Digital Commons Network^™

Seizure And Takotsubo Cardiomyopathy Due To Proton Pump Inhibitor, Indira Acharya, Ashik Pokharel, Daniel A. Grove, Christopher J Haas

Journal of Community Hospital Internal Medicine Perspectives

Proton Pump Inhibitor (PPI)-induced hypomagnesemia, first described in 2006, has gained increasing recognition in recent years as a potentially life-threatening adverse event. In comparison to histamine-2 receptor antagonists (H2RA), PPIs exhibit a higher frequency of electrolyte abnormalities, including hypomagnesemia, hypocalcemia, hypokalemia, and hyponatremia; hypomagnesemia is the most common. We report a case of an 80-year-old woman who presented with generalized weakness and diarrhea. She was found to have multiple electrolyte abnormalities that failed to resolve even after the resolution of diarrhea and resumption of feeding. However, her condition improved within one week of discontinuing PPI medication. Her hospital course was …

Glial Fibrillary Acidic Protein Astrocytopathy – An Autoimmune Mimicker Of Cns Tuberculosis, Nazmul Hasan, Daniel Yang, Dang Duong

Journal of Community Hospital Internal Medicine Perspectives

Glial Fibrillary Acidic Protein (GFAP) Astrocytopathy is a relatively new and poorly recognized autoimmune cause of meningoencephalomyelitis. Our case highlights the challenging nature of diagnosing this rare condition as its broad constellation of radiographic findings and spectrum of presentation may mimic many other etiologies of encephalopathy, particularly infectious causes such as Tuberculosis meningitis.

Acute Transverse Colon Diverticulitis: A Case Report And Literature Review, Ana L. Romero, Jesus Romero, Anuraag Sah, Angela Koomson, Naik Arun

Journal of Community Hospital Internal Medicine Perspectives

Diverticular disease is a condition that ranges from asymptomatic disease to severe complications, such as abscesses, fistulas, and perforations. It is prevalent in Western countries, with up to 60% of people aged 60 having diverticula. In Asian countries, the prevalence is lower, ranging from 13-25%. Diverticulitis can occur in any location of the diverticula, with increasing incidence with age. Complications occur in 12% of patients with diverticulitis, with phlegmon or abscesses being the most common. Perforation is a life-threatening complication with a 1-year mortality rate of 20%. Recent studies suggest that chronic inflammation and alteration of the gut microbiome may …

Sump Syndrome: The Forgotten Cause Of Painless Jaundice In The Elderly, Mark Ayoub, Amna Anees

Journal of Community Hospital Internal Medicine Perspectives

Painless jaundice is a common presentation of abdominal malignancy seen in elderly patients. While malignancy may be a common cause of obstructive jaundice in that population group, anchor bias should always be avoided. We present a case of an elderly woman who presented with painless jaundice and weight loss. She had a very remote history of cholecystitis. She was found to have Sump syndrome due to a stricture at the Choledochoduodenostomy (CDD) site. She underwent endoscopic retrograde cholangiopancreatography (ERCP) with stent placement which shortly led to resolution of her jaundice. Biopsy from the stricture site came back negative for malignancy.

Calcitriol Unleashed: A Rare Culprit In Hypercalcemia Associated With Rare Primary Pancreatic Lymphoma - A Case Report, Dania Kaur, Abhinav Vyas, Sowmya Sagireddy, Rabia Qazi, Sarah Elsayed, Jyoti Verma, Prutha Pathak, Rachna Valvani

Journal of Community Hospital Internal Medicine Perspectives

Hypercalcemia of Malignancy is a complicated condition often linked to parathyroid hormone, parathyroid hormone-related peptide, or bone metastasis. This report presents a unique case of calcitriol-mediated hypercalcemia in an 89-year-old female with primary pancreatic lymphoma, highlighting the rarity and complexity of this presentation. Initially, the patient's condition was thought to be related to sarcoidosis, but the recurrence of hypercalcemia led to the discovery of pancreatic B-cell lymphoma as the underlying cause. It also emphasizes the need to explore new treatment options. Interestingly, it demonstrates the successful use of cinacalcet in treating calcitriol-induced hypercalcemia in malignancies, which could be a potential …

Successful Rapid Benzodiazepine Detoxification In An Acute Care Hospital: A Case Report, Taku Harada, Kazuki Tatebayashi, Mori Nakai

