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THE RELATIONSHIP OF TNFα -308 G/A POLYMORPHISM WITH THE INCIDENCE OF CERVICAL CANCER IN ASIAN WOMEN: A META ANALYSIS OBSERVATIONAL STUDY Saraswati, Henny; Nurmalasari, Mieke
Jurnal Bioteknologi & Biosains Indonesia (JBBI) Vol. 11 No. 1 (2024)
Publisher : BRIN - Badan Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55981/jbbi.2024.2546

Abstract

Cervical cancer is a malignancy with high mortality rates in women, and its incidence continues to rise. The main etiological factor for cervical cancer is infection with Human Papillomavirus (HPV), which disrupts the regulation of apoptosis in cells. Several studies have shown a correlation between TNFα polymorphisms, including the -308 position (TNFα -308 G/A), and the incidence of cervical cancer.This gene have a role in proliferation of cancer cells. This study investigates the impact of TNFα-308 polymorphism on the risk of cervical cancer in Asian female populations. A meta-analysis of five sources was conducted to determine potential associations. Findings reveal that neither allele A (OR 95%CI = 1.20 [0.70-2.03], p = 0.51) nor genotype AA (OR 95%CI = 0.85 [0.37-1.91], p = 0.69) were significantly linked with an elevated risk of cervical cancer in Asian women. The same result was seen for the G allele (OR 95%CI = 0.84 [0.49-1.42], p = 0.51) and GG genotype (OR 95%CI = 0.80 [0.44-1.48], p = 0.48). The study results indicate that the TNFα-308 polymorphism is not associated with cervical cancer in Asian women. Further research is needed to investigate the role of other gene polymorphisms in cervical cancer susceptibility in Asian women.
Forecasting Kapasitas Tempat Tidur di Rumah Sakit Islam Jakarta Pondok Kopi Sinlae, Andrey Reynaldi Devada; Hosizah, Hosizah; Nurmalasari, Mieke
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 2 (2026): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i2.5727

Abstract

In 2022–2023, bed utilization at RSIJ Pondok Kopi was inefficient according to the Barber–Johnson (GBJ) standard, with Bed Occupancy Rates (BOR) of 53% in 2022 and 74% in 2023, both below the ideal range. This inefficiency was partly due to the absence of bed capacity adjustments based on accurate forecasting. This study aimed to conduct bed capacity forecasting at RSIJ Pondok Kopi. This applied retrospective study employed data mining techniques using Tableau with the Exponential Smoothing algorithm. Data on inpatient days and discharged patients from 1992 to 2023 were collected and processed following the Knowledge Discovery in Databases (KDD) framework. One optimal forecasting model was selected for each variable. Bed capacity projections were calculated using BOR assumptions of 75% and 85%, and Turnover Interval (TOI) assumptions of 1 and 3 days, with the Barber–Johnson chart used for evaluation. Forecasted bed requirements were estimated at 183–192 units (2024), 185–194 (2025), 187–196 (2026), 189–197 (2027), and 190–199 (2028). Compared with actual data through May 2024, the hospital had 10 excess beds. Therefore, more intensive promotional strategies are recommended to improve bed utilization.
Peningkatan Kapasitas PMIK Dalam Mengolah dan Menganalisis Data Klaim INA-CBG’s untuk Meningkatkan Akurasi Kodefikasi & Dokumentasi di RSIJ Pondok Kopi Muchlis, Husni Abdul; Nurmalasari, Mieke; Qomarania, Witri Zuama; Kurniawati, Anastasia Cyntia Dewi; Iqbal, Muhammad Fuad; Maryati, Yati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 2 (2026): Volume 9 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i2.23624

