Munandar, Arief
PPDSI Anestesi dan Reanimasi FK. Universitas Gadjah Mada/ Rumah Sakit Dr. Sardjito Yogyakarta

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Anestesi pada Operasi Palatoplasty dengan Penyulit Tetralogy of Fallot Munandar, Arief
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 4, No 1 (2004)
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Di laporkan penatalaksanaan anestesi pada pasien Labiopalatoschisis dengan penyulit Tetralogy of Fallot yang dilakukan operasi palatoplasti pada seorang anak wanita umur 4 tahun, berat badan 9 kg, dengan anestesi umum, status fisik ASA III. Premedikasi dengan midazolam 0,75 mg, sulfas atropin 0,25 mg, ketalar 5 mg. Induksi dengan ketalar 15 mg, fasilitas intubasi dengan Esmeron 6 mg. Pemeliharaan dengan fentanil 20 mg, halotan 0,5% dan oksigen 5 1/mnt. Durante operasi dilakukan monitoring pada tekanan darah, saturasi 02 nadi dan EKG dengan monitor elektrik. Anestesi dilakukan selama 100 menit, operasi berlangsung selama 60 menit. Durante operasi tidak didapatkan penyulit anestesi maupun pembedahan. Pasca operasi pasien tetap terintubasi dengan sedasi, nafas spontan assist. Perawatan pasca operasi dilakukan di ICU.
Gestalt Counseling Effectiveness with Engineering Techniques to Increase Self-Consideration in Learning Process Munandar, Arief; Dantes, Nyoman; Tirka, Wayan
Bisma The Journal of Counseling Vol 1, No 1 (2017): BISMA The Journal of Counseling
Publisher : Department of Guidance and Counseling, FIP, Undiksha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (594.628 KB) | DOI: 10.23887/128302017

Abstract

Confidence is important to be possessed by students through the learning process, students who have low self-confidence will be less optimal in developing ability. This study aims to determine the effectiveness of gestalt counseling with the technique around to improve confidence in the learning process in students of class XI MIA 4 SMA Negeri 1 Singaraja academic year 2016/2017. This type of research is pre-experimental with one group pretest-posttest design. Samples of research were six students selected through purposive sampling technique. Methods of data collection using a confident questionnaire that has been calculated the validity and reliability. The subjects from the study were students of class XI MIA 4 who had low self-esteem. Data analysis technique used is t-test statistical analysis technique. The results from the analysis, found that gestalt counseling with the technique of traveling can increase confidence. It is concluded from the analysis result, t count> table with significance level 5% (4, 38> 2, 015). The results from the analysis show that the hypothesis proposed in this study is acceptable. As the implication of this research is expected to be an alternative for counseling teachers in schools in improving student self-confidence.