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Benzodiazepine (BZD) dependence and withdrawal are significant public health concerns, affecting 15–30% of regular users within 4-6 weeks of administration. Rapid BZD tapering protocols in acute care settings can mitigate withdrawal symptoms and facilitate rehabilitation, yet are challenging due to variability in patient responses. Case Presentation: We report a case of a 67-year-old male with a history of high-dose BZD use for panic disorder and depression and recent mild ischemic stroke, presenting with worsening left lower limb paralysis. The patient's complex medication regimen included multiple BZDs and other psychotropic drugs. Given the risks associated with high-dose BZD use, particularly …

A Case Of Gastrointestinal Coccidiomycosis With Bowel Perforation Secondary To Relapsing Dlbcl, Mohammed Ahsan, Angelina Browne, Zackary Anderson, Rebecca Witherell

Journal of Community Hospital Internal Medicine Perspectives

Coccidioides is a fungus endemic to the Southwestern United States, known for causing Valley Fever. While typically asymptomatic or presenting as a respiratory tract infection, rare cases of disseminated infection to the peritoneum have been reported. The patient in this case study presented with a small bowel obstruction, requiring an exploratory laparoscopy showing evidence of an inflammatory mass with a jejuna-colic fistula with adherence to the spleen. The patient underwent splenectomy with a cholecystectomy and small bowel resection. Intraabdominal cultures revealed Coccidioides, and so he started long-term antifungal treatment. The patient was also initiated on salvage chemotherapy for DLBCL, and …

Superior Mesenteric Artery Stenosis With Dissection Secondary To Fibromuscular Dysplasia : A Case Report, Jayasree Ravilla, Ping He, Steven Brant, Doantrang Du

Journal of Community Hospital Internal Medicine Perspectives

Superior Mesenteric Artery stenosis increases with advancing age and is usually associated with atherosclerosis or thrombosis. Mesenteric ischemia occurs when the blood flow to the visceral organs is inadequate to meet their metabolic needs. While it can be asymptomatic, the patient can experience chronic or acute mesenteric ischemia symptoms. Although not frequently encountered, SMA stenosis can be rarely caused by fibromuscular dysplasia (FMD). Here we report a case of a 66-year-old female with SMA stenosis and subsequent mesenteric ischemia secondary to FMD. The main objective of this case report is to raise awareness about the occurrence of mesenteric ischemia from …

Thromboembolic Event In Isolated Non-Compaction Cardiomyopathy With Multiple Sclerosis, Comfort Olayioye, Indira Acharya, Christopher J Haas

Journal of Community Hospital Internal Medicine Perspectives

Non-compaction cardiomyopathy (NCCM) is a complex, exceedingly rare form of cardiomyopathy. Transient ischemic attack/ stroke in NCCM may be cardioembolic or atherosclerotic in origin. While the connection between NCCM and neuromuscular conditions has been documented before, its association with neurological conditions, such as multiple sclerosis has not been established. Here, we present a case of a 45-year-old female with multiple sclerosis (MS) who presented in the context of a transient ischemic attack (TIA) and was found to have non-compaction cardiomyopathy complicated by thromboembolism. To our knowledge, this is the third reported case of NCCM with MS.

A Rare Case Of Anca-Negative Rapidly Progressive Glomerulonephritis, Jerry Kenmoe, Elizabeth Mikhail, Fahimeh Talaei, Arvind Kunadi

Journal of Community Hospital Internal Medicine Perspectives

ANCA-negative rapidly progressive glomerulonephritis (RPGN) is a rare condition caused by glomerular injury in the absence of detectable antineutrophil cytoplasmic antibodies (ANCAs). While comprehensive epidemiologic data is limited, ANCAnegative RPGN is known to comprise 5-20% of all glomerulonephritis cases. We report the case of a 43-year-old male who presented to the hospital after a snowmobile accident with symptoms of general malaise along with the emergence of a new-onset rash and tea-colored urine. Further workup with CT-guided kidney biopsy confirmed the diagnosis of RPGN by revealing histopathological findings of crescentic glomerulonephritis and significant glomerular inflammation. Treatment was promptly initiated with prednisone …

Harbinger Of Lyme Carditis: From Atrioventricular Block To Atrial Fibrillation, Maryam Barkhordarian, Mark Grijalva, Avani Kolla, Aaron Stein, Dmitry Nemirovsky

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Lyme disease is a tick-borne illness that is most commonly caused by Borrelia burgdorferi and transmitted by the Ixodes tick. Common manifestations are fevers, headache, arthralgia, erythema migrans, and, if left untreated, can progress to neuropathy and carditis. Lyme carditis most commonly presents with high degree atrioventricular block, however, may present with other arrhythmias.

