Jurnal Teras Kesehatan (ISSN Online: 2622-3805, ISSN Print: 2622-2396) is a scientific periodical journal published twice a year ( January and July ) by LPPM Politeknik Al Islam Bandung. This journal is intended as a scientific communication medium and as a forum for exchanging ideas on Theory, Methodology, and fundamental issues related to the focus of health, which includes the science of Speech Therapy, Hospital Administration, Radiology, Health Education, and related to health. Every manuscript that is submitted to the editorial board of the Journal Teras Kesehatan will be reviewed using a double-blind review system, which means that both the author of the manuscript does not know the reviewer and the reviewer does not know the author of the manuscript. .
Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung
Authors who publish articles in Jurnal Teras Kesehatan agree to the following terms: Authors retain copyright of the article and grant the journal the right of first publication with the work simultaneously licensed under a CC-BY-SA or the Creative Commons Attribution–ShareAlike License. Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
Pengaruh Media Leaflet Terhadap Pengetahuan Tentang Pencegahan Kehamilan Usia Remaja
Pregnancy in adolescence is still a public health problem that has an impact on increasing maternal and infant health risks and causes psychosocial and social consequences. The low level of adolescent knowledge about reproductive health and the prevention of teenage pregnancy is one of the factors that affects the high incidence of these events. This study aims to analyze the influence of leaflet media on adolescents' knowledge about adolescent pregnancy prevention. This study uses a quantitative approach with a pre-experimental design: a one-group pretest–posttest without a control group. The sample consisted of 81 students in class X at SMA Negeri 1 Pringgabaya, selected using systematic random sampling. The intervention was carried out through leaflet-based reproductive health education. Data were collected using a structured questionnaire and analyzed using the Wilcoxon test. The results of the study showed an increase in adolescent knowledge after the intervention. The proportion of respondents with a good level of knowledge increased from 11.1% in the pretest to 79.0% in the posttest, while the category of less knowledge decreased from 70.4% to 6.2%. Statistical analysis showed a significant difference between the level of knowledge before and after the intervention (p = 0.000).
Copyright (c) 2026 Jurnal Teras Kesehatan http://creativecommons.org/licenses/by-sa/4.0
Evaluasi Dosis CT Scan Kepala Trauma Terhadap Nilai I-DRL
This study aims to analyze the correlation between age and Body Mass Index (BMI) with the Computed Tomography Dose Index Volume (CTDIvol) and Dose Length Product (DLP) in non-contrast head CT scans performed on trauma patients. This observational analytic study employed a retrospective approach involving 30 adult patient samples. The results showed an average CTDIvol value of 65.18 mGy, exceeding the national Diagnostic Reference Level (DRL) established by BAPETEN (60 mGy). Nevertheless, this value is consistent with the use of the standardized “Brain Trauma” protocol and a uniform tube voltage of 120 kV. The CTDIvol ranged from 42.4 mGy to 103 mGy, indicating data homogeneity, with an average DLP of 1779.97 mGy·cm, significantly surpassing the national DRL (1275 mGy·cm). The elevated DLP value is attributed to the scan length extending from the vertex to the cervical vertebra 7, in accordance with hospital standard operating procedures for ead trauma management. Multiple logistic regression analysis revealed that age and BMI did not have a significant effect on CTDIvol (age Sig.=0.986; BMI Sig.=0.000) nor on DLP (age Sig.=0.134; BMI Sig.=0.055). This indicates that the radiation dose is more influenced by consistent technical protocols than by patient characteristics.
Hubungan Kejadian Hiperglikemia dengan Hipertensi pada Peserta Posyandu Lansia di Desa Kubangsari Brebes
Hyperglycemia and hypertension are two common health disorders among the elderly. Persistently elevated blood glucose levels in individuals with diabetes mellitus can lead to various health complications, one of which is hypertension. Therefore, this study aimed to determine whether there is an association between hyperglycemia and hypertension among elderly individuals attending the integrated healthcare post (Posyandu) in Kubangsari Village, Ketanggungan District, Brebes Regency, in 2025. This study employed an analytic observational design with a cross-sectional approach. A total of 80 respondents were included as samples. Random blood glucose levels were measured using a point-of-care testing (POCT) device, while blood pressure was measured using a sphygmomanometer. Quantitative data analysis was performed using the Chi-square test. The results showed that 61 respondents (76.3%) had normal blood glucose levels, and 34 respondents (42.5%) had normal blood pressure. The Chi-square analysis indicated a significance value of p < 0.001, suggesting a statistically significant association between hyperglycemia and hypertension. Based on these findings, it can be concluded that hyperglycemia contributes to the occurrence of hypertension among the elderly. Therefore, routine health examinations are necessary to prevent further complications.
