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Showing 180 articles found for "Levels"

EVALUATING GEOGRAPHY BASIC COMPETENCIES IN THE 2013 CURRICULUM IN RELATION TO THE DEVELOPMENT OF STUDENTS’ SPATIAL LITERACY

Edies Rizqi Adelia, Maulida Afna Musoffa, Shinta Ester Debora, Muhammmad Zid, Wini Mustikarani
Abstract: This study aims to analyze the extent to which the Basic Competencies (KD) in Geography in the 2013 Curriculum contribute to strengthening students' spatial literacy. The study used a qualitative descriptive approach with… h content analysis techniques on curriculum documents and source triangulation. The results showed that the Basic Competencies in Geography in grades X, XI, and XII have varying levels of strengthening spatial literacy. Grade X plays a role in building a foundation for spatial understanding related to geosphere phenomena. Grade XI strengthens understanding of spatial interactions through materials on resource distribution, population dynamics, and human-environment relationships. Meanwhile, grade XII is the level with the greatest contribution to spatial literacy through materials on remote sensing, Geographic Information Systems (GIS), rural-urban spatial patterns, and zoning. Although the structure of the Basic Competencies shows gradual development, it is not entirely consistent in demanding advanced spatial skills, especially at earlier levels. These findings emphasize the importance of strengthening learning strategies and supporting school facilities to maximize the potential of Basic Competencies in building students' spatial literacy.

DESCRIPTION OF THE ADMINISTRATION OF BOILED MORINGA LEAVES TO REDUCE RANDOM BLOOD GLUCOSE LEVELS IN MRS. D WITH TYPE 2 DIABETES MELLITUS IN SIKAMPUH VILLAGE, KROYA DISTRICT, CILACAP REGENCY

Latifah Azhar Dini, Eko Julianto, Sudiarto, Dwi Astuti
Abstract: Background: Diabetes mellitus is a chronic metabolic disorder caused by high levels of physical activity, high sugar consumption, reduced insulin production, and impaired insulin response or other hormones that inhibit insulin… nsulin action. Based on IDF data, the prevalence of diabetes mellitus in Indonesia in 2024 is estimated to reach 11.3% of the population (approximately 20.4 million people). In addition, the Ministry of Health shows that in 2023, cases of diabetes mellitus will reach 11.7% and are predicted to continue to increase. High blood glucose levels, if left untreated, can cause various complications such as heart disease, stroke, nerve damage, and wound infections that can lead to amputation. One non-pharmacological treatment that can be given is by giving boiled moringa leaves, because moringa leaves contain antioxidants such as flavonoids, vitamins A, C, and E which can lower blood glucose levels. Objective: To determine the effect of Moringa leaf decoction on reducing blood glucose levels in diabetes mellitus patients in Sikampuh Village, Kroya District, Cilacap Regency. Method: The method used was a qualitative descriptive method with a case study approach. Results: Based on the research results, administering Moringa leaf decoction to blood glucose levels in diabetes mellitus patients for 7 days was proven to be effective in lowering blood glucose levels. Conclusion: Administering Moringa leaf decoction to diabetes mellitus patients for 7 days can lower blood glucose levels.

THE EFFECTIVENESS OF GAMIFIED LEARNING ENVIRONMENTS IN IMPROVING LITERACY SKILLS AMONG PRIMARY SCHOOL STUDENTS

Sarah Nasution, Sri Handayani Hsb, Anita Adinda
Abstract: This study aims to analyze the effectiveness of gamified learning environments in improving literacy skills among primary school students. Gamification, which incorporates game elements such as points, badges, levels, and… d challenges into the learning process, is considered capable of enhancing motivation and student engagement—particularly in literacy learning, which young learners often perceive as less appealing. This research employed a mixed-methods design involving students from both lower and upper primary grades as research subjects. Quantitative data were collected through literacy tests and motivation questionnaires, while qualitative data were gathered through observations and interviews. The findings reveal that gamified learning environments significantly improve students’ reading comprehension, vocabulary mastery, and reading interest. Moreover, game elements such as challenges and rewards positively influence students’ learning motivation and persistence in completing literacy tasks. These results highlight gamification as an effective and innovative approach to enhancing literacy skills, making it a valuable strategy for integration into primary school instruction.

