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Analysis of The Effect of INA CBGs Diagnoses on Costs in Outpatient THT Specialist Poly Hospital X Surabaya Roesbiantoro, Andi; Aan Adriansyah, Agus; Dany Afina, Rizka; Sa'adah, Nikmatus; Setianto, Budhi
Jurnal Ilmiah Kesehatan Vol 18 No 01 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i01.6437

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BPJS Kesehatan will pay to advanced referral Health Facilities. BPJS Kesehatan pays with the INA CBG's (Indonesia Case Base Groups) package system. INA CBGs is a payment system with a package system based on the diseases suffered by patients (1) knowing the disease pattern in the ENT-KL Polyclinic of RSX Surabaya, (2) calculating the unit cost of the 10 most common diseases, (3) calculating the relationship between age range and INA CBGs coding on drug costs using the relationship test. The method used in this research is a retrospective descriptive study. The population and sample of this study were BPJS patient data. The type of data used was TXT secondary data in the outpatient ENT clinic. The type of data used is secondary data from BPJS patient, the total sample was a population of 750. The data was processed using Chi-Square. From this study, it was found that most of the BPJS patients of the ENT Poli of X Hospital were male, with the highest age range being at the age of 51 - 55 years, with the INA CBGs coding being Q - 5 - 44 - 0 with the diagnosis of Tinnitus / Ringing in the ears with the total average difference per patient against hospital tariff financing compared to the INA CBGs Tariff was 83,593. There is a relationship between the Age Range and INA Cbgs coding on the funding in the Pharmacy Unit, which is ENT.
Anti-inflammatory effect of rain tree leaf extract gel (Samanea saman) on fibronectin expression: study experimental Sa'adah, Nikmatus; Veronica, Silvia; Prehananto, Herlambang; Kusumastuti, Endah; Gustina, Mara; Lukis, Prima Agusti; Adriansyah, Agus Aan; Abd Ghafar, Siti Aisyah
Padjadjaran Journal of Dental Researchers and Students Vol 9, No 1 (2025): February 2025
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v9i1.59642

Abstract

ABSTRACT  Introduction: A traumatic ulcer is an open wound on the skin or mucous membranes that often results from trauma, such as scratches, bites, shocks, or pressure. Rain tree leaves (Samanea saman) have the potential to reduce pain and anti-inflammatory effects thanks to the flavonoid content. This extract works by inhibiting the cyclooxygenase and lipoxygenase pathways, which help limit inflammation and accelerate wound healing. This study aims to evaluate the effects of a 12% concentration rain tree leaf (Samanea saman) extract gel on fibronectin expression in the process of healing traumatic ulcers. Methods: This experimental laboratory study employed a post test only control group design. The sample consisted of male white rat wistar Rattus norvegicus and a gel of rain tree leaf extract extracted with a 98% ethanol solvent using a maceration method with a 12% concentration. Data analysis was performed using the Mann- Whitney U test. Results: The highest average was observed in the treatment group receiving the 12% rain tree leaf extract gel (Samanea saman), with an average value of 54.078, while the lowest average was found in the placebo gel control group, with a value of 22.462. Statistical analysis using the Mann-Whitney U test revealed a significant difference between groups (p = 0.004, p < 0.05). Conclusion: A 12% concentration of rain tree leaves (Samanea saman) extract gel significantly enhances fibronectin expression, contributing to the healing process of traumatic ulcers. KEY WORDS: Traumatic ulcers, fibronectin, rain tree leaf extract gel (Samanea saman), wound healing process. Antiinflamasi gel ekstrak daun trembesi (Samanea saman) terhadap ekspresi fibronektin: studi eksperimental ABSTRAK Pendahuluan: Ulkus traumatikus adalah luka terbuka pada kulit atau mukosa yang sering disebabkan oleh trauma seperti goresan, gigitan, benturan, atau tekanan. Daun trembesi (Samanea saman) memiliki potensi mengurangi nyeri dan efek anti-inflamasi berkat kandungan flavonoid. Ekstrak ini bekerja dengan menghambat jalur siklooksigenase dan lipooksigenase, yang membantu membatasi peradangan dan mempercepat proses penyembuhan luka. Tujuan penelitian ini untuk mengetahui peranan gel ekstrak daun trembesi (Samanea saman) dengan konsentrasi 12 % terhadap ekspresi fibronektin pada proses penyembuhan ulkus traumatikus. Metode: Eksperimental laboratoris dengan desain penelitian post test only control group. Sampel menggunakan hewan coba tikus putih jantan wistar Rattus norvegicus dan gel ekstrak daun trembesi yang diekstraksi dengan pelarut etanol 98% menggunakan metode maserasi dengan konsentrasi 12 %. Analisis data menggunakan uji Mann- Whitney U. Hasil: Rata-rata tertinggi ditemukan pada kelompok perlakuan yang menerima gel ekstrak daun pohon trembesi 12% (Samanea saman), dengan nilai rerata sebesar 54,078, sedangkan rata-rata terendah ditemukan pada kelompok kontrol gel plasebo, dengan nilai sebesar 22,462. Uji Mann-Whitney U menunjukan bahwa terdapat perbedaan yang signifikan dengan nilai signifikan n 0,00 < 0,05. Simpulan: Pemberian gel ekstrak daun trembesi (Samanea saman) 12% berpengaruh terhadap ekspresi fibronektin pada proses penyembuhan ulkus traumatikus. KATA KUNCI: Ulkus Traumatikus, fibronektin, gel ekstrak daun trembesi (Samanea saman), proses penyembuhan luka. 
Enhancement of Knowledge and Internalization of Culture Through Employee Training at RS Islam Surabaya Budhi Setianto; Adriansyah, Agus Aan; Lukiyono, Yauwan Tobing; Karmila, Hartatik Nila; Effendi, Effendi; Sa’adah, Nikmatus
Journal of Health Community Service Vol. 5 No. 1 (2025): Journal of Health Community Service: 2025 January
Publisher : UNUSA Press