Case presentation: We present a case of a 70 year old male with past medical history of hypertension and polycythemia vera who presented to the hospital with lightheadedness and bradycardia following 2 weeks of fever. His electrocardiogram showed atrial fibrillation with regularized conduction at 40 …

Immunotherapy Induced Adrenal Insufficiency: An Underdiagnosed Cause Of Persistent Hypotension In Cancer, Nina H. Cheng, Hannah Lee, Divya Balchander, Remy Mimms, Mahesh Krishnamurthy

Journal of Community Hospital Internal Medicine Perspectives

Endocrinopathies following immunotherapy have infrequently been documented in the literature. Adrenal insufficiency is a rare consequence of pembrolizumab immunotherapy, with incidence reported to be between 0.98 and 1.3%. We present the case of a 34-year-old female with triple negative breast cancer on chemotherapy who presented with generalized weakness with tachycardia, tachypnea and hypotension unresponsive to fluids. Despite initial improvement with intravenous hydrocortisone and midodrine, the patient continued to be symptomatically hypotensive following discharge and required re-admission. AM cortisol level was found to be < 0.5 ug/dl and ACTH was

A Recurring Theme: A Rare Case Of Pembrolizumab-Induced Acute Interstitial Nephritis, Jonathan London, Sabrina Bulancea, Inaas Shirazi, Victoria Oriuwa, Olena Bolotova, Zubin Tharayil

Journal of Community Hospital Internal Medicine Perspectives

Pembrolizumab is utilized in the treatment of multiple different malignancies, including non-small cell lung cancer, head and neck squamous cell carcinoma, melanoma, renal cell carcinoma, endometrial cancer, and more. Pembrolizumab is an immune checkpoint inhibitor that inhibits the programmed cell death-1 (PD-1) signaling pathway. Despite its benefits in treating multiple cancers, there are many reported adverse effects of Pembrolizumab affecting various organ systems; rarely it can cause acute interstitial nephritis (AIN). We present the case of a 79-year-old male with metastatic retroperitoneal squamous cell carcinoma who was found to have recurrent acute interstitial nephritis after pembrolizumab therapy.

Temporomandibular Joint Disorder And Anterior Scleritis As Initial Presentations Of Undiagnosed Rheumatoid Arthritis, Nazmul Hasan, Daniel Yang

Journal of Community Hospital Internal Medicine Perspectives

Rheumatoid arthritis is an autoimmune inflammatory process that involves multiple organ systems. While symmetric joint swelling of the extremities are the most widely recognized symptoms, the disease can present in a myriad of different ways, of which scleritis and temporomandibular involvement are less recognized manifestations. While scleritis and temporomandibular disorder (TMD) may at times present in isolation, it is critical to consider their strong association with autoimmune disease as it allows for early diagnosis of inflammatory conditions and allow for the formulation of tailored treatment plans to halt their progression.

Transient Telangiectatic Purpura: A Rare Post-Operative Phenomenon, Zackary Anderson, Michael Schoeller, Rebecca Witherell

Journal of Community Hospital Internal Medicine Perspectives

Axillary lymph node dissection (ALND) is a surgical procedure for malignant disease with well known complications, that is less well known is its association with a painless dermatomal rash formally known as transient telangiectatic purpura. This is a case report describing a case of transient telangiectatic purpura, describing its natural history and inferring on its pathophysiology.

Menetrier Disease – A Rare Presentation Of Gastrointestinal Bleeding, Jayasree Ravilla, Ping He, Mahmoud Ali, Anish Patel

Journal of Community Hospital Internal Medicine Perspectives

Gastric polyps are extensions of the mucosa or submucosal space that are usually asymptomatic. One of the rare manifestations of gastric polyps is Menetrier's disease. Menetrier's disease (MD), also known as giant hypertrophic gastritis, is a progressive disease whose pathogenesis is not fully understood. Though a rare diagnosis, it needs to be well studied due to its association with the neoplasia. Here, we present a case of Menitriere's disease associated with gastrointestinal bleeding and describe its clinical course and outcome.

