Abstract:The emergence of the COVID-19 pandemic in 2019 has had an impact on all aspects of life, particularly global health. Indonesia is one of the affected countries. The Indonesian government has responded to the conditions of…
f this pandemic, one of which is by imposing access restrictions to prevent the pandemic from spreading. This policy indirectly affects the community's activities, including the utilization of existing healthcare services. Meanwhile, available data show that one of the major issues that the Indonesian state is still dealing with is its status as the third country with the greatest number of TB (Tuberculosis) cases in the world, with some of the TB cases being classified as Drug-Resistant Tuberculosis (DR-TB).
Abstract:Background: Cardiovascular disease (CVD) continues to be the predominant cause of global mortality. Polypill techniques that integrate various cardiovascular drugs into a single formulation have emerged as a potential method…
thod for primary prevention, especially in intermediate-risk populations.
Objective: To systematically review and synthesize evidence regarding the efficacy and safety of polypill formulations (comprising antihypertensive medications, statins, with or without aspirin) in comparison to standard care or placebo for the primary prevention of major adverse cardiovascular events (MACE) in intermediate-risk populations.
Methods: We conducted systematic review and meta-analysis in accordance with PRISMA 2020 standards (Systematic Review Registration: PROSPERO CRD420251184718). Various databases (PubMed, Cochrane Library, ScienceDirect, Scopus) were examined for original research published from January 2015 to October 2024. Studies were eligible if they assessed polypill therapies in individuals aged 30 to 70 years with intermediate cardiovascular risk (10-20% 10-year risk), reported composite major adverse cardiovascular events (MACE) outcomes, and included a minimum follow-up of 6 months. Two independent reviewers conducted screening, data extraction, and risk of bias evaluation utilizing the Cochrane RoB 2.0 tool.
Results: Of the 161 records discovered, 4 randomized controlled studies (HOPE-3, TIPS-3, PolyIran, PolyPars) with 31,501 people fulfilled the inclusion criteria. Polypill therapies showed a substantial decrease in composite MACE relative to control groups (pooled HR 0.67 (95% CI 0.60-0.75, p<0.001). Individual trial hazard ratios varied from 0.50 (PolyPars) to 0.66 (PolyIran) and 0.79 (TIPS-3) with moderate heterogeneity (I²=35.2%, p=0.20). Polypills were generally well- tolerated, with a safety profile consistent with the individual components. Medication adherence was enhanced with the polypill in comparison to multiple-pill regimens.
Conclusions: Polypill techniques markedly reduce major adverse cardiovascular events (MACE) in intermediate-risk patients for primary cardiovascular prevention, achieving around a 33% relative risk reduction. The fixed-dose combination strategy provides benefits in compliance and ease of use. These findings hold significant implications for healthcare systems in low-to-
middle-income nations, such as Indonesia, where the burden of cardiovascular disease is substantial and access to long-term cardiovascular drugs is frequently hindered by cost and complexity.
Abstract:Obesity is a condition of abnormal or excessive fat accumulation which can be a risk factor for dyslipidemia. Uncontrolled dyslipidemia can directly cause endothelial dysfunction by increasing the production of free radicals,…
cals, causing Low Density Lipoprotein (LDL) oxidation and stimulating the release of inflammatory factors that can cause inflammation. Neutrophils and macrophages are the first leucocytes to appear in the early response to inflammation, so the neutrophil-lymphocyte ratio can be useful for evaluating the prognosis of inflammation as an early detector and as a marker of inflammation that can be detected simply and efficiently. This study aims to determine the correlation between Neutrophil-Lymphocyte Ratio (NLR) and Lipid Profile in adult patients with obesity in Prodia Tangerang Clinical laboratory. This study is an analytical study with a cross-sectional approach and used purposive sampling technique. The research sample data was taken from secondary data from patient medical records. The p-value obtained using Rank Spearman correlation from the comparation of neutrophil-lymphocyte ratio with each lipid profile value is total cholesterol (p=0.003), LDL cholesterol (p=0.013), High Density Lipoprotein (HDL) cholesterol (p=0.375) and tryglicerides (p=0.316). This study found a relationship between the neutrophil-lymphocyte ratio with total cholesterol dan LDL cholesterol, but there was no relationship between the neutrophil-lymphocyte ratio with HDL cholesterol and tryglicerides in obese adult patient in Prodia Tangerang Clinical Laboratory.