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Abstract

The addition of employees at the Surabaya Islamic Hospital means that they don't know each other, the difference in generations is one of the clashing problems related to communication. If this problem is left unchecked, it is possible that conflicts will often occur, and teamwork will not be formed in accordance with the organization's expectations. Objectives: community service is to organize cultural internalization workshops and routine exercise programs aimed at creating a pleasant work atmosphere. The informal happy atmosphere aims to foster good teamwork between employees. The implementation method is to provide workshops to increase employee culture internalization and exercise. Based on the results of this workshop, there was an increase in knowledge of 14.2%. There is a significant difference between the Pre Test and Post Test based on the results of the Paired Sample T-Test with an Apha of 5%.
Oral Cavity Disease Incidents in the Framework of World Oral Health Day Sa'adah, Nikmatus; Sari, Multia Ranum; Putri, Annisa
Journal of Community Engagement and Empowerment Vol 7, No 1 (2025)
Publisher : Institut Ilmu Kesehatah Bhakti Wiyata Kediri

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Abstract

Oral and dental health is important to support quality of life, including the ability to speak, eat, and socialize without pain or embarrassment. Dental and oral problems can cause pain, discomfort, infection, sleep disturbances, and high medical costs, which have an impact on decreasing the quality of learning and work productivity. This community service program aims to increase awareness of maintaining oral hygiene, educate how to detect oral diseases early, and encourage regular visits to the dentist every six months. The method is carried out through teledentistry, which utilizes the Surbo Chat application and WhatsApp TanyaPepsodent. The results of this program revealed that 90% of patients did not understand early detection of oral diseases, and 95% of patients had dental problems, with the most cases being caries. The conclusion of this activity is that teledentistry is effective in providing consultation and education related to dental and oral health.
The effect of natural Zeolite (Ag-Zeolite) modified with silver against the inhibition of Candida albicans Catur SEPTOMMY; Nikmatus SA’ADAH; Binti MU’AROFAH
Journal of Syiah Kuala Dentistry Society Vol 5, No 2 (2020): December 2020
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v5i2.20013