OVERIVEW OF COLORING PLAY THERAPHY ON THE ANXIETY LEVEL OF PRESCHOOL-AGED CHILDREN A DUE TO HOSPITALIZATION AT THE PADAMARA HEALTH CENTER, PURBALINGGA REGENCY

Rysca Ramadhani Arista Dewi, Dwi Astuti, Priyatin Sulistyowati
Abstract: Background: Preschool-Aged children, aged 3–6 years, where the preschool period becomes a very fun time and get various new things. The weakness experienced by preschool children is that their immune system is weaker than… han adults, which makes them more susceptible to infections, as well as the risk of falls and injuries, so they require medical treatment in the hospital. Childern who undergoing treatment at the Puskesmas can cause anxiety for them because they must leave their familiar, safe, loving, and enjoyable home environment. Hospitalization is a planned medical procedure that requires care and treatment but can trigger anxiety in children, both mentally and physically. Anxiety will cause children to become uncooperative and difficult to cooperate with health workers. During this process, children may face traumatic experiences that cause stress. One of the efforts to reduce the level of anxiety is by implementing play therapy, one of which is the coloring play therapy technique. Objective: This research describes the application of coloring play therapy on anxiety levels in preschool-aged children at Padamara Health Center. Methods: This research used a case study research design method. Results: This research indicate that before the intervention score was 25 (moderate anxiety) and after the intervention score was 9 (no anxiety). Conclusion: Coloring play therapy can reduce anxiety levels in preschool-aged children undergoing treatment at Padamara Health Center.

DEVELOPING A GROWTH MINDSET IN ELEMENTARY SCHOOL TEACHERS: A TRAINING GUIDE TO ENHANCE DEEP LEARNING

Wahdeni, Tuti khairani, Khairani Hasibuan, Hamka
Abstract: The training program “Developing a Growth Mindset Among Elementary School Teachers: A Training Guide for Enhancing Deep Learning” was organized by the Department of Education of Mandailing Natal Regency to strengthen teachers’… teachers’ pedagogical competence and foster a student-centered learning culture. This initiative was motivated by the 2022 PISA results, which revealed that more than 99% of Indonesian students could only solve problems at lower levels (Lower Order Thinking Skills), while less than 1% reached higher levels (Higher Order Thinking Skills). One of the underlying causes is the prevalence of a fixed mindset among teachers—the belief that intelligence is innate and difficult to change. This training aimed to cultivate a growth mindset based on Carol S. Dweck’s (2006) theory, which emphasizes that abilities can be developed through effort and learning strategies. The method employed was a reflective andragogical workshop involving material presentations, microteaching simulations, and collaborative reflections. The results indicated a significant improvement in teachers’ understanding of the growth mindset concept and its implementation in deep learning. Teachers began providing process praise, applying The Power of Yet strategy, and creating emotionally safe and collaborative classroom environments. Furthermore, the establishment of the Growth-Oriented Teacher Community of Mandailing Natal (KGB-Madina) emerged as a sustainable platform for sharing best teaching practices and fostering continuous professional growth.

IMPLEMENTATION OF BEETROOT JUICE (BETA VULGARIS L) ADMINISTRATION TO INCREASE HEMOGLOBIN LEVEL IN PREGNANT WOMEN WITH ANEMIA IN TAMANSARI VILLAGE KARANGMONCOL DISTRICT

Farah Diska Meila Sari, Priyatin Sulistyowati, Fida Dyah Puspasari
Abstract: Background: Anemia is a condition in which the level of red blood cells or hemoglobin in the body is below normal. In pregnant women, anemia can pose health risks to both the mother and the fetus. One of the non-pharmacological… logical treatments that can be used is the administration of natural ingredients such as beetroot, which serves as an alternative due to its content of iron, folic acid, and vitamin C that can help increase hemoglobin levels. Objective: To provide an overview of the implementation of beetroot juice to increase hemoglobin levels in pregnant women with anemia. Methods: This study used a case study design involving one pregnant woman with anemia who met the inclusion criteria. The intervention consisted of administering 200 ml of beetroot juice per day for seven consecutive days. Evaluation was carried out by measuring hemoglobin levels before and after the intervention using the Easy Touch GCHb device. Results: The results showed that hemoglobin levels increased from 10.5 g/dL before the intervention to 11.8 g/dL after seven days, with an increase of 1.3 g/dL. Conclusion: Regular administration of beetroot juice is effective in increasing hemoglobin levels in pregnant women with anemia.

THE EFECT OF BAY LEAFT (SYZYGIUM POLYANTHUM) DECOCTION ON URIC ACID LEVEL REDUCTION IN ELDERLY PATIENTS WITH GOUT ARTHRITIS IN SERANG VILLAGE

Sofiyatun Hasanah, Dwi Astuti, Priyatin Sulistyowati
Abstract: Background: Elderly individuals are at high risk of experiencing degenerative diseases, one of which is gout arthritis, caused by the accumulation of monosodium urate crystals in the joints due to hyperuricemia. Non-pharmacological… macological therapies such as bay leaf (Syzygium polyanthum), which contains flavonoids, tannins, and essential oils, are believed to naturally reduce uric acid levels. Objective: To determine the effect of bay leaf decoction on reducing uric acid levels in elderly patients with gout arthritis in Serang Village. Method: This research used a descriptive approach with a case study method. The subject was one elderly person with gout arthritis who was given an intervention in the form of bay leaf decoction twice a day for four days. Results: The uric acid level before the intervention was 8.2 mg/dL and after the intervention was 4.2 mg/dL. The reduction of 4 mg/dL indicates that the bay leaf decoction was effective in lowering uric acid levels. Conclusion: Bay leaf decoction affects the reduction of uric acid levels in elderly patients with gout arthritis and can be used as a safe, easy, and affordable nonpharmacological alternative therapy.

