546 10 6491 https://repository.poltekkespalembang.ac.id/files/original/3c188f78b38ac2e26ee0cf40e8798a9a.pdf b763dc583b7858fb27aec13cdb7782cc Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource KTI D-III KEPERAWATAN BATURAJA Publisher An entity responsible for making the resource available Politeknik Kesehatan Palembang Prodi D-3 Keperawatan Baturaja Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource PENGARUH RUTINITAS SENAM REMATIK TERHADAP PENURUNAN TINGKAT NYERI PADA LANSIA DENGAN RHEUMATOID ARTHRITIS DI WILAYAH KERJA UPTD PUSKESMAS TANJUNG AGUNG TAHUN 2022 Subject The topic of the resource RheumatoidArthritis, Nyeri Kronis, Senam Rematik, Lansia Description An account of the resource Rheumatoid Arthritis merupakan suatu penyakit yang mengakibatkan peradangan dalam waktu lama pada sendi serta menimbulkan rasa nyeri dan kaku pada sistem muskuloskeletal. Masalah yang dirasakan adalah nyeri dan dapat di kurangi melalui olahraga ringan senam rematik. Tujuan penelitian ini untuk mengetahui pengaruh rutinitas senam rematik mengurangi nyeri sendi pada lansia. Jenis penelitian ini adalah penelitian deskriptif dengan menggunakan metode studi kasus. Subjek dalam penelitian ini adalah 2 orang pasien lansia dengan diagnosa medis Rheumatoid Arthritis dengan intervensi senam rematik. Setelah dilakukan implementasi keperawatan, di dapatkan hasil senam rematik efektif dalam penurunan rasa nyeri pada lansia dengan Rheumatoid Arthritis dengan respon penurunan skala nyeri dari skala 6 menjadi skala 2 pada klien 1, dari skala 5 menjadi skala 2 pada klien 2. Setelah di lakukan rutinitas senam rematik dengan 2-7 kali pengulangan gerakan selama 15-30 menit dapat di simpulkan bahwa implementasi keperawatan senam rematik efektif untuk menurunkan skala nyeri pada penderita Rheumatoid Arthritis. Hasil penelitian ini diharapkan dapat di terapkan pada klien yang menderita Rheumatoid Arthritis, dapat menjadi pembelajaran bagi klien dan keluarga, serta dapat dikembangkan lagi menjadi pembelajaran dan bahan acuan pada peneliti selanjutnya Creator An entity primarily responsible for making the resource Oppi Sundari Publisher An entity responsible for making the resource available Poltekkes Kemenkes Palembang Date A point or period of time associated with an event in the lifecycle of the resource 2022 Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource INDONESIA Type The nature or genre of the resource KTI https://repository.poltekkespalembang.ac.id/files/original/f55b6fc2d617e9bcf00ad6cbc37ff06c.pdf 67c1332d882f524e7a7b040d7e0b6c05 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pengaruh Senam Aerobik terhadap Profil Hematologi Creator An entity primarily responsible for making the resource Sri Hartini Harianja Date A point or period of time associated with an event in the lifecycle of the resource 2021 Format The file format, physical medium, or dimensions of the resource Pdf Language A language of the resource English Type The nature or genre of the resource Jurnal https://repository.poltekkespalembang.ac.id/files/original/af869d558d4201d5b53154200a5b611a.pdf 8f68e0e4bbd5854022113a9e935a978a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Peer Review Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pengaruh Senam Aerobik terhadap Profil Hematologi Creator An entity primarily responsible for making the resource Sri hartini harianja Date A point or period of time associated with an event in the lifecycle of the resource 2021 Format The file format, physical medium, or dimensions of the resource Pdf Language A language of the resource Indonesia Type The nature or genre of the resource Peer review https://repository.poltekkespalembang.ac.id/files/original/5253b898e43306366f9fac8245296863.pdf c4e61f3ccb73caf5d899210765cecc6f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource PENGARUH SENAM DISMINORE TERHADAP NYERI MENSTRUASI PADA REMAJA PUTRI DI SMK KESEHATAN ATHALLA PUTRA PALEMBANG TAHUN 2021 Subject The topic of the resource Dysmenorrhea, Teenagers, Dysmenorrhea Gymnastics Description An account of the resource Abstract Background: Dysmenorrhea is pain that occurs during menstruation and this can interfere with daily productivity. Dysmenorrhea or menstrual pain is a common gynecological complaint experienced by women. Dysmenorrhea