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Candida albicans is a commensal microorganism or normal flora in the mouth, and about 20-75% is found in the general population without causing symptoms (Candida carriers). C. albicans is a primer agent that cause oral candidiasis. Silver modified natural Zeolite has potential antifungals. This research aimed to know the effect of silver modified natural Zeolite (Ag-Zeolite) on the C. albicans growth. Antifungals were treated through a good diffusion test. Antifungals agents were divided into four groups. They were 30 mg with 0.025 M (AgNO3), 0.05 M (AgNO3), 0.1 M (AgNO3) modified natural zeolite, and unmodified natural zeolite. Each group has treated into four times well diffusion tests. This research showed that 0.1 M (AgNO3) modified natural Zeolite has the highest inhibition. ANOVA test showed the average diameter of inhibition was significant in 0,004 (p0,05). Each group has different average diameter inhibition. In conclusion, the active natural Zeolite with silver modification can inhibit the growth of C. albicans better than natural Zeolite without silver modification
Pengenalan Sariawan dan Penyuluhan Potensi Buah Nanas dalam Pencegahan Sariawan Rongga Mulut pada Peserta Open House Institut Ilmu Kesehatan Bhakti Wiyata Kediri Sawitri Dwi Indah Pertami; Ernita Sari; Herlambang Prehananto; Eka Resti Efrata; Nikmatus Sa’adah; Rudi Irawan; Nur Dianawati; Endah Kusumastuti
Cakrawala: Jurnal Pengabdian Masyarakat Global Vol. 4 No. 2 (2025): Mei: Cakrawala: Jurnal Pengabdian Masyarakat Global
Publisher : Universitas 45 Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30640/cakrawala.v4i2.4467

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The mouth sores are one of the most common oral lesions in adolescents, which refer to several different conditions, the most common of which are recurrent aphthous stomatitis and traumatic ulcers. Traumatic ulcers are generally caused by physical trauma such as biting while chewing, sharp foods, or improper brushing techniques. Recurrent aphthous stomatitis is idiopathic, with predisposing factors of hormones, stress, and nutritional deficiencies. Although relatively mild, canker sores can cause pain, interfere with eating and speaking activities, and reduce quality of life. Early prevention is very important, one of which is through a nutritional approach. Pineapple (Ananas comosus) contains phytochemical compounds such as bromelain, vitamin C, and antioxidants which are known to have anti-inflammatory effects and accelerate wound healing. This community service activity aims to introduce the public, especially high school students, to mouth sores, their causes, how to prevent them, and the potential of pineapple as a natural agent in preventing canker sores. The activity was carried out in the framework of the Open House of the Bhakti Wiyata Kediri Health Science Institute and was attended by 100 high school students from various public and private schools in Kediri City and its surroundings, consisting of 57 female students and 23 male students. The activity methods were in the form of counseling, presentation, and pre and post tests. The survey results showed an increase in participant knowledge from 58.2% to 92.6%. This activity was effective in increasing student awareness of mouth sores and the benefits of pineapple in maintaining oral health.
EFEK ANALGESIK EKTRAK DAUN TREMBESI (Samanea saman (Jacq.) Merr.) TERHADAP MENCIT PUTIH (Mus Musculus) Sa'adah, Nikmatus; Chasanah, Niswatun; Pertami, Sawitri Dwi Indah; Rohmaniar, Puspa Dila; Adriansyah, Agus Aan; Ulah, Ahda Mas
Cakradonya Dental Journal Vol 14, No 1 (2022): Februari 2022
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v17i1.25450

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Pendahuluan: Nyeri merupakan pengalaman sensorik dan emosional yang tidak menyenangkan akibat kerusakan jaringan. Daun Trembesi (Samanea saman (Jacq.) Merr.) dapat menjadi salah satu tanaman alternatif herbal sebagai analgesik. Senyawa metabolit sekunder flavonoid dan steroid pada ekstrak daun Trembesi (Samanea saman (Jacq.) Merr.) dapat berfungsi sebagai analgesik dengan cara menghambat mediator-mediator inflamasi dengan cara menghambat pelepasan asam arakidonat, sehingga kerja enzim siklooksigenase terblokir. Tujuan dari penelitian ini adalah mengetahui efek analgesik ekstrak daun Trembesi (Samanea saman (Jacq.) Merr.) terhadap mencit putih (Mus Musculus). Metode: Penelitian eksperimental laboratoris ini menggunakan teknik simple random sampling dengan sampel terdiri dari 30 ekor mencit yang dibagi menjadi 5 kelompok. Pemberian larutan secara per oral, kemudian diinduksi nyeri dengan asam asetat 1% secara intraperitonial. Jumlah geliat mencit diamati setiap 5 menit selama 30 menit, lalu dihitung presentase daya analgesik dan efektivitas analgesiknya. Hasil: Dari hasil penelitian didapatkan ekstrak daun Trembesi (Samanea saman (Jacq.) Merr.) dosis 100mg/kgBB dapat memberikan efek analgesik yang lebih besar yaitu 9,2% dibandingkan dengan ekstrak daun Trembesi (Samanea saman (Jacq.) Merr.) dosis 25 mg/kgBB dan 50 mg/kgBB yang hanya memberikan efek analgesik sebesar 34,7% dan 23,1%. Simpulan: Terdapat efek analgesik ekstrak daun Trembesi (Samanea saman (Jacq.) Merr.) pada mencit putih (Mus Musculus).
Evaluation of InaCBGs Tariffs for BPJS Outpatient Patients as an Effort to Control Quality and Costs at the ENT Outpatient Clinic of Surabaya Islamic Hospital Roesbiantoro, Andi; Setianto, Budhi; Adriansyah, Agus Aan; Afina, Rizka Dany; Kusumawati, Diah Retno; Sa'adah, Nikmatus
Jurnal Ilmiah Kesehatan Vol 18 No 03 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i03.7883

