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Prolotherapy as a Novel Adjunct in Post-Stroke Pain Management: A Pilot Study at RSUD Dr. Saiful Anwar Malang Lestari, Dwi Indriani; Rahmad; Pringga, Gutama Arya; Pambayun, Sheilla Elfira San; Musthafa, Ferdian; Puspitasari, Yuan Laura; Ichsan; Noor, Syeda Tazkia; Zulfikar, Dilloniar Bahny; Ariani, Maydah
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 2 (2025): SPMRJ, AUGUST 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i2.65514

Abstract

Background: Post-stroke pain (PSP) and musculoskeletal complications significantly hinder recovery and quality of life in stroke survivors. Prolotherapy, a regenerative injection therapy, has shown promise in managing musculoskeletal disorders but remains underexplored for PSP. Aim(s): This study evaluates the effectiveness of prolotherapy in reducing pain, improving range of motion (ROM), and enhancing functional outcomes in PSP patients. Material and methods: This pilot study employed a pre-experimental design with pretest and posttest measurements. Conducted at RSUD Dr. Saiful Anwar Malang, the study included three stroke patients experiencing chronic musculoskeletal pain. Prolotherapy injections containing hypertonic dextrose were administered at regular intervals. Primary outcomes included pain (Numerical Rating Scale), ROM, and spasticity (Modified Ashworth Scale). Secondary outcomes were assessed using the Barthel Index, Short Form-36, and Fugl-Meyer Assessment. Statistical analyses were descriptive, with paired t-tests applied to outcome changes. Result: Significant improvements in pain levels (mean NRS reduction from 5.67±1.5 to 3.0±2.0) and ROM, particularly in shoulder flexion and wrist extension, were observed. Spasticity showed minor improvements in some muscle groups. Functional outcomes, including Barthel Index and SF-36 scores, demonstrated positive trends, with two participants improving from severe dependency to moderate independence. Conclusions: Prolotherapy shows promise as an adjunctive intervention for PSP, offering potential benefits in pain reduction and functional recovery. As the first study of its kind at RSUD Dr. Saiful Anwar Malang, it lays the groundwork for future large-scale research to validate these findings and refine clinical applications. Keywords: Stroke, Prolotherapy, Pain, Rehabilitation, post-stroke pain, functional performance
Survei Sarana dan Prasarana Pendukung Teknologi di Sekolah Dasar Negeri di Kecamatan Sukadana Gunawan, Ari; Richiardo, Ricky; Rahmad; Arifahmi Hamzah, Doddy; Porja Daryanto, Zusyah
Journal Sport Academy Vol. 3 No. 1 (2024): June 2024
Publisher : Universitas PGRI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31571/jsa.v3i1.105

Abstract

The purpose of this study is to determine the ideal standard of technology-supporting facilities and infrastructure in State Elementary Schools throughout Sukadana District, Kayong Utara Regency. The method used in this research is a descriptive selection method with a survey form. The techniques used to collect data in this study are direct observation, direct communication, and documentary study, while the tools used to collect data are observation sheets, interview sheets, and documentation. The population in this study uses saturated sampling. The data analysis technique in this study uses frequency distribution. The results of the study concluded that the technology-supporting facilities and infrastructure in State Elementary Schools throughout Sukadana District, Kayong Utara Regency have not met the ideal standard criteria based on the Minister of National Education Regulation Number 24 of 2007. The availability of facilities and infrastructure in State Elementary Schools throughout Sukadana District, Kayong Utara Regency in 2024 provides an average of 53% of the ideal standard. The ownership of facilities and infrastructure in State Elementary Schools throughout Sukadana District belongs to the schools. The feasibility of facilities and infrastructure in State Elementary Schools throughout Sukadana District, Kayong Utara Regency is categorized as Inadequate.
Analysis of Smart Infrastructure Implementation in Facilities and Infrastructure of Supporting Hospital for Nusantara Capital City: Bahasa Indonesia Rahmad; Oryza Lhara Sari
Jurnal Teknik Sipil dan Lingkungan Vol. 10 No. 2: October 2025
Publisher : Departemen Teknik Sipil dan Lingkungan IPB