Identifikasi Soil Transmitted Helminths (STH) Pada Berbagai Metode Pemeriksaan
Soil Transmitted Helminths (STH) merupakan nematoda yang memerlukan tanah untuk mencapai stadium infektif. Infeksi STH dapat dialami oleh anak-anak usia pra sekolah. Infeksi STH pada anak-anak dapat menyebabkan stunting. Infeksi STH terjadi karena kebersihan pribadi. Pemeriksaan infeksi STH secara kualitatif dapat dilakukan berbagai metode pemeriksaan. Tujuan penelitian adalah identifikasi STH pada pemeriksaan spesimen feses siswa TK Sari Mekar Banguntapan Bantul Yogyakarta berbagai metode sebagai upaya skrining kecacingan guna menekan kejadian stunting. Jenis penelitian adalah deskriptif dengan rancangan cross sectional pada pemeriksaan feses makroskopis dan mikroskopis dengan metode natif, flotasi, dan sedimentasi. Infeksi STH ditetapkan berdasarkan morfologi telur pada perbesaran mikorskopik 400x. Hasil penelitian menunjukkan pemeriksaan makroskopis tidak ditemukannya segmen cacing, dan dilanjutkan dengan pemeriksaan mikroskopis. Infeksi STH sebesar 13,3 % pada metode natif dan flotasi dan 6,6% pada metode sedimentasi. Kesimpulan penelitian ini yaitu teridentifikasi STH spesies Ascaris lumbricoides pada siswa TK Sari Mekar Banguntapan Yogyakarta dengan prevalensi sebesar 13,3 % metode natif dan flotasi dan 6,6% metode sedimentasi. Kebiasaan dalam menerapkan kebersihan pribadi dapat menurunkan resiko kejadian infeksi STH pada anak-anak dan dapat menekan kejadian stunting pada anak. Peneliti selanjutnya agar melakukan perlakuan pada feses agar telur dapat tersebar merata dan dengan menambahkan jumlah pengulangan pembuatan preparat berbagai metode.
Analisis Pengetahuan Tugas Perkembangan Keluarga Dengan Perilaku Orang Tua Dalam Penggunaan Gawai Pada Anak Usia Pra Sekolah
Technological advances can be utilized by all groups, including preschool children (3-6 years), information technology that is very familiar to children is gadgets. Parental behavior will be a real example of gadget use in children, in addition, the use of gadgets in children can affect family processes and family development. The purpose of this study is to analyze knowledge of family development tasks with parental behavior in the use of gadgets in children. This study uses a cross-sectional study design on 106 preschool children in Kampung Rumbut, Cimanggis District, Depok City. The results of statistical tests using the chi square test (α = 0.05) obtained a relationship between knowledge of family development tasks and parental behavior in the use of gadgets in preschool children, the results showed parental behavior on parental attitudes in the use of gadgets in children p = 0.000 (<α 0.05), parental self-control behavior p = 0.000 (<α 0.05), on the behavior of parents and children in the use of gadgets p = 0.025 (<α 0.05). Parents must be able to understand the proper and appropriate use of gadgets for their children. Parents must be able to control themselves in gadget use,
Pengaruh Metode Hypnobirthing Terhadap Tingkat Kecemasan Ibu Hamil Dalam Menghadapi Persalinan Di Wilayah Kerja Puskesmas Waimital
Background: Pregnancy is a natural physiological process in a woman’s life, beginning with the fertilization of an ovum by a sperm cell and lasting approximately 37 to 40 weeks. As pregnancy enters its final stage, or the third trimester (between the 28th and 37th weeks), most pregnant women tend to experience anxiety. If not properly managed, anxiety may have adverse effects, both physically and psychologically, on the mother and the fetus. One of the interventions that can be applied to reduce anxiety levels in pregnant women is the hypnobirthing method. Objective: This study aims to analyze the effect of the hypnobirthing method on anxiety levels among third-trimester pregnant women in the working area of Waimital Community Health Center. Methods: This research employed a quasi-experimental design with a pre-test and post-test approach. The study sample consisted of 23 primigravida women in their third trimester, selected using a total sampling technique.. Results: The results of the bivariate analysis showed a decrease in anxiety levels after the hypnobirthing intervention, with a p-value of 0.000 < α = 0.05. Conclusion: The hypnobirthing method has a significant effect on reducing anxiety levels among third-trimester pregnant women in the working area of Waimital Community Health Center.