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This study aims to analyse shifts in demographic profiles and the distribution of BPJS healthcare service financing at the ENT Polyclinic of Surabaya Islamic Hospital from 2023 to 2024. Data indicate an increase in the proportion of adult and elderly patients, as well as a dominance of female patients. Additionally, there has been a change in the financing structure: the proportion of consultation costs has decreased, while expenditures on nursing, medications, and equipment rental have increased. The analysis of the difference between hospital tariffs and INA-CBGs claims indicates improved efficiency despite a decrease in the number of cases. The urgency of this study lies in the hospital's need to adapt to changes in patient characteristics, which are increasingly dominated by the elderly with chronic disease risks, potentially increasing the cost burden. This situation is relevant to national challenges in maintaining the sustainability of the JKN scheme and improving service quality based on accreditation. The results of this study are expected to serve as a basis for developing more adaptive service management strategies, emphasizing the strengthening of primary care, chronic disease control, and the implementation of an integrated health information system to ensure cost efficiency and service quality.
Analysis of Patient Characteristics, Financing of Actions and Diagnosis of Disease in BPJS Patients Syagran, Evy; Setianto, Budhi; Adriansyah, Agus Aan; Setiyowati, Eppy; Sa'adah, Nikmatus
Journal for Quality in Public Health Vol. 5 No. 1 (2021): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v5i1.225

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Background: Dental and oral health services are a form of professional service that is an integral part of health services for the community, families or individuals3. Implementation of a dental specialist clinic at the 2nd health facility is a referral from the health facility 1 All financing is borne by BPJS with INA CBGS financing. Purpose: This study aims to determine patient characteristics and disease diagnosis of BPJS patients in specialist dental clinic in Islamic Hospital Surabaya. Methods: This study used a qualitative research method with a descriptive analytic study. From the BPJS TXT data for January - December 2019, there were 7153 patient visits at the dental specialist clinic of the Islamic Hospital in Surabaya, the TXT data is data issued by the BPJS as a result of purification of billing file data recognized by the BPJS. Results: Based on the results of the study, it was found that most of the patients were male, with the largest age ranges being <25 years and> 50 years. The implementation of the tariff difference between INA CBGS and the fare difference of the Islamic Hospital in Surabaya is - 128,091,924 with an average of - 17,907 / patient. Of the total TXT, the largest financing of the INA CBGS tariff is the doctor service rate with a percentage of 54.90%. Conclusion: the implementation of BPJS examination of specialist dental polyclinic at RS Islam Surabaya did not give the maximum benefit.
SOSIALISASI PENGELOLAAN SAMPAH MELALUI PEMBERDAYAAN PERAN IBU-IBU PKK DI DESA MURTAJIH KECAMATAN PADEMAWU KABUPATEN PAMEKASAN Adriansyah, Agus Aan; Firdausi, Nurul Jannatul; Sa’adah, Nikmatus; Arifah, Ika Fahraeni; Sanila, Halimatus; Sulistianah, Renjani; Puspitasari, Megaratri
Jurnal Difusi Ipteks Legowo Vol. 1 No. 1 (2023): Jurnal Difusi Ipteks Legowo
Publisher : Perkumpulan Legowo Cerdas Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62242/jdil.v1i1.1