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29244/jsil.10.2.213-224

Abstract

As part of the 100 Smart Cities program and a buffer for the Nusantara Capital City (IKN), Balikpapan City is facing a population growth that has the potential to increase. This growth affects the quality of health services at Hospital X in Balikpapan City, where physical and digital infrastructure needs to be improved to accommodate the needs of patients and visitors. Infrastructure challenges include improving waste management facilities and infrastructure that are still inadequate in line with the increase in patients, as well as the lack of facilities for people with disabilities throughout the hospital area. Therefore, the purpose of this study is to analyze the application of the smart infrastructure concept based on the priority level of variables between mobility, energy management, networks and telecommunications, waste and waste management, and health variables, so that it is expected to provide quality from the existing physical and digital infrastructure to staff workers, patients, and hospital visitors. The results of the analysis using the Analytical Hierarchy Process method obtained a priority scale based on the weight value obtained is Mobility (0.252) with the implementation of a smart parking system (0.208), Energy Management (0.208) with the implementation of smart renewable energy (0.354), Waste and Waste Management (0.197) with the implementation of smart waste bins (0.353), Network and Telecommunication (0.195) with the implementation of automatic attendance using fingerprints (0.369), and Health (0.149) with the implementation of medical sensors to monitor chronic disease patients (0.237).
PERAN GUGUS PENJAMINAN MUTU PENDIDIKAN GURU MADRASAH IBTIDAIYAH REGIONAL KALIMANTAN DAN PROGRAM STUDI TERAKREDITASI UNGGUL DALAM PROSES PENJAMINAN MUTU Rahmad; Syahmidi; Syarifah Salmah
Jurnal Penjaminan Mutu Vol 10 No 02 (2024)
Publisher : UHN IGB Sugriwa Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25078/jpm.v10i02.3257

Abstract

SPMI is a systemic activity to guarantee the quality of higher education by each university autonomously or independently to control and improve the implementation of higher education in a planned and sustainable. AMI is a systematic and independent audit activity carried out internally by educational institutions carried out by LPM together with auditors, on units and study. This article aims to describe the implementation of SPMI in universities in Central and South Kalimantan. The subjects selected are members of the selected LPM Campus and then proceed to the management of the PGMI study program. The results of this research are that universities that have a superior title, such as Lambung Mangkurat University, already use an international standard quality assurance system. This is through LPM ULM which has been certified ISO 9001:2015 by SAI Global. UIN Antasari has started implementing the same thing. This is due to the certification of ISO 21001:2018 and ISO 9001:2015 by PT Decra. IAIN Palangka Raya still has not implemented this. Another finding is that the Internal Quality Assurance Activities of the PGMI Study in South Kalimantan and Central Kalimantan have carried out monitoring and evaluation by GPM and carried out by AMI regularly and periodically. Then the Internal Quality Assurance System (SPMI) at IAIN Palangka Raya is on a good track but needs further improvement. For example, this increase was added to SPME in the form of implementing ISO at IAIN Palangka Raya.  
Effect of The Temperature on The Size of Inhibition Zone of the Clindamycin, Levofloxacin, Tetracycline, and Trimethoprim Activity Against Staphylococcus aureus ATCC 25923 Sistiyono, Sistiyono; Martsiningsih, Marta Atik; Kasiyati, Menik; Rahayu, Muji; Pudyastuti, Rita Rena; Suyana, Suyana; Rahmawati, Ully; Rahmad; Faruq, Zulfikar Husni; Setiawan, Budi
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1353

Abstract

Antibiotic sensitivity testing is essential for determining bacterial susceptibility to antibiotics. In disc diffusion testing, several technical factors influence the diameter of the inhibition zone, including incubation temperature, which must be carefully controlled to ensure the validity of test results. This study aims to determine the mean, difference, and analyze the diameter of the inhibition zone of the antibiotics, namely Clindamycin, Levofloxacin, Tetracycline, and Trimethoprim against Staphylococcus aureus on Mueller-Hinton agar media with incubation temperatures of 33°C, 34°C, 35°C, 36°C and 37°C for 18 hours. This research is observational, with a cross-sectional design. The primary data is 100 data on the diameter of the antibiotic inhibition zone, obtained by measuring the diameter of the inhibition zone with different incubation temperatures. The selection of antibiotics is based on the mechanism of action of antibiotics inhibiting bacteria, namely the cell wall or cell membrane that surrounds the bacterial cell; the pieces of machinery that make the nucleic acids DNA and RNA, and the machinery that produces proteins (the ribosome and associated proteins) with a range of inhibition zones based on Internal Quality Control CLSI. The data and the repeated measure statistical test will be processed univariately to determine the significance of the difference in the diameter of the formed inhibition zone using the ANOVA test. The measurement of the inhibition zone diameter on the incubation temperature variation showed a significant difference with a p-value of 0.000 for Levofloxacin, Tetracycline, and Trimethoprim, while the p-value of Clindamycin is 0.010. For the other antibiotics, Levofloxacin, Tetracycline, and Trimethoprim antibiotics, the higher the incubation temperature, the average diameter of the inhibition zone is condensed, while for Clindamycin the higher the incubation temperature, the higher the average diameter of the inhibition zone is the same. Incubation temperature and volume affect the diameter of the antibiotic inhibition zone in the disc diffusion method for the antibiotic sensitivity test. It can be concluded that incubation temperature affects the diameter of the antibiotic inhibition zone in disc diffusion tests. It is recommended for future standardized and precise testing conditions to ensure accurate and reliable antibiotic sensitivity results.              
PENGEMBANGAN MEDIA PEMBELAJARAN SEPAK BOLA SEKOLAH MENENGAH PERTAMA BERBASIS GOOGLE SITE : PENGEMBANGAN MEDIA PEMBELAJARAN SEPAK BOLA SEKOLAH MENENGAH PERTAMA BERBASIS GOOGLE SITE Rahmad
Jurnal Pedagogik Olahraga Vol. 11 No. 1 (2025): Jurnal Pedagogik Olahraga
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jpor.v11i1.67440