The Impact Of Emotional Intelligence On Blood Sugar In Type 2 Diabetes Mellitus Patients
People with type 2 diabetes mellitus have more risk of being depression ak perluthan non-diabetics, as evidenced by their poor or even low self-care. suffering from diabetes mellitus for long time can impact the emotional burden, in terms of diabetes treatment and the risk of complications. Diabetes-related stress associated with poor self-management behaviors (diet, physical activity, and medication adherence). The purpose of this study was to examine the relationship between emotional intelligence and blood sugar levels in people with type 2 diabetes mellitus using a descriptive analytical design with a cross-sectional approach. The sample was determined using a purposive sampling technique with 50 respondents. Researchers distributing questionnaires to measure emotional intelligence variables and observation sheets to measure blood sugar variables. The results showed that an average Emotional Intelligence score of 58.28 and an average blood sugar level of 235.91. The analysis showed a p-value of 0.001, indicating a significant relationship between emotional intelligence and blood glucose levels. Emotional Intelligence can influence self-management in diabetes sufferers, particularly in adhering to and implementing a diabetes management program.
Evaluasi Dosis Paparan Radiasi Pada Pemeriksaan MSCT Stonografi Kasus Urolithiasis Di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung.
Multislice Computed Tomography (MSCT) stenography is one of the preferred modalities for evaluating urolithiasis due to its high diagnostic accuracy. However, the increasing use of CT imaging has raised concerns regarding patient radiation exposure. This study aims to evaluate the radiation dose received by patients undergoing MSCT stenography at Dr. Hasan Sadikin General Hospital, Bandung, and to assess the influence of technical parameters on dose variability. This is a quantitative descriptive study using a cross-sectional approach. A total of 40 adult patients (male and female) who underwent MSCT stenography were selected as samples. Radiation dose data, including CTDIvol and DLP, were collected directly from the CT console and supported by patients’ medical records. Multiple linear regression analysis was performed to assess the relationship between CT dose and technical parameters such as kV, mAs, scan range, and volume of focus (VOF). The research showed that the average CTDIvol was 11.83 mGy and the average DLP was 644.64 mGy·cm, both of which exceeded the international Diagnostic Reference Levels (DRLs). Statistical analysis showed that only the mAs parameter had a significant effect on CTDIvol (p = 0.043), while other parameters such as kV, scan range, and VOF showed no significant influence.
Inovasi Alat Fiksasi Pada Pemeriksaan Radiografi Femur Proyeksi Lateral Cross Table(Sistematik Literature Review)
The cross-table lateral projection in femur radiography plays a crucial role in diagnosing lower limb trauma, particularly in critically ill patients who cannot be optimally repositioned. The main challenge in this procedure is maintaining limb stability to achieve optimal image quality while avoiding repeat exposures. Various fixation device innovations have been developed to enhance patient comfort, examination efficiency, and image quality. This study is a systematic literature review conducted using the PRISMA 2020 guidelines, with literature searches performed in PubMed, SpringerLink, and Google Scholar. Keywords included fixation device, cross-table lateral femur radiography, and trauma imaging. Out of 250 identified articles, 35 met the inclusion criteria and were thematically analyzed based on innovation type, design, materials, and clinical effectiveness. Results indicate innovation trends such as portable designs, adjustable modular systems, and the use of lightweight materials like aluminum and velcro straps. Clinically, these devices effectively reduce examination time, improve positional stability, enhance image quality, and minimize operator radiation exposure. In conclusion, innovative fixation devices significantly contribute to optimizing cross-table lateral femur radiography, with recommendations for further prototype development and direct clinical trials.
