Hengki Irawan
Sekolah Menengah Kejuruan Negeri 1 Bulakamba, Jl. Raya Kluwut-Bulakamba, Kluwut, Bulakamba, Kabupaten Brebes, Jawa Tengah 52253

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Pemberian Magnesium Sulfat Intravena Meningkatkan Efek Analgesia Pascaoperasi pada Bedah Mayor Menggunakan Anestesi Umum

Jurnal Anestesi Perioperatif Vol 2, No 3 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Penatalaksanaan nyeri akut pascaoperasi merupakan tugas penting dokter anestesi. Morfin banyak digunakan untuk mengontrol nyeri pascaoperasi. Tujuan penelitian ini untuk mengetahui pengaruh pemberian MgSO4 intravena selama operasi terhadap efek analgesia dan kebutuhan morfin pascaoperasi. Penelitian ini adalah uji klinik blok tersamar ganda. Tiga puluh enam subjek usia 21–55 tahun dialokasikan ke dalam kelompok A yang diberikan MgSO4 30 mg/kgBB intravena 15 menit dilanjutkan 15 mg/kgBB/jam sampai akhir operasi dan kelompok B diberikan NaCl 0,9% dengan volume sama yang menjalani operasi bedah mayor di RSUP Sanglah Denpasar pada Juni–Agustus 2014. Data hasil penelitian dianalisis dengan Uji Mann-Whitney. Nilai visual analog scale (VAS) diam dan bergerak pada jam ke-4 dan ke-8 pada kelompok Mg berbeda bermakna (p<0,05). Perbedaan konsumsi morfin pascaoperasi pada jam ke-4, ke-8, dan ke-24 berbeda bermakna (p<0,05). Simpulan penelitian ini adalah pemberian MgSO4 intravena selama operasi meningkatkan efek analgesia dan menurunkan kebutuhan morfin pascaoperasi.Kata kunci: Analgesia pascaoperasi, anestesi umum, bedah mayor, magnesium sulfatIntravenous Magnesium Sulphate Administration to Improve Post-operative Analgesia Effect in Major Surgery with General AnesthesiaAbstractRelieving acute post-operative pain is an important role of anesthesiologist. Morphine is frequently used to control moderate to severe post operative pain. The objective of this study is to understand the effect of intravenous MgSO4 administration in improving post-operative analgesia effect. This study was a double-blind randomized block clinical trial. The subjects of this study were patients who underwent major surgeries in Sanglah Hospital during the period of June to August 2014. Thirty six subjects age 21–55 years allocated to group A received intravenous MgSO4 30 mg/kgBW intravenous bolus in 15 minutes followed by 15 mg/kgBW/hour until the surgery is finished and group B received NaCl 0.9% with the same volume. Data were then analyzed using  the Mann-Whitney Test. The stationary and mobile VAS scores in the  4th and 8th hour in Mg group were significantly different (p<0.05). Post-operative morphine consumptions in the 4th, 8th, and 24th hour were significantly different between the Mg and NaCl 0.9% groups (p<0.05). It is concluded that the administration of  intravenous MgSO4 during operation increases analgesia effect and reduces post-operative morphine needKey words: General anesthesia, magnesium sulfate, major surgery, post-operative analgesia DOI: 10.15851/jap.v2n3.335

PELAKSANAAN PENGAWASAN DINAS TATA RUANG DAN BANGUNAN KOTA PEKANBARU TERHADAP BANGUNAN YANG TIDAK MEMILIKI IZIN MENDIRIKAN BANGUNAN DI KECAMATAN TAMPAN

Jurnal Online Mahasiswa (JOM) Bidang Ilmu Sosial dan Ilmu Politik Vol 2, No 1 (2015): WISUDA FEBRUARI 2015
Publisher : Fakultas Ilmu Sosial dan Ilmu Politik Universitas Riau

