The problems of the adolecent’s reproductive health show an escalation year by year. Based on the survey carried out in Yayasan Pendidikan Harapan Mekar Medan in February of 2010, found 4 (four) cases of Unwanted Pregnancy in 2009-2010 and there were 8 (eight) cases of unwanted pregnancy within 5(five) last year (2005 to 2010). One of the factors assumed to be causing of the problem was lack of adolescent’s knowledge about reproductive health. This study aimed to analyze the effectiveness of lecturing and group discussion methods on adolecent’s knowledge and attitudes regarding to reproductive health in Yayasan Pendidikan Harapan Mekar Medan in 2010. This type of research was the true experimental pretest-posttest control group design. Population were students of the Yayasan Pendidikan Harapan Mekar Medan. Sample of 90 people who were divided into three groups: experimental group I were treated with lecturing method as many as 30 people, experimental group II were treated with group discussions method as many as 30 people and a control group without treatment as many as 30 people. The results showed that the highest mean difference of knowledge score (6,30) occurred in the group treated through extension with group discussion methods with standart deviation of 2,96, while the mean difference of the score in the group treated through extension with lecturing methods was 4,03 with standart deviation of 2,14. In terms of the variable of attitude, the treatment of extension with group discussion methods showed a higher score improvement (13,60) with standart deviation of 7,77 compared to the score improvement of the group treated through extension with lecturing methods which reached 7,87 with standard deviation of 5,73. The result of ANOVA test and Tamhane’s T2 test further showed that the group discussion methods was effective in improving the knowledge and attitude about reproductive health among adolescents in Yayasan Pendidikan Harapan Mekar Medan.The health promotor is suggested to applied group discussion method when carrying out the extension on health in order to make the result desired can be optimally achieved.
Prevalensi gagal ginjal kronik (GGK) meningkat dari tahun ke tahun. Jumlah gagal ginjal tahun 2009 di Amerika Serikat rata-rata prevalensinya 10-13% atau sekitar 25 juta orang yang terkena penyakit ginjal kronik. Sedangkan di Indonesia tahun 2009 prevalensiya 12,5% atau 18 juta orang dewasa yang terkena penyakit gagal ginjal kronik. Hemodialisa adalah suatu terapi pada klien GGK dengan menggunakan mesin dialiser yang berfungsi sebagai ginjal buatan. Banyak faktor yang mempengaruhi kepatuhan pasien gagal ginjal kronik dalam menjalani terapi hemodialisa. Faktor tersebut antara lain pengetahuan, sumber biaya, pendidikan, dan umur. Penelitian ini bertujuan untuk mengalisis faktor-faktor yang berhubungan dengan kepatuhan pasien penderita gagal ginjal kronik dalam menjalani terapi hemodialisa di ruangan hemodialisa RSUP Haji Adam Malik Medan Tahun 2014. Penelitian ini bersifat analitik. Populasi dalam penelitian ini berjumlah 120 responden dan sampel dalam penelitian ini berjumlah 30 responden dengan menggunakan teknik sistematik random sampling. Dari hasil penelitian yang dilakukan menunjukkan bahwa responden yang memiliki pengetahuan baik sebanyak 46,7%, yang memakai sumber biaya BPJS 83,3%, yang memiliki pendidikan SMA sebanyak 46,7%, dan yang berumur > 40 tahun sebanyak 73,3%. Dari hasil tersebut dapat diketahui bahwa ada hubungan yang bermakna antara sumber biaya dengan kepatuhan pasien penderita gagal ginjal kronik dalam menjalani terapi hemodialisa setelah dilakukan uji chi-square dengan nilai p<0,05 yaitu p = 0,000. Begitu juga dengan pengetahuan, pendidikan, dan umur memiliki nilai p< 0,05 yaitu p = 0,001 dengan tingkat kepercayaan 95%.
<p><br />Gen ACTN-3 merupakan gen yang mengkode sebuah protein sarkomer yang hampir secara keseluruhan diekspresikan dalam serat otot cepat dan menghasilkan daya ledak otot. Daya ledak (power) adalah kemampuan otot untuk mengatasi tahanan beban dengan kekuatan dan kecepatan tinggi dalam suatu gerakan yang utuh. Daya ledak merupakan komponen penting dalam olahraga sepakbola. Variasi genotif (polimorfisme) ACTN-3 (R/X) cenderung memiliki daya tahan yang lebih baik. Tujuan penelitian ini untuk menganalisis hubungan antara varian genotif ACTN-3 (polimorfisme) dan daya ledak otot. Subjek penelitian ini adalah siswa sekolah sepakbola berusia 11-14 tahun yang berjumlah 33 orang. Daya ledak otot diukur menggunakan tes standing broad jump. Varian genotif (polimorfisme) gen ACTN-3 diidentifikasi menggunakan PCR-RFLP dari sampel sel bukal. Uji Fisher Exact digunakan untuk mengetahui hubungan antara polimorfisme gen ACTN-3 dengan daya ledak otot. Hasil studi menunjukkan varian genotif ACTN-3 yang memiliki alel R cenderung menunjukkan daya ledak otot kategori diatas rata-rata dan tinggi, sementara varian genotif yang memiliki alel X lebih banyak menunjukkan daya ledak otot dalam tingkat rata-rata. Penelitian ini menunjukkan bahwa secara statistik ada hubungan signifikan antara polimorfisme gen ACTN-3 dengan daya ledak otot pada siswa sekolah sepakbola kota Medan (p<0,001) dengan kekuatan korelasi kuat (c=0,623).</p>
Chronic kidney failure patients treated by hemodialysis therapy should be consistent in participating in dieting program in order to forestall the incidence of nutrition deficiency, liquid and electrolyte imbalance, and the incidence of the excessive accumulation of metabolism residual. Compliance in dieting program is one of the factors which contribute to the success or failure in hemodialysis therapy. The objective of the research was to find out some factors which influenced compliance in dieting of chronic kidney failure patients who got hemodialysis therapy in Hemodialysis Room of RSUD dr. Pirngadi, Medan. The research used descriptive method with cross sectional design. The samples were 35 respondents, taken by using purposive sampling technique. The instruments of the research were questionnaires and food recall. The result of the research showed that 19 respondents (54.3%) did not quite understand the instruction, 26 respondents (74.3%) had good interaction, 21 respondents (60%) lack of support, 31 respondents (88.6%) did not comply with dieting program, and 4 respondents (11.4%) complied with dieting program. The factor which influenced the compliance of the majority of patients was interaction quality. Patients had good understanding in instruction, good interaction quality, and family support. Only a small number of patients complied with dieting. Patients’ awareness of diet is very important. The majority of patients did not comply with dieting program.
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