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Performance of clinical scoring and microscopic combinations for diagnosing pulmonary tuberculosis with the GenXpert criteria L. Susanti, Anita; T. Khairunnisa, Anindita; Firdaus, Firman; K. P. Dewi, Ania; Ratunanda, Susanti; Anggraeny, Dian
ACTA Medical Health Sciences Vol. 2 No. 2 (2023): ACTA Medical Health Sciences
Publisher : ACTA Medical Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pulmonary tuberculosis is a prominent health issue in Indonesia, which ranks second in the world regarding the number of patients. Rapid tuberculosis detection is crucial for early treatment, a better prognosis, and a reduction in disease transmission; however, the availability of molecular rapid tests is limited. Cross-sectional design and retrospective analyses of pre-pandemic data from 723 patients with suspected pulmonary tuberculosis from 2017 to 2019 were conducted in this study. The study aimed to assess the performance of clinical scoring and microscopic examination in tuberculosis diagnosis at RSUD Sayang Cianjur. The effectiveness of sequential (two-stage) and simultaneous combinations of clinical scoring and sputum smear microscopic were investigated. Performance assessments consisted of 2x2 tables, calculation according to Gordis, and Receiver Operator Characteristic (ROC) analysis, with GenXpert results as the gold standard. The results showed lower performance of the individually performed scoring system, with clinical scoring having a sensitivity of 34.44% and a specificity of 97.15%. Microscopic Acid Fast Bacteria (AFB) had a sensitivity of 70.20% and a specificity of 98.57%. The net sensitivity of the sequential combination was 28.48%, and the specificity was 99.05%. The net sensitivity of the simultaneous combination was 77.15%, and the specificity was 95.72%. The area under the curve from the sequential diagnostic method was 0.728, and the area under the curve of the simultaneous diagnostic was 0.884. The sequential and simultaneous combinations of clinical scoring and the AFB microscopy improved the test performance. The simultaneous combination performed slightly better than the sequential combination. DOI : 10.35990/amhs.v2n2.p63-72 REFERENCE Bagcchi S. WHO's Global Tuberculosis Report 2022. Lancet Microbe. 2023;4(1):e20. Pandey D, Yadav A. Efficacy of Gene Xpert over other diagnostic modalities of tuberculosis among children. Int J Contemp Pediatr. 2019;6(4):1545–51. Shi J, Dong W, Ma Y, Liang Q, Shang Y, Wang F, et al. GeneXpert MTB/RIF Outperforms Mycobacterial Culture in Detecting Mycobacterium tuberculosis from Salivary Sputum. Biomed Res Int. 2018;2018:1514381. Mechal Y, Benaissa E, El Mrimar N, Benlahlou Y, Bssaibis F, Zegmout A, et al. Evaluation of GeneXpert MTB/RIF system performances in the diagnosis of extrapulmonary tuberculosis. BMC Infect Dis. 2019;19(1):1069. Mukhida S, Vyawahare CR, Mirza SB, Gandham NR, Khan S, Kannuri S, et al. Role of GeneXpert MTB/RIF assay for the diagnosis of cervical lymph node tuberculosis and rifampicin resistance. Tzu Chi Med J. 2022;34(4):418–22. Vassall A, Siapka M, Foster N, Cunnama L, Ramma L, Fielding K, et al. Cost-effectiveness of Xpert MTB/RIF for tuberculosis diagnosis in South Africa: a real-world cost analysis and economic evaluation. Lancet Glob Health. 2017;5(7):e710–9. Khumsri J, Hanvoravongchai P, Hiransuthikul N, Chuchottaworn C. Cost-Effectiveness Analysis of Xpert MTB/RIF for Multi-Outcomes of Patients With Presumptive Pulmonary Tuberculosis in Thailand. Value Health Reg Issues. 