is a symptom and not a disease. Usually the pain experienced is cramping pain in the lower abdomen and radiates to the back. From the data obtained, dysmenorrhea is disturbing at least, more than 50% of women are unable to carry out activities for 1-3 days each month and as many as 25% of women are absent from school due to dysmenorrhea, which results in many absenteeism at school and office This study provides an alternative therapy that is simple, easy to do and preventive in nature, namely dysmenorrhea exercise. Objective: This study aims to determine the effect of dysmenorrhea exercise on menstrual pain in adolescent girls. Methods: This type of research is quasi-experimental with a non-equivelent control group pre-test-post-test design. Sampling was done by purposive sampling. The sample in this study amounted to 24 people. Results: Analysis of the research results using the Mann Whitney Test statistic test obtained a p value of 0.007 (p <0.05). These results indicate that there is a significant difference in pain scale between the intervention and control groups, it can be concluded that there is a significant influence of dysmenorrhea exercise on menstrual pain in adolescent girls at Athalla Putra Health Vocational High School Palembang. Conclusion: This study shows the effect of dysmenorrhea exercise on menstrual pain in adolescent girls at Athalla Putra Health Vocational High School Palembang in 2021. It is expected that Adolescent girls who experience menstrual pain can do dysmenorrhea exercise to reduce pain during menstruation. Creator An entity primarily responsible for making the resource Rizky Maulidina Publisher An entity responsible for making the resource available Poltekkes Jurusan Keperawatan Palembang Date A point or period of time associated with an event in the lifecycle of the resource 2021 Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource Bahasa Indonesia Type The nature or genre of the resource SKRIPSI DIV Contributor An entity responsible for making contributions to the resource Prahardian Putri, S.Kp., M.Kes https://repository.poltekkespalembang.ac.id/files/original/86700b299d73dd21654dc0c218821fe4.pdf ebc74161af35c419b845bde8f3268146 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi D-IV Kebidanan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pengaruh Senam Ergonomik terhadap Insomnia pada Lansia di Panti Sosial Tresna Werdha Teratai Kota Palembang tahun 2020 Subject The topic of the resource Kesehatan pada Lansia Description An account of the resource Oktaviani, Bella. 2020. Pengaruh Senam Ergonomik Terhadap Insomnia pada Lansia di Panti Sosial Tresna Werdha Teratai Kota Palembang Tahun 2020. Skripsi D-IV Kebidanan Poltekkes Kemenkes Palembang. Pembimbing : Siti Hindun, SKM, M.Kes dan Rosyati Pastuty, S.SiT, M. Kes Kata Kunci: Insomnia, Lansia, Senam Ergonomik Lansia yang mengalami insomnia dapat melakukan terapi non farmakologis berupa senam ergonomik. Senam ergonomik merupakan suatu gerakan otot yang dikombinasikan dengan teknik pernapasan dan membantu asupan oksigen ke otak sehingga membuat tubuh menjadi tenang dan lebih mudah untuk tidur. Penelitian ini bertujuan untuk mengetahui pengaruh Senam Ergonomik terhadap Insomnia pada Lansia di Panti Sosial Tresna Werdha Teratai Kota Palembang Tahun 2020. Penelitian ini menggunakan metode penelitian pre-eksperimen one group pretest-posttest design. Sampel diambil dari populasi yang memenuhi kriteria inklusi, sebanyak 32 orang dengan metode Purposive sampling. Analisis Uji variat menggunakan uji Paired sample T Test. Hasil penelitian menunjukan bahwa sebelum dilakukan senam ergonomik angka mean sebesar 30,28 dan nilai standar deviasi sebesar 3,929 setelah dilakukan senam ergonomik angka mean sebesar 24,09 dan nilai standar deviasi sebesar 3,830, artinya terjadi penurunan tingkat insomnia pada lansia. Selain itu pada uji statistik menunjukan bahwa senam ergonomik berpengaruh terhadap insomnia pada lansia dengan nilai significancy 0,000 (ρ < 0,05) artinya ada perbedaan yang bermakna antara penurunan tingkat Insomnia Lansia terhadap sebelum dan sesudah Senam Ergonomik. Untuk mengurangi tingkat insomnia pada lansia, diharapkan lansia dan pengurus panti menerapkan senam ergonomik sebagai metode nonfarmakologis dalam mengurangi tingkat insomnia. Creator