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PENGARUH PEMBERIAN CAIRAN KOLOID-KRISTALOID DAN KRISTALOID PRE OPERASI SECTIO CESAREA DENGAN ANESTESI SPINAL TERHADAP MEAN ARTERIAL PRESSURE (MAP) DI RSUD CILACAP Santoso, Budi Joko; Sucipto, Edi; Utoyo, Bambang
JURNAL ILMIAH KESEHATAN KEPERAWATAN Vol 9, No 3 (2013): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : STIKES MUHAMMADIYAH GOMBONG

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Abstract

Sebagai prosedur operasi, maka pelaksanaan sectio cesarea memerlukan tindakan anestesi. Anestesia yang digunakan pada operasi sectio cesarea tidak sama dengan jenis anestesi pada prosedur operasi lain. Operasi sectio cesarea, anestesi regional lebih sering digunakan dibandingkan anestesi general. Potensi untuk hipotensi dengan teknik spinal merupakan risiko terbesar bagi ibu bersalin. Salah satu penatalaksanaan untuk mencegah hipotensi pasca anestesi spinal adalah dengan pemberian cairan intravena sebelum pembiusan. Mengetahui pengaruh pemberian cairan koloid-kristaloid dan kristaloid pre operasi sectio cesarea dengan anestesi spinal terhadap tekanan darah di RSUD Cilacap Tahun 2012.Jenis penelitian quasi eksperimental dengan pendekatan pre test post test with control group. Populasi pada penelitian ini adalah seluruh ibu sectio cesarea dengan anestesi spinal di Ruang Instalasi Bedah Sentral RSUD Cilacap. Teknik sampling yang digunakan adalah purposive sampling, sejumlah 40 orang. Uji beda untuk mengetahui perbedaan tekanan darah antara kelompok kontrol dengan kelompok kasus menggunakan Independent Sample T-Test dan untuk mengetahui perbedaan tekanan darah antara kelompok kontrol atau kelompok intervensi sebelum perlakuan menggunakan Paired Sample T-Test. Secara statitik ada pengaruh pemberian cairan koloid-kristaloid pre operasi sectio cesarea dengan anestesi spinal terhadap Mean Arterial Pressure di RSUD Cilacap Tahun 2012. Kata Kunci : Cairan Koloid, Operasi Cesarea, Anestesi Spinal, MAP
PENGARUH TERAPI LINTAH TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI DI KLINIK TERAPI LINTAH MEDIS PURBA KAWEDUSAN KEBUMEN Widaswara, Herlin; purwanti, Ery; Utoyo, Bambang
JURNAL ILMIAH KESEHATAN KEPERAWATAN Vol 8, No 3 (2012): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : STIKES MUHAMMADIYAH GOMBONG

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Abstract

Hypertension is known as the silent killer because we can not find physical signs accompanying. One of the hypertension managements is the alternative treatment. Many reasons why people choose alternative medicine, such as the expensive charge of medical treatment, side effects of long-term use of chemical medicines, and medical treatment that does not reach 100 % heal especially for chronical diseases. One alternative treatment for hypertension is with leech therapy. Leech saliva contains anti-coagulant substance called hirudin that can facilitate blood flow. The aim of this study was to determine the influence of leech therapy to blood pressure of hypertension patiens in Medis Purba Leech Therapy Clinic Kawedusan-Kebumen. The method used in this study was quasi experimental with pre-test and post-test group design. There were 104 respondents taken as the sample by using accidental sampling method. The data were analyzed by paired t-test. The result showed that there are significant influence of leech therapy to blood pressure of hypertension patients in Medis Purba leech therapy clinic Kawedusan-Kebumen with p value = 0.000 that meant (P) = < 0.005. There are significant influence of leech therapy to blood pressure of hypertension patient in Medis Purba leech therapy clinic Kawedusan-Kebumen. Keywords : hypertension, leech therapy, blood pressure changes
PENGARUH TEKNIK RELAKSASI GENGGAM JARI TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN POST OPERASI LAPARATOMI Pinandita, Iin; Purwanti, Ery; Utoyo, Bambang
JURNAL ILMIAH KESEHATAN KEPERAWATAN Vol 8, No 1 (2012): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : STIKES MUHAMMADIYAH GOMBONG