Hubungan Berat Badan Terhadap Enhancement Hepar Pada Pemeriksaan Ct Scan Abdomen 3 Fase Pada Pasien Dengan Klinis Hepatocellular Carcinoma
Enhancement of the liver on CT Scan of the abdomen 3 phases. Influenced by various factors, one of which is body weight. Body weight shows an inverse relationship of one-to-one with contrast enhancement. Body weight shows an inverse relationship of one-to-one with contrast enhancement. Body weight affects the level of enhancement in the vascular and parenchymal areas. Contrast media is more dilute when administered to patients with larger blood volumes and higher body weights compared to thinner patients. This results in reduced contrast concentration in the blood and lower contrast enhancement. This study aims to analyze the relationship between body weight and liver enhancement in 3-phase abdominal CT scans with clinical hepatocellular carcinoma. The study design is an analytical quantitative study using Pearson's correlation test on the average HU values of the liver from three body weight groups. The study was conducted at Persahabatan Hospital from January to May 2024 with 30 samples using purposive sampling. The results showed that the hepatic enhancement value with p-value 0.000 and r-value -0.612 for the arterial phase and p-value 0.000 and r-value -0.629 for venous phase. Conclusion: Body weight is inversely related to hepatic enhancement.
Copyright (c) 2025 Jurnal Teras Kesehatan http://creativecommons.org/licenses/by-sa/4.0
Prosedur Teknis Biopsi Paru Menggunakan Panduan CT Scan Thorax
This study explores the technical aspects of CT-scan–guided thoracic biopsy performed on lung tumor cases at the Radiology Department of Ibnu Sina YW-UMI Hospital, Makassar. Using a qualitative case-study approach, the research focuses on a radiographer who was directly involved in the procedure. Observations covered the entire workflow of the examination, beginning with patient preparation, positioning within the gantry, placement of external markers to identify the biopsy target, selection of technical parameters, and the execution of the biopsy under CT guidance. Each stage was reviewed to assess how closely the routine practices aligned with established standards for CT-guided biopsy. The findings show that most technical steps followed the recommended guidelines, including patient positioning, scanning technique, slice thickness selection, sterilization procedures, and the insertion of a spinal needle. A notable finding of this study is the use of lead-based markers, which produced clearer visualization compared to commonly used catheter-residual markers, thereby improving the accuracy of target localization. The study further highlights that technical precision plays a crucial role in obtaining adequate tissue samples while reducing the likelihood of complications such as pneumothorax. Overall, this research provides an empirical overview of how CT-guided thoracic biopsy is carried out in practice..
Penerapan Metode Moto-Kinesthetic dalam Meningkatkan Kemampuan Artikulasi Konsonan Apico-Alveolar /-n/ Pada Anak Dengan Gangguan Artikulasi Fungsional
Functional articulation disorder refers to difficulty in pronouncing speech sounds without any organic abnormalities in the structure or function of the speech organs. This study aims to evaluate the application and effectiveness of the moto-kinesthetic method in improving the articulation of the apicoalveolar consonant /n/ in a 5-year-old child with functional articulation disorder. The research method was a case study with purposive sampling technique. Data were collected through interviews with the patient’s family, direct observation, as well as pre-test and post-test assessments to determine diagnosis, prognosis, and appropriate intervention strategies. The intervention consisted of ten therapy sessions using the moto-kinesthetic approach, which focuses on physical manipulation of the speech organs to support accurate articulation. Results showed an improvement in the child's articulation ability from the score of 0 to 4, representing a therapy success rate of 80%. These findings indicate that the moto-kinesthetic method is effective for treating articulation disorders, particularly in the pronunciation of the /-n/ sound, and may serve as a viable intervention strategy in clinical speech therapy practice.
Reduksi Dosis Radiasi Pemeriksaan Femur dengan Bioplastik Timbal: Pendekatan Citra dan Anatomi
X-ray radiation plays a vital role in medical diagnostics but carries potential risks for both patients and healthcare workers. This study evaluates the effectiveness of cassava starch–based bioplastic combined with lead acetate as an absorber of radiation dose during femur radiographic examinations. The tests were performed using Anteroposterior (AP) and Lateral projections with both portrait and diagonal detector positions. Image processing applied the Gaussian High Pass Filter (GHPF) method at cut-off frequencies of 5, 10, and 15 Hz. Image quality was analyzed through Contrast to Noise Ratio (CNR) and Peak Signal to Noise Ratio (PSNR). Results showed that the use of bioplastic slightly decreased CNR and PSNR values compared to examinations without bioplastic; however, the quality remained within acceptable diagnostic standards. For example, in AP diagonal projection at 5 Hz, CNR reached 22.86 (with bioplastic) versus 21.95 (without), while PSNR values were 11.1 and 11.6, respectively. Increased Mean Square Error (MSE) values confirmed radiation attenuation, supporting effective shielding. Optimal image quality occurred at 5–10 Hz cut-offs, while 15 Hz produced misleading impressions of osteoporosis. Overall, lead-based bioplastic effectively reduces radiation dose while preserving diagnostic value, offering a safer and eco-friendly alternative in radiographic imaging.
