Penelitian ini bertujuan untuk: (1) mendeskripsikan kesesuaian konsep laju reaksi pada materi ajar kimia SMA/MA kelas XI terhadap kurikulum 2013, (2) mendeskripsikan struktur makro dalam materi ajar kimia SMA/MA kelas XI pada konsep laju reaksi, dan (3) mendeskripsikan proposisi apa saja yang berpotensi kesalahan konsep yang terdapat dalam materi ajar kimia SMA/MA kelas XI pada konsep laju reaksi. Penelitian ini merupakan jenis penelitian deskriptif. Objek penelitian ini yaitu: (1) Buku teks kimia SMA/MA kelas XI. Data yang diperoleh dianalisis secara deskriptif. Susunan makro wacana laju reaksi pada buku teks A pembahasan konsep dimensi elaborasi mencapai level 4 dan dimensi progresi terdapat 4 konsep pada level 2. Susunan makro wacana laju reaksi pada buku teks B pembahasan konsep dimensi elaborasi mencapai level 4 dan dimensi progresi terdapat 5 konsep pada level 2. Proposisi yang berpotensi kesalahan konsep pada buku teks A yaitu penjelasan katalis dan tetapan laju reaksi. Proposisi yang berpotensi kesalahan konsep pada buku teks B yaitu pada rumus molaritas, penulisan koefisien reaksi, penjelasan pengaruh luas permukaan, penjelasan grafik orde reaksi 0, orde reaksi 1, orde reaksi 2, orde reaksi -2, dan orde reaksi ½.
Introduction: India is facing an increasing burden of diseases like coronary artery disease and stroke. Another peculiarity is that the number of cases of stroke in the young is more when compared to the west. There are also discrepancies among the different states of India regarding the epidemiological and clinical features of stroke. The aim of this study was to gather information regarding the clinical profile of patients admitted with ischemic stroke in a tertiary care centre in Thrissur, a district in the state of Kerala. Materials and Methods: The study included 100 consecutive patients admitted with the diagnosis of ischemic stroke, in the medicine wards of Government Medical College Thrissur. Patients above the age of 18 years and those cases in which the diagnosis was confirmed by CT scan of the brain were included in the study. Results: The majority of the patients were above 65 years of age (63%) and among the elderly 34 (54%) belonged to the age group of 65-74 years. In the age group above 65 years there were more females than males. The most common risk factor for stroke was hypertension. In the age group above 65 years, majority of the females had high LDL cholesterol values (>100 mg %) p 0.02 OR 4.7 95% CI 1.38-15.9. Conclusion: Elderly females have a greater predilection for the occurrence of stroke. Hypertension is the most common risk factor for stroke. Elevated LDL cholesterol is observed more often in elderly females. Earlier interventions aimed at the risk factors may prevent the occurrence of stroke.
Berubahnya sebuah kurikulum tentu membuat pendidik harus cepat beradaptasi. Salah satunya adalah dari segi penggunaan bahan ajar yang digunakan. Oleh karena itu, penelitian ini bertujuan untuk menghasilkan e-modul yang disesuaikan dengan kurikulum prototipe. E-modul berisi kearifan lokal daerah Surabaya, yaitu parikan. Dalam penelitian pengembangan ini menggunakan model pengembangan ADDIE, yaitu 1) Analyze, 2) Design, 3) Development, 4) Implementation, 5) Evaluation. Kelayakan e-modul dinilai oleh 3 validator, yaitu validator ahli materi, validator ahli media, dan validator pengguna (user). Subjek pada penelitian ini adalah peserta didik kelas VII-D SMP Muhammadiyah 15 Surabaya. Pengumpulan data menggunakan teknik observasi, wawancara, angket, tes, dan dokumentasi. Hasil penelitian menyebutkan bahwa e-modul yang dikembangkan layak untuk digunakan, dibuktikan dengan skor validasi 91,25% yang berarti sangat baik, validasi media memperoleh persentase sebesar 78,75% yang berarti baik, dan validasi pengguna memperoleh persentase sebesar 88,75% yang berarti baik. Jika diambil rata-rata dari ketiga validator tersebut, hasil validasi dari produk yang dikembangkan oleh peneliti adalah 86,25% yang berarti performa produk tersebut adalah baik.
Abdominal trauma is relatively uncommon in children but can leads to a significant morbidity and mortality in the pediatric population. The abdomen is the third most commonly injured anatomic region in children, after the head and the extremities. The abdomen is the most common site of initially unrecognized fatal injury in traumatized children. We are reporting a case of a child with multiple solid organ injury that was successfully treated non-operatively at our center. We presented a previously healthy 9-month-old girl, presented with fluctuating GCS secondary to motor vehicle accident with borderline hemodynamic stability. She was intubated, blood transfusion commenced and a single inotrope support started. She subsequently diagnosed with grade III liver injury, grade II splenic injury, right grade IV renal injury with large perinephric and retroperitoneal hematoma and moderate hemoperitoneum, a non-displaced left superior pubic rami fracture and cerebral edema on computed tomography (CT). She was admitted to pediatric intensive care unit (PICU). Her intra-abdominal injury injuries were successfully treated conservatively. She required a right chest tube on post trauma day 2, for right hemothorax. The chest tube was removed 3 days later following adequate drainage. She eventually was weaned off from ventilator on post trauma day 11. Feeding was commenced on day 7 of post trauma. She was discharge home well after 3 weeks post trauma with periodical follow up. Conclusion: Pediatric intra-abdominal solid organ injury is relatively uncommon, but a potential source of significant morbidity. Non-operative management is the standard of care for the majority of these injuries, which have shown successful rate more than 95%, although continued hemodynamic instability mandates operative intervention.
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