Abstract

ABSTRAK Keberhasilan klaim JKN-BPJS sangat bergantung pada akurasi dokumentasi klinis dan kodefikasi diagnosis serta prosedur. RSIJ Pondok Kopi masih menghadapi kendala dalam pemanfaatan data klaim untuk evaluasi mutu dan optimalisasi nilai klaim. Kegiatan ini bertujuan meningkatkan kemampuan PMIK dalam mengolah dan menganalisis data klaim INA-CBG’s untuk mendukung akurasi kodefikasi dan dokumentasi. Program dilaksanakan melalui sosialisasi, pelatihan teknis Excel PivotTable, dan pendampingan penyusunan dashboard analisis klaim. Evaluasi menggunakan pre-test dan post-test serta observasi produk analisis. Pelatihan meningkatkan skor pengetahuan tim sebesar 22 poin, terutama pada materi MCC/CC. Tim berhasil menghasilkan dua laporan dashboard internal terkait capture rate MCC/CC dan distribusi LOS (AMLOS/GMLOS). Peningkatan kompetensi PMIK dalam analisis data klaim mampu memperbaiki akurasi kodefikasi dan mendorong pemanfaatan data klaim sebagai alat manajemen mutu dan optimalisasi nilai klaim rumah sakit. Kata Kunci: Data Klaim, Dokumentasi Klinis, INA-CBG’s, Klaim BPJS, Kodefikasi.  ABSTRACT The success of JKN–BPJS claims strongly depends on the accuracy of clinical documentation and clinical coding of diagnoses and procedures. RSIJ Pondok Kopi still faces challenges in utilizing claim data to evaluate service quality and optimize reimbursement values. This community service activity aims to improve the capacity of Health Information Management professionals (PMIK) in processing and analyzing INA-CBG’s claim data to support accurate coding and clinical documentation. The program was carried out through socialization, technical training using Excel PivotTable, and mentoring in developing analytical dashboards. Evaluation was conducted using pre-test and post-test assessments, as well as observation of the analytical products. The training improved staff knowledge by 22 points, with the highest increase in MCC/CC competence. The team successfully produced two internal dashboard reports related to MCC/CC capture rate and LOS distribution (AMLOS/GMLOS). Improving PMIK competency in claim data analysis enhances the accuracy of clinical coding and encourages the use of claim data as a tool for quality management and reimbursement optimization in hospitals. Keywords: Claim Data, Clinical Coding, Clinical Documentation, INA-CBG’s, BPJS Claim.
Penyuluhan Sistem Informasi Posyandu sebagai Upaya Mewujudkan Bebas Stunting Arief Ichwani; Mieke Nurmalasari; Nizirwan Anwar; Widia Sari; Badie Uddin
Jurnal Karya untuk Masyarakat (JKuM) Vol 5 No 1: JANUARI 2024
Publisher : Universitas Tarakanita

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36914/wpbnxg50

Abstract

Desa Pasirwaru merupakan desa dengan jumlah penduduk 5.511 jiwa dan memiliki program unggulan di bidang kesehatan yaitu posyandu. Posyandu Anggrek I adalah posyandu di Desa Pasirwaru yang memiliki anggota 60 balita, 10 ibu hamil. Adapun peranan dari posyandu ini yaitu untuk memberdayakan, memberikan kemudahaan layanan kesehatan, penyuluhan untuk mengatasi stunting dengan pemenuhan kebutuhan gizi bagi ibu hamil, memberikan ASI dan MPASI, akses air bersih, dan memantau pertumbuhan balita di posyandu. Kegiatan pemantauan pertumbuhan balita, dan ibu hamil di posyandu harus didukung oleh data yang lengkap dan akurat dari hasil setiap kegiatan posyandu. Adapun laporan data balita, ibu hamil saat ini di Posyandu Anggrek I masih menggunakan buku tulis. Hal tersebut menyebabkan beberapa permasalahan seperti buku mudah rusak, hilang, ketidak sesuaian dan ketidak akuratan pelaporan, duplikasi data , tidak konsisten, hak akses data yang tidak terkondisikan, media penyimpanan bersifat sementara, sulit dilakukan pengolahan data untuk menghasilkan informasi penting tentang gambaran kondisi balita dan ibu hamil di lingkungan posyandu. Oleh karena itu posyandu harus memiliki Sistem Informasi Posyandu untuk pelaporan data, pencarian data, pemantauan pertumbuhan balita dan ibu hamil yang diakses dengan mudah dan cepat sehingga memiliki keakuratan, keamanan, ketersediaan, kelengkapan data berkelanjutan dan mendukung pengambilan keputusan dengan efektif dan efesien. Metode yang digunakan pada pengabdian masyarakat ini yaitu penyuluhan kesehatan dan workshop penggunaan Sistem Informasi Posyandu. Adapun hasil dari kegiatan ini adalah peningkatan kesadarana akan pentingnya kesehatan, tersedianya sistem informasi posyandu yang dapat digunakan masyarakat dan kader posyandu dengan baik dan benar untuk pemantauan tumbuh kembang anak dan ibu hamil.
Evaluation of User Satisfaction in the Satusehat Application Sulistianingsih Sulistianingsih; Mieke Nurmalasari; Hosizah Hosizah; Witri Zuama Qomarania
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.346-359