Kebijakan Pengelolaan Keuangan Terhadap Klaim Bpjs Kesehatan Rawat Jalan Di Rumah Sakit Type C(Studi Komparatif antara Rumah Sakit Swasta X dan Rumah Sakit Umum Daerah Y di Kota Bandung)
The issue of BPJS Kesehatan claim management in type C hospitals present a significant challenge to the healthcare system in Indonesia's. Partner hospitals of BPJS Health often face problem such as delays in claim payments, data mismatches within the INA-CBG’s system, and differences in administrative efficiency between private and public hospitals. These delays negatively affect hospital cash flow and the quality of services provided to BPJS participants. This study aims to analyze financial management policies related to outpatient B -PJS claim disbursement using a qualitative approach and comparative method. Data were collected through interviews, observations, and documentation involving finansial managers, BPJS Health claim officers, deputy directors, and hospital directors as research subjects. The objects of study include private and public type C hospitals in Bandung City. Data analysis was conducted using NVivo software for coding and thematic identification. The results show that private hospitals have more efficient claim administrative systems compared to public hospitals, which often experience delays in claim verification and more complex bureaucratic processes. The main factors contributing to claim disbursements delays include data incosistencies, limited understanding of regulations, and insufficient human resource capacity. The study recommends improving administrative systems, enhancing human resource competencies, and refining regulations as
Pengaruh Tingkat Pengetahuan Gizi Orangtua dan Praktik Pemberian Makan Terhadap Status Gizi Anak Usia Prasekolah di PAUD Sai an-naim
This study aims to show the relationship between parents' nutritional knowledge and feeding practices affecting the nutritional status of preschool children at PAUD SAI AN-NAIM. This study is a quantitative study with a cross-sectional design with 66 parents of preschool children aged 3 to 6 years with total sampling. Statistical analysis used Chi-square test with a significance level of p < 0.05. The results showed 47.0% of parents had a good understanding of nutrition but the implementation of appropriate feeding practices only occurred in 28.8% of cases. Among the children whose nutritional status was assessed based on weight for height standard, 56.1% had normal weight, while 22.7% fell into the underweight category, and 21.2% exceeded normal weight as overweight. Chi-square test results showed no statistically significant association between parents' nutritional knowledge and their children's nutritional status (p=0.265). This study showed a significant relationship between feeding practices and the nutritional status of preschool children, although parents' nutritional knowledge was not statistically correlated. Feeding practices had a statistically significant relationship with the Chi-square test result, with a p-value of 0.042. This indicates a gap between parents' level of knowledge about nutrition and how they implement it in their practices.
Faktor-Faktor Yang Berhubungan dengan Pemberian ASI Eksklusif pada Ibu Bekerja di Kecamatan Gondokusuman Kota Yogyakarta
Indonesia has targeted the national exclusive breasfeeding coverage is 80%. Indonesia's exclusive breasfeeding coverage in 2017 is 35.7% The exclusive breasfeeding coverage of Yogyakarta is only 66.13%. Exclusive breasfeeding coverage is still low for various reasons one of them is a working mother. Research objectives: Known factors that relate to the exclusive breastfeeding knowledge, attitudes, availability of the breastfeeding facilities during work, husband support, and healthcare personnel support in the sub-district Gondokusuman. Method: This research uses cross sectional design. The population in this research is all mothers who have a baby aged 6-12 months. The sampling technique used is purposive sampling. Sample count of 47 samples. Data analysis using Chi-square test. Results: Data analysis results obtained that there is a significant relationship of knowledge (p value 0.038; CC 0.350), attitude (p value 0.007; CC 0.366), availability of a breastfeeding facility during work (p value 0.001; CC 0.425), husband support (p value 0.019; CC 0.325) and healthcare personnel support (p value 0.011; CC 0.349) with exclusive breastfeeding on working mothers. Conclusion: There is a significant relationship between knowledge, attitude, availability of the breastfeeding facility during work, husband support and healthcare personnel support with exclusive breastfeeding in the working mother.