An entity primarily responsible for making the resource BELLA OKTAVIANI Publisher An entity responsible for making the resource available POLTEKKES KEMENKES PALEMBANG JURUSAN KEBIDANAN Date A point or period of time associated with an event in the lifecycle of the resource TAHUN 2020 Contributor An entity responsible for making contributions to the resource Siti Hindun, SKM, M.Kes Rosyati Pastuty, S.SiT, M.Kes Format The file format, physical medium, or dimensions of the resource Pdf Language A language of the resource Bahasa Indonesia Type The nature or genre of the resource SKRIPSI https://repository.poltekkespalembang.ac.id/files/original/49bdb8d166fe3b8d29ee54de445098da.pdf ec9fa4bad5b458e6277ebd2581e1c91f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi D-IV Keperawatan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource PENGARUH SENAM ERGONOMIS TERHADAP KADAR ASAM URAT PADA LANSIA DI WILAYAH KERJA PUSKESMAS MERDEKA PALEMBANG TAHUN 2021 Subject The topic of the resource Gymnastics, Elderly, Uric Acid Level Description An account of the resource ABSTRACT Elderly will cause health problems because there is a decrease in body function if there is no good health service effort, one of which is a decrease in musculoskeletal function, namely Arthritis Gout. Gouty arthritis is a fairly dominant problem caused by the accumulation of crystals which are the end result of purine metabolism. Scientifically, everyone has uric acid but it should not exceed normal levels. For normal uric acid levels in men ranged from 3 to 7 mg/dl, and in women 2 to 6 mg/dl. The Purpose to determine The Effect of Ergonomic Gymnastics on Uric Acid of Elderly at The Working Area of Merdeka Health Center Palembang in 2021. This study uses a quasi�experimental research design with a non-equivalent control group design. The sampling technique in this study was non-porbality sampling with a purposive sampling approach. Shows the average level of uric acid before and after Ergonomic Gymnastics with p Value = 0.001, where the p Value of Uric Acid Level is smaller than the value of (0.05) which means that there is a significant effect between Ergonomic Gymnastics intervention and Uric Acid Levels. There is a significant difference in the average uric acid level before and before the Ergonomic Gymnastics Intervention with p Value = 0.001. Creator An entity primarily responsible for making the resource Rahayu Dwi Putri Publisher An entity responsible for making the resource available Poltekkes Jurusan Keperawatan Palembang Date A point or period of time associated with an event in the lifecycle of the resource 2021 Contributor An entity responsible for making contributions to the resource Imelda Erman, S.Kep., M.Kes Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource Bahasa Indonesia Type The nature or genre of the resource Skripsi DIV https://repository.poltekkespalembang.ac.id/files/original/d1776777d6d3a4527e34f667bae6a838.pdf 2c052258aa1c493740ac28941054a6c7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi D-IV Keperawatan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource PENGARUH SENAM ERGONOMIS TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI DI PUSKESMAS KERTAPATI PALEMBANG TAHUN 2021 Subject The topic of the resource Ergonomis exercise, hypertension Description An account of the resource ABSTRACT The silent killer is the right term for hypertension. It is estimated that 1.15 billion cases or about 29% of the world's total population will suffer from hypertension in 2025. Management of hypertension can be done with non�pharmacological therapy. Ergonomic gymnastics is a form of non�pharmacological therapy in hypertensive patients to control blood pressure which is done by providing ergonomic exercise movements with modified yoga movements. The purpose of this study was to determine the effect of ergonomic gymnastics on blood pressure in hypertension patients at Puskesmas Kertapati Palembang 2020. This study used a quasi�experimental design with a non-equivalent control group pre-test-post-test design. The population of this study were all hypertensive patients in the working area of the Kertapati Palembang Health Center. Sampling was done by purposive sampling technique. The sample size is 30 respondents. The samples in this