Abstract

Digital transformation in the health sector aims to provide quality, fast, easy, affordable, and measurable services to the community. User satisfaction is paramount when providing services. Key factors influencing user satisfaction include Information, System, and Service Quality. The objective of this study is to evaluate the impact of information quality, system quality, and service quality on user satisfaction with the SATUSEHAT. This research used a quantitative with a cross-sectional design technique. This research using a quota sampling method with 106 respondents. This research using multiple linear regression analysis with univariate and multivariate classical assumption tests. This research focuses on SATUSEHAT application users who actively use social media platforms like Instagram and Twitter. The evaluation aims to provide insights into the impact of information, system, and service quality of the SATUSEHAT application's user satisfaction with the SATUSEHAT application. The results explain that 56.6% of respondents were female, 43.3% were male. 54.7% of this study's respondents were undergraduates aged 19 - 34 years, 67.0% of respondents. Most of the respondents' jobs were employees, 34.9%. Service quality significantly influences SATUSEHAT application The results of the regression coefficient value for user satisfaction is 0.651, and quality of the information, with a regression coefficient of 0.113. The The study found that information, system, and service quality significantly influence user satisfaction with the SATUSEHAT application.
RELATIONSHIP RELATIONSHIP BETWEEN COMPLETENESS OF DIAGNOSIS WRITING AND THE ACCURACY OF INJURY CASE CODEFICATION OF INPATIENTS AT RAA SOEWONDO PATI REGIONAL HOSPITAL: HUBUNGAN KELENGKAPAN PENULISAN DIAGNOSIS DENGAN KETEPATAN KODEFIKASI KASUS CEDERA PASIEN RAWAT INAP DI RSUD RAA SOEWONDO PATI Kafida Mey Dhani Rahmat; Ambarwati; Hosizah Markam; Mieke Nurmalasari
Journal Health Information Management Indonesian Vol. 4 No. 3 (2025): Desember (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/mik.v4i3.200

Abstract

The completeness of the medical record is very important, especially on the medical resume sheet which contains a summary of the patient's diagnosis. The completeness of the medical record greatly affects the accuracy of the disease codification. This study aims to determine the relationship between the completeness of writing a diagnosis and the accuracy of the coding of cases of injury to inpatients. This research is an analytical survey research with a quantitative approach. The study population was 94 medical records so that a sample of 49 medical records was obtained using a systematic random sampling technique. Data analysis of this study used the chi square test with a cross-sectional research design. The percentage of completeness in writing the diagnosis was 46.9% complete while 53.1% was incomplete. The accuracy of the codeification of injury cases is 36.7% correct and 63.3% is incorrect, while the percentage of external cause coding is 0% because there is no external cause coding by the officer. Fishers exact test showed that the value of p = 0.000 0.05. This means that H1 is accepted and Ho is rejected so that there is a relationship between the completeness of writing a diagnosis and the accuracy of the codefication of inpatient cases of injury at the RAA Soewondo Pati Hospital. The author suggests that there is communication between the medical record officer and doctors and nurses in order to write down the complete diagnosis and supporting information about the external cause in the case of injury, the coder is obliged to provide an external cause code in the case of injury and revision of the SOP regarding the provision of a diagnosis code
Convolutional Neural Networks-Based Deep Learning for Diabetic Retinopathy Detection Nurmalasari, Mieke; Kurniawati, Anastasia Cyntia Dewi; Herwanto, Agus; Kurniawati, Dyah; Muchlis, Husni Abdul; Pertiwi, Tria Saras
Indonesian Journal of Artificial Intelligence and Data Mining Vol 9, No 1 (2026): March 2026
Publisher : Universitas Islam Negeri Sultan Syarif Kasim Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24014/ijaidm.v9i1.38631

