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The Long-Term Spectrum of Neurological Sequelae After Stroke: A Systematic Review of Multidimensional Outcomes Chairunnisa; Ikchan Malik Napitupulu
The International Journal of Medical Science and Health Research Vol. 22 No. 2 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/vnwqrk60

Abstract

Introduction Stroke is the world's second leading cause of death and a dominant driver of long-term disability globally. The acute vascular insult initiates irreversible brain damage, characterized by the rapid loss of approximately 1.9 million neurons per minute during compromised cerebral perfusion (Lee et al., 2024). This systematic review evaluates the prevalence, trajectory, and key predictors of chronic neurological, cognitive, and psychosocial deficits following stroke, focusing on the multi-dimensional burden up to 10 years post-event. Methods This systematic review was conducted in adherence to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA 2020) guidelines (PRISMA 2020). We included longitudinal cohort studies and population registers that assessed outcomes at least six months post-stroke. Methodological rigor was ensured by applying the ROBINS-I Version 2 tool to evaluate the risk of bias across the included non-randomized studies (ROBINS-I V2). Results Fifteen high-quality longitudinal studies were included, aggregating data on over 15,000 stroke survivors. Neurological and functional deficits demonstrated a recovery plateau by one year, after which they remained chronically stable (Wolfe et al., 2011). Rates of severe disability (Barthel Index <15) stabilized at approximately 11.0%, and general cognitive impairment persisted at 18.0% one year post-stroke (Wolfe et al., 2011). The annual incidence of new dementia was found to be 1.7%, effectively doubling the risk compared to the non-stroke population (Chen et al., 2018). Critically, socioeconomic status (SES) emerged as a powerful prognostic determinant. Lower income was independently associated with poorer executive function and a lower total brain volume to total intracranial volume (TBV/TICV) ratio (Lee et al., 2024), while living in a socioeconomically deprived neighborhood increased the odds of a poor functional outcome by 55% (OR, 1.55; 95% CI, 1.25–1.92) (Robinson et al., 2024). Discussion The high and persistent prevalence of functional and psychosocial deficits, including anxiety (35.0-40.0%) and depression (31.0-35.0%), confirms stroke's classification as a chronic, long-term condition (Wolfe et al., 2011). The analysis suggests that socioeconomic vulnerability may accelerate underlying neurodegeneration, reducing the brain's structural resilience (TBV/TICV) and impairing neuroplastic potential, thereby explaining the observed disparity in chronic outcomes (Lee et al., 2024). Effective management strategies must target integrated rehabilitation and address the systemic social determinants that modulate neurological recovery. Conclusion Long-term neurological deficits after stroke are highly prevalent and persistently debilitating. The significant and negative association between lower socioeconomic status and neurological outcomes necessitates policy interventions to mitigate these social determinants of health and restructure care toward a chronic disease model.
The Use of Integrated Digital Series Image Media with A Deep Learning Approach to Improve Narrative Writing Skills Oktaviana, Eva; Chairunnisa; Maria Ulfa
IDEAS: Journal on English Language Teaching and Learning, Linguistics and Literature Vol. 13 No. 2 (2025): IDEAS: Journal on English Language Teaching and Learning, Linguistics and Lite
Publisher : Universitas Islam Negeri Palopo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24256/ideas.v13i2.7963