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Supervision of Building Permit (IMB) is an activity and effort to determine and assess the actual reality of the execution of the work or activity is in accordance with the plans and procedures or not. The problem in this research is how the implementation of supervision by the Department of Spatial Planning and Building Pekanbaru on building permits (building does not have permission), and the factors that triggered the building that does not have a license in the District of Pekanbaru City Handsome and obstacles in the implementation of supervision. The purpose of this study was to determine the extent of supervision by the Department of Spatial Planning and Building Pekanbaru to buildings that do not have the IMB.Researchers used the theoretical concept which adopted the theory of supervision by Manullang. The method used in this research is descriptive qualitative data collection instrument includes interviews with employees of the Department of Spatial control section and Pekanbaru City and community building, observation and document.The results of this study indicate that supervision Spatial Planning and Building Pekanbaru to buildings that do not have a building permit (IMB) in District Charming is not good. Factors that influence the lack of supervision of building permits and building permits violated ie, lack of personnel and operational vehicles to conduct a thorough supervision, lack of socialization, lack of public awareness, community economic factors, particularly the lower middle income people are the cause of reluctance in taking care of IMB before building.Keywords: Development, Monitoring, IMB.

PENINGKATAN MOTIVASI DAN PRESTASI BELAJAR MENGGUNAKAN ALAT UKUR MEKANIK MELALUI PERAGA ALAT UKUR MEKANIK SISWA KELAS X TEKNIK KENDARAAN RINGAN

VANOS Journal of Mechanical Engineering Education Vol 1, No 2 (2016)
Publisher : Fakultas Keguruan dan Ilmu Pendidikan jurusan Jurusan Pendidikan Teknik Mesin

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Abstract

Penelitian ini adalah penelitian tindakan kelas, untuk mengetahui Bagaimanakah Penggunaan Alat Peraga dalam pembelajara alat ukur mekanik Dapat meningkatkan Motivasi dan Prestasi Belajar Mata Pelajaran Pekerjaan Dasar Teknik Otomotif Pokok Bahasan Menggunakan alat ukur mekanik Pada Peserta didik Kelas X Teknik Kendaraan Ringan1 SMK Negeri 1 Bulakamba Kabupaten Brebes Pada Semester Gasal Tahun Pelajaran 2014/ 2015. Pelaksanaan penelitian tindakan kelas ini dilakukan sebanyak dua siklus. Hasil penelitian menunjukkan terjadi peningkatan motivasi dan prestasi belajar yang pada kondisi awal motivasi belajar sangat rendah sampai kondisi akhir motivasi belajar sangat baik dan prestasi belajar pada kondisi awal tuntas 66,67 %, kondisi siklus I tuntas 83,33 % dan kondisi siklus II tuntas 94,44 %. 

Pengaruh Motivasi, Minat Dan Kecerdasan Emosional Terhadap Prestasi Belajar Mahasiswa Semester VI di Akademi Keperawatan Dharma Husada

coba Vol 4 No 2 (2016): Mei 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

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Abstract

Introduction : Learn to represent very basal element in management each, every education ladder and type. Efficacy of school activity can be seen from attainment of achievement learn reachedly. The aim of this research is to identify the influence between motivation, interest, and emotional intellegence with achievement learn semester student of VI Nursing Academy Of Dharma Husada Kediri. Desain Research is quantitative with cross sectional approach. The study was held on December, 2012 at Nursing Academy Of Dharma Husada Kediri. Variables in this study were Motivation, Interest and Emotional Intellegence as independent variables, and the Achievement him Learnas dependent variable. Population in this research was all VI semester student, andsample size was 82 persons. Sampling technique used was total sampling. Data was being collected by questionnaire and  index to cumulative achievement. Data Analyzed by using double Linear regression test. Result of of study was the influence of motivation, interest and emotional intellegence to achievement learn with coefficient value of regresi 0.02 and 0.01     (t=5.987 and 4.334, interest do not have an effect on by signifikan to achievement learn with coefficient of regresi 0.03 ( test of t 0. 064) so that can be concluded that there are influence betwee motivation, interest and emotional intellegence to achievement learn with value of R2 = 0.696 and F Value = 93.800 significant = 0.000 < its 0.05 meaning equal to 69.6% achievement variation of learn to be explained by motivation variable, emotional intellegence and interest, the rest 30.4% determined by other factor and by simultan motivation variable, emotional intellegence and enthusiasm can explain achievement learn student. Conclusion According to research, there is significant betwenit the influence of motivation, interest and emotional intellegence to achievement learn.It  is suggested to educator to increase ability teach it and risk motivation, interest and emotional intellegence and suggested for futher research on exploring physic and Phisicologist factor related/influence the achievement learn student.

