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Perawat dapat menjadi sumber infeksi nosokomial di rumah sakit. Kebersihan tangan perawat menjadi hal yang sangat terpenting untuk mengurangi infeksi terkait perawatan, khususnya infeksi nosokomial. Penelitian ini bertujuan untuk mengeksploratif Multimodal Hand Hygiene Improvement Stategy sebagai solusi bagi pengelola PPI dalam meningkatkan kepatuhan cuci tangan perawat sesuai standar di rumah sakit. Metode penelitian ini menggunakan pendekatan pilot study yang bersifat observasional. Ruangan yang digunakan sebagai pilot studi adalah ruangan keperawatan anak yang terdiri dari 12 orang perawat pelaksana, 1 orang dokter spesialis, dan 1 orang dokter asisten. Hasil penelitian menunjukkan bahwa kepatuhan cuci tangan perawat mengalami peningkatan menjadi 80% setelah diterapkan Multimodal Hand Hygiene Improvement Stategy Simpulan, kepatuhan cuci tangan perawat tergolong dalam kategori patuh setelah dilakukan Multimodal Hand Hygiene Improvement Stategy. Disarankan Multimodal Hand Hygiene Improvement Stategy dapat dijadikan pendekatan untuk meningkatkan kepatuhan Hand Hygiene Five Moment di rumah sakit.

Low scientific literacy skills, teaching materials used in learning are not facilitated by students to understand science concepts and apply them in everyday life. The purpose of this study was to determine the effect of project-based learning models that help digital interactive modules on students' scientific literacy skills and students' responses to digital modules on the subject matter of biotechnology. The population in this study was 9th grade of junior high school at Bandar Lampung with sampling techniques, namely purposive sampling techniques, class IX-9 as an experimental class and class IX-8 as a control class. The results showed that there was a significant influence on the use of a project-based learning model of digital interactive module assistance on scientific literacy skills between control classes and experiments on biotechnology subject matter in 9th grade Junior High School with a significance value of independent sample t test of 0.001. The results of student responses to the digital interactive module obtained an average proportion of 89% in the excellent category.

Various ways have been carried out in the world of education to raise environmental awareness for students, but the efforts so far have not had a significant impact on sustainable development. Students have not fully demonstrated awareness of the environment. Therefore, this research was conducted with the aim of measuring student environmental awareness (EA) which integrates Indonesian local culture towards the Sustainable Development Goals (SDGs). This research design uses survey research. The method used in this study is a quantitative method with purposive sampling technique with a sample of 362 Biology Education students spread throughout Indonesia. This research questionnaire uses a Likert scale of 1-5. Data collection used a questionnaire containing statements totaling 17 items. All indicators as exogenous variables except SDGs as endogenous variables. This study used Structural Equation Modeling (SEM) analysis through the SmartPLS application. The research results show that there is an influence between culturally integrated environmental awareness, awareness of responsibility, and finding solutions to environmental problems against the SDGs. However, the indicator of realizing its role in the environment has no effect on the SDGs, even though the simultaneous influence of all exogenous variables is in the moderate category on the SDGs. The conclusion from this study is that there is a positive influence between culturally integrated environmental awareness, student awareness of responsibility for the environment, and awareness in finding solutions to environmental problems towards the SDGs, but still needs to be improved. Strengthening Indonesian local culture rooted in local wisdom in growing environmental awareness is urgently needed to achieve sustainable development goals. The recommendation in this study is that the use of an active learning approach, for example STEAM, which can stimulate creative problem-solving skills for environmental problems, can be a solution in developing students' environmental awareness.

Students in pre-service teacher education have difficulty formulating questions, particularly HOTS questions. The purpose of this study was to describe the distribution of questions, the percentage of HOTS (Higher Order Thinking Skills) questions, and the obstacles faced by pre-service teachers in creating HOTS-based questions. The research method uses qualitative methods with descriptive data presentation. The research was conducted at the Biology Education Study Program with a sample of 2020 pre-service teachers, with 57 pre-service teachers selected by purposive sampling. The data source is multiple-choice questions made by pre-service teachers and tested on students in pilot schools in Lampung Province, Indonesia. The results of the study showed that 72.46% of the questions were in the valid category and 18.84% of the HOTS questions were in the low category. The obstacles found were difficulties in compiling questions, especially HOTS questions, difficulties in making homogeneous alternative answers, and distractors.

