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DETEKSI DINI DERAJAT KESADARAN MENGGUNAKAN PENGUKURAN NILAI KRITIS MEAN ARTERY PRESSURE Martono, Martono; Sudiro, Sudiro; Satino, Satino
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.479 KB) | DOI: 10.20473/%oj.Ners111%y73-78

Abstract

ABSTRACTABSTRAKPendahuluan: Dampak Trauma cranio cerebral dapat mempengaruhi gangguan autoregulasi volume intrakranial yang terdiri dari otak, cairan serebrospinal dan darah dalam pembuluh darah.  Perubahan salah satu volume tersebut tanpa diikuti respon kompensasi dari faktor yang lain akan menimbulkan perubahan tekanan intrakranial dan jumlah aliran darah dari sirkulasi sistemik yang diperlukan untuk memberi oksigen dan glukosa yang adekuat untuk metabolisme otak. Salah satu hal yang sangat penting dalam asuhan keperawatan pada pasien dengan cidera kepala adalah menjaga kecukupan Mean Arteri Pressure serebral. Penelitian ini bertujuan untuk mengetahui kecukupan nilai kritis mean artery pressure dalam mendeteksi tingkat kesadaran pada pasien yang mengalami cidera kepala. Metode: Penelitian ini menggunakan disain  explanatory research  dengan pendekatan cross sectional yang menjelaskan pengaruh dan prediksi kecukupan nilai kritis mean arteria pressure terhadap derajat kesadaran pada pasien cidera kepala yang berjumlah 34 sampel. Uji statistik penelitian ini menggunakan regresi sederhana. Hasil: Hasil penelitian menunjukkan bahwa ada pengaruh yang positif nilai kritis mean artery pressure terhadap derajat kesadaran yang ditunjukkan nilai p=0.00<0.05 dan nilai mean artery pressure mampu mendeteksi tingkat kesadaran pasien cidera kepala sebesar 77.8%. Diskusi: Peningkatan nilai kritis Mean Arterial Pressure lebih dari 65 mmHg dapat memperbaiki mikrosirkulasi dan autoreglasi otak, sehingga mencegah terjadinya penurunan kesadaran pada pasien cidera kepala.Kata kunci: mean artery pressure (MAP), kesadaran, cidera kepala ABSTRACTIntroduction: The Impact of the trauma cranio cerebral can affect the volume autoregulation disorders any intracranial disease that consists of the brain and cerebrospinal fluid and the blood in the veins. The changes one of the volume without followed the response of compensation from the other factors will cause overt increased intracranial pressure changes and the amount of blood flow from the systemic circulation required to give oxygen and glucose intake to the metabolism of the brain. One of the things that is very important in nursing nursery on patients with injury head is to maintain the adequacy of Mean Artery Pressure cerebral. This research aims to know the adequacy of critical value mean artery pressure in detecting the level of consciousness in patients who suffered injury on the head. Method: This research using explanatory design research with cross sectional approach that explains the influence and the prediction of the adequacy of the critical value mean arteria pressure against the degree of awareness in patients with injury head which numbered 34 samples. This research statistics tests using simple regression. Result: The results of the study showed that there is a positive influence critical value mean artery pressure against the degree of awareness that indicated the value of p=0.00<0.05 and value of mean artery pressure is able to detect the level of consciousness patients injury head of 77.8%. Discussion: Increased critical value mean arterial pressure is more than 65 mmHg can improve mikrosirkulasi and autoreglasi brain, so that prevent the decline of awareness in patients with wounds of the head.Keywords: mean artery pressure (MAP), consciousness injury head
THE CHILDBIRTH SERVICES ASPECT THAT INFLUENCE PATIENT SATISFACTION Anggraheny, Hema Dewi; Sudiro, Sudiro
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.7351

Abstract

Pregnant women have higher expectations of the care providers attitude in order to have childbirth satisfaction. This study aims to analyze the relationship between childbirth services and birth satisfaction in Roemani Muhammadiyah Semarang hospital. We used a cross sectional design and used an interview to collect the data, it was conducted from July to August 2016. A total of 79 women were enrolled in the study that fulfill the inclusion and exclusion criteria. The childbirth services and patient satisfaction were measured using survey instruments which we’d measured the reliability and validity previously. The linier regression were applied. The majority of the patients (94,9%) were 21-40 years old, 67,1% were university graduate, 40,5% were housewife, 62% were multigravida, and  57% were delivered by cesarean section. There were significant effect between interpersonal relationship (p=0,0001), patient decision choice (p=0,001), and breastfeeding management (p=0,021) and birth satisfaction. The strongest predictor of birth satisfaction was interpersonal relationship.
THE CHILDBIRTH SERVICES ASPECT THAT INFLUENCE PATIENT SATISFACTION Anggraheny, Hema Dewi; Sudiro, Sudiro
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.7351