Abstract:The accuracy of disease diagnosis coding is an important indicator in the management of medical records and health service claims. This study aims to determine the percentage of accuracy in coding pneumonia diagnoses based…
ed on ICD-10 according to the 2023 National Medical Practice Guidelines (PNPK) at Udayana Hospital II in Denpasar. The research method used was quantitative descriptive with a total sampling approach of 72 medical records of pneumonia patients during the period from October 1, 2024, to December 31, 2024. The research instrument was a checklist for assessing the accuracy of diagnosis codes based on the provisions of ICD-10 and PNPK Pneumonia 2023. The results showed that 51 files (70.8%) were coded accurately, while 21 files (29.2%) were coded inaccurately. The inaccuracy in coding was due to a lack of supporting tests, such as microbiological tests, as well as the excessive workload of the coders. These findings indicate the need for an analysis of coders' workload to measure the effectiveness and efficiency of their tasks, time management, and priorities. This study is expected to serve as evaluation material to improve the quality of service and efficiency of hospital administration.
Abstract:A complete medical record is a crucial part of healthcare delivery, serving as a communication tool between healthcare professionals, legal evidence, and the basis for evaluating and planning hospital services. The completeness…
eteness of medical record documentation, particularly in the emergency department, is an indicator of service quality that requires serious attention. The purpose of this study was to determine the percentage of completeness of identification, authentication, recording, and important reporting in the medical records of emergency patients diagnosed with hypertension at Wangaya Regional Hospital, Denpasar City. This study used a quantitative descriptive method. The population was all 330 medical records of emergency patients diagnosed with hypertension. A sample of 199 files was drawn using a probability sampling technique using a simple random sampling approach. The results showed that completeness of identification reached 100%, authentication reached 176 documents (88.44%), recording reached 174 documents (84.44%), and reporting reached 159 documents (79.90%). It can be concluded that identification had the highest level of completeness, while reporting had the lowest level of completeness. Researchers suggest that hospitals increase outreach and supervision of medical staff, especially in emergency installations, regarding the importance of completeness and timeliness of filling out medical record documents.
Abstract:MAA-72 well experienced a decrease in production rate, Pump IND1300 42 hz / pump ROR of 960- 1640 bfpd. Well production is Qgross 599.97 bfpd. The required data obtained are general report electrical submersible pump, reservoir…
servoir data, fluid properties data, production data and wellprofile data, data obtained directly from the computer in the field. In data processing, the method is to determine the potential analysis of the well, evaluate the installed pump, and optimize the well with a new pump. Optimum results of 1498.55 bfpd, Gf 0.435 Psi/ft, IND1300 pump evaluation, namely PIP 170.37 Psi, TDH 1782.27 ft, PSD 1969.42 ft, number of stages 200 stages, EP 49% and Hp 33.5. Optimization was carried out by replacing the pump. New pump selection DN1800/60 Hz / ROR 1200-2400 bfpd, head/stage 22 ft, Hp 0.34 EP 70%. Determination of new pump PSD 2022.94 ft, PIP 43.5 Psi, TDH 2212.32 ft, number of stages 22 stages. Increase in Qact production rate (599.97 bfpd) to (1498.55 bfpd) with a rate increase of 898.58 bfpd.