study were 15 people for the treatment group and 15 people for the control group. From the results of the study, it can be concluded that ergonomic exercise modification of yoga movements can reduce systolic blood pressure using the Mann Whitney test. From these results it can be concluded that there is a significant effect of giving ergonomic exercise modification of yoga movements to systolic blood pressure and diastolic blood pressure in the treatment group and the control group Creator An entity primarily responsible for making the resource Rahmalia Ayu Pratiwi Publisher An entity responsible for making the resource available Poltekkes Jurusan Keperawatan Palembang Date A point or period of time associated with an event in the lifecycle of the resource 2021 Contributor An entity responsible for making contributions to the resource Azwaldi, APP., M.Kes Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource Bahasa Indonesia Type The nature or genre of the resource Skripsi DIV https://repository.poltekkespalembang.ac.id/files/original/a5d4c9b720f2195f906a7078e4abdcf5.pdf 40c7b590de766faf1f54508c0f65a424 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pengaruh Senam Fantasi Terhadap Perkembangan Motorik Kasar Anak Usia Prasekolah di PAUD SPNF SKB Negeri KM 5 Kota Palembang Creator An entity primarily responsible for making the resource Nesi Novita Format The file format, physical medium, or dimensions of the resource Pdf Language A language of the resource Indonesia https://repository.poltekkespalembang.ac.id/files/original/29f6f7e0f36650bf7f52025788dbe9a5.pdf e6999d38f060df2920ff0e38218a0820 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi D-IV Kebidanan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pengaruh Senam Fantasi Terhadap Perkembangan Motorik Kasar Anak Usia Prasekolah di PAUD SPNF SKB Negeri KM 5 Kota Palembang Tahun 2020 Subject The topic of the resource Kesehatan Ibu dan Anak Description An account of the resource ABSTRAK Fatriani, Meisya. 2020. Pengaruh Senam Fantasi Terhadap Perkembangan Motorik Kasar Anak Usia Prasekolah di PAUD SPNF SKB Negeri KM 5 Kota Palembang Tahun 2020. Skripsi D.IV Kebidanan Poltekkes Kemenkes Palembang. Pembimbing Nesi Novita, S.SiT, M.Kes dan Rohaya, SKM, S.Pd, M.Kes. Kata Kunci : Senam Fantasi, Perkembangan Motorik Kasar Anak Usia Prasekolah Latar Belakang : Keterlambatan tumbuh kembang anak terutama di sektor motorik kasar mempunyai angka yang cukup tinggi baik di dunia maupun Indonesia. Dampak buruk yang terjadi apabila anak tidak diberikan rangsangan dan stimulus pada motorik kasar dapat mengakibatkan keterlambatan dalam beberapa aspek misalnya anak mengalami gangguan pada berjalan, seringnya terjatuh saat melakukan gerakan melompat dan tidak dapat mengontrol gerakan–gerakan otot lainnya. Terdapat banyak cara untuk mengoptimalkan perkembangan motorik kasar untuk anak usia dini salah satunya senam fantasi yang bisa dijadikan salah satu alternatif untuk stimulasi dalam mengembangkan motorik kasar. Tujuan : Penelitian ini untuk mengetahui Pengaruh Senam Fantasi Terhadap Perkembangan Motorik Kasar Anak Usia Prasekolah di PAUD SPNF SKB Negeri Kota Palembang Tahun 2020. Metode : Penelitan ini merupakan penelitian kuantitatif menggunakan metode penelitian Pre Eksperimental dan model rancangan One Group Pre Test-Postest Design. Sampel penelitian yakni anak usia 4-5 tahun yang memenuhi kriteria inklusi berjumlah 39 orang. Analisis data menggunakan uji statistic Marginal Homogeneity. Hasil : Dari hasil analisis univariat didapatkan sebelum diberikan senam fantasi responden yang perkembangannya meragukan dengan penyimpangan sebanyak 3 responden (33,3%) dan kategori meragukan sebanyak 36 responden (92,3%). Kemudian setelah dilakukan senam fantasi terjadi peningkatan perkembangan motorik kasar dengan kategori sesuai sebanyak 35 responden (89,7%), kategori meragukan sebanyak 3 responden (7,7%), dan kategori meragukan dengan kemungkinan penyimpangan sebanyak 1 responden (2,6%). Berdasarkan uji statistic Marginal Homogeneity didapatkan nilai ρ-value = 0,000 (ρ-value < 0,05) artinya terdapat pengaruh senam fantasi terhadap perkembangan motorik kasar anak usia prasekolah di PAUD SPNF SKB Negeri KM 5 Kota Palembang. Kesimpulan : Terdapat pengaruh senam fantasi terhadap perkembangan motorik kasar