Technological innovations can be used to enhance students’ reading skills. Implementing an online tool using Kahoot could be an alternative way to improve students’ reading comprehension. The objectives of the research were to find out (1) whether there was a significant improvement in the Informatics Engineering students’ reading skills by applying Kahoot or not and (2) whether there was a significant difference in the Informatics Engineering students’ reading skills at Politeknik Sekayu between those who were taught and those who were not or not. The research method was a quasi-experimental design, which involved 50 Informatics Engineering students at Politeknik Sekayu as the sample selected by using purposive sampling. Reading test was used as the technique for collecting the data while paired sample t-test and independent sample t-test were used for analyzing the data. The results imply that the value of t-obtained was 4.987. The significance level was 0.000 with the degree of freedom at 48. Because the t-obtained, 4.987, was higher than t-table 1.667, and the significance level was lower than the alpha value, 0.05. Therefore, there was a significant difference in Informatics Engineering students’ reading skills at Politeknik Sekayu through Kahoot between those who were taught and those who were not. Kahoot significantly improved students’ reading skills, especially in vocabulary, inference, facts and opinions, reference, scanning for detail, and main idea.

This study aims to see how the Edmodo-assisted Discovery Learning model affects students' scientific literacy skills. This study is a quasi-experimental design with a pretest-posttest non-equivalent control group. The experimental class is taught using the Edmodo-assisted discovery learning methodology. Data were collected using a pretest and a posttest to measure the increase in students' scientific literacy skills. The experimental class received an N-Gain of 0.51, while the control class received an N-Gain of 0.29. The significance of the Independent Sample t-test on student N-Gain scores is 0.000, which is lower than 0.005, indicating that the Edmodo-assisted discovery learning model has a substantial effect on students' scientific literacy skills. The results of the questionnaire analysis also revealed that students were enthusiastic about Edmodo-assisted discovery learning. As a result, the Edmodo-assisted discovery learning model considerably impacts students' scientific literacy skills. ABSTRAK: Penelitian ini bertujuan untuk mengetahui pengaruh model Discovery Learning berbantu Edmodo terhadap kemampuan literasi sains peserta didik. Penelitian ini merupakan kuasi eksperimen dengan desain pretest-posttest non equivalent control group design. Model discovery learning berbantu Edmodo diterapkan pada kelas eksperimen. Pengumpulan data dilakukan dengan menggunakan pretest dan posttest untuk mengetahui peningkatan kemampuan literasi sains peserta didik. Hasil penelitian menunjukan kelas eksperimen mendapatkan N-Gain sebesar 0,51 sedangkan kelas kontrol mendapatkan N-Gain sebesar 0,29. Uji Independen Sample t-test terhadap skor N-Gain siswa menunjukkan signifikansi 0.000 < 0,005 yang berarti model discovery learning berbantu Edmodo berpengaruh signifikan terhadap kemampuan literasi sains peserta didik. Hasil analisis angket juga menunjukan respon yang baik dari siswa terhadap pembelajaran discovery learning berbantu edmodo. Dengan demikan dapat disimpulkan bahwa model discovery learning berbantu Edmodo berpengaruh signifikan terhadap kemampuan literasi sains peserta didik.

Due to the numerous challenges of providing for autistic children on a daily basis, parental cluelessness of how to care for autistic children, and lack of parental support for the therapy process that has been taught by the Autism Service Center, parents with autistic children are more likely to experience stress. As a result, employing the PAR methodology, Christian psychology study programs engage in community service projects that teach parenting techniques for raising autistic children. The PKM team engages in mentoring and psychoeducational activities, which are divided into two primary sessions (i.e, Session 1 included lecturing, relaxation, and question and answer; Session 2 including simulation, roleplaying, and question-and-answer). The PKM activity process was examined both quantitatively and qualitatively. With the highest scores in the very good category (74.07%, 59.25%, and 55.55% respectively), participants gave the elements of a comfortable setting or facility, handouts or teaching materials that are very helpful in learning and comprehending the content, and a willingness to join once more if the Christian Psychology Study Program offers another activity. Based on the qualitative data, the participants explicitly expressed their opinion that this activity was very good, useful, could transfer new knowledge in regards to caring for ASD children, could address their needs and difficulties, and it was hoped that this activity would be sustained in the future. Thus, resources and a number of delivery modalities can be used to provide support and psychoeducation about parenting styles for kids with autism, which can address the needs, aspirations, and issues of PLA Naimata Staff and Assisted Parents.