Analisa Ketebalan Kayu Bulian Terhadap Densitas Film Sebagai Kemampuan Serapan Kayu Bulian Terhadap Radiasi
In Indonesia, there are many types of wood with potential as radiation shielding materials—specifically, woods possessing a certain degree of hardness that could serve as substitutes for lead (Pb). Bulian wood (Eusideroxylon zwageri), also known as ironwood, is one of the most well-known and strongest species in its native habitat, the Sumatran forest. It is highly durable, resistant to termite and boring insect attacks, impervious to fluctuations in humidity and temperature, and even resistant to seawater. Research into the radiation absorption capacity of Bulian wood is therefore highly necessary, particularly to explore its viability as a substitute for lead metal in radiation shielding applications. This study aims to examine the absorption capacity of Bulian wood with varying thicknesses, which is then analyzed in terms of its density equivalence on film compared to lead sheet objects. The research is quantitative and utilizes an experimental method. It was conducted in the radiography laboratory of the Faculty of Vocational Studies, Baiturrahmah University. The research sample consists of film density measurements at each thickness variation of Bulian wood, corresponding to each level on the step wedge. Data were processed using bivariate analysis.
Perilaku Pasien Dalam Penggunaan Obat Antihipertensi Menggunakan HealthBelief Model Di Puskesmas PuhjarakKabupaten Kediri
Compliance of hypertension sufferers in using antihypertensive drugs can control blood pressure and reduce the risk of long-term organ damage. The Health Belief Model is one of the most widely used conceptual models and frameworks in behavioral research and health promotion. This model can reduce the risk of severity as a result of complications from a disease through behavioral changes, which are one of the indicators of successful treatment implementation. The purpose of this study was to determine whether there was an influence of patient behavior in the use of antihypertensive drugs at the Puhjarak Health Center, Kediri Regency. The research method is analytical observational with a cross-sectional approach; the number of samples used was 93 respondents, data collection was carried out using a questionnaire, and data analysis was conducted using multiple linear regression tests. The results have been found, namely with a p value of 0.000 <0.05, which means that there is an influence between the independent variable (perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy and cues to action) on the dependent variable (behavior of hypertensive patients in using antihypertensive drugs) and the R Square value (determination coefficient) is 0.526
Evaluasi Pemeriksaan Ct Scan Thorax Tanpa Kontras Dengan Klinis Tuberculosis Paru Di Instalasi Radiologi Rumah Sakit Umum Daerah Al Ihsan Pemprov Jabar
Radiological imaging has an important role in diagnosis and detection of pulmonary tuberculosis. The research aimed to determine the CT Scans of thorax in cases of pulmonary tuberculosis. The research method was a qualitative descriptive. Data collection was carried out by direct observation of examination process and interview some radiologists, pulmonary specialists and four radiographers. There was a difference between theory and parameters at Al Ihsan Hospital. Using a scan slice thickness parameter of 0.75 mm because it iwas more detailed in viewing fine images of pulmonary tuberculosis, resulting in high detail. As well as using a low voltage of 100 kVp to ensure exposure to the dose received by the patient. The CT scan of thorax without contrast plays an important role in helping to confirm the diagnosis of pulmonary tuberculosis to see whether there were other lesions that can support the diagnosis of pulmonary tuberculosis.
Hubungan Pertambahan Berat Tubuh Ibu Hamil Terhadap Berat Janin Melalui Fetal Biometri Ultrasonografi
Ultrasound examination is one of the main modalities to be an important tool used to determine fetal growth and development in pregnant women such as fetal weight in order to prevent stunting, complications and other abnormalities so that they can be treated early, quickly and accurately for the health of the mother and fetus. Purpose :to determine the role of ultrasound in relation to weight gain of pregnant women and fetuses through Fetal Biometry. Method used a descriptive qualitative design, with a sample of 37 pregnant. Results: most fetuses over 30 weeks old weigh between 2500-3500 grams (normal). and there are some fetuses with lower weight (below 2500 grams), which may require further monitoring regarding the possibility of intrauterine growth restriction (IUGR). Conclusion: most pregnant women experienced weight gain in accordance with pregnancy standards, and there were several cases of low-weight mothers who needed more attention in terms of nutrition.