Abstract

Pregnant women have higher expectations of the care providers attitude in order to have childbirth satisfaction. This study aims to analyze the relationship between childbirth services and birth satisfaction in Roemani Muhammadiyah Semarang hospital. We used a cross sectional design and used an interview to collect the data, it was conducted from July to August 2016. A total of 79 women were enrolled in the study that fulfill the inclusion and exclusion criteria. The childbirth services and patient satisfaction were measured using survey instruments which we’d measured the reliability and validity previously. The linier regression were applied. The majority of the patients (94,9%) were 21-40 years old, 67,1% were university graduate, 40,5% were housewife, 62% were multigravida, and  57% were delivered by cesarean section. There were significant effect between interpersonal relationship (p=0,0001), patient decision choice (p=0,001), and breastfeeding management (p=0,021) and birth satisfaction. The strongest predictor of birth satisfaction was interpersonal relationship.
PENERAPAN MESIN PENGADUK PAKAN TERNAK DI DESA NGADIREJO KECAMATAN KROMENGAN KABUPATEN MALANG Indriani, Sri; L.A, ST. Salamia; Sudiro, Sudiro; Haryanto, Sony
Jurnal Industri Inovatif Vol 7 No 1 (2017): INDUSTRI INOVATIF - JURNAL TEKNIK INDUSTRI
Publisher : PRODI TEKNIK INDUSTRI S1 ITN MALANG

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Usaha peternakan di daerah Desa Ngadirejo Kecamatan Kromengan Kabupaten Malang ini, masih terdapat aktifitas kerja yang kurang efisien, ditinjau dari waktu dan tenaga. Salah satunya pada proses pengadukan pakan yang masih menggunakan peralatan manual, posisi operator membungkuk dalam waktu yang cukup lama, dan hasil adukan tidak sesuai dengan komposisi yang dibutuhkan. Kegiatan pengabdian masyarakat ini memfokuskan pada sarana untuk pengadukkan pakan ternak dengan penerapan ergonomi, Tahap pertama adalah menghitung data waktu kerja pengadukkan pakan dengan alat manual untuk mendapatkan waktu baku dan output standart, serta menghitung data antropometri .Posisi kerja operator adalah berdiri, maka data antropometri yang digunakan untuk pengaduk pakan ternak ini antara lain tinggi siku pada posisi berdiri, bentangan tangan dan jangkauan lengan ke samping. Tahap kedua adalah membuat desain sesuai perhitungan antropometri dan pertimbangan-pertimbangan teknis untuk kemudian membuat mesin pengaduk pakan ternak. Tahap terakhir adalah menghitung data waktu kerja pengadukkan pakan dengan alat hasil perancangan untuk mendapatkan waktu baku dan output standart. Pada kegiatan pengabdian masyarakat ini akan diterapkan mesin pengaduk pakan ternak otomatis yaitu berdimensi 143x57x109 cm³. Tenaga penggerak yang dipakai adalah motor listrik 1 phasa dengan daya sebesar 1 HP. Waktu Baku (Wb) mengalami penurunan sebesar 0.17 menit/kg yaitu dari alat lama (manual) 0.25 menit/kg menjadi 0.08 menit/kg sedangkan untuk Output Standart (Os) meningkat menjadi 8.5 kg/menit dengan prosentase 212.5% yaitu dari 4 kg/menit menjadi 12.5 kg/menit.
FENOMENA ANGKUTAN INFORMAL PERKOTAAN (TAKSI GELAP) STUDI KASUS JALUR KOTA MANADO – KOTA TOMOHON Sudiro, Sudiro; Roychansyah, M. Sani
Proceeding SENDI_U 2019: SEMINAR NASIONAL MULTI DISIPLIN ILMU DAN CALL FOR PAPERS
Publisher : Proceeding SENDI_U

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.177 KB)