Abstract:This study aims to find out the extent of gross motor skills of grade 5 elementary school students in SDN 003 Seri Kuala Lobam. The researcher took research samples at the school location in the coastal area. According to…
o local elementary school teachers and also the results of researchers' observations over the years, there are differences in the development of both academic and non-academic elementary school students between areas adjacent to the sea and those that are not. including in his gross motor development. Motor development is very necessary for children's development, especially in school. gross motor is a skill that requires coordination of a large part of the child's body. Based on the above opinion, it is concluded that gross motor is a physical movement activity that requires coordination of the limbs by using their large muscles. Students who have good motor skills are able to do sports skills than students who have fission skills. From the explanation above, the researcher wants to conduct research on the Gross Motor Ability Profile of students, where this is the main focus because Gross Motor Skills is very important to be mastered by a person because he can do daily activities, without having good movements he will lag behind others, such as: running, jumping, pushing, throwing, catching, kicking and so on, these activities require and use large muscles in a person's body
Abstract:Islamic boarding school Dalam Pagar Kandangan, Hulu Sungai Selatan Regency which is in the management of developing the character of Islamic boarding school students in the context of discipline, love of the homeland, and…
d caring for the environment, then in detail consistent and sustainable, the world of Islamic boarding schools accompanied by these principles can strengthen the unity and one unity that can become reflection And benchmark so that more prosperous and reach civilization Which brilliant. The aim of this study ; (1) Analyze practice and the management processes carried out in coaching character discipline at the Lodge Boarding school Dalam Pagar Kandangan. (2) Identify various efforts that have been made in coaching character Love homeland. (3) Study the challenges faced in management coaching character care environment, (4) Proposing possible strategies applied For overcoming challenges in management coaching characters in the cottage boarding school. The research method used in the research is descriptive qualitative. This research was conducted at Pondok Boarding school Dalam Pagar Kandangan with primary data sources ; Caregivers, Management, Students and secondary data sources ; in the research, namely lodge profile data and lodge history. As for The data collection used by the author is observation, interviews and documentation. Data analysis in qualitative research. Results study This that is ; (1) Management of character development for students with: a) Planning that is affiliated with the understanding of Ahlu Sunnah Wal Jama'ah An Nahdliyah, education is directed at the realm of Tariqah knowledge, religious knowledge, general knowledge and skills. b ) Organizing through optimizing the role of the organizational structure, empowering Madrasah Ibtidayah. c ) Implementation through daily activities of students. d) Control is carried out through evaluation meetings, student regulations or rules of conduct, reorganization of the boarding school management, positive motivation and direction to the students. (2) The efforts made by Islamic boarding schools are collective, creative and innovative, grow love character land water. (3) These challenges include; challenges in implementation, challenges in policy and curriculum, educational personnel challenges and environmental and information technology challenges. (a) environmentally sound policies. (b) implementation of good environmental management, (c) exists development of environmentally friendly facilities and infrastructure in Islamic boarding schools. (d) there are character values that care about the environment. (4) The strategies that can be implemented are: the learning process, the formation of Islamic boarding school culture, co-curricular activities and extra-curricular activities.
Abstract:Abstract Bambu Pamali Village is one of the agencies in providing services to the community. Service is defined as a result/achievement by a person or group of people with efforts and abilities carried out in fulfilling…
g the wishes and needs of the community in order to increase community satisfaction. The purpose of this study is to determine the quality of service at the Bambu Pemali village office, Merauke Regency. The method used is a qualitative research method. Data collection techniques are observation, interviews, and documentation. The number of informants in this study is 8 people. Data analysis techniques consist of the data reduction stage, the data presentation stage, the conclusion making stage, and the verification stage. The results of the research on 5 (five) indicators that exist in the quality of public services in Bambu Pemali village are tangible (physical evidence), reliability (reliability), responsiveness (responsiveness), assurance (guarantee), and emphaty (empathy). Based on the results of the above research, it can be concluded that the quality of service of the Bambu Pemali village office, Merauke Regency, has not been optimal in providing services to the community because there are still poor services and have not run optimally so that it has quite an effect on community satisfaction, the service is slow and not on time because the community is still confused in file management and employees are not able to provide clear information. Problems related to inadequate facilities and infrastructure at the Bambu Pemali Village Office, Merauke Regency, so that it can affect the performance of employees in providing services.
Keywords : Quality, Service, Village
Abstract:Dyslexia is a neurodevelopmental disorder that specifically affects an individual's ability to process phonological and orthographic information, thereby hindering the development of basic literacy skills. In inclusive education…
ducation systems at the elementary level, these limitations are often not addressed through pedagogical approaches that align with the neurocognitive needs of learners. The problem addressed in this study is the effectiveness of the multisensory learning approach in improving the reading skills of children with dyslexia in inclusive elementary education settings. This research was conducted through a systematic literature review using a descriptive qualitative approach, drawing upon scholarly sources published in nationally and internationally accredited journals over the past decade. Thematic analysis was employed to identify consistent empirical findings related to multisensory interventions. The results show that the multisensory approach (which simultaneously engages visual, auditory, kinesthetic, and tactile modalities) has been proven to enhance phonological decoding, word recognition accuracy, reading fluency, and learning affectivity in children with dyslexia. Its effectiveness is highly influenced by the duration and intensity of the intervention, educators' competence in designing multisensory activities, and the suitability of materials to individual sensory profiles. The conclusion of this review asserts that the multisensory approach is not merely a remedial strategy, but a neuroeducation-based pedagogical framework that is inclusive and transformative. The novelty of this research lies in its integrative emphasis on the multisensory approach and principles of educational neuropsychology as the foundation for developing learning models that are responsive to the needs of neurodivergent learners in the context of inclusive elementary education in Indonesia.