Diabetes mellitus adalah keadaan hiperglikemi kronik yang disertai berbagai kelainan metabolik akibat gangguan hormonal, hal ini menjadi masalah kesehatan karena sebagian kasus diabetes mellitus umumnya tidak terdiagnosis sehingga perlu upaya pemeriksaan untuk mendeteksi awal agar dapat mencegah terjadinya komplikasi, untuk itu perlu penangan menggunakan terapi herbal daun tin tanpa resiko. Tujuan dari penelitian ini yaitu menganalisa pengaruh pemberian teh daun tin terhadar kadar gula darah pada penderita diabetes mellitus.; Desain penelitian yang digunakan adalah quasy eksperimen dengan pendekatan pre-post test with control group design. Metode sampling purposive dengan jumlah sampel 26 responden yang sesuai dengan kriteria inklusi. Variabel penelitian pengaruh pemberian teh daun tin dan kadar gula darah penderita diabetes mellitus. Uji statistik yang digunakan adalah Wilcoxon dengan taraf kepercayaan 95%.;Hasil analisa bivariat menunjukkan nilai rata-rata kelompok perlakuan yaitu -86,7, rata-rata kelompok kontrol yaitu 17, dengan nilai Z -3,181, sehingga dapat disimpulkan bahwa adanya pengaruh yang bermakna antara pemberian teh daun tin terhadap kadar gula darah pada penderita diabetes mellitus dengan nilai p=0,001. Dan dapat disimpulkan bahwa kandungan yang ada dalam teh daun tin terbukti dapat membantu menurunkan kadar gula darah pada pederita diabetes mellitus.
Measurement of severity and mortality predictions in cases of head injury is an important step to support appropriate, effective and efficient clinical decision-making. Glasgow Coma Score, Trauma Score, and Revised Trauma Score are physiologycal scoring systems that can be used as predictors of mortality of head injury patients. The objective of the study was to know which scoring systems had the best accuracy as a predictor of mortality of head injured patients. The observational analytic study with this retrospective cohort design approach was carried out at dr. Iskak Tulungagung on Medical Record. Data taken from all patient medical records from January 2016 to July 2017 amounted to 150 medical records. Variables used were GCS, RTS, and TS scores when patients were admitted to hospital IGD as well as patient mortality data within 7 days of treatment. The data obtained is then processed with SPSS 20 using Mann Whitney Test, logistic regression and ROC curve comparison. Based on the results of multivariate logistic regression analysis, GCS accuracy results: sensitivity= 0.7586, specificity= 0.7934, PPV= 0.468, NPV= 0.932; RTS accuracy: sensitivity= 0.766, specificity= 0.8, PPV= 0.489, and NPV= 0.932; TS accuracy: sensitivity= 0.7, specificity= 0.783, PPV= 0.4468, NPV= 0.9126. The comparison graph analysis of ROC curve showed no significant difference of AUC between GCS, RTS, and TS because the difference was too low (<15%). There was no significant difference of accuracy between RTS, GCS, and TS use in predicting head injury mortality
The implementation of the blended learning model requires the ability to wash hands for all school students as the main pillar of preventing the transmission of the corona virus-19 in the school environment. The Work From Home (WFH) policy during the pandemic has made social media as the people's choice to communicate and get health information, (Kemp, S., 2018). During the current pandemic, the School Health Business (UKS) program is minimal or not implemented at all because UKS does not yet have the media to run health education. SLBN Pembina Nasional Bagian C Lawang Malang are 65% of the types of disabilities are mentally retarded with an intelligence/IQ level below the average 3-6 levels below normal children so that students have difficulty in learning. So that students must be given creative and innovative learning media, the form resembles real or real conditions. Video is one of the health education media that is considered very appropriate for mentally retarded children. This study aims to analyze the effect of giving a 6-step hand-washing video tutorial on the ability and use of hand-washing equipment for students of SLBN Pembina Nasional Bagian C Malang. The type of the research is pre-experimental pre-posttest design, simple random sampling proportional, research variable ability and use of students' six-step handwashing equipment, checklist instrument by testing the validity of correlation product moment, Paired T-Test sample analysis in pairs with the help of SPSS. Testing the effect of giving a 6-step hand washing tutorial video on the ability to wash hands. The results showed that the significance value was 0.000 which was less than 0.05 so it can be concluded that giving a hand washing tutorial video had an effect on the hand washing ability of SLB students. Testing the effect of giving a 6 step hand washing tutorial video on the use of hand washing equipment, the result is that the significance value is 0.000 which is less than 0.05, it can be concluded that the 6 step hand washing tutorial video is given to the use of SLB students' hand washing equipment. The UKS suggestion is to use and develop video health promotion media using the Whatshap application, Youtube and increase the response and participation of students, especially parents or families.
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