Tulisan ini bertujuan untuk menginvestigasi dan mendemonstrasikan bagaimana metode lipat (fold) dapat digunakan sebagai strategi desain yang adaptif dan fleksibel untuk kebutuhan perancangan rumah tinggal. Arsitektur adaptif memiliki keterkaitan dengan bentuk ‘kecairan’ arsitektur terhadap kondisi internal dan eksternal terkait manusia dan lingkungannya, serta teknologi yang meliputinya. Baik perencanaan penggunaan ruang maupun struktur yang digunakan, arsitektur adaptif perlu memungkinkan sebuah fleksibilitas serta potensi kemudahan modifikasi. Desain rumah dalam penulisan ini menunjukkan metode perancangan berbasis ide folding sebagai strategi adaptif dan fleksibilitas melalui perkembangan struktur dan layout, serta unit furnitur fleksibel yang dapat dilipat sesuai kebutuhan. Desain rumah yang dapat dilipat, digeser, diperluas, dan dipindahkan menunjukan suatu bentuk lingkungan bertinggal yang dapat bergerak dan bertumbuh bersama dengan penghuninya. Desain rumah berbasis folding dalam penulisan ini memposisikan metode perancangan lipat sebagai sebuah upaya kesatuan proses bertempat tinggal manusia dengan lingkungan sekitarnya. This paper aims to investigate and demonstrate how the idea of folding can be used as an adaptive and flexible design method in residential design. Adaptive architecture demonstrate fluidity of architecture that arrange between the internal and external conditions of the built environments, in relation with humans and their environment, as well as the technology construct such conditions. Current literature on folding in architecture have outlined the application of such method in spatial configuration and structural system to allows flexibility and ease future modification. The folding house model in this paper shows the idea of folding as an adaptive strategy and flexibility through to the development of its spatial layout, structural system, as well as flexible interior units that can be folded as needed. A folding house that can be folded, shifted, expanded and moved shows that the house can move and grow together with its occupants. The house design explored in this study then positions the method of folding as an effort to unite the occupants with its surrounding living environment.

Kanker payudara merupakan penyebab kematian akibat kanker terbanyak pada wanita di seluruh dunia dengan angka kematian sebesar 458.400 wanita setiap tahunnya. Poly-(ADP ribose) polymerase (PARP) dan phosphatidylinositol 3-kinase (PI3K) adalah dua molekul yang memainkan peran penting pada patofisiologi kanker payudara. Metastasis kanker payudara merupakan sebuah proses berkesinambungan yang melibatkan beberapa tahapan penting seperti invasi, angiogenesis, hingga replikasi sel. Sel yang mengalami mutasi pada kanker payudara akan menyebabkan ekspresi yang berlebihan dari PI3K sehingga terjadi replikasi sel yang tidak terkontrol disertai dengan peningkatan matrix metallopeptidase 9 (MMP-9). MMP-9 memiliki peran dalam degradasi matriks ekstraseluler yang penting untuk proses invasi tumor. Di sisi lain, PARP membantu reparasi sel yang mengalami kerusakan sehingga proses replikasi sel kanker dapat terus berlangsung. Terlebih lagi, PARP diketahui memiliki andil besar dalam proses angiogenesis sel kanker. Gabungan dari kedua fenomena tersebut menghasilkan sel kanker dengan kemampuan replikasi dan metastasis yang tinggi.