Iga Nephropathy Secondary To Covid-19 Infection - A Case Report, Sanjivani Shrestha, Sumanth Kumar Bandaru, Man Kit Michael Siu, Silvia Malvica, Joselito Cabacar

Journal of Community Hospital Internal Medicine Perspectives

We present a case of a 73-year-old African American lady with COVID-19 infection who developed Acute Kidney Injury (AKI) and significant proteinuria. Renal biopsy showed IgA nephropathy. Patient was eventually diagnosed with IgA nephropathy secondary to COVID Infection. This unique case highlights the complexity of renal involvement in COVID-19. Notably, the onset of IgA nephropathy in the patient occurred several weeks after her COVID-19 diagnosis, deviating from the typical synpharyngitic presentation with respiratory symptoms. This article contributes to the growing body of evidence regarding renal complications associated with COVID-19 and highlights the need for vigilance in assessing and managing renal …

Small Bowel Perforated Viscus Mimicking Inferior Wall Myocardial Infarction: A Case Report, Jesus Romero, Yezin Shamoon, Melvin Santana, Rachel Abboud, Ana L. Romero, Danna Reyes, Raja Pullatt

Journal of Community Hospital Internal Medicine Perspectives

Acute coronary syndrome (ACS) is a serious medical condition caused by cardiac muscle ischemia, which can lead to myocardial injury or necrosis. EKG is a critical diagnostic tool for patients with suspected ACS, as it can determine the vascular territory and guide therapy. However, there are various non-cardiac causes of EKG changes that mimic ACS and can lead to misdiagnosis and inappropriate management. We present the case of a 57-year-old lady with an extensive past medical history of coronary artery disease (CAD) who presented to our institution unresponsive and pulseless secondary to a perforated viscus and was found to have …

Spontaneous Coronary Artery Dissection: A Case Series And Review Of The Literature, Shaikh B. Iqbal, Yakubu Bene-Alhasan, Shiavax J. Rao

Journal of Community Hospital Internal Medicine Perspectives

Although previously considered rare, spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of myocardial infarction in young women. We present three unique cases of SCAD: A 46-year-old woman with a history of trigeminal neuralgia and anxiety presenting elevated troponin-I and chest pain. A 36- year-old woman with recent miscarriage presenting with diffuse T wave inversions and elevated troponin-I. A 58-year-old man with a recent COVID-19 infection presenting with diffuse ST elevations. SCAD is associated with many risk factors. Conservative management is preferred due to spontaneous healing of vessels compared to PCI driven management of atherosclerotic acute …

Cardiovascular Interventions In Patients With Active And Advanced Malignancy: An Updated Review, Fahad Waqar, Ayesha Sultan, Romeet Raja Bathija, Amin Mehmoodi, Jahanzeb Malik

Journal of Community Hospital Internal Medicine Perspectives

In the context of active, advanced malignancies, the recommendation for invasive cardiac interventions is grounded primarily in evidence from trials focused on specific cardiovascular conditions. However, the inclusion of individuals with advanced malignancies in these trials has historically been limited, and the intricate interplay between cancer and cardiovascular disease poses unique challenges for treatment decisions. In this comprehensive review, we delve into the complex landscape of invasive cardiac interventions and their applicability in patients with active, advanced cancer. Our analysis encompasses a range of cardiovascular scenarios, including STsegment elevation myocardial infarction, non–ST-segment elevation acute coronary syndromes, multivessel coronary disease, severe …

Frailty Indices And Their Importance In Elderly Patients: A Perspective Review, Rachna Valvani, Nismat Javed, Timothy Vittorio, Moiud Mohyeldin

Journal of Community Hospital Internal Medicine Perspectives

The aging demographic landscape of the United States highlights a concomitant rise in chronic conditions and infectious diseases. Older adults face a heightened susceptibility to infections, particularly pneumonia and urinary tract infections, and comorbidities such as cancer, cardiovascular disease, and dementia. Frailty, defined by a set of phenotypic criteria, emerges as a crucial predictor of adverse outcomes in infections, affecting hospitalization and post-care interventions. In the context of cancer, various frailty indices demonstrate their utility in predicting complications, mortality, and long-term outcomes. Cardiovascular diseases, including acute coronary syndrome and myocardial infarctions, exhibit varied associations with frailty, influencing both short-term and …

