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All Journal Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Jurnal Sains dan Kesehatan
Muhammad Azmi Fanany
Universitas Batam
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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PENGARUH SENAM PROLANIS TERHADAP PENGENDALIAN TEKANAN DARAH DAN KADAR GULA DARAH PADA PASIEN PENYAKIT KRONIS DI PUSKESMAS LUBUK BAJA KOTA BATAM Andi Ipaljri Saputra; Muhammad Azmi Fanany; Istiqa Syaraya Putri
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i2.2253

Abstract

ABSTRACT Background: Non-Communicable Diseases (NCDs) such as hypertension and Type 2 Diabetes Mellitus (DM) are major causes of mortality globally and in Indonesia. Batam City, particularly at the Lubuk Baja Public Health Center (UPT Puskesmas Lubuk Baja), has reported a relatively high prevalence of these chronic diseases. The Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis/Prolanis) initiated by BPJS Kesehatan, including Prolanis exercise, represents a non-pharmacological strategy aimed at controlling blood pressure and blood glucose levels. Methods: This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 88 chronic disease patients participating in the Prolanis program at Lubuk Baja Public Health Center, Batam City, in 2025, selected using purposive sampling based on inclusion and exclusion criteria. Blood pressure and blood glucose levels were measured before and after the Prolanis exercise intervention. Data were analyzed using univariate and bivariate analyses with the Paired T-Test. Results: The results of the paired t-test demonstrated a significant effect of Prolanis exercise on blood pressure control with a p-value of 0.000 (p < 0.05), and on blood glucose control with a p- value of 0.000 (p < 0.05). Conclusion: There is a significant effect of Prolanis exercise on controlling blood pressure and blood glucose levels among patients with chronic diseases at Lubuk Baja Public Health Center, Batam City, in 2025. Keywords: Prolanis Exercise, Blood Pressure, Blood Glucose Level, Chronic Disease
Diagnostic Accuracy of the RIPASA and Alvarado Scores in Screening for Acute Appendicitis: A Histopathology-Based Retrospective Validation Study Muhammad Azmi Fanany; Elvita Nora Susana; Malahayati Rusli Bintang
Jurnal Sains dan Kesehatan Vol. 10 No. 1 (2026): Juni : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v10i1.1219

Abstract

Background: Acute appendicitis is the most common abdominal surgical emergency, yet its diagnosis remains a clinical dilemma owing to frequently atypical presentations. Clinical scoring systems were developed to expedite and improve diagnostic accuracy. This study aimed to compare the diagnostic accuracy of the RIPASA and Alvarado scores against histopathology as the gold standard. Methods: A retrospective cross-sectional analytic study of 125 patients with suspected acute appendicitis who underwent appendectomy at Hj. Bunda Halimah Hospital, Batam, between 1 January 2022 and 31 December 2024. The Alvarado (cut-off ≥7) and RIPASA (cut-off ≥7.5) scores were derived from medical records and compared with histopathology. Sensitivity, specificity, positive (PPV) and negative (NPV) predictive values, accuracy, and the area under the curve (AUC) were analysed. Results: Histopathology confirmed appendicitis in 114 of 125 patients (91.2%; negative appendectomy rate 8.8%). The Alvarado score yielded a sensitivity of 87.7%, specificity 63.6%, PPV 96.1%, NPV 33.3%, and accuracy 85.6% (AUC 0.797; 95%CI 0.715–0.863). The RIPASA score yielded a sensitivity of 91.2%, specificity 54.5%, PPV 95.4%, NPV 37.5%, and accuracy 88.0% (AUC 0.847; 95%CI 0.772–0.905). Conclusion: Both scores demonstrated good and comparable discriminative capacity; RIPASA tended to be more sensitive and marginally more accurate, whereas Alvarado was more specific. The overlapping AUC confidence intervals preclude a conclusion of statistically significant superiority of RIPASA. Both instruments are suitable screening tools in resource-limited, imaging-scarce settings.
Co-Authors Andi Ipaljri Saputra Elvita Nora Susana Istiqa Syaraya Putri Malahayati Rusli Bintang