Artikel ini bertujuan untuk memaparkan mengenai adab muhaddis dan muhaddas menurut Abdul Ghani yang di cantumkan dalam karyanya. Yaitu kitab adab al-muhaddis wa al-muhaddas yang mana ia salah satu kitab karangan Abdul Ghani yang berisi pembahasan tentang adab seorang pengajar dan penuntut ilmu. Kitab tersebut memuat adab-adab yang disertai dengan hadis sebagai penguat argument beliau yang menurut penulis sangat kompelks dan sangat berguna untuk keberlangsungan para penuntut ilmu. Oleh karenanya penulis tertarik untuk meneliti adab-adab yang termuat dalam kitab tersebut. Metode yang digunakan dalam penelitian ini adalah studi analisis biografi intelektual tokoh dengan jenis penelitian Library Research. Teknik mengumpulkan data dilakukan dengan cara mengumpulkan data dari berbagai literer yang kemudian di analisa dengan metode content analysis, deskriptif. Hasil dari penelitian ini adalah pertama adab muhaddis yaitu harus menanamkan niat ikhlas dalam hati, tidak termasuk ke dalam golongan orang-orang munafik, jangan pernah meremehkan siapapun, salah satu keutamaan pengajar adalah dapat memberikan syafa’at di akhirat kelak, dan adab terakhir adalah selalu menutup majlis ilmu dengan doa. Kedua adab muhaddas, mencakup tentang keutamaan menuntut ilmu merupakan sebuah bentuk jihad di jalan Allah SWT, harus menghormati guru, membantu para ulama dalam menyampaikan kebenaran di tengah masyarakat dan jangan bertanya kepada ahli kitab karena mereka tidak akan memberi petunjuk pada kalian karena mereka telah sesat. Dalam penulisan kitab ini, Abdul Ghani termotivasi karena kondisi masyarakat saat itu yang banyak berinteraksi dengan berbagai bidang ilmu pengetahuan, sehingga membuat Abdul Ghani mengarang sebuah kitab yang dapat dijadikan bacaan dan rujukan untuk para penuntut ilmu setelahnya.

PPOK adalah sekelompok penyakit paru yang ditandai oleh peningkatan resistensi saluran nafas yang terjadi akibat penyempitan lumen saluran napas bawah. Karakteristik dari gejala PPOK adalah dyspnea, batuk, dan produksi sputum berlebihan. Self management adalah strategi yang memberikan kesempatan pada klien PPOK untuk mengatur atau memantau perilakunya sendiri terkait dengan status kesehatannya. Tujuan penelitian ini untuk mendapatkan informasi mendalam tentang pengalaman self management pada klien PPOK. Penelitian ini menggunakan rancangan penelitian kualitatif dengan pendekatan Fenomenologi. Informan yang digunakan dalam penelitian ini 5 orang berjenis kelamin laki-laki. Penelitian ini dilakukan di Rumah Sakit Umum Daerah Depati Hamzah kota Pangkalpinang Bangka Belitung. Waktu penelitian dilakukan pada bulan April - juni 2016. Hasil penelitian didapatkan 1 tema yaitu perubahan aktivitas yang terjadi. Saran bagi klien PPOK adalah untuk lebih memahami tentang penyakitnya dan meningkatkan self management dalam kehidupan sehari-hari.

Media sosial menjadi bagian penting dalam kehidupan sehari-hari generasi muda Indonesia. Media sosial terpopuler pada kurun waktu belakangan ini adalah instagram. Media sosial ini mengutamakan tampilan foto/ image sebagai bagian utama. Studi ini mempelajari citra ideal selebrita perempuan Indonesia yang ditampilkan dalam media sosial instagram. Akun selebrita yang dibahas dalam studi ini adalah Chelsea Olivia, berdasarkan survei awal untuk mendapatkan preferensi. Kemudian diskusi kelompok (focus group discussion) dilaksanakan untuk mengetahui lebih lanjut mengenai pendapat responden mengenai foto-foto yang ditampilkan dalam akun. Data kemudian dianalisa menggunakan skema triadik kecedasan semiotik. Bagian-bagian dari kecerdasan semiotik adalah liyan, rerata kultural, dan kecerdasan semiotik. Liyan dalam hal ini adalah Chelsea Olivia sebagai selebrita yang dilihat oleh masyarakat. Rerata kultural adalah syarat-syarat yang dianggal normal dalam masyarakat dalam suatu lingkungan. Dalam hal ini tampilan gaya hidup yang terpapar dalam foto-foto instagram. Kecerdasan semiotik dalam kasus ini adalah tanda-tanda yang dibaca oleh responden dalam foto-foto instagram akun Chelsea Olivia. Hasil yang didapatkan adalah bagi responden, Chelsea Olivia telah menunjukkan gaya hidup ideal bagi perempuan Indonesia. Gaya hidup yang ditampilkan dalam foto-foto, memungkinkan untuk diwujudkan oleh responden. Menurut responden, Chelsea Olivia menampilkan kecantikan Indonesia lewat foto-foto diri dan sebagai istri dan ibu. Responden (dan follower) akun tersebut lebih menyukai saat Chelsea Olivia menampilkan diri sebagai bagian dari keluarga.

