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All Journal Jurnal Surya Journal of Mathematics, Computation and Statistics (JMATHCOS) Journal of Hospital Administration and Excellent Health Service
Bota Muhammad Akbar
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Humanities Education Health Professions Mathematics Medicine & Pharmacology Nursing Public Health Veterinary

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KOMORBIDITAS PENYANDANG CEREBRAL PALSY DI KOMUNITAS CEREBRAL PALSY METRO AL UM ANISWATUN KHASANAH; Efraldo Yudistira; Bota Muhammad Akbar
Surya : Jurnal Media Komunikasi Ilmu Kesehatan Vol 13, No 3 (2021): Jurnal Surya, Vol. 13, No. 03, Desember 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i3.298

Abstract

Background: Kondisi salah satu difabel macam-macam salah satunya yaitu Cerebral Palsy. Sebagian besar anak Cerebral Palsy paling sedikit memiliki satu kelainan penyerta atau komorbiditas. Pada data SCPE, komorbiditas yang paling umum ditemukan adalah gangguan berbahasa (71%), diikuti oleh gangguan intelektual (62%), epilepsi (39%), dan gangguan penglihatan (22%).Objectives: Tujuan penelitian untuk mengetahui masalah komorbiditas Cerebral Palsy sehubungan dengan  angka harapan hidup pasien yang bergantung pada beratnya disabilitas yang dialami pada komunitas Cerebral Palsy MetroDesign: Rancangan Penelitian ini merupakan penelitian deskriptif analitik dengan menggunakan desain cross sectional atau potong lintang. Dalam desain cross sectional digunakan pendekatan transversal, dimana observasi terhadap variabel bebas dan variabel terikat dilakukan hanya sekali pada saat yang sama.Dengan Jumlah sampel penelitian 50.Data Sources: Subjek penelitian laki-laki 31 (62%) dan perempuan 19 (38%), dengan sampel rentang usia antara 0-18 tahun. Peserta paling banyak pada tipe CP Spastik QuadriplegiaResults: hasil Komorbiditas Cerebral Palsy pada subjek penelitian. Pada Disabilitas intelektual berjumlah 30 (60%), Epilepsy berjumlah 19(38%), Gangguan visual 3(6%), Gangguan wicara 37(74%), Gangguan perkembangan dan pertumbuhan 14(28%), Gangguan BAB 10 (20%), Gangguan Pernapasan 4 (8%), Gangguan ortopedi deformitas ankle 23(46%), Gangguan deformitas scoliosis 21 (42%), Gangguan subluksasi Hip 9(18%), Gangguan tidur 11 (22%), yang mana perindividu Cerebral Palsy paling banyak memiliki tiga komorbiditas dan banyak dimiliki oleh tipe CP Spastik QuadriplegiaConclusions: Komorbiditas pada penyandang cerebral palsy di komunitas cerebral palsy  metro yang paling banyak pada gangguan wicara serta ditemukan lebih dari tiga komorbiditas pada individu cerebral palsy  dengan tipe CP spastik Quadriplegia.
PCA-SVM Classification: Motor Ability of Down Syndrome Based on Education, Economics And Physiotherapy Therapy Bota Muhammad Akbar; Al Um Aniswatun Khasanah; Sangidatus Sholiha; Wardhani Utami Dewi
Journal of Mathematics, Computations and Statistics Vol. 8 No. 1 (2025): Volume 08 Nomor 01 (April 2025)
Publisher : Jurusan Matematika FMIPA UNM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35580/jmathcos.v8i1.7261

Abstract

The classification of motor abilities of individuals with Down Syndrome is essential to identify more effective developmental patterns. However, research that integrates educational, economic, and physiotherapy factors in the classification model is still limited, especially in the application of machine learning-based methods. The purpose of this study is to classify using PCA-SVM on the motor ability of DS based on education, economics, and physiotherapy therapy. PCA is used to reduce the dimensions of the dataset by extracting the main features that have the greatest variation, thereby increasing the efficiency and accuracy of classification. Meanwhile, SVM with Radial Base Function RBF Kernel is applied to build a classification model capable of handling non-linear data and finding optimal hyperplanes as the separation boundary between classes. This study used 50 samples obtained from POTADS in Lampung Province, Indonesia. The results showed that PCA successfully extracted three main components that explained 80.2% of the variance of the data. The SVM model achieved an overall accuracy of 80.2%, with the highest classification success rate at Level 1 (100%) and Level 3 (75%), while Level 2 had some classification errors due to a wider variation in sample characteristics. This study implies that the resulting model can be used to identify individuals at risk of motor difficulties, allowing for earlier and targeted behavior. In addition, the results of this study can be a reference for medical practitioners and educators in developing therapy and education strategies that are more in line with the needs of each individual.
IMPLEMENTASI KEBIJAKAN PELAYANAN KESEHATAN LANSIA MELALUI PEMERIKSAAN FUNGSIONAL DI TINGKAT DESA: STUDI DESKRIPTIF DI PURWODADI 13A METRO Al Um Aniswatun Khasanah; Hapy Ardiaviandaru Siamy; Sri Yuliana; Afif Fairuz A Zain; Bota Muhammad Akbar; Dhofirul Fadhil Dzil Ikrom Alhazmi; Efraldo Yudistira
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. No, 1 (2026): Januari 2026
Publisher : Journal of Hospital Administration and Excellent Health Service