A Review Of The Risk Factors And Management Of Refractory Hypertension: The Role Of Carotid Sinus Stimulation And Renal Nerve Denervationhypertension, Resistant, Resistant Hypertension, Hypertension Treatment, Nerve Ablation, Treatment Resistant Hypertension, Carotid Sinus Stimulation, Ifeanyi Nwosu, Oreluwa Oladiran, Marlon Eliu Rivera, Oluwasegun Oladiran, Anthony Nwosu, Chinedu Dim, Chibuike Patrick Enumah

Journal of Community Hospital Internal Medicine Perspectives

Hypertension (HTN) is a significant health concern, with a recent increase in HTN-related cardiovascular deaths in the United States. Refractory hypertension, a form of treatment-resistant HTN, poses a challenge for physicians and patients due to its association with increased morbidity and mortality.

Risk factors for refractory HTN include African ancestry, female gender, younger age, diabetes mellitus, obesity, obstructive sleep apnea, chronic kidney disease, end-stage renal disease, and smoking. While the exact pathophysiology of refractory HTN is not fully understood, sympathetic overdrive appears to be a significant contributing factor. Arterial stiffness, chronic kidney disease, obstructive sleep apnea, obesity, and diabetes mellitus …

Influence Of Metformin Discontinuation On Readmission Rate In Patients With Acute Heart Failure, Curtis Wong, Erica Junqueira, Nayda Parisio Poldiak, Nancy Crossley, Shantae Jenkins

Journal of Community Hospital Internal Medicine Perspectives

Background: The consequences of discontinuing metformin in patients with heart failure have not been determined. Knowing that acute exacerbation of chronic heart failure contributes to substantial increases in major adverse cardiovascular events (MACE), we proposed a retrospective study to examine whether discontinuing metformin in patients hospitalized with heart failure impacts mortality and readmission rates. Methods: We conducted a retrospective analysis of patients admitted with a diagnosis of acute heart failure to hospitals in the HCA Healthcare System from 2020 to 2022. Included patients had a prior diagnosis of diabetes mellitus, acute heart failure, and were taking metformin prior to admission. …

Radioactive Iodine Treatment Of Graves' Disease: Predictors Of Time Interval Greater Than 90 Days For Treatment Success, Luis E. Joya, Joshua Fogel, Kaushik Mandal, David S. Rosenthal

Journal of Community Hospital Internal Medicine Perspectives

Objective: Radioactive iodine (RAI) is often used for treating Graves’ disease. We study predictors for a time interval greater than 90 days between RAI treatment and success.

Methods: This was a retrospective study of 106 patients with Graves’ disease seen at a public hospital in suburban New York City. Predictor variables were from demographics, prior treatment history, iodine 131 RAI treatment, and thyroid function prior to RAI treatment.

Results: There were 62.3% that had a time interval greater than 90 days between RAI treatment and success. Only the thyroid function prior to RAI treatment variable of free thyroxine (FT4) had …

Waiting For A Liver Transplant In New Mexico; Understanding The State’S Multi-Layered Adversity, Husam Bader, Mahrukh Khan, Joud Maghnam, Rama Maghnam, Anthony Ricca

Journal of Community Hospital Internal Medicine Perspectives

Contrary to the assumption of consistent medical care for patients with specific illnesses in the United States, research reveals vast inconsistencies and inequalities in healthcare delivery, affecting various aspects such as mental illness diagnosis and management, life expectancy differences, overall mortality rates, and healthcare accessibility due to racial, ethnic, and cultural disparities [1-6]. Liver transplantation, particularly studied in the context of the state of New Mexico (NM), highlights the multilayered inherent disadvantages faced by its citizens. Despite these challenges, the new liver transplantation allocation system implemented by the Organ Procurement and Transplantation Network (OPTN) in 2020, which focuses on geographic …

Pemetaan Kesiapan Implementasi Pendekatanan Saintifik Di Smp, Mustofa Mustofa

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Di tingkat SMP, kurikulum 2013 menekankan pada implementasi pendekatan saintifik dengan mengintegrasikan karakter. Kebijakan Mendikbud dalam melakukan perubahan kurikulum dari KTSP beralih ke Kurikulum 2013 masih menimbulkan pro dan kontra dari banyak kalangan. Pelaksanaan Kurikulum 2013 tersebut menghadapi banyak masalah. Penelitian deskriptif evaluative ini dimaksudkan untuk memetakan permasalahan implementasi Kurikulum 2013 yang selanjutnya dapat dijadikan dasar pengembangan model tindakan perbaikan oleh pihak terkait. Penelitian ini menggunakan teknik area purposive sampling, dengan sampel terpilih SMP di Kabupaten Blitar. Pengumpulan data dilakukan melalui observasi, wawancara, dan pengisian angket. Analisis data dilakukan melalui proses pemetaan yang meliputi identifikasi, kategorisasi dan eksplanasi. Berdasarkan teknik …