The phenomenon of dual-earner family can lead to changes in social support and family interaction that affect the quality of marriage. This study aims to analyze the influence of social support and family interaction on the quality of marriage in families with husband and wife work. Respondent in this research is the wife who works as the civil servant (PNS) in Bogor City Government and have school age child (6-12 year) and willing to be respondent, with an amount of 60 working wives. Respondents were chosen purposively. The results show that more than half of wives receive high social support from extended families and neighbors. Wives get optimal emotional support from extended family. Family interactions that include husband-wife and mother-child interactions show that almost all families have good interactions. The highest proportion is that two-thirds of wives feel that mother-child interaction is in the high category whereas the most substantial portion of wives assessing husband-wife interaction is in the moderate category. Meanwhile, the quality of marriage seen from the dimensions of happiness and satisfaction shows that the highest proportion of wives feels the quality of marriage is high. This study found that the factors that have the most positive significant effect on marital quality in a family with husband and wife work are family interaction.

The high cost of living in various aspects becomes a challenge that must be faced by the family today, so that family must have a strategy in the management of resources to prevent the occurrence conflict and trigger economic pressure on the family, especially among fishermen families. This study aimed to determine the effect of gender relations, economic pressures, financial management and livelihood strategies on the quality of life of fishermen families. This research used quantitative study design. The research location was Mayangan Village, Legon Kulon Subdistrict, Subang Regency, West Java. The place of this study was selected based on the livelihood of the dominant fisherman population, is Mayangan Village. Respondents in this research were fisherman's wife and willing to be the respondent. The respondents were 60 fishermen's wives. Respondents were selected by using simple random sampling technique. Primary data were collected directly using interview techniques using structured questionnaires. The results showed that economic pressure and financial management influence significantly toward quality of life, financial management and gender relations influence significantly toward livelihood strategy. The implication of this research is the government should provide assistance to the wife in the form of tips in overcoming the economic pressure, so it is necessary to develop family empowerment program with issues in gender relation, financial management and livelihood strategy to solve family problems.

Abstract Ethyl acetate fraction of the Artocarpus altilis (Parkinson) Fosberg extract have a potency to treat the cardiovascular diseases have poorly solubility in water. The purpose of this study was to improve the solubility of the extract. One of method to improve the solubility of the extract by mixing with cyclodextrin polymers and their derivatives. Hydroxyl propyl methylcellulose (HPMC) as a water-soluble polymer can enhance the β-cyclodextrin (β-CD) activity. Three comparisons extract and ß-cyclodextrin were: 1:2, 1:4, and 1:6 by mixing with the addition hydroxyl propyl methylcellulose 0.12%of the total weight of extract and β-CD for each formula. The sample was prepared by kneading method. The sample characterization was used Karl Fischer titration, Scanning Electron Microscopy and solubility study.Content of total flavonoid from the extract was 32.7%. The Result showed that the addition polymer combination of β-CD + HPMC caused increasing the solubility of extract in water7.04% (F1), 19.47% (F2) and 59.92% (F3) compared to extract control with significant differences at level of confidence 95% (p ≤ 0.05). Keywords : ethyl acetate fraction of breadfruit, kneading method, β-cyclodextryn, hydroxy propyl methylcellulose, total flavonoid