Abstract

This research is based on the background of problems in learning to write narrative texts, including the low writing skills of students in paying attention to spelling, vocabulary, and difficulties in developing their ideas to be poured into a narrative text. In addition, based on survey data from the Programme for International Student Assessment (PISA) conducted by the Programme for Economic Cooperation and Development (OECD) in 2022, students' literacy and numeracy skills are still low. The purpose of this study is to improve the ability to write narrative texts using digital series image media through a deep learning approach. The method used is classroom Action Research, with the Kemmis and Mc Taggart models through 2 cycles, each cycle through four stages, namely planning, action, observation and reflection. The data collection technique used a narrative text writing test using digital series image media, observation, interviews and documentation. Meanwhile, the analysis technique uses data triangulation. The research subjects of grade V elementary school students. The results of the study showed that 38% of pre-tests, 78% of the first cycle and 81% of the second cycle. The results of the observation of the first cycle were 80% and the second cycle 90%. It can be concluded that students' narrative writing skills can be improved through digital series drawings through a deep learning approach because the images produced are in accordance with the students' daily lives, making it easier for students to express their ideas.
Jejak Islamisasi dan Akulturasi Budaya di Kesultanan Palembang Chairunnisa; Dzulkifli Hadi Imawan
TAMADDUN Vol 25 No 1 (2025): Tamaddun: Jurnal Kebudayaan dan Sastra Islam
Publisher : Fakultas Adab dan Humaniora UIN Raden Fatah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19109/tamaddunuinradenfatah.v25i1.27110

Abstract

Peradaban era kesultanan Palembang memiliki proses perjalanan sejarah yang panjang. Mulai dari masa kejayaan Sriwijaya, runtuhnya Sriwijaya, masa perdagangan Palembang sebagai pusat, masa kesultananan Palembang hingga masuk pada kolonial Belanda. Islam masuk ke Palembang pada abad ke-16 dan berkembang pesat, mengubah tatanan sosial dan politik masyarakat setempat. Artikel ini menggunakan penelitian kualitatif deskriptif dengan prosedur dan teknik deskriptif, yang berfokus pada sumber data dari kepustakaan, terutama literatur yang relevan untuk objek yang diteliti. Hasil dari penelitian ini menunjukkan bahwa Transformasi pada era kesultanan Palembang ini mencerminkan dinamika sosial, ekonomi, dan budaya yang diwarnai oleh interaksi antara pengaruh global dan tradisi lokal, dan menjadikan Palembang sebagai salah satu pusat peradaban Islam yang penting di Indonesia.
Keuangan Menurut Hukum Islam Muammar Khaddafi; Nazwa Arifa; Weni Aulia; Rivia Rivia; Rina Kurniati; Chairunnisa; Firman Adi
Jurnal Intelek Dan Cendikiawan Nusantara Vol. 2 No. 6 (2025): Desember 2025 - Januari 2026
Publisher : PT. Intelek Cendikiawan Nusantara

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

Abstract

Penelitian ini mengkaji penerapan prinsip-prinsip hukum ekonomi Islam dalam sistem keuangan di Indonesia, dengan tujuan untuk mempromosikan keadilan, stabilitas, dan keberlanjutan ekonomi dalam jangka panjang. Hukum ekonomi Islam bersumber dari Al-Qur'an, Sunnah, ijma', dan qiyas, yang berfungsi sebagai dasar normatif untuk memastikan bahwa aktivitas ekonomi dilakukan tanpa adanya unsur riba, gharar, dan maysir. Penelitian ini memakai metode tinjauan pustaka kualitatif dengan menggali informasi dari buku akademik, artikel jurnal ilmiah, undang-undang, dan fatwa dari lembaga keuangan Islam yang berwenang. Hasil analisis menunjukkan bahwa prinsip-prinsip dasar hukum ekonomi Islam seperti tauhid, keadilan, kejujuran, al-ihsan, dan kemaslahahan telah diintegrasikan ke dalam sistem keuangan nasional melalui perkembangan perbankan Islam, pengenalan instrumen keuangan yang sesuai syariah, dan peningkatan mekanisme regulasi serta pengawasan. Namun, pelaksanaan prinsip-prinsip tersebut masih menghadapi beberapa tantangan, terutama terkait dengan rendahnya literasi keuangan Islam dan cara pandang masyarakat terhadap sistem keuangan Islam. Oleh karena itu, penelitian ini menekankan pada pentingnya memperkuat kerangka regulasi, mendorong inovasi dalam produk keuangan Islam, dan meningkatkan kerja sama antara pemerintah, lembaga keuangan, dan masyarakat untuk memaksimalkan kontribusi hukum ekonomi Islam bagi sistem keuangan nasional.
PENERAPAN PROGRAM SIX-WEEKS DALAM MENINGKATKAN EFEKTIVITAS DAN MUTU PEMBELAJARAN DISEKOLAH MADRASAH ALAM YA BUNAYYA MUARA BUNGO Wiwin Narti; Darajoh, Umi; Nur Azizah, Siti; Chairunnisa; Putri Agustina, Nia
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 01 (2026): Volume 11 No. 01, Maret 2026 Release
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i01.42925