Motivasi Ibu Tentang Toilet Training Pada Anak Usia I-3 Tahun Di Wilayah Kerja Posyandu Dahlia Puskesmas Campurejo Kota Kediri

coba Vol 1 No 2 (2013): Mei 2013
Publisher : Akademi Keperawatan Dharma Husada Kediri

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Abstract

Toilet Training on child constitutes an effort to see child to be able to controls deep poo and pee. So required by task for toilet training. Toilet Training is very important for the childs independence and psychological. So desperately needed readiness Mother, How the implementation and the role of mother in teaching Children Toilet Training. The purpose of this study was to determine maternal motivation in making toilet training in children aged 1-3 years in the working area of Dahlia IHC Health Center Campurejo Kediri.The design of this study using a descriptive design,this research in the working area of Dahlia IHC Health Center Campurejo Kediri.Its research subject is all Mother that have age child 1-3 years in IHC Dahlia June Dahlia 2011 as much 25 respondents (Total sampling). Collecting data with questionnaires and interviews. Its research variable is motivate mother in does toilet training. Data processing utilizes kualitatifs scale passes through editing, coding, tabulating, and scoring. so research measure is divided as tall motivation, motivation be and low motivation.Result respondenting to figure 6 respondents (24%) having motivation less, 5 respondents (20%) having motivation be and a considerable part which is 14 respondents (56%)  having tall motivation.So gets to be concluded by tall mother motivation to do toilet  training  caused total families deep child which more than one more make to have more experience ripe,mother work a large part housewife so mother time to do toilet  training more intensive.The advice given is expected given the huge benefits to the mother and child about toilet training. Mother ought to applies toilet training on child and toilet training my mother taught to children early on. Keywords: motivation, Mother, Toilet Training

Pengaruh Konseling Kesehatan Terhadap Penurunan Tingkat Kecemasan Pasien TBC Paru Di Puskesmas Campurejo Kota Kediri

coba Vol 4 No 1 (2015): Nopember 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

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Abstract

Lung Tuberculosis germ. The treatment and supporting facilities have been available. The Government effort to overcome this disease by Directly Observed Treatment Shortcourse (DOTS). The old treatment and expensive cost caused the patient feels anxiety. The Nurse’s role is to overcome the anxiety through health counseling. It is a kind of method used to solve the patient’s problem. The research aims to know the influence of health counseling toward the reduction of anxiety  level in lung TBC of the patient in Puskesmas Campurejo Kediri city. This research is called Pre-Experimental with One Group Pretest- Posttest design. The samples consists of 25 respondents, taken with Non Probability Sampling by type Pusposive Sampling Method, which new lung TBC patient’s. Variable Tuberculosis (TBC) is contagious disease caused by Mycobacterium measured in this research are patient’s anxiety level before and after given the health counseling. The result shows that before given the health counseling, 32% patient experience in low, middle, and high anxiety level, while 4% patient experience in panic. After given health counseling, the result shows that 44% patients experience in middle anxiety level, 36% patients experience in low anxiety level, 28% patients experience in high anxiety level. These data indicate that 28% respondents show the alteration in reduction of anxiety level, 72% do not show the alteration in reduction of anxiety level. The result shows that 80% respondents experience the alteration in reduction of anxiety level while 20% respondents do not experience this. Based on the results of Wilcoxon (α=5%), the level anxiety in health counseling of towards the reduction of anxiety level in Lung TBC of the patients. For the next research hope to make a contact and therapeuticall communication with patients. Key words: Lung TBC, anxiety level, health counseling

PENGARUH TERAPI BEKAM TERHADAP PENURUNAN TEKANAN DARAH PADA KLIEN HIPERTENSI

coba Vol 1 No 1 (2012): Nopember 2012
Publisher : Akademi Keperawatan Dharma Husada Kediri