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Abstract

Pain is the most common reason for people to seek health careand is one of the most common complaint of patients after a surgery. Tocope with pain, pain management is needed that includes nonpharmacologicaland pharmacological management. Hand grip relaxationtechnique is one of non-pharmacological techniques to emotions whichcan cause pain increase for the post laparotomy patients. The aim of thisstudy is to find out the influence of hand grip Relaxation Technique toDecrease pain Intensity of Post Laparatomy Patients in PKUMuhammadiyah Gombong Hospital.This research method is a Quasiexperimentwith the pre test-post test approach with control groupdesign. The study was conducted in PKU Muhammadiyah GombongHospital with 34 respondents using purposive sampling based oninclusion and exclusion criteria.The paired t-test shows that mean pain intensity in theexperimental group pre-test = 6.64 and the mean postoperative painintensity of the test = 4.88. While the mean pain intensity in the controlgroup pre test = 6.58 and the mean postoperative pain intensity test =6.47. The average difference of pre and post test in the experimentalgroup =1.764, whereas the average difference of the pre and post test inthe control group = 0.117. Based on independent t-test results, it wasobtained significance (p), with p-value = 0.000, where the value (p <0.05),meaning that there is an influence of hand grip Relaxation Technique toDecrease pain Intensity of Post Laparatomy Patients in PKUMuhammadiyah Gombong Hospital.Keywords Hand grip relaxation technique, Pain, Post Laparatomy
PENGARUH STIMULASI PEMBERIAN TABLET HISAP VITAMIN CTERHADAP PENINGKATAN SEKRESI SALIVA PADA PASIEN GAGALGINJAL KRONIK YANGMENJALANI TERAPI HEMODIALISADI RS PKU MUHAMMADIYAH GOMBONG Utoyo, Bambang; Yuwono, Podo; Tri Kusumawati, Wening
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 1 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LP3M STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.533 KB) | DOI: 10.26753/jikk.v12i1.135

Abstract

Chronic renal failure is a progressive deterioration in kidney function and irreversible, in where the body is unable to maintain fluid balance and electrolyte metabolism. Inpractice, patients must limit fluid diet to prevent complications. However, such action may affect some aspect of the human body, that is dry mouth or xerostomiadue to decrease saliva production. To reduce patient complaint, actions which can be done is to stimulate gland salivary with chemical stimulation using lozenges sour taste vitamin C. The aim of this study is to the determine the stimulation effect of the vitamin C lozenges provision to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital.This study used a quasi experimental design with pretest — postest design. Samples amounts 42 respondents, consisting of 21 respondents control and 21 respondents intervention by using Purposive Sampling technique. Data analysis technique using Paired t Test to determine whether there were significant differences in salivary secretion in the pretest and postest.Based on a statistical test Paired t Test found a significant increase in the salivary secretion between pretest saliva and postest one intervention group with a value of p=0,003. In conclusion, stimulation of vitamin C lozenges giving has affect to increase saliva secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital. Keywords: stimulation, secretion of saliva, chronic renal failure
PENGARUH PEMBERIAN CAIRAN KOLOID-KRISTALOID DAN KRISTALOID PRE OPERASI SECTIO CESAREA DENGAN ANESTESI SPINAL TERHADAP MEAN ARTERIAL PRESSURE (MAP) DI RSUD CILACAP Santoso, Budi Joko; Sucipto, Edi; Utoyo, Bambang
Jurnal Ilmiah Kesehatan Keperawatan Vol 9, No 3 (2013): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LP3M STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.601 KB)

Abstract

Sebagai prosedur operasi, maka pelaksanaan sectio cesarea memerlukan tindakan anestesi. Anestesia yang digunakan pada operasi sectio cesarea tidak sama dengan jenis anestesi pada prosedur operasi lain. Operasi sectio cesarea, anestesi regional lebih sering digunakan dibandingkan anestesi general. Potensi untuk hipotensi dengan teknik spinal merupakan risiko terbesar bagi ibu bersalin. Salah satu penatalaksanaan untuk mencegah hipotensi pasca anestesi spinal adalah dengan pemberian cairan intravena sebelum pembiusan. Mengetahui pengaruh pemberian cairan koloid-kristaloid dan kristaloid pre operasi sectio cesarea dengan anestesi spinal terhadap tekanan darah di RSUD Cilacap Tahun 2012.Jenis penelitian quasi eksperimental dengan pendekatan pre test post test with control group. Populasi pada penelitian ini adalah seluruh ibu sectio cesarea dengan anestesi spinal di Ruang Instalasi Bedah Sentral RSUD Cilacap. Teknik sampling yang digunakan adalah purposive sampling, sejumlah 40 orang. Uji beda untuk mengetahui perbedaan tekanan darah antara kelompok kontrol dengan kelompok kasus menggunakan Independent Sample T-Test dan untuk mengetahui perbedaan tekanan darah antara kelompok kontrol atau kelompok intervensi sebelum perlakuan menggunakan Paired Sample T-Test. Secara statitik ada pengaruh pemberian cairan koloid-kristaloid pre operasi sectio cesarea dengan anestesi spinal terhadap Mean Arterial Pressure di RSUD Cilacap Tahun 2012. Kata Kunci : Cairan Koloid, Operasi Cesarea, Anestesi Spinal, MAP
OPTIMALISASI PEMBANGUNAN DESA MELALUI PELATIHAN PERENCANAAN PEMBANGUNAN DESA BAGI SEKRETARIS DESA Hutagalung, Simon Sumanjoyo; Utoyo, Bambang; Sulistio, Eko Budi; Puspawati, Ani Agus
Prosiding Pengabdian FISIP Unila 2012
Publisher : Prosiding Pengabdian FISIP Unila