Abstract

This study examines the implementation of the Six Weeks Program in enhancing learning effectiveness and quality at Madrasah Alam Ya Bunayya Muara Bungo. Designed as a holistic orientation for early childhood students, the program focuses on developing learning readiness, self-help skills, independence, and Islamic values. Using a qualitative approach with participatory observation and parental testimonies, findings reveal that the program facilitates positive adaptation among children, teachers, and the school environment. Significant improvements were observed in children's independence, social-emotional competence, discipline, and daily self-regulation. The study concludes that the Six Weeks Program serves as an effective holistic learning model, with active school-family collaboration being essential to its success in fostering character development and educational quality.
Epistemology of Khidmah in Islamic Marketing and the Impact on Consumer Satisfaction Chairunnisa; Annisah Budiwati
Ihtifaz: Journal of Islamic Economics, Finance, and Banking Vol. 8 No. 2 (2025)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijiefb.v8i2.12675

Abstract

Introduction : The Concept of Khidmah in Sharia Marketing emphasizes the values of sincere service, honesty, and fairness while ensuring that products remain halal and beneficial. This approach fosters both material and spiritual consumer satisfaction while building long-term harmonious relationships. This article employs descriptive qualitative research methods with descriptive procedures and techniques, focusing on data sources from literature, particularly relevant references to the object of study. The findings of this study indicate that the concept of Khidmah in Islamic marketing plays a crucial role in establishing harmonious relationships between business practitioners and consumers. Sincere, responsive, and ethical services not only enhance consumer satisfaction and loyalty but also create blessings and long-term benefits, positioning Islamic marketing as a sustainable solution for business success and societal well-being. Purpose: This article aims to explore the concept of Khidmah in Islamic marketing and its impact on consumer satisfaction, emphasizing the values of sincere service, honesty, and fairness in business practices. Methodology: This research adopts a descriptive qualitative approach, with data collection sourced from literature and descriptive analysis to understand the relationship between the concept of Khidmah and consumer satisfaction. Findings: The findings of this study indicate that the application of the concept of Khidmah in Islamic marketing plays a significant role in building harmonious relationships between business practitioners and consumers. This not only enhances consumer satisfaction and loyalty but also creates blessings and long-term benefits for all parties involved.  
Edukasi Pengelolaan Sampah melalui Pemasangan Plang Informasi oleh Mahasiswa KKN-PPM di Dusun Lamkuta Putri, Kiki Erliansyah; Khan, Muhammad Rajib; Putri, Salsabila Amanda; Chairunnisa; Zikra, Risyad; Putri, Chalilah Titania; Aldina, Nurulita; Utariningsih, Wheny
Dedikasi Mandiri Nusantara Vol. 1 No. 1 (2025): Dedikasi Mandiri Nusantara - Desember 2025
Publisher : Dedikasi Mandiri Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.17174804

