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All Journal Teodolita: Media Komunikasi Ilmiah di Bidang teknik The International Journal of Medical Science and Health Research The Indonesian Journal of General Medicine Jurnal Padamu Negeri
Tegar Pamungkas
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Civil Engineering, Building, Construction & Architecture Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Health Professions Medicine & Pharmacology Nursing Public Health Transportation Veterinary Other

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DesignING Post Modern ARCHITECTURE APARTMENT AT PURWOKERTO Tegar Pamungkas; Dwi Jati Lestariningsih; Yohannes Wahyu Dwi Yudono
Teodolita ( Media Komunikasi Ilmiah di Bidang Teknik ) Vol 20, No 2 (2019): Teodolita
Publisher : Fakultas Teknik Universitas Wijayakusuma Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1617.028 KB) | DOI: 10.53810/jt.v20i2.306

Abstract

Houses are one of the basic human needs that function as a place to live and shelter from outside threats,the need for housing or shelter is increasing in line with the increasing population. Purwokerto is a citywith a fairly high population development, this affects the number of residential needs and the less landthat can be utilized. For this reason, the concept of developing vertical housing or apartments arises,apartments can be a solution to the lack of available land. The architectural style that developed in the cityof Purwokerto is modern architecture that can be seen from existing buildings, for which the writer uses apost modern architectural style so that it can lift local elements. Key Words: Apartement, Purwokerto, Post ModernABSTRAKRumah merupakan salah satu kebutuhan pokok manusia yang berfungsi sebagai tempat tinggal dan tempatberlindung dari acaman luar, kebutuhan akan rumah atau hunian semakin meningkat sejalan denganbertambahnya jumlah penduduk. Purwokerto merupakan kota dengan perkembangan penduduk yang cukuptinggi hal ini berpengaruh terhadap jumlah kebutuhan hunian dan semakin sedikitnya lahan yang dapatdimanfaatkan. Untuk itu munculah konsep pembangunan hunain vertikal atau apartemen, Apartemen dapatmenjadi solusi dari minimnya lahan yang tersedia. Gaya arsitektur yang berkembang di kota Purwokertoadalah arsitektur modern yang dapat dilihat dari bangunan existing yang ada, untuk itu penulismenggunakan gaya arsitektur post modern sehingga dapat mengangkat unsur lokal.Kata Kunci : Apartemen, Purwokerto, Post Modern
DETEKSI DINI DAN EDUKASI BRAIN GYM SEBAGAI PENCEGAHAN DEMENSIA MELALUI PROGRAM PENGABDIAN DI POSYANDU WINONG Anna Sarifah; Azka Arsyada Hafizha; Helmi Nugraheni; Soraya Ismi Nur Azizah; Tegar Pamungkas; Cahyo Setiawan; Alinda Nur Ramadhani
Jurnal Padamu Negeri Vol. 2 No. 2 (2025): April : Jurnal Padamu Negeri (JPN)
Publisher : CV. Denasya Smart Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69714/te2n0v22

Abstract

Dementia is a disorder of cognitive function that results in disruption of daily activities and the quality of life of sufferers. In Boyolali Regency, the phenomenon of dementia is increasing along with the increase in the number of the elderly. However, public understanding of the symptoms and early treatment of dementia is still low. This Community Service Program aims to increase public knowledge and awareness of dementia through education, brain gym training, and early detection of dementia through the Clock Drawing Test (CDT). The activity was carried out at Posyandu Winong, Karangduwet Village with interactive lectures, joint discussions, and demonstrations. The results of the evaluation showed that there was an increase in participants' understanding of dementia from 24% in the pre-test to 80% in the post-test. Through this program, it shows that the participants gain important insights on the importance of maintaining cognition from an early age and doing physical activities such as Brain Gym regularly.
What Is The Comparative Effectiveness Of Radical Prostatectomy, Radiation Therapy, And Androgen Deprivation Therapy In Patients With Biochemically Recurrent Prostate Cancer After Initial Treatment? : A Systematic Review and Metaanalysist Studies Tegar Pamungkas; John M.Sangkai
The Indonesian Journal of General Medicine Vol. 14 No. 3 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/q303zb82