Abstract

Diabetic retinopathy (DR) is a major complication of diabetes that can cause permanent vision loss, affecting about 35% of people with type 2 diabetes worldwide. However, existing diagnostic models often struggle with class imbalance and limited generalizability across diverse real-world datasets. Early detection is crucial, yet manual screening is time-consuming and depends on expert assessment. This study develops an automated DR diagnostic system using deep learning to classify fundus images by severity. The model uses an EfficientNetB3 CNN pretrained on ImageNet, combined with CLAHE preprocessing to enhance image contrast. The preprocessing steps include resizing, CLAHE, normalization, and data augmentation (±20° rotation, horizontal flipping, and ZCA whitening). The dataset is the Gaussian-filtered APTOS 2019 set, consisting of 2,750 images across five DR levels (0–4). The model achieved 95% training accuracy and 75% validation accuracy, with overfitting observed after epoch 14. While training performance was high, evaluation metrics (Precision, Recall, F1-Score, and AUC) indicate the need for early stopping or regularization to improve generalization. Overall, CNN-based deep learning can effectively automate DR detection, though further optimization is required for better performance on unseen data. Clinically, this automated pipeline offers a reliable decision-support tool to prioritize high-risk patients for immediate ophthalmological review
BIMBINGAN TEKNIS VISUALISASI DATA KLAIM INA-CBG’S UNTUK PMIK DI RSIJ PONDOK KOPI Nurmalasari, Mieke; Muchlis, Husni Abdul; Qomarania, Witri Zuama; Iqbal, Muhammad Fuad; Kendrastuti, Nungky Nurkasih; Maryati, Yati; Simanjuntak, Herliani Florentina; Aruni, Amelia; Rachmadiany, Syalaisha Nuraini; Arman, Akhmad Tri; Rhinaldi, Steven
Indonesian Journal of Health Information Management Services Vol. 6 No. 1 (2026): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v6i1.159

Abstract

Visualisasi data klaim INA-CBG’s memiliki peran strategis dalam meningkatkan efisiensi dan kualitas pelayanan rumah sakit. Unit Rekam Medis dan Informasi Kesehatan (RMIK) RSIJ Pondok Kopi menghadapi keterbatasan kompetensi dalam mengolah dan memvisualisasikan data klaim secara analitis. Tujuan bimbingan teknis ini meningkatkan kompetensi Perekam Medis dan Informasi Kesehatan (PMIK) dalam mengolah dan memvisualisasikan data klaim INA-CBG’s menggunakan Tableau Public untuk mendukung pengambilan keputusan berbasis data. Kegiatan dilaksanakan pada tanggal 12 November 2025 dengan metode pelatihan sistem yang meliputi sosialisasi, pretest, penyajian materi, praktik langsung dalam pembuatan visualisasi data, pengumpulan, dan evaluasi. Sebanyak 14 peserta dari unit Pelatihan, Rekam Medis, Casemix, dan perawat melakukan pelatihan selama 120 menit. Hasil dari kegiatan peserta mampu membuat berbagai jenis visualisasi (pie chart, bar chart, boxplot, dan interactive dashboard) dengan penilaian nilai rata-rata dari 52 (pretest) hingga 73 (evaluasi akhir), menghasilkan penilaian kepuasan sebesar 40,4%. Kegiatan yang dilaksanakan telah meningkatkan kompetensi PMIK dalam visualisasi data klaim INA-CBG’s dan mendorong terbentuknya budaya kerja berbasis data di rumah sakit.