Abstract

Fenomena munculnya taksi gelap pada jalur Kota Manado – Kota Tomohon disebabkan oleh adanya kesenjangan pelayanan transportasi yang disediakan oleh pemerintah daerah melalui moda transportasinya. Penelitian mengenai fenomena taksi gelap yang beroperasi di jalur kota Manado – kota Tomohon menggunakan pendekatan studi kasus, sehingga dapat menemukan rangkaian proses terjadinya fenomena ini. Eksistensi taksi gelap telah diakui dan dirasakan manfaatnya, namun pemerintah tetap mengganggap jenis angkutan ini ilegal dan tidak sesuai dengan peraturan perundang – undangan yang berlaku. Besarnya kontribusi terhadap mobilitas penumpang antar kota, pertumbuhan perekonomian kota, danpenciptaan kesempatan kerja,membuat fenomena taksi gelap ini menjadi sangat penting dalam mengatasi masalah pengangguran di perkotaan yang disebabkan oleh bertambahnya jumlah penduduk. Meskipun beroperasi secara ilegal, eksistensi taksi gelap di jalur Kota Manado – Kota Tomohon tetap berlangsung secara terus menerus. Adanya peran dari oknum aparat kemanan, pegawai pemerintahan, hingga preman dalam melindungi keberadaan angkutan ini menyebabkan fenomena ini berlangsung secara terus menerus. Pentingnya kebijakan dan kemauan politik oleh pemangku kebijakan di Provinsi Sulut dalam menanggapi keberadaan fenomena ini secara tepat, sehingga di hasilkan solusi yang menguntungkan bagi semua pihak terkait. Kata Kunci: taksi gelap, ilegal, ekonomi
Urgensi Administrasi Pendidikan bagi Pencapaian Tujuan Institusi Pendidikan Sudiro, Sudiro
Jurnal Kependidikan Vol 8 No 1 (2020)
Publisher : Kelompok Kajian Pendidikan Ikatan Alumni IAIN Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24090/jk.v8i1.4215

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This arcticle aims to explain about urgency of educational administration for educational institution. Administration is a must in the world of management, the level of effectiveness, efficiency of education administration is strongly supported by the role and urgency of administrative staffing, equipment, administration and public relations in education administration. The staffing administration talks about employee recruitment, promotion, payroll until retirement, while the administration of equipment discusses the matter of adequate facilities and infrastructure, while administration deals with new students and alumni, while public relations administration looks good / positive. Educational administration is well locked if all is not managed and can function well and effectively and is equipped with coordination and coordination (KIS). Abstrak Tulisan ini bertujuan untuk memaparkan urgensi administrasi pendidikan bagi suatu institusi pendidikan. Administrasi merupakan keniscayaan dalam dunia managemen. Tingkat efektifitas, efisiensi administrasi pendidikan sangat ditopang oleh peran serta atau urgensi administrasi kepegawaian, perlengkapan, tata usaha dan humas dalam administrasi pendidikan. Administrasi kepegawaian berbicara tentang rekrutmen pegawai, promosi, penggajian hingga pensiun, sedangkan administrasi perlengkapan membicarakan hal ihwal sarana dan prasarana/ fasilitas yang memadai. Adapun tata usaha membahas tentang penerimaan siswa baru hingga lulus dan alumninya. Administrasi pendidikan dapat dikatakan baik jika semua unsur dan fungsi managemen dapat dioptimalkan kinerjanya secara efesien dan efektif serta dilaksanakan dengan cara koordinasi, integrasi, dan sinkronisasi (KIS). Dengan adanya administrasi pendidikan yang baik akan mendukung bagi eksistensi suatu institusi pendidikan.
THE INFLUENCE OF SUPERVISION AND WORK DISCIPLINE ON EMPLOYEE PERFORMANCE WITH COMPETENCY AS AN INTERVENING VARIABLE AT THE MEDAN RELIGIOUS TRAINING CENTER Sudiro, Sudiro; Farida Ferine, Kiki
SIBATIK JOURNAL: Jurnal Ilmiah Bidang Sosial, Ekonomi, Budaya, Teknologi, Dan Pendidikan Vol. 2 No. 11 (2023): October
Publisher : Penerbit Lafadz Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/sibatik.v2i11.1500

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Human resource management (HRM) is a science or method of how to manage the relationships and roles of human resources efficiently and effectively and can be used optimally so as to achieve the goals of the company, employees and society to the fullest. This study aims to see the Effect of Supervision and Work Discipline on Employee Performance with Competence as an intervening variable with an associative quantitative research type. This research was conducted at the Medan Religious Education and Training Center. research by distributing questionnaires and primary data sources are also used. The research model uses path analysis and the measurement tool uses Smart PLS 3.3.3. The results of this study are as follows: Work discipline has a positive and significant effect on employee performance. Work Discipline has a positive and significant effect on competence. Competence has a positive and significant effect on Employee Performance. Supervision has a positive and significant effect on Employee Performance. Supervision has a positive and significant effect on competence. Work Discipline has a positive and significant effect on Employee Performance through Competence. Supervision has no significant positive effect on Employee Performance through Competence.
Penerapan Wastafel Portabel sebagai Upaya Pencegahan Covid-19 di Kantor Kelurahan Gedongan Kecamatan Colomadu Saputra, Onery Andy; Pradiska Budi, Agustyarum; Sudiro, Sudiro
Jurnal Pengabdian Kepada Masyarakat (MEDITEG) Vol. 5 No. 1 (2020): Jurnal Pengabdian Kepada Masyarakat MEDITEG
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat (P3M) Politeknik Negeri Tanah Laut (Politala)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34128/mediteg.v5i1.65