2020;21:264–71. World Health Organization. Automated Real-Time Nucleic Acid Amplification Technology for Rapid and Simultaneous Detection of Tuberculosis and Rifampicin Resistance: Xpert MTB/RIF Assay for the Diagnosis of Pulmonary and Extrapulmonary TB in Adults and Children: Policy Update. Geneva: WHO; 2013. Chakraborty A, Ramaswamy S, Shivananjiah AJ, Puttaswamy RB, Chikkavenkatappa N. The role of GeneXpert in the diagnosis of tubercular pleural effusion in India. Adv Respir Med. 2019;87(5):276–80. Directorate General of Prevention and Disease Control. Tuberculosis Control in Indonesia 2022. Jakarta: Ministry of Health Republic of Indonesia; 2022. Gurung SC, Dixit K, Rai B, Dhital R, Paudel PR, Acharya S, et al. Comparative Yield of Tuberculosis during Active Case Finding Using GeneXpert or Smear Microscopy for Diagnostic Testing in Nepal: A Cross-Sectional Study. Trop Med Infect Dis. 2021;6(2). Agrawal M, Bajaj A, Bhatia V, Dutt S. Comparative Study of GeneXpert with ZN Stain and Culture in Samples of Suspected Pulmonary Tuberculosis. J Clin Diagn Res. 2016;10(5):DC09–12. Agizew T, Boyd R, Auld AF, Payton L, Pals SL, Lekone P, et al. Treatment outcomes, diagnostic and therapeutic impact: Xpert vs. smear. A systematic review and meta-analysis. Int J Tuberc Lung Dis. 2019;23(1):82–92. Orlando S, Triulzi I, Ciccacci F, Palla I, Palombi L, Marazzi MC, et al. Delayed diagnosis and treatment of tuberculosis in HIV+ patients in Mozambique: A cost-effectiveness analysis of screening protocols. PLoS One. 2018;13(7):e0200523. Subuh M, Priohutomo S, Widaningrum C. Pedoman Nasional Pengendalian Tuberkulosis. Dinihari TN, Siagian V, editors. Jakarta: Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Kemenkes RI; 2014. Baik Y, Rickman HM, Hanrahan CF, Mmolawa L, Kitonsa PJ, Sewelana T, et al. A clinical score for identifying active tuberculosis while awaiting microbiological results: Development and validation of a multivariable prediction model in sub-Saharan Africa. PLoS Med. 2020;17(11):e1003420. Hanifa Y, Fielding KL, Chihota VN, Adonis L, Charalambous S, Foster N, et al. A clinical scoring system to prioritise investigation for tuberculosis among adults attending HIV clinics in South Africa. PLoS One. 2017;12(8):e0181519. Balcha TT, Skogmar S, Sturegard E, Schon T, Winqvist N, Reepalu A, et al. A Clinical Scoring Algorithm for Determination of the Risk of Tuberculosis in HIV-Infected Adults: A Cohort Study Performed at Ethiopian Health Centers. Open Forum Infect Dis. 2014;1(3):ofu095. Zimba O, Tamuhla T, Basotli J, Letsibogo G, Pals S, Mathebula U, et al. The effect of sputum quality and volume on the yield of bacteriologically-confirmed TB by Xpert MTB/RIF and smear. Pan Afr Med J. 2019;33:110. Gordis L. Epidemiology. 5th ed. Philadelphia: Elsevier Saunders; 2014. Nahm FS. Receiver operating characteristic curve: overview and practical use for clinicians. Korean J Anesthesiol. 2022;75(1):25–36.
Pelatihan Kepemimpinan dan Pengembangan Manajerial: Strategi Meningkatkan Kompetensi Individu dan Efektivitas Organisasi melalui Pendekatan Kualitatif Sutarso, Al Bait Fiqri Zulfikar; Al Ghifari, Abdillah; Firdaus, Firman; Yughatama, Yoram; Veranita, Mira
BISMA : Business and Management Journal Vol. 3 No. 1 (2025): Bisma : Business and Management Journal
Publisher : CV. Kalimasada Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59966/bisma.v3i2.1915