anak usia prasekolah. Daftar Bacaan : 42 (2014-2019) Creator An entity primarily responsible for making the resource Meisya Fatriani Publisher An entity responsible for making the resource available Poltekkes Kemenkes Palembang Jurusan Kebidanan Date A point or period of time associated with an event in the lifecycle of the resource Tahun 2020 Contributor An entity responsible for making contributions to the resource Nesi Novita, S.SiT, M.Kes. Rohaya, SKM, S.Pd, M.Kes. Format The file format, physical medium, or dimensions of the resource Pdf Language A language of the resource Bahasa Indonesia Type The nature or genre of the resource Skripsi https://repository.poltekkespalembang.ac.id/files/original/31eb574ce044f13b46b5943561313439.pdf b02d15e581aac7e176f81d2599ad3bb3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi D-IV Kebidanan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource PENGARUH SENAM HIPERTENSI TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PEREMPUAN DI PUSKESMAS PAKJO KOTA PALEMBANG TAHUN 2020 Subject The topic of the resource Lansia, senam Hipertensi, tekanan darah Description An account of the resource <p><strong><b>ABSTRAK</b></strong></p> <p><strong><b> </b></strong></p> <p>Rizka, Yuniar. 2020. Pengaruh Senam Hipertensi Terhadap Penurunan Tekanan Darah pada Lansia Permpuan di Puskesmas Pakjo Kota Palembang Tahun 2020. Skripsi Prodi DIV Kebidanan Poltekkes Kemenkes Palembang. Pembimbing: Suprida, SKM, M.Kes dan Kharisma Virgian, SST, M.Keb.</p> <p><strong><b> </b></strong></p> <p><strong><b>Latar Belakang : </b></strong>Meningkatnya populasi lansia ini tidak dapat dipisahkan dari masalah kesehatan yang terjadi pada lansia, menurunnya fungsi organ memicu terjadinya berbagai penyakit degeneratif  yaitu salah satunya hipertensi. Hipertensi merupakan suatu gejala penyakit degeneratif kardiovaskuler yang paling banyak dialami oleh lansia dan belum dapat diketahui dengan pasti penyebabnya. Penatalaksanaan hipertensi pada lansia selain dengan farmakologi dapat pula dilakukan dengan non farmakologi seperti senam hipertensi.</p> <p><strong><b>Tujuan Penelitian :</b></strong> untuk mengetahui pengaruh senam hipertensi terhadap penurunan tekanan darah pada lansia perempuan di Puskesmas Pakjo Kota Palembang tahun 2020</p> <p><strong><b>Metode </b></strong>: penelitian ini menggunakan rancangan <em><i>Pre-eksperimen </i></em>dengan <em><i>one grup pretest posttest design. </i></em>Jumlah sampel 33 responden. Populasi penelitian ini adalah semua lansia perempuan di Puskesmas Pakjo Kota Palembang dengan teknik pegambilan sampel yaitu <em><i>purposive sampling. </i></em>Teknik pengumpulan data menggunakan tensimeter digital dan lembar observasi, Sedangkan analisis data menggunakan uji <em><i>Wilcoxon Signed Rank Test.</i></em></p> <p><strong><b>Hasil : </b></strong>Dari penelitian ini didapatkan tekanan darah sebelum intervensi sebagian besar adalah hipertensi 1 (51,5%) dan tekanan darah setelah pemberian intervensi sebagian besar adalah prehipertensi (48,5%), Hasil analisis data dengan menggunakan uji <em><i>Wilcoxon Rank Test </i></em>didapatkan hasil statistik signifikan sebesar 0,000 lebih kecil dari taraf signifikan 5% (P Value = 0,000 &lt; 0,05).</p> <p><strong><b>Kesimpulan</b></strong> : ada pengaruh senam hipertensi terhadap penurunan tekanan darah pada lansia perempuan di Puskesmas Pakjo Kota Palembang tahun 2020. Senam hipertensi dapat dijadikan sebagai salah satu intervensi untuk menurunkan tekanan darah pasien hipertensi. Diharapkan penderita hipertensi dapat melaksanakan kegiatan senam hipertensi secara rutin sehingga tekanan darh dapat dikendalikan.</p> <p><strong><b>Kata Kunci : </b></strong>Lansia, senam Hipertensi, tekanan darah</p> Creator An entity primarily responsible for making the resource Yuniar Rizka Publisher An entity responsible for making the resource available Poltekkes Palembang Jurusan Kebidanan Date A point or period of time associated with an event in the lifecycle of the resource 2020 Contributor An entity responsible for making contributions to the resource Suprida, SKM, M.Kes. Kharisma Virgian, SST, M.Keb. Format The file format, physical medium, or dimensions of the resource Pdf Language A language of the resource Bahasa Indonesia Type The nature or genre of the resource Skripsi