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Abstract

This Community Services  Activity  is being carried out  in South  Lampung District Jatiagung with  a lecture  and discussion  / FAQ. Meanwhile  evaluation design  used was  a quantitative  evaluation  through  pre test  and  post test.  Also  evaluated qualitatively  through  discussion  /  question and answer with  monitoring during  the extension / dissemination of the material presented during the process of counseling / socialization  takes place  between the  presenters  material  with participants socialization,  particularly with regard to  the aspects related to  Rural Development Planning. It can be concluded already understand the concept of Regional Planning and outline the content of their policies in the Indonesian Government regulations by members of the village in the district  secretaries  forum Jatiagung South Lampung regency. It has also been  understood mechanisms and  normative  regulations  in  Rural Development Planning  and the position of  rural   community participation  in the activities of  the Rural Development  Plan  by  the members of  the  village in the district  secretaries forum Jatiagung South Lampung regency. Keywords: Development Planning, Rural Assembly
Pengaruh Bahan Organik, Pupuk P, dan Bakteri Pelarut Phosfat Terhadap Keragaan Tanaman Kelapa Sawit pada Ultisol Riniarti, Dewi; Kusumastuty, Any; Utoyo, Bambang
Jurnal Penelitian Pertanian Terapan Vol 12, No 3 (2012)
Publisher : Politeknik Negeri Lampung.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (105.688 KB) | DOI: 10.25181/jppt.v12i3.216

Abstract

This study was aims to determine the effect of organic matter kind, phosphate fertilizers, phosphate solubilizing bacteri, and an interaction effect between type of organic matter with phosphate fertilizers, and phosphate solubilizing bacteri on vigour of oil palm at ultisol. The study was designed as a factorial in a randomized block design and each treatment was repeated 3 (three) times. The treatment consisted of 3 (three) factors. First factor were kind of organic matter: bagase and empty fruit bunches of oil palm, and without organic matter; second factor were Phospate fertilizer consisted of 45 grams of P2O5 per tree (the recommended dose) or 125 g SP-36 and 56.25 g per tree (125% recommended dose) or 156.25gSP-36; and third factor were with and without of posphat solubilizing bacteri. The results showed that: the organic material bagasse provided vegetative characters (leaf number, petiole length, leaf angle, leaf chlorophyll content, and in the number of leaves) of oil palm plantations in the Ultisol was better than empty fruit bunches of oil palm plantations in ultisol, and empty fruit bunches of palm oil gave the generative character (the number of female flowers, sex ratio) on oil palm plantations in the Ultisol better than bagasse. Key words: organic matter, phosphate fertilizer, phosphate solubilizing bacteria,vigour of oil palm before producted, and ultisol.
PENGARUH PEMBERIAN CAIRAN KOLOID-KRISTALOID DAN KRISTALOID PRE OPERASI SECTIO CESAREA DENGAN ANESTESI SPINAL TERHADAP MEAN ARTERIAL PRESSURE (MAP) DI RSUD CILACAP Joko Santoso, Budi; Sucipto, Edi; Utoyo, Bambang
JURNAL ILMIAH KESEHATAN KEPERAWATAN Vol 9, No 2 (2013): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : STIKES MUHAMMADIYAH GOMBONG