Pengaruh Metode Repeated Reading Terhadap Kemampuan Pemahaman Membaca Siswa Kelas 3 Sekolah Dasar Di Surakarta
Membaca merupakan suatu permasalahan di sekolah, khususnya pada siswa kelas 3 SD di Surakarta. Kelancaran dan pemahaman membaca dapat ditingkatkan dengan metode membaca berulang. Menurut penelitian yang dilakukan oleh Stevens, dkk, membaca berulang merupakan intervensi yang paling efektif untuk meningkatkan kelancaran dan keterampilan pemahaman membaca jika dibandingkan dengan 19 metode lainnya. Penelitian ini bertujuan untuk mengetahui pengaruh metode membaca berulang terhadap kemampuan pemahaman membaca siswa kelas 3 SD di Surakarta. Penelitian ini menggunakan metode Pra-Eksperimen dengan desain penelitian One Group Pretest Posttest. Sampel yang digunakan sebanyak 51 siswa. Berdasarkan hasil uji analisis dengan Uji Wilcoxon dapat disimpulkan bahwa metode membaca berulang berpengaruh signifikan terhadap peningkatan kemampuan pemahaman membaca siswa kelas 3 SD di Surakarta.
Efektivitas Metode Bercerita Terhadap Kemampuan Peningkatan Kosakata Pada Anak Down Syndrome Di Surakarta
Down's syndrome is a chromosomal abnormality of the 21st chromosome pair that affects hundreds of genes, including those coding for amyloid proteins in the brain. This protein can trigger the activation of microglia, which damage nerve cells. Children with Down's syndrome often have speech delays and language development that is not age-appropriate and does not match their intelligence. Vocabulary enrichment is very important for children with Down's syndrome, as they tend to have a limited vocabulary and difficulty understanding and using new words. By expanding their vocabulary, these children can more easily understand the relationship between words and their meanings, which will help them communicate more effectively and improve their general cognitive abilities. In this study, the Northwestern Syntax Screening Test developed by Laura L. Lee and adapted by Rozella J. Sutasdisastra, M.S., CCC-LP was used. .
Peran Kontrol Kognitif Dalam Kemampuan Word Retrieval Pada Anak Gangguan Bahasa Perkembangan Di RSPAL Dr. Ramelan Surabaya
Language disorders are problems in the areas of language form, language content and language use that are common in children. Children with developmental language disorders have difficulty in accessing and processing appropriate vocabulary, which affects their word retrieval skills. Word retrieval ability is influenced by linguistic factors but this ability can also be influenced by children's cognitive abilities. This study aims to determine the distribution of the role of cognitive control in word retrieval ability in children with developmental language disorders aged 4-6 years at RSPAL dr. Ramelan Surabaya. This quantitative research was conducted with a correlative test and with a cross-sectional approach to analyze the cause-and-effect relationship between the two variables. The number of samples used in this study was 35 children using total sampling data collection techniques. Data were analyzed using univariate analysis and bivariate analysis using the Kendall Tau test.
Efektivitas Penggunaan Flashcard Digital Untuk Meningkatkan Kemampuan Kosakata Pada Anak Autisme Di Surakarta
Vocabulary use is one of the important aspects of language development. In children, childhood is the optimal period for vocabulary development. Children with autism often experience language delays and have limited speaking abilities, which affects vocabulary development. The use of flashcards has been proven to help improve vocabulary skills. Digital flashcards that are attractively designed can provide visual and cognitive stimulation, effectively supporting language development, especially for children with autism. To determine the effectiveness of using digital flashcards to improve vocabulary skills in children with autism in Surakarta. This type of research is quantitative with a research design of pre-experimental design and using a group pretest-posttest design as a method of data collection approach. The sampling technique used was purposive sampling with a sample of 15 respondents. The statistical test used was the Wilcoxon test. The results of the Wilcoxon test obtained a sign.
Dampak Pandemi Covid-19 Terhadap Kualitas Pelayanan Terapi Wicara, Motivasi Kehadiran Dan Tingkat Kepuasan Pasien Di Jawa Tengah
COVID-19 has created unprecedented challenges in society with regard to the safety of healthcare personnel and the jeopardizing of the public health system. This can happen if healthcare facilities do not increase their vigilance in protecting healthcare workers. This study is a quantitative, observational and analytical study of 200 people in Central Java. The data analysis used was path analysis, and it was found that the quality of speech therapy services increased (b = 2.58 units; 95% CI = 1.90 to 3.27; p < 0.001), and the level of satisfaction of speech therapy patients increased (b = 1.28 units; 95% CI = 0.61 to 1.95; p < 0.001). In contrast, therapeutic motivation decreased (b = 0.63; 95% CI = 1.21 to -0.05; p=0.033). The conclusion of this study is an increase in service quality, therapeutic motivation and patient satisfaction in speech therapy indirectly influenced by quality and motivation theory.
