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All Journal Scientific Journal of Pediatrics Sriwijaya Journal of Radiology and Imaging Research Enigma in Education
Desiree Montesinos
Department of Women and Child Welfare, Lira State Hospital, Lira, Uganda
Humanities Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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Indigenous Knowledge Systems and Curriculum Transformation: A Cross-Sectional Study of Faculty Readiness in Indonesian Higher Education Andi Fatihah Syahrir; Desiree Montesinos; Farah Faiza
Enigma in Education Vol. 3 No. 2 (2025): Enigma in Education
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/edu.v3i2.116

Abstract

Higher education institutions worldwide face the challenge of integrating Indigenous Knowledge Systems into curricula historically shaped by Western epistemological paradigms, yet empirical evidence on the factors influencing faculty readiness for such integration remains limited, particularly in Southeast Asian contexts. This cross-sectional mixed-methods study examined faculty attitudes, institutional resistance, and curriculum transformation readiness related to Indigenous Knowledge Systems integration among 412 faculty members at six higher education institutions in major Indonesian cities, complemented by 28 in-depth interviews. Participants completed validated instruments assessing IKS integration attitudes, curriculum transformation readiness, perceived institutional resistance, teaching self-efficacy for IKS, and student cultural competency. Significant disciplinary differences were observed across all outcomes, with Social Sciences faculty reporting the highest integration attitudes (4.12 ± 0.71) and Engineering faculty the lowest (2.87 ± 0.89; F(3, 408) = 42.67; p < 0.001). Faculty with prior IKS training demonstrated significantly higher readiness (3.89 ± 0.72 vs. 2.96 ± 0.88; p < 0.001; Cohen’s d = 1.16). Multivariate logistic regression identified prior IKS training (OR = 3.87; 95% CI: 2.48–6.04), Social Sciences discipline (OR = 3.21; 95% CI: 1.78–5.79), and low institutional resistance (OR = 2.56; 95% CI: 1.72–3.81) as the strongest independent predictors of high integration readiness. These findings highlight the critical role of faculty professional development and institutional support in advancing curriculum decolonization in Indonesian higher education.
Non-Invasive Neuromodulation for Drug-Resistant Epilepsy in Children: A Randomized Controlled Trial of Transcranial Magnetic Stimulation (TMS) versus Vagus Nerve Stimulation (VNS) in Jakarta, Indonesia Febria Suryani; Rinna Azrida; Linda Purnama; Vania Delma; Desiree Montesinos
Scientific Journal of Pediatrics Vol. 3 No. 1 (2025): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v2i2.173

Abstract

Introduction: Drug-resistant epilepsy (DRE) significantly impacts the quality of life in children. While vagus nerve stimulation (VNS) is an established treatment, repetitive transcranial magnetic stimulation (rTMS) offers a non-invasive alternative. This study aimed to compare the efficacy and safety of rTMS versus VNS in a pediatric DRE population in Jakarta, Indonesia. Methods: This was a single-center, randomized, controlled, open-label trial conducted at Private Hospital, Jakarta. Children aged 5-18 years with DRE, defined as failure to achieve seizure freedom despite adequate trials of two appropriate antiepileptic drugs (AEDs), were randomly assigned (1:1) to receive either rTMS or VNS. The primary outcome was the percentage reduction in seizure frequency at 6 months post-intervention compared to baseline. Secondary outcomes included responder rate (≥50% seizure reduction), quality of life (QoL) using the PedsQL, cognitive function (using standardized neuropsychological tests), and adverse events. Results: A total of 60 children were randomized (30 rTMS, 30 VNS). At 6 months, the mean percentage reduction in seizure frequency was significantly greater in the rTMS group (48.5%, SD 15.2%) compared to the VNS group (35.2%, SD 12.8%) (p = 0.001). Responder rates were 63.3% for rTMS and 46.7% for VNS (p = 0.17). PedsQL scores showed a significant improvement in the rTMS group compared to baseline in the psychosocial health summary score (p = 0.005), but not the VNS group (p=0.1). No significant differences were observed in cognitive function between the groups. Adverse events were generally mild and transient in both groups, though VNS was associated with more voice alteration and coughing. Conclusion: rTMS demonstrated superior efficacy in reducing seizure frequency compared to VNS in this Indonesian pediatric DRE population. While VNS is an established method, rTMS may present a non-invasive and potentially more effective therapeutic alternative. Further, larger, multicenter studies are warranted to confirm these findings and explore long-term outcomes.
Vision Transformer Reconstruction for Super-Resolution and Artifact Reduction in 1.5-Tesla Fast-Spin-Echo Pelvic MRI: A Diagnostic-Accuracy Study Muhammad Rusli; Febria Suryani; Desiree Montesinos
Sriwijaya Journal of Radiology and Imaging Research Vol. 4 No. 1 (2026): Sriwijaya Journal of Radiology and Imaging Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjrir.v4i1.322

Abstract

Introduction: Fast-spin-echo (FSE) MRI is the reference modality for pelvic evaluation, but high-resolution acquisition is slow and motion-prone. Deep-learning reconstruction may recover diagnostic quality from short, motion-tolerant acquisitions, yet most evidence relies on image-similarity indices rather than radiologist performance. We validated a Vision-Transformer (ViT) reconstruction for simultaneous super-resolution and motion-artifact reduction in 1.5-Tesla T2-weighted FSE pelvic MRI. Methods: In this retrospective diagnostic-accuracy study (STARD 2015) at a tertiary hospital in Palembang, Indonesia, 450 examinations (development n=360; test n=90) were analysed. A U-shaped shifted-window ViT reconstructed high-resolution images from retrospectively degraded low-resolution/motion-corrupted inputs. Two blinded radiologists scored each test case under native low-resolution, UNet- and ViT-reconstructed conditions against a histopathology/expert-consensus reference standard. Sensitivity, specificity, predictive values, AUC, likelihood ratios (95% CI), inter-reader kappa, DeLong and McNemar tests, and multivariable logistic regression were computed. Results: Target prevalence was 53.3%. ViT reconstruction achieved sensitivity 93.8% (95% CI 83.2–97.9), specificity 88.1% (75.0–94.8), AUC 0.943 (0.894–0.992), LR+ 7.87 and LR− 0.071, versus AUC 0.881 (UNet) and 0.751 (low-resolution); ViT vs low-resolution DeLong p<0.001, McNemar p<0.001. Inter-reader agreement rose from kappa 0.49 to 0.87. ViT gave the best fidelity (PSNR 34.82 dB; SSIM 0.941; p<0.001 vs UNet) at 0.15 s/slice. Sub-centimetre lesions (OR 3.84, p=0.006) and severe motion (OR 2.97, p=0.029) independently predicted error. Conclusion: A shifted-window Vision Transformer recovered diagnostic-quality pelvic FSE MRI from short, motion-tolerant acquisitions, significantly improving radiologist lesion detection and inter-reader agreement over convolutional reconstruction. The real-time, PACS-compatible pipeline is promising for high-throughput pelvic MRI and warrants prospective validation.
Co-Authors Andi Fatihah Syahrir Farah Faiza Febria Suryani Febria Suryani Linda Purnama Muhammad Rusli Rinna Azrida Vania Delma