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Abstract

Sebagai prosedur operasi, makapelaksanaan sectiocesarea memerlukan tindakan anestesi.Anestesia yang digunakan pada operasi sectio cesarea tidak sama denganjenis anestesi pada prosedur operasi lain. Operasi sectio cesarea,anestesi regional lebih sering digunakan dibandingkan anestesi general. Potensiuntuk hipotensi dengan teknik spinal merupakan risiko terbesarbagi ibu bersalin.  Salah satu penatalaksanaanuntuk mencegah hipotensi pasca anestesi spinal adalah dengan pemberian cairan intravena sebelum pembiusan. Mengetahui pengaruhpemberian cairan koloid-kristaloid dan kristaloid pre operasi sectio cesarea dengan anestesi spinalterhadap tekanan darah di RSUD Cilacap Tahun    2012.Jenispenelitian quasi eksperimental dengan pendekatan pre test post test with control group. Populasi pada penelitian iniadalah seluruh ibu sectiocesarea dengan anestesi spinal di Ruang Instalasi Bedah Sentral RSUD Cilacap. Teknik sampling yang digunakan adalah purposive sampling, sejumlah 40 orang. Uji beda untukmengetahui perbedaan tekanan darah antara kelompok kontrol dengan kelompokkasus menggunakan Independent SampleT-Test dan untuk mengetahui perbedaan tekanan darah antara kelompok kontrolatau kelompok intervensi sebelum perlakuan menggunakan Paired Sample T-Test.Secara statitik ada pengaruh pemberian cairan koloid-kristaloidpre operasi sectio cesarea  dengananestesi spinal terhadap Mean ArterialPressure di RSUD Cilacap Tahun 2012. Kata Kunci : Cairan Koloid, Operasi Cesarea, Anestesi Spinal, MAP
PENGARUH STIMULASI PEMBERIAN TABLET HISAP VITAMIN CTERHADAP PENINGKATAN SEKRESI SALIVA PADA PASIEN GAGALGINJAL KRONIK YANGMENJALANI TERAPI HEMODIALISADI RS PKU MUHAMMADIYAH GOMBONG Utoyo, Bambang; Yuwono, Podo; Tri Kusumawati, Wening
JURNAL ILMIAH KESEHATAN KEPERAWATAN Vol 12, No 1 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic renal failure is a progressive deterioration in kidney function and irreversible, in where the body is unable to maintain fluid balance and electrolyte metabolism. Inpractice, patients must limit fluid diet to prevent complications. However, such action may affect some aspect of the human body, that is dry mouth or xerostomiadue to decrease saliva production. To reduce patient complaint, actions which can be done is to stimulate gland salivary with chemical stimulation using lozenges sour taste vitamin C. The aim of this study is to the determine the stimulation effect of the vitamin C lozenges provision to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital.This study used a quasi experimental design with pretest — postest design. Samples amounts 42 respondents, consisting of 21 respondents control and 21 respondents intervention by using Purposive Sampling technique. Data analysis technique using Paired t Test to determine whether there were significant differences in salivary secretion in the pretest and postest.Based on a statistical test Paired t Test found a significant increase in the salivary secretion between pretest saliva and postest one intervention group with a value of p=0,003. In conclusion, stimulation of vitamin C lozenges giving has affect to increase saliva secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital. Keywords: stimulation, secretion of saliva, chronic renal failure
APAKAH PEMBENTUKAN HOLDING MENINGKATKAN KINERJA PERUSAHAAN ? ANALISIS PERBANDINGAN KINERJA ANAK PERUSAHAAN ABC BUMN HOLDING SEBELUM DAN SETELAH HOLDINGISASI DAN FAKTOR YANG MEMPENGARUHINYA Utoyo, Bambang
MIX: JURNAL ILMIAH MANAJEMEN Vol 9, No 2 (2019): MIX: Jurnal Ilmiah Manajemen
Publisher : Universitas Mercu Buana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22441/mix.2019.v9i2.001

Abstract

Abstract: The government has established ABC BUMN Holding, with the hope that the performance of its subsidiaries' performance after holding has increased sharply. Unfortunately the financial performance of its subsidiaries is no better than before the holding. This study is intended to analyze the performance of ABC BUMN subsidiaries before and after holding and look for factors that affect their performance, with non-parametric statistical methods and discussions with experts. The results showed that the poor performance of subsidiaries was partly due to the focus of the holding Directors still on restructuring the debt of subsidiaries which were carried out before the establishment of holding, the low productivity of plantations as a result of late replenting, fertilization and maintenance that are not in accordance with the standard, the cost of revitalizing sugar mills has not been able to be prepared by the holding, the synergy between the parent company and its subsidiaries has not gone well, and there has been a tendency to decline in plantation commodity prices. Keywords: Holding, financial performance, low productivity of plantation,  statistic non parametric. Abstrak :Pemerintah telah membentuk ABC BUMN Holding, dengan harapan kinerja anak perusahaan setelah dilakukan holding meningkat secara tajam. Sayangnya kinerja keuangan anak perusahaannya tidak lebih baik dari sebelum holding. Penelitian ini dimaksudkan untuk menganalisis kinerja anak perusahaan ABC BUMN sebelum dan setelah holding dan mencari faktor yang memengaruhi kinerjanya, dengan metode statistic non parametric dan diskusi dengan pakar. Hasil penelitian menunjukkan bahwa belum baiknya kinerja anak perusahaan antara lain disebabkan fokus Direksi holding masih pada restrukturisasi hutang anak perusahaan yang terbawa dari sebelum pembentukan holding, rendahnya produktivitas perkebunan sebagai dampak terlambat replenting, pemupukan dan pemeliharaan yang tidak sesuai standar, besarnya biaya revitalisasi pabrik gula yang belum mampu disiapkan oleh holding, sinergi antara perusahaan induk dan anak perusahaan belum berjalan dengan baik, dan adanya kecenderungan turunnya harga komoditas perkebunan. Kata kunci: Holding, Kinerja keuangan, rendahnya produktivitas perkebunan, statistic non parametric.