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Until now Murtajih village does not yet have a communal landfill. Waste disposal is carried out in open land by being piled or burned because the community is not accustomed to sorting garbage. Therefore, socialization about waste management is needed to reduce the amount of waste, increase creativity and public welfare. The expected outcome is to increase community understanding and creative ideas emerge in creating economically valuable waste products. Service starts by surveying the target group, preparing infrastructure and infrastructure, action and evaluation. The action reviews the community's initial knowledge, dissemination of waste management through PowerPoint media, videos and simulations of waste bank management, and understanding of community knowledge after the intervention. Final evaluation by comparing the value of pretest and posttest using the Wilcoxon-test. The socialization was carried out with counselling on the target to increase public understanding and concern in waste management. Socialization was given through exposure material, video management and waste management practices targeting PKK mothers. Early identification shows that community knowledge is still not good, whereas after socialization it has become better. The community has the initiative to make a garbage bank administrator. This activity indicates the importance of socialization in increasing public knowledge and awareness of waste management.
Co-Authors Abd Ghafar, Siti Aisyah Afina, Rizka Dany Agus Aan Adriansyah Ahda Mas Ulah Ahda Mas Ulah Aizatun Nisa Akas Yekti Pulih Asih Andi Roesbiantoro Anggarwati, Fauziah Rizki Annisa Putri Arifah, Ika Fahraeni Arindis, Pinky Ayu Marsela Asmarani, Yolanda Kartika Asri, Arilis Larasati Ode Bagus Soebadi Binti MU’AROFAH Budhi Setianto Budhi Setianto Chasanah, Niswatun Dany Afina, Rizka Diffran Nobel Bistara Difran Nobel Bistara Dwi Indah Pertami, Sawitri Effendi Effendi Effendi Effendi Effendi Effendy Effendy Eka Putri Pertiwi Eka Resti Efrata Elyana Asnar Endah Kusumastuti Eppy Setiyoati Eppy Setiyowati Evy Afifah Syagran Evy Afiyah Syagran Evy Afiyah Syagran Fasya, Abdul Hakim Zakkiy Gustina, Mara Hartatiek Nila Karmila Hartatik Nila Karmila Hening Tuti Hendarti Herlambang Prehananto Herlambang Prehananto Herlambang Prehananto, Herlambang Indah Lestari Indah Lestari Indah Lestari, Indah Iqbal Firdaus Iqbal Firdaus Istiati, Istiati Karmila, Hartatiek Nila Karmila, Hartatik Nila Kombih, Muhammad Fifin Kusumawati, Diah Retno Lailatul Arofah, Nur Lukis, Prima Agusti Makki Makki Mashudi, Thoifur Maya Purnia Sari Merry Susantri Moelok, Iqbal Moch Muhammad Afwan Romdloni Muhammad Zahid Abdillah Multia Ranum Sari Nailah Tri Iswira Nashifah, Nur Sa'adah Nathalya Dwi Kartika Sari Nila Karmila, Hartatiek Niswatun Chasanah Niswatun Chasanah Nur Dianawati Nurul Jannatul Firdausi Pertami, Sawitri Dwi Indah Pinky Ayu Marsela Arindis Pinky Ayu Marsela Arindis Pulih Asih, Akas Yekti Puspa Dila Rohmaniar Puspa Dila Rohmaniar Puspitasari, Megaratri Ricky Ramadhan Rizka Dany Afina Rizki Astri A Rizqullah, Widaad Roesbiantoro, Andi Rohmaniar, Puspa Dila Rudi Irawan Rusdianingsih Rusdianingsih Sanila, Halimatus Sari, Ernita Sari, Gadis Meinar Satriya Wijaya Sawitri Dwi Indah Pertami Sawitri Dwi Indah Pertami Sawitri Dwi Indah Pertami Sholihah, Mufidatus Silvia Veronica, Silvia Siti Mutmainah Soendoro, Mahayatma Sulistianah, Renjani Susantri, Mery Suyitno Suyitno Syagran, Evy Triana, Dita Eri Tuti Hendrarti, Hening Ulah, Ahda Mas Umi Hanik Umi Hanik Wahyu Eka Kurniawan Wahyuningsih, Ida Wisnu Abiarto N Yauwan Tobing Lukiyono Yuliani, Kartika