Sudarmika, Putu
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The Association between Type 2 Diabetes Mellitus and The Outcome of COVID-19 Patients at Sanglah Hospital in 2020-2022 Upadhana, Putu Sayakumara; Sastrawan, I Gede Gita; Rahmautami, I Gita Dewi; Merry, Merry; Daradila, Ni Putu Kostarika Melia; Sutanto, Derian Adiguna; Pertiwi Manuaba, Ida Ayu Santhi; Hartadi, Putu Ardy; Ratna Kinasih, Komang Vika Nariswari; Sudarmika, Putu
Jurnal Penyakit Dalam Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Introduction.People with type 2 diabetes mellitus (T2DM) are at a higher risk of mortality from COVID-19. This study aimed to identify the relationship between T2DM and the outcome of COVID-19 patients in Sanglah Hospital Denpasar, Bali. Methods. An observational analytic study with a cross-sectional approach was conducted among COVID-19 patients. We used secondary data from the records of confirmed COVID-19 patients who were treated at Sanglah Hospital on 1 August 2020 – 28 February 2022. Sample were selected with total sampling technique. Results. There were 1,056 patients involved in this study. Most of the patients were male (n=571; 54.1%), with a median age of 59 years old. Most of the patients were categorized as severe COVID-19 (n=641; 60.7%). A total of 275 patients had T2DM (26.0%). Chi-square analysis showed a significant association of T2DM with mortality (PR=1.422; 95%CI=1.162-1.742; p=0.001), severe COVID-19 (PR=1.726; 95%CI=1.365-2.184; p<0.001), ventilator usage (PR=1.334; 95%CI=1.093-1.791; p=0.045), and longer hospitalization duration (PR=1.340; 95%CI=1.083-1.658; p=0.006) with T2DM. Logistic regression analysis showed significant association of T2DM with mortality (PR=1.536; 95%CI=1.110-2.125; p=0.010), severe COVID-19 (PR=1.704; 95%CI=1.233-2.356; p<0.001), and longer hospitalization duration (PR=1.615; 95%CI=1.191-2.190; p=0.002).
Atherogenic Index of Plasma is Correlated with Prolonged Length of Stay in COVID-19 Patients with Type 2 Diabetes Mellitus in RSUP Sanglah Denpasar Sastrawan, I Gede Gita; Upadhana, Putu Satyakumara; Handayani, Putu Novi; Laela, Tika Rizki Nur; Dewi, Kadek Aprilia Sukma; Wiguna, I Nyoman Bayu Andika; Trisna, Cindy Gracia; Putri, Komang Anjani; Agrasidi, Komang Adya Data; Sudarmika, Putu
Jurnal Penyakit Dalam Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Introduction. Atherogenic index of plasma (AIP) is a logarithmic calculation of the ratio of triglycerides to HDL cholesterol as a marker of lipid profile abnormalities. In COVID-19 patients with comorbid type 2 diabetes mellitus (T2DM), higher AIP tend to worsen the patient conditions. This study aims to assess the correlation between AIP and length of stay (LOS) in COVID-19 patients with T2DM.Methods. An analytical observational study with a cross-sectional approach was conducted among COVID-19 patients with comorbid T2DM. Data were collected from online medical records of confirmed COVID-19 patients with comorbid T2DM who were treated at Sanglah Hospital Denpasar during the period August 1-December 31, 2021. Patients who were <18 years old and did not have lipid profile data during>treatment, were excluded from this study.Results. There were 83 data samples that met the study criteria. The median age of the patients was 64 (23- 91) years, the majority were male (59%; n=49), and 30 patients died during treatment (36.1%). The median LOS for all patients was 10 (1-26) days. Patients with prolonged LOS (≥10 days) had higher triglyceride levels (171.8 vs. 120 mg/dL; p<0.001) and AIP values (0.442 vs. 0.286; p=0.02). There was a strong relationship between AIP and LOS values in COVID-19 patients with T2DM (r=0.632; p<0.001). The AIP value can well-discriminated in prolonged LOS conditions (AUC=0.883; 95%CI 0.792-0.974) with the optimal cut-off value of 0.3045 (sensitivity 75.9% and specificity 83.3%).Conclusion. AIP is correlated with prolonged LOS in COVID-19 patients with T2DM. Holistic management of COVID-19 patients with T2DM is urgently needed, including lipid profile control.
The Human Performance Technology Activities through Learning Management System-based Training Sudarmika, Putu; Wirianti, Ken; Sudatha, I Gde Wawan; Premananda, I Made Sathya
Journal of Education Technology Vol. 9 No. 1 (2025): February
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jet.v9i1.92976

Abstract

The evaluation of employee performance following technology-based training in health institutions remains a challenge, particularly in developing comprehensive assessment strategies from both employee and managerial perspectives. This study aims to analyze the relationship between the application of a Learning Management System (LMS)-based learning model and employee performance. A mixed-method study design was applied. In the first phase, quantitative data were collected through an online questionnaire, which had previously been tested for validity (r > 0.361) and reliability (Cronbach's Alpha = 0.90). A total of 400 questionnaires were distributed, with 360 respondents meeting the inclusion criteria (response rate 96.7%). The second phase employed a Focus Group Discussion (FGD) involving 20 managers to explore and deepen the quantitative findings. Data were analyzed using Pearson’s correlation test to examine the relationship between variables. The results indicated a significant relationship between the acceptance of LMS-based learning and employee performance (p < 0.05; R = 0.615). The FGD findings revealed differing perceptions, although LMS-based learning was perceived to offer advantages in terms of time flexibility and enhanced employee self-confidence. This study concludes that integrating LMS in employee training positively impacts performance improvement, implying the need for its implementation through structured learning needs analysis, LMS-based content development, and continuous performance achievement evaluation.