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All Journal Vitamin: Jurnal Ilmu Kesehatan Umum Jurnal Penelitian Perawat Profesional
Agus Suseno
Universitas Muhammadiyah Semarang
Health Professions Nursing Public Health

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Sistem Pengingat Pemberian Insulin Berbasis Aplikasi dan Alarm Pintar untuk Meningkatkan Kepatuhan Terapi pada Pasien Diabetes Mellitus Estu Nugrahaning Widi; Nurul Auliyah; Agus Suseno; Wahyuni Wahyuni; Marcos De Oliveira Soares; Aric Vranada
Jurnal Penelitian Perawat Profesional Vol. 8 No. 3 (2026): Juni 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i3.2214

Abstract

Diabetes Mellitus (DM) merupakan penyakit kronis yang terus meningkat prevalensinya di seluruh dunia. Salah satu hambatan utama dalam pengelolaan DM adalah rendahnya kepatuhan pasien terhadap jadwal pemberian insulin. Penelitian ini bertujuan untuk mengevaluasi efektivitas sistem pengingat berbasis aplikasi ponsel pintar dan alarm pintar dalam meningkatkan kepatuhan terapi insulin pada pasien diabetes mellitus. Penelitian menggunakan metode kuantitatif deskriptif dengan pendekatan cross-sectional. Pengambilan sampel dilakukan dengan teknik purposive sampling, melibatkan 30 pasien diabetes mellitus yang menggunakan insulin. Hasil penelitian menunjukkan bahwa penggunaan alarm pintar dan aplikasi pengingat secara signifikan meningkatkan kepatuhan pemberian insulin, tercermin dari peningkatan nilai time-in-range (TIR) dan penurunan kadar HbA1c secara konsisten pada mayoritas peserta. Tingkat kepatuhan terhadap jadwal yang direkomendasikan sistem mencapai angka yang tinggi tanpa adanya peningkatan kejadian hipoglikemia. Penelitian ini menyimpulkan bahwa integrasi teknologi digital berupa aplikasi dan alarm pintar terbukti efektif sebagai alat bantu manajemen mandiri diabetes, dan berpotensi menjadi komponen penting dalam rencana perawatan holistik pasien diabetes mellitus.
Delayed Diagnosis of Naso-Orbito-Ethmoid Fracture: A Three-Case Series of Misdiagnosed as Nasal Fracture and The Importance of Telecanthus Recognition Iwan Setiawan Adji; Eillena Noxie Azzahra; Namira Aisya Devi; Zahira Husna Aflaha Khansa Siswaya; Hanif Nur Khiruddin; Sultan Bayu Fahmi; Agus Suseno
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 4 No. 3 (2026): July : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v4i3.2647

Abstract

Background: Naso-orbito-ethmoid (NOE) fractures are complex midfacial injuries that are frequently underdiagnosed, particularly when presenting with clinical features similar to isolated nasal bone fractures. Overlapping symptoms such as epistaxis, nasal deformity, and periorbital edema often obscure the true extent of injury during initial emergency assessment. Objective: This study aims to highlight the diagnostic challenges of NOE fractures through a three-case series and a narrative literature review, with emphasis on the importance of early recognition of key clinical signs, especially telecanthus. Methods: Three patients presenting with maxillofacial trauma initially diagnosed as nasal bone fractures were evaluated. Clinical findings, imaging results, and management approaches were analyzed. A narrative literature review was conducted using major databases to identify studies discussing NOE fractures, misdiagnosis, and diagnostic strategies. Results: All cases demonstrated initial misdiagnosis due to nonspecific clinical features. Computed tomography (CT) with three-dimensional reconstruction revealed complex fracture patterns involving adjacent midfacial structures. Key indicators such as telecanthus and multi-structural involvement were frequently overlooked at initial evaluation. Conclusion: Early and accurate diagnosis of NOE fractures requires high clinical suspicion, comprehensive examination, and prompt CT imaging. A systematic and multidisciplinary approach is essential to reduce misdiagnosis and improve clinical outcomes.
Co-Authors Aric Vranada Eillena Noxie Azzahra Estu Nugrahaning Widi Hanif Nur Khiruddin Iwan Setiawan Adji Marcos De Oliveira Soares Namira Aisya Devi Nurul Auliyah Sultan Bayu Fahmi Wahyuni Wahyuni Zahira Husna Aflaha Khansa Siswaya