Fertilitas Masyarakat Nelayan Di Desa Banjarkemuning Kabupaten Sidoarjo, Singgih Susilo

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Masalah kependudukan masih didominasi oleh jumlah penduduk dan pertumbuhan penduduk. Dua permasalahan kependudukan tersebut disebabkan oleh faktor fertilitas atau jumlah anak yang dimiliki. Penelitian ini bertujuan untuk mengetahui jumlah anak lahir hidup yang dimiliki oleh rumah tangga nelayan. Desain penelitian termasuk penelitian diskriptif dengan analisa tabulasi tunggal. Hasil penelitian menunjukkan bahwa fertilitas yang dimiliki oleh rumah tangga nelayan tergolong tinggi. Sebagian besar wanita atau istri nelayan melakukan nikah pertama pada umur 15-19 tahun, dengan tingkat pendidikan wanita sebagian besar SLTA. Pelaksanaan program KB di daerah penelitian tergolong baik, hal ini terbukti hampir seluruh responden menjadi akseptor KB. Pendapatan responden tergolong …

Pengembangan Bahan Ajar Geografi Pada Kompetensi Dasar Memahami Atmosfer Dan Dampaknya Terhadap Kehidupan Di Muka Bumi Kelas X Sma/Ma Semester Ii Dengan Menggunakan Pendekatan Keruangan, Yulian Widya Saputra

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Learning materials geography for class X SMA/MA semester II on basic competence to understand the atmosphere and their impact on life in the face of the earth, in the field there are still many aspects of problems encountered data/facts, concepts, the truth of the representation of an image, generalization, punctuation, readability of the material, the connectedness of formal and material objects, and the use of spatially approach. This research was designed using Dick and Carey model development. This model is modified from the ten steps into five steps. The simplify method or step development model Dick and Carey because this …

Pengaruh Model Pembelajaran Treffinger Terhadap Kemampuan Berpikir Kritis Dan Kreatif Mahasiswa Universitas Kanjuruhan Malang, Yuli Ifana Sari, Dwi Fauzia Putra

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Model pembelajaran Treffinger digunakan untuk membelajarkan mahasiswa berpikir kritis dan kreatif melalui teknik divergen, analogi, hingga melalui pemecahan masalah kreatif.Keunggulan utama model ini terletak pada bagaimana model ini memadukan antara proses berpikir konvergen (kritis) dan divergen (kreatif). Adanya perpaduan kedua tipe berpikir tersebut membuat model ini efektif dalam membuat kemampuan berpikir kritis dan kreatif berkembang. Tujuan penelitian ini yaitu menguji pengaruh model pembelajaran Treffinger terhadap kemampuan berpikir kritis dan kreatif mahasiswa. Penelitian ini merupakan penelitian eksperimen semudengan desain Non Equivalent Control Group Design. Subjek penelitian ditentukan berdasarkan kemiripan nilai rata-rata ujian tengah semester mahasiswa dan instrumen pengukurannya menggunakan tes essay. …

Analisis Fungsi Kawasan Budidaya Di Kabupaten Bondowoso, Nevy Farista Aristin

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Pertumbuhan wilayah suatu wilayah sangat bergantung pada sektor internal dan ekstrenal. Kebijakan struktur ruang dalam RTRW yang selama ini diterapkan di Kabupaten Bondowoso masih belum mampu untuk mengatasi disparitas wilayah yang terjadi. Atas dasar itu maka perlu adanya analisis fungsi kawasan budidaya di Kabupaten Bondowoso guna mencari keunggulan dari masing-masing wilayah yang ada. Metode yang digunakan adalah survey institusional. Teknik yang digunakan dalam pemilihan lokasi penelitian ini adalah purposive yaitu metode pemilihan lokasi berdasarkan pada tujuan penelitian. Penelitian ini dilakukan di Kabupaten Bondowoso dengan unit analisis berdasarkan unit populasi, yaitu seluruh kecamatan yang didominasi oleh kawasan budidaya di Kabupaten Bondowoso. …