Abstract

Jumlah pasien wabah Covid 19 setiap hari semakin meningkat. Diperlukan langkah antisipatif dan preventif untuk mengatasi permasalahan tersebut. Budaya mencuci tangan merupakan langkah terbaik dalam kondisi wabah ini. Namun, tidak semua tempat memiliki tempat cuci tangan yang tepat, khususnya tempat tertentu yang membutuhkan tempat cuci tangan yang fleksibel dan mudah dipindahkan. Solusi yang diberikan yaitu membuat alat cuci tangan/ wastafel portabel untuk ditempatkan di tempat yang strategis dan mampu dipindahkan sesuai dengan kebutuhan. Tujuan dari pengabdian ini menyediakan wastafel portabel di Kantor Kelurahan Gedongan untuk memutus mata rantai penyebaran Covid 19. Metode yang digunakan yaitu survai mitra, desain alat, konsultasi desaian, pembuatan alat, penyerahan alat, pelatihan penggunaan dan pelatihan perawatan alat. Hasil yang diperoleh adalah alat dapat dimanfaatkan dengan baik dan bermanfaat bagi masyarakat di lingkungan Kantor Kelurahan Gedongan, Colomadu, Karanganyar, Jawa Tengah, Indonesia.
Zero Mortality During Covid-19 Outbreak: A Review in 418 Workers at a Health University Sudiro, Sudiro; Satino, Satino; Setyorini, Yuyun; Ardesa, Yopi Harwinandha; Darmawan, Rendi Editya
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 8 Nomor 1 Tahun 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v8i1.746

Abstract

Background: Mortality due to Covid-19 outbreak in Indonesia are the second highest in Asia on period 2020-2021, but there is one of health university that zero mortality. Some of the factors that cause high mortality are only assumptions from researchers, need to be clarified scientifically. Aim of study is to analyze factors that causes zero mortality during covid-19 outbreak.  Methods: We performed a descriptive study using result of medical check up workers within the first 1 year of the pandemic. All workers consist of lecturers, administrative staff, drivers, and cleaning staff were included as much as 418 persons. Patients were assessed for their gender, age, body mass index, blood pressure, total cholesterol, and electrocardiography based on laboratory test and interview. We analyze data using descriptive based on characteristics respondents. Data collected in December 2021. The examination is carried out by a certified laboratory.  Results: The age of the workers is mostly young, the small incidence of hypertension, hypercholesterolemia, and heart health problems, have the potential to be a reason for zero mortality during the covid 19 outbreak in 418 workers. Hypertension, gender, obesity, hypercholesterolemia, and aritmia unrelated to mortality, but related to severity.  Age directly related to mortality.  Conclusion: A healthy body is an asset in dealing with a pandemic. Periodic checks on blood sugar, electrocardiography, cholesterol, body mass index, is needed in preparing for the next pandemic minimum once every 6 months.
The Effect of Therapeutic Communication on the Anxiety Level of Children Undergoing the COVID-19 Vaccination Naufal, Irfan Hanif; Harnanto, Addi Mardi; Sunarto, Sunarto; Widodo, Widodo; Sudiro, Sudiro
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 8 Nomor 1 Tahun 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v8i1.878

Abstract

Background: Anxiety is often encountered in society, especially in children, when undergoing the COVID-19 vaccination. Anxiety is a factor influencing children to refuse vaccination. Therefore, nurses need to reduce this level of anxiety through the application of therapeutic communication. This research was carried out to determine the effect of therapeutic communication on children's anxiety levels during the implementation of the COVID-19 vaccination. Methods: A pre-experiment design with a one-group pretest-posttest design was used on 58 respondents who were selected using a simple random sampling technique. The research instrument used was the Zung Self-Rating Anxiety Scale (SAS/SRAS) questionnaire with a Likert scale model, and the results were analyzed using the Wilcoxon Signed Ranks Test statistical test. Results: The results of the Wilcoxon Signed Ranks Test analysis on respondents' anxiety levels showed that there was a decrease in anxiety after therapeutic communication was carried out with a p-value of 0.00 (p < 0.05), which means that therapeutic communication had a significant influence on the anxiety level of children undergoing the COVID-19 vaccination. Conclusion: Therapeutic communication can effectively reduce the anxiety level of children undergoing COVID-19 vaccination.