Hubungan Pola Bermain Dengan Memory Digit Anak Autism Spectrum Disorders Di Surakarta
Autism spectrum disorders are characterized through impaired social and communication skills, repetitive behaviors, unusual hobbies and differences perception of sensory stimulation. Developmental disorders in kids with ASD can affect the early development of play skills, resulting in unusual or limited play patterns in children with ASD. The decline in cognitive abilities in children with ASD is associated with working memory, which is the ability to remember something. The research design used is correlational with a cross-sectional approach. The sample for this study consisted of 32 people interviewed using the purposive sampling technique. Facts evaluation changed into accomplished using Pearson's product moment parametric statistical test. Play patterns of kids with autism spectrum disorders in Surakarta are on the average threshold, while the digit memory ability of youngsters with autism spectrum disorders in Surakarta is under the common restrict.
Identifikasi Kebutuhan Media Dalam Terapi Wicara: Langkah Menuju Metode Yang Efektif
This study aims to identify the therapy media used by speech therapists in carrying out therapy on patients/clients with language and/or speech disorders, both children and adults. Language and/or speech disorders, both children and adults, are cases of disorders that are often handled by therapists in the city of Bandung based on a questionnaire survey. The method in this study is descriptive qualitative research. The subjects were 40 therapists in Bandung. The object of this study is the media needs and therapy methods used by therapists in handling clients with language and speech disorders. The data collection technique was the distribution of questionnaires to 40 therapists. The results showed that the therapy media widely used by therapists were picture/word cards (flash cards). While the method widely used in patients/clients with language and/or speech disorders was Multimodal Stimulation.
Hubungan Produktivitas Wirausaha Dengan Kualitas Hidup Lansia Di Dusun Puhrejo Desa Tulungrejo Kecamatan Pare Kabupaten Kediri
Lansia yang tidak poduktif akan mengalami harga diri yang rendah, karena merasa tidak berguna yang dapat menurunkan kualitas hidupnya. Tujuan penelitian untuk mengetahui hubungan produktivitas wirausaha dengan kualitas hidup lansia. Peneliti menggunakan analitik korelasional dengan sampel yang diambil sampel sebanyak 30 lansia di Dusun Puhrejo Desa Tulungrejo Kecamatan Pare menggunakan teknik purposive sampling. Uji statistik menggunakan Spearman Rho. Penciptaan wirausaha produktif cukup sebanyak 13 responden (43,3%) dan kualitas hidup lansia yang baik sebanyak 12 responden (40%). Analisis hasil uji Spearman Rho dengan nilai sig 2-tailed adalah 0,000 yang artinya ada hubungan produktivitas wirausaha dengan kualitas hidup lansia. Lansia yang produktif berwirausaha dapat meningkakan kualitas hidupnya dengan memenuhi kebutuhannya secara mandiri.
Hipertensi Resisten: Diagnosis Dan Tatalaksana
Resistant hypertension is still one of the problems faced by clinicians in daily practice. The diagnosis of resistant hypertension requires the exclusion of pseudo-resistance. This literature review aims to determine the criteria of resistant hypertension and its management so that it can be reference of optimal management. The method used was through literature review of scientific articles published in journals, ministry of health data, and guidelines, both national and international. The literature collected was related to data on the epidemiology of hypertension, resistant hypertension, diagnosis and therapeutic management. Data searches were conducted through Google Scholar, PubMed and Scopus databases by entering keywords. Resistant hypertension is diagnosed when blood pressure has not been controlled despite receiving more than 3 types of antihypertensive drugs with one of them is diuretics or the blood pressure is only controlled after receiving ³4 types of antihypertensive drugs. Therapeutic management includes non-pharmacological, pharmacological and device intervention.
Penerapan Metode Stimulasi Multimodal Pada Pasien Gangguan Bahasa Afasia Konduksi Pascastroke
Aphasia is a language disorder caused by damage to the brain areas responsible for language processing. Aphasia cases can be managed using multimodal stimulation methods. This study aims to apply therapeutic steps and determine the effectiveness of the multimodal stimulation method in improving sentence naming abilities in patients with post-stroke conduction aphasia. The method used is a case study with purposive sampling technique. Data collection was carried out after diagnosis and the determination of the appropriate therapy method, which involved conducting an initial test; providing multimodal stimulation therapy in 10 sessions, each lasting 45 minutes; and a final test. Data analysis was performed by comparing the results of the initial and final tests and calculating the percentage increase. The results show that the patient achieved a final percentage of 100% and a 9-point improvement, which falls into the successful category.
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