Abstract

Pengelolaan sampah masih menjadi permasalahan lingkungan yang belum tertangani secara optimal, terutama di kawasan pedesaan. Rendahnya kesadaran masyarakat dalam memilah sampah organik dan anorganik sering menimbulkan pencemaran. Sebagai bentuk kepedulian lingkungan, mahasiswa KKN-PPM Universitas Malikussaleh Kelompok 02 melaksanakan kegiatan edukasi melalui pemasangan plang informasi tentang sampah di Dusun Lamkuta, Desa Reuleut Timu, Kecamatan Muara Batu, pada 10 Agustus 2025. Plang tersebut berisi penjelasan jenis sampah organik dan anorganik beserta estimasi waktu terurainya, dilengkapi dengan penyediaan dua tempat sampah terpilah di sekitar balai dusun. Hasil kegiatan menunjukkan meningkatnya pemahaman masyarakat tentang perbedaan sampah dan pentingnya memilah sejak dari rumah. Program ini menjadi langkah awal membangun kebiasaan positif pengelolaan sampah berbasis masyarakat.
Co-Authors A Aribowo Adhynugraha, Muhammad Ilham Adi Zulkifli Boangmanalu Agus Aribowo Ahmad Ari Masyhuri Ahmad Fauzan Ahmad Jauhari Hamid Ripki Akasumbawa, Muhammad Dedat Dingkoroci Aldina, Nurulita Amelia Amelia Putri Anita Annisah Budiwati Aria Mahardika Ashabi Kahfy Baehaqi Bayu Teguh Ujianto Budi Arianto PS, Budi Arianto PS Cahya, Fadli Carla Chairunnisya Chairunnisa Sahril Chaniago Cindy Destika Cindy Yunika Safithry Darajoh, Umi Difa Rahmawati Cibro Dzulkifli Hadi Imawan Faris Taufiqurrahman Fathia, Tasya Ferdi Riansyah Firman Adi Fitriani Ningsi Friska Dela Oktapiani Gadis Halizasia Hadis Purba Hanina Hanna Wirena Putri Hasna Dewi Hegar Harini Herlina Hibatillah Hasanah I B Wiranto I R Alfikri Ihsana Taufiqo Muflihah Iis Pusparina Ikchan Malik Napitupulu Ikhsan, Maulana Intan Fadilah Ira Yuniati Jahrona Harahap Jihan Jonni Syah R. Purba Khairunnisa Khairunnisa Khan, Muhammad Rajib Khuzaini Lalu Mulyadi Mahruri Saputra Mailisa, Wiska Marhadi Maria Ulfa Masrum Masyhuri , Ahmad Ari Millizia, Anna Muammar Khaddafi Muhammad Alfiansyah Muhammad Bayu Rizaldy Muhammad Ikhlas Munawaroh Nabila Putri Natasya Nadia Safana Nazwa Arifa Nelva Riza Ninik Asmaningsih Soemyarso Nopriantini Novi Andaresta Nur Afiqoh Nurrina Zulfa Nurrohmad, Abian Nurul Hikmah Baharuddin OKTAVIANA, EVA Pamudi, Berwi Fazri Pramana, Nurhadi Purwana E.S., Dedi Putri Agustina, Nia Putri, Chalilah Titania Putri, Kiki Erliansyah Putri, Salsabila Amanda Rahmah, Aqlima Rahmat Hidayat Reira Izzatunisa Rendi Praja Pratama Revalina Stevy Revita Sari Reza Aril Ahri Rezky Kurniawan Rifa Shakila Rina Kurniati Risky Vitria Prasetyo Rivia Rivia Rizal, Muhammad Ifani Syarkawi Rizka, Adi RIZKI AMALIYAH S O Saraswat Samadan, Puspa Dewiputri Sayuti, Muhammad Shupaeroh, Hanna Yasmin Sipa'us Sa'adah Siti Ardianti Siti Nur Azizah, Siti Slamet Haryono Sovia Harahap Sy, Evha Nazalatus Sa'adiyah Syahrial Shaddiq Teuku Ilhami Surya Akbar Teuku Yudhi Iqbal Tri Wulan Dari Utariningsih, Wheny Wahyu Agung Hidayatullah Wahyuni, Hendra Weni Aulia Wianda Ramadhanty Wiwin Narti wiwit, Wiwit Aditama Yughni Aulia Nabila Zafirah Choirunisyah Zaneta Maharani Zikra, Risyad Zuhrina Aidha Harahap