Background: Type 2 Diabetes mellitus becomes the public health problem in the wide world. Reasons for poor glycemic control in Type 2 diabetes are complex.Objectives: To determine factors contributed to poor glycemic control among Indonesian patients with Type 2 DiabetesMethods: This was a cross sectional regression study. There were 70 respondents selected using purposive sampling. Pre-structured questionnaires were used to measure socio demographic, clinical characteristics, self-care management behaviors, medication adherence, barriers to adherence, and family support. Data were analyzed using chi-square and binary logistic regression.Results: Poor glycemic control was defined as HbA1c ≥7% or FBG ≥200 mg/dl. Findings of this study reported that 83% patients had or FBG ≥200 mg/dl, which confirmed as poor glycemic control. Logistic regression showed that increasing duration of diabetes (> 5 years), non-adherence to dietary behaviors recommendation through selecting healthy diet, arranging a meal plan, recognizing the amount calorie needs, managing dietary behaviors challenges, medication adherence, and family support were significantly influence poor glycemic control with increased odds ratio scores.Conclusion: The proportion of patients with poor glycemic control was raised. Increasing duration of diabetes, non- adherence to medication and dietary behaviors management, and lack of family support were associated with poor glycemic control. Thus, integration of diabetes self-management program with social support is needed to deal with patients’ need to achieve the great benefits in diabetes care.
Efforts to increase soybean production has been pursued for years in Indonesia through the process of intensification and extensification. Increased production through intensification of increasing grain yield per hectare, among others includes the improvement of cultivation system such as the use of cultivars that have superior resistance to drought. Increased soybean production has been through the expansion of planting areas utilizing available idle dry land. However, one of the constraints faced in dryland agriculture was the limited water supply due to low intensity of rainfall that leads to low crop production. In order to ensure that soybeans are cultivated on dry land remains capable of high production, it is necessary to physiologically engineered the soybean with an open stomata. The study was conducted in the greenhouse of Balai Penelitian Tanaman Serealia (BALITSEREAL) Maros, Sulawesi, Indonesia with a completely randomized block design h factorial pattern. The first factor was the water stress stadia while the second was the amount of sorbitol osmolit concentration application. Results indicated that there was an interaction between the plant height growth and number of leaves between the water clamping time and concentration of the osmolit sorbitol. The vegetative stage especially during flowering and pod formation was inhibited when the water was clamped, but by spraying osmolit sorbitol, soybean growth interms of its height and number of leaves was enhanced. This study implies that the application of osmolit sorbitol may enhance the drought resistance of soybean growth. Future research suggested that more work should be done on the application of osmolit sorbital to other agriculture crops to increase their drought resistance in the drylands.
The study aims to explain the effect of Jigsaw type cooperative learning on the IPS learning outcomes and howfar the comprehension and mastery of IPS subjects after the implementation of Jigsaw type cooperative learningon the students of class VI of SD Negeri 020 Tembilahan Hilir. This research activity was conducted at SDNegeri 020 Tembilahan Hilir. This research was conducted in October odd semester of academic year2016/2017 with subject of 20 students. The study was conducted in two cycles with qualitative descriptivetechnique. The results of the action analysis show that: First, Jigsaw type cooperative learning has a positiveimpact in improving students 'learning achievement marked by the improvement of students' learning mastery inevery cycle, that is cycle I (60.00%) and cycle II (90.00%). Second, the application of cooperative learning typeJigsaw has a positive influence, which can improve students' learning motivation in IPS learning, it is shown byenthusiastic students who stated that students are interested and interested in cooperative learning type Jigsawso they become motivated to learn. Third, Jigsaw type cooperative learning has a positive impact on cooperationamong students, it is shown that there is a responsibility in groups where students are better able to teach theirless fortunate friends.
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