Abstract

Leadership training and managerial development are essential elements in improving human resource quality and organizational effectiveness. This study aims to explore the processes and impacts of leadership training and managerial development using a descriptive qualitative approach. Data were collected through literature review, interviews with managerial practitioners, and observations of training implementation within organizational settings. The findings indicate that well-designed training significantly enhances communication skills, decision-making, team management, as well as employee satisfaction and retention. Training methods such as simulation, coaching, job rotation, and thematic training in operations, marketing, and human resources play a vital role in shaping adaptive and responsive leaders. These findings highlight the importance of continuous training programs that are relevant to organizational needs and supported by technology integration and a strong learning culture.
Status Keuangan Pada Perguruan Tinggi Negeri Badan Hukum Firdaus, Firman; Fuad, Fokky; Rifai, Anis
Jurnal Bedah Hukum Vol. 9 No. 1 (2025): Jurnal Bedah Hukum
Publisher : Fakultas Hukum, Universitas Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36596/jbh.v9i1.1847

Abstract

Abstract Legal Entity State Universities (PTN-BH) have initial wealth in the form of state wealth which is separated except for land, managed autonomously, both academic and non-academic. The problems that occurred in this study were regarding the financial status of PTN-BH, especially in financial management, which had implications for the audit criteria and financial accountability of PTN-BH. The autonomy of PTN-BH management is overlapping and ambiguous so that it always reaps controversy in its implementation. The formulation of the problem in this study discusses about; Is financial management at PTN-BH included in state financial management? and to what extent is the granting of autonomy to PTN-BH Universities in financial management? This research uses the theoretical framework of legal and financial certainty of the state. This research method is normative juridical using primary data on laws and regulations. The conclusion of this study shows that the financial management of PTN-BH is not part of the direct management of state finances but PTN-BH is given the right to independently manage all the initial and acquired wealth without eliminating legal responsibility to the state. Abstrak Perguruan Tinggi Negeri Badan Hukum (PTN-BH) memiliki kekayaan awal berupa kekayaan negara yang dipisahkan kecuali tanah, dikelola secara otonomi, baik akademik maupun non akademik. Permasalahan yang terjadi dalam penelitian ini yaitu mengenai status keuangan yang ada pada PTN-BH terutama dalam pengelolaan keuangan yang memiliki implikasi terhadap kriteria audit dan pertanggung jawaban keuangan PTN-BH. Otonomi pengelolaan PTN-BH mengalami tumpang tindih dan ambigu sehingga selalu menuai kontroversi dalam pelaksanaannya. Rumusan masalah dalam penelitian ini membahas mengenai; apakah pengelolaan keuangan pada PTN-BH termasuk kedalam pengelolaan keuangan negara? dan sejauh mana pemberian kewenangan otonomi pada Perguruan Tinggi PTN-BH dalam pengelolaan keuangan? Penelitian ini menggunakan kerangka teori kepastian hukum dan keuangan negara. Metode penelitian ini yaitu yuridis normatif dengan menggunakan data primer peraturan perundang-undangan. Kesimpulan penelitian ini menunjukkan bahwa pengelolaan keuangan PTN-BH bukanlah termasuk bagian dari pengelolaan keuangan negara secara langsung namun PTN-BH diberikan hak mengelola secara mandiri seluruh kekayaan awal maupun yang diperolehnya tanpa menghilangkan pertanggung jawaban hukum kepada negara.
KONSEP PEMASARAN INTI SEBAGAI FONDASI STRATEGI BISNIS BERORIENTASI KONSUMEN Lutfina, Nur Afifah; Firdaus, Firman; Rohendi, Acep
JURNAL EKONOMI BISNIS DAN MANAJEMEN (EKO-BISMA) Vol 4 No 2 (2025): JURNAL EKONOMI BISNIS DAN MANAJEMEN (EKO-BISMA)
Publisher : PUBLISHER ABISATYA DINAMIKA ISWARA PUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58268/eb.v4i2.205

Abstract

In the era of globalization and digitalization, marketing strategies play a crucial role in ensuring business sustainability and competitiveness. This article aims to examine the core marketing concept as the foundation for developing consumer-oriented business strategies. The research method employed is a literature study by analyzing various studies related to marketing strategies, consumer orientation, competitor orientation, and digitalization. The findings indicate that the core marketing concept is not merely a promotional tool but serves as the basis of business strategy, encompassing segmentation, positioning, and building long-term customer relationships. Both consumer and competitor orientation positively influence marketing performance, while digital and sustainability strategies enhance customer loyalty and corporate image. Furthermore, customer satisfaction is found to be more strongly influenced by product quality and location than by price and promotion. Therefore, implementing the core marketing concept with a consumer-centered approach, responsiveness to competitor dynamics, and adaptability to digital technology is essential for achieving business success in today’s global competition
Strategi Branding dan Pemasaran Produk Kopi Untuk Meningkatkan Daya Saing Petani di Pasar Nasional Lutfina, Nur Afifah; Venita, Mira; Bagenda, Wahyuddin; Mita Wydaswara; Asrini, Nani; Firdaus, Firman
Jurnal Sosial & Abdimas Vol. 7 No. 2 (2025): Jurnal Sosial & Abdimas
Publisher : LPPM Universitas Adhirajasa Reswara Sanjaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51977/hm2n2m77