THE EFFECT of TOMATO JUICE AND DRAGON FRUIT JUICE ON 2-HOUR POST PRANDIAL BLOOD GLUCOSE LEVELS IN TYPE 2 DIABETES MELITUS PATIENTS IN BAKULAN VILLAGE, KEMANGKON DISTRICT

Frizka Mawar Mayssiana, Dwi Astuti, Eko Julianto
Abstract: Background: Type 2 diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to insulin resistance or impaired insulin secretion. One effort to help lower blood glucose levels is… s through complementary therapy using natural ingredients such as tomato juice and dragon fruit juice, which contain various active compounds such as lycopene, fiber, vitamin C, and antioxidants.Objective: To determine the effect of tomato juice and dragon fruit juice on 2-hour post prandial blood glucose levels in type 2 diabetes mellitus patients. Methods: This research is a case study with two subjects who met the inclusion criteria. The intervention was administered for 7 days, during which subjects consumed tomato juice and dragon fruit juice. Blood glucose levels were measured before and after the intervention using an Easy Touch device. Results: The study showed a decrease in blood glucose levels after administration of both juices. This indicates that the combination of tomato juice and dragon fruit juice can significantly lower blood glucose levels. Conclusion: Administering tomato juice and dragon fruit juice can be an effective complementary therapy in lowering blood glucose levels in patients with type 2 diabetes mellitus.

THE RELATIONSHIP BETWEEN SELF-CARE MANAGEMENT AND DECLINING OF BLOOD PRESSURE AMONG HYPERTENSIVE PATIENTS IN SUKAMAKMUR COMMUNITY HEALTH CENTER ACEH BESAR

Durratulhikmah, Fauziah, Nurul Amna
Abstract: Hypertension is a non-communicable disease indicated by high blood pressure above 140/90 mmHg. This condition leads to major complications if treatment is not received.  As a result, managing health is essential to control&#8230; rol hypertension.  The study aims to investigate the relationship between self-care and the decrease in blood pressure among hypertensive patients in Sukamakmur Public Health Center.  The population was 110 hypertensive patients, and 86 respondents were selected as the sample using a random sampling technique. The research was conducted from 15 to 21 April 2025. A quantitative correlational research design was used with a cross-sectional approach. The research instruments were the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure assessed using a digital sphygmomanometer. The data that was analyzed from the Chi-Square test analysis showed a p-value of 0.020 (p<0.05). This finding indicated a relationship between self-care management and blood pressure decline in hypertensive patients at the Sukamakmur Community Health Center. This study suggests that patients should be more active and consistently do self-care management to help maintain stable blood pressure levels.

DIFFERENCE IN URIC ACID TEST RESULTS USING PLAIN AND CLOT ACTIVATOR VACUTAINER TUBES

Permana, Anak Agung Gede Denny Dwi, Cahyani, Anak Agung Ayu Eka, Yanti, Ni Luh Gede Puspita
Abstract: Laboratory examinations play an important role in supporting disease diagnosis and treatment, one of which is the measurement of uric acid levels. The accuracy of laboratory results is significantly influenced by the pre-analytical&#8230; -analytical stage, including the type of blood collection tube used. Two commonly used tubes are the plain vacutainer and the clot activator vacutainer, each with different additives that may affect blood clotting time and test results. This study aimed to determine the differences in uric acid test results and clotting time using these two types of tubes. A simple experimental method with a comparative design was conducted at Klinik Pratama Rawat Jalan Mambal Medical Care from March to April 2025. The sample consisted of 15 respondents, each undergoing two blood draws using both tube types. The results showed that the average clotting time for the clot activator tube was 9.27 minutes, while for the plain tube it was 24.67 minutes. The average uric acid level measured using the clot activator tube was 5.27 mg/dL, compared to 5.14 mg/dL using the plain tube. Statistical analysis using the Wilcoxon signed-rank test indicated a significant difference in clotting time but no significant difference in uric acid levels (p > 0.05). It can be concluded that the use of clot activator vacutainer tubes accelerates the blood clotting process but does not significantly affect uric acid levels compared to plain tubes.