospira* is critical in determining disease severity, with uncontrolled immune mechanisms contributing to tissue and organ damage.