Abstract

Penelitian ini bertujuan untuk mengkaji dan mengimplementasikan strategi branding dan pemasaran digital dalam rangka meningkatkan daya saing petani kopi, khususnya UMKM Elmindi Farm di Kabupaten Bandung. Meskipun memiliki kualitas produk yang tinggi dan latar budaya lokal yang kuat, produk kopi Elgeha 2010 belum mampu bersaing secara optimal di pasar nasional akibat lemahnya identitas merek dan strategi pemasaran digital yang belum terstruktur. Kegiatan ini menggunakan pendekatan kualitatif deskriptif melalui observasi lapangan, wawancara, pelatihan, dan pendampingan dalam perancangan ulang merek, kemasan, serta optimalisasi media sosial. Hasil kegiatan menunjukkan bahwa intervensi pada empat aspek utama—yakni penguatan identitas merek, manajemen konten media sosial, pemanfaatan platform digital, dan peningkatan literasi digital—berhasil meningkatkan visibilitas dan daya tarik produk di mata konsumen. Pendekatan storytelling berbasis komunitas serta penggunaan konten visual naratif terbukti mampu membangun koneksi emosional yang kuat dengan target pasar, terutama generasi muda urban. Selain itu, strategi kolaborasi dengan pelaku industri kreatif serta jejaring komunitas digital turut memperkuat posisi merek dan membuka peluang pasar baru. Simpulan dari kegiatan ini menegaskan bahwa strategi branding dan pemasaran digital berbasis kearifan lokal dan narasi yang kuat dapat menjadi kunci dalam meningkatkan daya saing UMKM kopi. Model ini berpotensi direplikasi oleh UMKM lain di daerah penghasil kopi. Diharapkan, kolaborasi berkelanjutan dan penguatan kapasitas sumber daya manusia menjadi fondasi penting dalam menciptakan keberlanjutan program serta meningkatkan kontribusi UMKM terhadap perekonomian lokal dan nasional.
Analisis Jaringan Bisnis pada Usaha Swimsuit Rianty Marselina, Resya Dwi; Fitri, Ria Nur; Nuraeni, Ine; Azmi, Irfandi Nur; Firdaus, Firman
Jurnal Pendidikan Tambusai Vol. 8 No. 1 (2024): April 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v8i1.13160

Abstract

Penelitian ini bertujuan untuk mengungkap pentingnya peran jaringan bisnis dalam mendukung perkembangan usaha Swimsuit Rianty. Metode yang digunakan adalah melalui pendekatan kualitatif dengan mengumpulkan data yang dibutuhkan melalui wawancara dengan pemilik usaha Swimsuit Rianty. Hasil penelitian menunjukkan bahwa Swimsuit Rianty berhasil membangun jaringan bisnis yang efektif melalui kerjasama dengan vendor bahan baku, seperti PT Pangjaya, CV Mulyatex, dan CV Ragambahan. Kerjasama ini memastikan ketersediaan dan kualitas bahan baku sesuai dengan standar Swimsuit Rianty. Selain itu, Swimsuit Rianty juga memanfaatkan media sosial Instagram dan platform jual beli online seperti Shopee dan Tokopedia untuk memperluas jangkauan pemasaran. Strategi ini membawa hasil positif, terutama terlihat dari peningkatan penjualan yang signifikan. Kesimpulannya, jaringan bisnis yang dibangun oleh Swimsuit Rianty melalui kerjasama dengan vendor dan pemanfaatan media sosial serta platform online berperan krusial dalam mendukung pertumbuhan dan kesuksesan usaha swimsuit ini. Penelitian ini memberikan sumbangan signifikan dalam memperluas pemahaman mengenai strategi pengembangan bisnis dalam konteks era digital dan globalisasi.
Pteridophytes Diversity and Distribution Along The Elevational Gradient of Mount Penanggungan's Hiking Trail, East Java, Indonesia Hasyim, Muhammad Asmuni; Hanifa, Berry Fakhry; Septiadi, Luhur; Firdaus, Firman; Setya, Yudha; Mulyono, Rizki Mujahidin; Achmad, Caesar Rasendria; Haq, Mochammad Nur Izzul
Jurnal Biodjati Vol 8 No 2 (2023): November
Publisher : UIN Sunan Gunung Djati Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15575/biodjati.v8i2.24938