Abstract

Penelitian ini bertujuan untuk mengembangkan media pembelajaran sepak bola berbasis Google Site untuk siswa Sekolah Menengah Pertama (SMP) dengan menggunakan model pengembangan ADDIE (Analysis, Design, Development, Implementation, Evaluation). Penelitian dilakukan melalui tahapan analisis kebutuhan, perancangan desain, pengembangan media, implementasi dalam pembelajaran, serta evaluasi efektivitas media. Hasil validasi ahli materi dan media menunjukkan bahwa produk sangat layak digunakan dengan persentase kelayakan di atas 85%. Uji coba terbatas pada siswa kelas IX menunjukkan bahwa media mampu meningkatkan pemahaman konsep dasar sepak bola dan memfasilitasi pembelajaran mandiri. Penggunaan Google Site sebagai media pembelajaran terbukti efektif, fleksibel, dan mudah diakses, terutama di wilayah dengan keterbatasan infrastruktur teknologi.
Peran Mahasiswa dalam Pengenalan Bahan Ajar Digital Berbasis Website untuk Meningkatkan Keterampilan Bahasa Indonesia Siswa MI di Kota Palangka Raya Aulia Rahmah Ariani; Fatimatu Zahra; Sifana Dewi; Zaitun Qomariah; Rahmad
Jurnal Pengabdian Masyarakat: Tipis Wiring Vol 4 No 2 (2025): Tepis Wiring: Jurnal Pengabdian Masyarakat
Publisher : Fakultas Ekonomi dan Bisnis Unversitas Islam Raden Rahmat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33379/tepiswiring.v4i2.7481

Abstract

This Community Service (PKM) activity aims to overcome the problem of low Indonesian language skills of students at MI/SD Palangka Raya City, which is caused by the lack of interactive teaching materials. This study developed website-based digital teaching materials to increase student motivation and involvement in the learning process. The methods used include needs analysis, learning media design, and training in the use of teaching materials for students and teachers. Quantitative results showed an increase in the average student score from 72.8 in the pretest to 88.2 in the posttest, with 95% of material experts assessing the teaching materials as very suitable for use. In addition, positive feedback from teachers and students reflects increased motivation and active participation in learning. This PKM activity is expected to be an innovative model in basic education, providing a positive contribution to the quality of Indonesian language learning at the elementary school level
RANCANG BANGUN SISTEM MONITORING KESEHATAN BERBASIS INTERNET OF THINGS (IOT) RAHMAD; NURDIN; CHAEROEN NIESA
JTIK (Jurnal Teknik Informatika Kaputama) Vol. 9 No. 2 (2025): Volume 9, Nomor 2, Juli 2025
Publisher : STMIK KAPUTAMA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59697/jtik.v9i2.1017

Abstract

Penelitian ini membahas sistem monitoring kesehatan berbasis Internet of Things (IoT) dengan menggunakan Arduino Uno dan pulse sensor untuk mendeteksi detak jantung (BPM) manusia. Sistem ini terdiri dari komponen utama seperti Arduino Uno, pulse sensor, OLED LCD, LED, dan buzzer. Pulse sensor yang dipasang pada jari mendeteksi sinyal denyut nadi, lalu mengirimkan data ke Arduino untuk dihitung sebagai BPM. Hasil perhitungan ditampilkan pada layar LCD. Jika BPM berada di luar batas normal, buzzer akan berbunyi dan LED menyala sebagai peringatan. Sistem ini dirancang untuk memantau detak jantung secara real-time dan memberikan respons otomatis saat kondisi tidak normal terdeteksi. Hasil pengujian menunjukkan bahwa alat ini berfungsi dengan baik dan mencapai tingkat keberhasilan sebesar 80%.
THE EFFECT OF THE FLIPPED CLASSROOM LEARNING MODEL ON STUDENT LEARNING OUTCOMES IN INDONESIAN GRADE IV AT MIS HIDAYATUL MUHAJIRIN PALANGKARAYA Fathul Jannah; Rahmad; Sri Normuliati
SOSIOEDUKASI Vol 14 No 4 (2025): SOSIOEDUKASI : JURNAL ILMIAH ILMU PENDIDIKAN DAN SOSIAL
Publisher : Fakultas Keguruan Dan Ilmu Pendidikan Universaitas PGRI Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36526/sosioedukasi.v14i4.6541

Abstract

This study aims to analyze the influence of the Flipped Classroom model on the learning outcomes of Indonesian language in grade IV at MIS Hidayatul Muhajirin. In this model, students learn basic materials at home through videos/learning materials, while face-to-face time is focused on discussions and application exercises. The study was carried out because the learning outcomes, especially the capacity to speak and present, were still low. The study uses a quantitative approach with a quasi-experimental design of Nonequivalent Control Group Design through pretest-posttest. The results of the study are expected to present learning alternatives that are able to intensify student motivation, activeness, and learning outcomes.