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Abstract

Hypertension or high blood pressure is one of the major health problems that require special attention. Cupping therapy is a process to remove dirty blood from the body through the skin surface. Cupping is an alternative to lower blood pressure. The purpose of this study was to determine the effect of therapy bruise to the decrease of blood pressure in hypertensive clients. This research is taking pre-experimental one group pretest-post test design. The sample was selected based on inclusion criteria using accidental sampling with total respondent 14 people. Here is the independent variable and dependent variable bleed therapy is to decrease blood pressure. Collect data by observation. Collecting and using data pengolahahan T test with a significant α ≤ 0.05. The results showed that there was a significant decrease in blood pressure between pre-test and post-test for systolic blood pressure decreased by an average of 22.857 mmHg and pre-test and post-test diastolic blood pressure by an average of 21.429 mmHg and testing with the T test indicates p = 0001 and 0003 (α <0.05). It can be concluded that there are significant bruise therapy to decrease blood pressure in hypertension patients. Doing the right skin bruise location will be on the mast cell, which will produce substances such as serotonin, histamine, bradykinin, slow-reacting substance, Nitric Oxide (NO) and endorphins. These substances will make repairs and reduce the capillary pressure darah.Hasilnya relaxing effect on muscle and vasodilatation of blood vessels, and eventually the blood pressure decrease. Needs further research with more respondents and considers factors - confounding factor in research. With this result can bleed into one alternative way of treatment of hypertension

Pemberian Magnesium Sulfat Intravena Meningkatkan Efek Analgesia Pascaoperasi pada Bedah Mayor Menggunakan Anestesi Umum

Jurnal Anestesi Perioperatif Vol 2, No 3 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar

Abstract

Penatalaksanaan nyeri akut pascaoperasi merupakan tugas penting dokter anestesi. Morfin banyak digunakan untuk mengontrol nyeri pascaoperasi. Tujuan penelitian ini untuk mengetahui pengaruh pemberian MgSO4 intravena selama operasi terhadap efek analgesia dan kebutuhan morfin pascaoperasi. Penelitian ini adalah uji klinik blok tersamar ganda. Tiga puluh enam subjek usia 21–55 tahun dialokasikan ke dalam kelompok A yang diberikan MgSO4 30 mg/kgBB intravena 15 menit dilanjutkan 15 mg/kgBB/jam sampai akhir operasi dan kelompok B diberikan NaCl 0,9% dengan volume sama yang menjalani operasi bedah mayor di RSUP Sanglah Denpasar pada Juni–Agustus 2014. Data hasil penelitian dianalisis dengan Uji Mann-Whitney. Nilai visual analog scale (VAS) diam dan bergerak pada jam ke-4 dan ke-8 pada kelompok Mg berbeda bermakna (p<0,05). Perbedaan konsumsi morfin pascaoperasi pada jam ke-4, ke-8, dan ke-24 berbeda bermakna (p<0,05). Simpulan penelitian ini adalah pemberian MgSO4 intravena selama operasi meningkatkan efek analgesia dan menurunkan kebutuhan morfin pascaoperasi.Kata kunci: Analgesia pascaoperasi, anestesi umum, bedah mayor, magnesium sulfatIntravenous Magnesium Sulphate Administration to Improve Post-operative Analgesia Effect in Major Surgery with General AnesthesiaAbstractRelieving acute post-operative pain is an important role of anesthesiologist. Morphine is frequently used to control moderate to severe post operative pain. The objective of this study is to understand the effect of intravenous MgSO4 administration in improving post-operative analgesia effect. This study was a double-blind randomized block clinical trial. The subjects of this study were patients who underwent major surgeries in Sanglah Hospital during the period of June to August 2014. Thirty six subjects age 21–55 years allocated to group A received intravenous MgSO4 30 mg/kgBW intravenous bolus in 15 minutes followed by 15 mg/kgBW/hour until the surgery is finished and group B received NaCl 0.9% with the same volume. Data were then analyzed using  the Mann-Whitney Test. The stationary and mobile VAS scores in the  4th and 8th hour in Mg group were significantly different (p<0.05). Post-operative morphine consumptions in the 4th, 8th, and 24th hour were significantly different between the Mg and NaCl 0.9% groups (p<0.05). It is concluded that the administration of  intravenous MgSO4 during operation increases analgesia effect and reduces post-operative morphine needKey words: General anesthesia, magnesium sulfate, major surgery, post-operative analgesia DOI: 10.15851/jap.v2n3.335