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Abstract

Peningkatan jumlah penduduk lanjut usia (lansia) menuntut penguatan sistem pelayanan kesehatan yang tidak hanya bersifat kuratif, tetapi juga promotif dan preventif. Salah satu bentuk implementasi kebijakan pelayanan kesehatan lansia berbasis komunitas adalah pemeriksaan fungsional di tingkat desa untuk mendeteksi dini risiko penurunan fungsi fisik. Penelitian ini bertujuan untuk mendeskripsikan implementasi kebijakan pelayanan kesehatan lansia melalui pemeriksaan fungsional menggunakan Sit and Reach Test di Balai Desa Purwodadi 13A Metro. Penelitian ini menggunakan desain deskriptif kuantitatif dengan teknik total sampling terhadap 14 lansia yang mengikuti kegiatan pemeriksaan kesehatan. Variabel yang diamati meliputi karakteristik responden (jenis kelamin, usia, berat badan) serta hasil fleksibilitas otot hamstring dan punggung bawah melalui Sit and Reach Test. Data dianalisis secara deskriptif menggunakan nilai minimum, maksimum, dan rerata. Hasil penelitian menunjukkan bahwa mayoritas responden adalah perempuan (78,6%) dengan rentang usia 51–77 tahun dan berat badan 48–75 kg. Pemeriksaan Sit and Reach Test memperoleh nilai terendah 9 cm dan tertinggi 20 cm, dengan rerata 14,07 cm. Sebagian besar lansia berada pada kategori fleksibilitas cukup hingga baik, serta lansia perempuan cenderung memiliki nilai fleksibilitas lebih tinggi dibandingkan laki-laki. Temuan ini menegaskan bahwa pemeriksaan fungsional lansia telah terlaksana sebagai bagian dari implementasi kebijakan pelayanan kesehatan lansia di tingkat desa. Pemeriksaan sederhana seperti Sit and Reach Test dapat menjadi indikator penting dalam pelayanan preventif serta dasar perencanaan program lanjutan, seperti senam lansia dan pemantauan kesehatan berkala.
ANALISIS MANAJEMEN PELAYANAN PEMERIKSAAN KLASIFIKASI ATLET PENYANDANG DISABILITAS DI NATIONAL PARALYMPIC COMMITTEE INDONESIA PROVINSI LAMPUNG M Tasa Kasumbang; Efraldo Yudistira; Bota Muhammad Akbar; Al Um Aniswatun Khasanah; Muhammad Faris Nuuruddin; Nabila Nur Afifah Fitri
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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Abstract

Introduction: Athlete classification is a fundamental component of para-sports, ensuring fair competition by determining athletes' eligibility based on functional abilities according to the International Paralympic Committee (IPC) standards. At the regional level, classification requires not only accurate clinical assessment but also efficient health service management. However, the classification process at the National Paralympic Committee of Indonesia (NPCI) Lampung Province still faces challenges related to scheduling, infrastructure, and administrative management. Objective: This study aimed to analyze the health service management of athlete classification and propose strategies to improve service efficiency at NPCI Lampung Province. Methods: A qualitative descriptive approach was employed. Data were collected through in-depth interviews, observations, focus group discussions, and document reviews involving NPCI administrators, medical classifiers, physiotherapists, technical classifiers, and para-athletes. Data were analyzed using the Miles, Huberman, and Saldaña interactive model. Results: Three major challenges were identified, including scheduling inconsistencies, limited examination infrastructure, and paper-based administrative management. Based on these findings, an Integrated Para-Classification System (IPCS) was proposed to integrate administrative processes, medical screening, physiotherapy assessment, technical classification, and documentation into a single service pathway. Conclusion: The proposed integrated service model has the potential to improve service efficiency, strengthen multidisciplinary collaboration, and enhance the quality of athlete classification management at NPCI Lampung Province.
IMPLEMENTASI AKTIVITAS STIMULASI MOTORIK HALUS BERBASIS BERMAIN PADA BALITA DI POSYANDU BUNGA TANJUNG Al Um Aniswatun Khasanah; Nabila Nur Afifah Fitri; Efraldo Yudistira; Muhammad Tasa Kasumbang; Muhammad Faris Nuuruddin; Bota Muhammad Akbar
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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Abstract

Introduction: Fine motor development is a crucial aspect of child growth and development that should be stimulated early through play activities appropriate to the child's developmental stage. Posyandu (Integrated Health Service Posts) have the potential to serve as promotive and preventive community-based health services for providing developmental stimulation. This study aimed to describe the implementation of play-based fine motor stimulation activities for toddlers at Posyandu Bunga Tanjung. Methods: This study employed a descriptive observational design with a cross-sectional approach. The participants were all toddlers who attended the fine motor stimulation activities at Posyandu Bunga Tanjung on April 18, 2026, selected using a total sampling technique. The stimulation activities included color matching games, a marble maze, puzzles, and a ball relay using bottle caps. Data were collected through direct observation and analyzed descriptively using frequency distributions and percentages. Results: A total of 49 toddler participations were recorded, consisting of color matching games (n=22), marble maze (n=13), puzzles (n=8), and ball relay (n=6). The color matching games showed the greatest variation in repetition frequency, whereas the other three activities were predominantly completed with a single repetition. Conclusion: Play-based fine motor stimulation activities can be implemented in Posyandu as a promotive strategy to stimulate various components of fine motor skills according to the characteristics of each activity. The variation in repetition frequency reflects toddlers' participation patterns during the activities rather than the effectiveness of the intervention or improvements in fine motor skills.
Co-Authors Afif Fairuz A Zain Al Um Aniswatun Khasanah AL UM ANISWATUN KHASANAH Dhofirul Fadhil Dzil Ikrom Alhazmi Efraldo Yudistira Efraldo Yudistira Hapy Ardiaviandaru Siamy M Tasa Kasumbang Muhammad Faris Nuuruddin Muhammad Tasa Kasumbang Nabila Nur Afifah Fitri Sholiha, Sangidatus Sri yuliana Wardhani Utami Dewi