Abstract

Pteridophytes (ferns) are a fundamental element of tropical rainforests, which provide excellent microhabitats for their development. In addition, the sensitivity of pteridophytes to shifts in microclimate and anthropogenic disturbances makes them excellent environmental bioindicators. The purpose of this study was to determine the diversity and distribution of pteridophytes along the elevational gradient of two well-known hiking trails of Mount Penanggungan, East Java, Indonesia. Using a 10x10 m2 plot and transect line, we examined the composition, species diversity using Shannon-Wiener diversity index (H'), relative abundance, and distribution pattern using Morisita index of dispersion (Id) of ferns along an elevational gradient (700–1500 m above sea level) on the hiking trails of Mount Penanggungan, i.e., Tamiajeng and Kunjorowesi. As many as 14 species from 7 families living in both terrestrial and arboreal types were identified. Species composition along the elevation gradient revealed a pattern of predominating species. The Shannon-Wiener diversity index (H') indicated a moderate level of diversity, where many pteridophytes species are found on the altitude gradient between (700-900 m dpl), and the Morisita index of dispersion (Id) indicated a clustered distribution pattern for most of the species. This pattern of diversity and distribution can be explained by changes in biotic and abiotic factors.
Perbandingan Decision Tree dan Naive Bayes untuk Prediksi Customer Churn Firdaus, Firman; Pane, Lamsihar Pandapotan
Journal of Information System and Application Development Vol. 4 No. 1 (2026): March 2026
Publisher : Universitas Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/jisad.v4i1.16837

Abstract

Customer churn merupakan permasalahan penting yang dihadapi perusahaan karena dapat berdampak langsung terhadap penurunan pendapatan dan keberlangsungan bisnis. Oleh karena itu, diperlukan metode prediksi yang akurat untuk mengidentifikasi pelanggan yang berpotensi berhenti menggunakan layanan. Penelitian ini bertujuan untuk membandingkan kinerja algoritma Decision Tree dan Naive Bayes dalam memprediksi customer churn berdasarkan pola penggunaan layanan. Dataset yang digunakan merupakan data Customer Subscription Churn and Usage Patterns yang terdiri dari 2.801 data dengan label churn bernilai Yes dan No. Proses pengolahan data dilakukan menggunakan RapidMiner dengan tahapan preprocessing, penanganan data tidak seimbang menggunakan metode Synthetic Minority Over-sampling Technique (SMOTE), serta evaluasi model menggunakan cross validation. Hasil penelitian menunjukkan bahwa algoritma Decision Tree menghasilkan kinerja yang lebih baik dibandingkan Naive Bayes dengan nilai akurasi sebesar 65,04% dan AUC sebesar 0,704, sedangkan Naive Bayes memperoleh akurasi sebesar 62,68% dan AUC sebesar 0,737. Meskipun Naive Bayes memiliki nilai AUC yang sedikit lebih tinggi, Decision Tree menunjukkan keseimbangan yang lebih baik antara akurasi, precision, dan recall dalam memprediksi customer churn. Berdasarkan hasil tersebut, dapat disimpulkan bahwa Decision Tree lebih efektif digunakan untuk prediksi customer churn pada dataset yang digunakan dalam penelitian ini.
COMPARATIVE ANALYSIS OF NEXT.JS AND GOLANG BACKEND ARCHITECTURE IN THE CIVIL RECORDS MANAGEMENT SYSTEM (SELLICA) Firdaus, Firman; Budiman, Tedi
Jurnal Media Elektro Vol 15 No 1 (2026): April 2026
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jme.v0i0.27774

Abstract

Sistem Evaluasi Layanan Lengkap Individu dan Catatan Aktivitas (SELLICA) was initially built using a monolithic architecture based on Next.js API routes. However, as the user scale increased, the system experienced performance and efficiency bottlenecks under heavy workloads. This study aims to conduct a comprehensive comparative analysis between an integrated Next.js backend architecture and a separated, service-oriented Go (Golang) backend for government-scale applications. The research method employs quantitative evaluation through performance testing (load testing with K6 and benchmarks) as well as qualitative evaluation of architectural complexity and development experience. The results indicate that migrating to a Go backend provides a response time improvement of 20 to 289 times faster, 20.25 times higher throughput, and memory usage efficiency up to 4 to 5 times lower compared to Next.js. Conversely, Next.js maintains advantages in rapid initial development and prototyping ease. In conclusion, for large-scale systems with stringent performance and concurrency requirements, a Go backend is highly recommended. A hybrid architectural approach, combining a static Next.js frontend with a Go backend, proves to be the most optimal solution in balancing high performance and cost efficiency.