Abstract

Introduction: Biochemically recurrent prostate cancer (BCRPC) after initial treatment poses a significant clinical challenge. This systematic review and meta-analysis aimed to evaluate the comparative effectiveness of radical prostatectomy, radiation therapy, and androgen deprivation therapy (ADT), including novel antiandrogens, in patients with BCRPC without metastatic disease. Methods: Following PRISMA 2020 guidelines, 40 studies published within the last 10 years were included, comprising mostly randomized controlled trials and prospective cohorts. Eligible studies compared at least two interventions among radical prostatectomy, radiation therapy, and ADT in adult patients with biochemical recurrence after primary treatment. Primary outcomes included progression-free survival, metastasis-free survival (MFS), overall survival (OS), and treatment-related complications. Data extraction and quality assessment were performed independently by multiple reviewers. Results: The addition of ADT to salvage radiotherapy (SRT) significantly improved PSA progression-free survival (HR 0.63; 95% CI 0.53–0.74) and metastasis-free survival (HR 0.67; 95% CI 0.55–0.82). Longer ADT duration (24 months) was superior to shorter duration (6 months) in improving MFS (HR 0.77; 95% CI 0.61–0.97). Novel hormonal agents combined with ADT, such as apalutamide, abiraterone, and enzalutamide, further enhanced biochemical control (HRs ranging 0.48–0.72). No consistent overall survival benefit was observed across studies (HR 0.85; 95% CI 0.42–1.69). PSMA PET/CT-guided SRT improved biochemical progression-free survival compared to conventional imaging. Treatment-related toxicities increased with dose-intensified radiotherapy and intensified hormonal therapies but were generally manageable. Discussion: Combining ADT with SRT improves biochemical and metastasis-free outcomes in BCRPC patients. Extended ADT duration and novel antiandrogen additions show further benefit, though optimal timing and duration remain uncertain. Advanced imaging enhances treatment precision. Balancing efficacy with toxicity and quality of life is essential. Conclusion: Multimodal treatment involving salvage radiotherapy and ADT, especially with novel hormonal agents, improves disease control in biochemically recurrent prostate cancer. Personalized treatment decisions based on patient risk and PSA kinetics are crucial. Further research is needed to clarify overall survival benefits and optimize therapy duration.
Analysis Study of Outcomes Robotic-Assisted Surgery is Compared to Minimally Invasive Surgery in Pediatric Urology: A Comprehensive Systematic Review and Metaanalysis Study Tegar Pamungkas; John M.Sangkai
The International Journal of Medical Science and Health Research Vol. 4 No. 5 (2024): 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/y68aeb30

Abstract

Background: The use of robotic-assisted surgery (RAS) has increased more slowly in pediatrics than in the adult population. Despite the many advantages of robotic instruments, such as the ability to mimic the movements of the human wrist, highly magnified 3D visualization, and tremor filtration, the da Vinci Surgical System still presents some limitations for use in pediatric surgery. Method: This systematic review and meta-analysis, conducted following PRISMA guidelines and employing the PICO format, aim to explore about the analysis study of outcomes robotic-assisted surgery is compared to minimally invasive surgery in pediatric urology. Inclusion criteria encompass diverse study designs (RCTs, observational, quasi-experimental, and case-control studies) investigating the analysis study of outcomes robotic-assisted surgery is compared to minimally invasive surgery in pediatric urology, while exclusion criteria filter out studies lacking relevance to the analysis study of outcomes robotic-assisted surgery is compared to minimally invasive surgery in pediatric urology. Result: The selected articles, demonstrate a recent publication trend, with 2 are articles published in PubMed journal, 5 were published in Sage Journal, 1 were published in Lancet, 4 were published in Science Direct from 2014 – 2024. Based on the Z value of 12.79 and P value <0.00001, there is a significant comparison between robotic-assisted surgery and minimally invasive surgery. The fixed random value is 0.37, where the value here is positive. Conclusion: Robotic procedures in paediatric surgery are increasingly reported. Financial restrictions in many public health markets will likely demonstrate a reduced growth. Over the next decade, the introduction of new, more affordable robotic platforms is likely to alter this.
Co-Authors Alinda Nur Ramadhani Anna Sarifah Azka Arsyada Hafizha Cahyo Setiawan dwi jati lestariningsih, dwi jati Helmi Nugraheni John M.Sangkai Soraya Ismi Nur Azizah Yohannes Wahyu Dwi Yudono