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All Journal ROCE : Jurnal Pertanian Terapan Indonesian Journal of Endocrinology Metabolism and Diabetes (InaJEMD)
Irma Wahyuni
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Health Professions Medicine & Pharmacology Public Health Other

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Afecting Factors Consumer Satisfaction of Traditional Cakes Kak Nur's UMKM in Langung Village, Meurebo District, West Aceh Regency: FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUASAN KONSUMEN KUE TRADISIONAL UMKM KAK NUR DI DESA LANGUNG KECAMATAN MEUREBO KEBUPATEN ACEH BARAT Liston Siringo Ringo; Dedy Darmansyah; Khairun Nisa; Irma Wahyuni
ROCE : Jurnal Pertanian Terapan Vol. 1 No. 2 (2024): JPT ROCE 2, 2024
Publisher : PT. ROCE WISDOM ACEH

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Consumer satisfaction is the main key to the success of culinary businesses, including Kak Nur's UMKM. Factors such as product quality, price, service, and product innovation play a major role in determining the level of consumer satisfaction. This research aims to identify and analyze the factors that influence consumer satisfaction with traditional cakes produced by Kak Nur UMKM in Langung Village, Meurebo District, West Aceh Regency. We conducted this research from January to June 2024. The data analysis methods used were descriptive analysis, regression analysis, coefficient of determination test, T test, and F test. The results of the study showed that product quality, price, and service variables had a positive and significant effect on consumer satisfaction of Kak Nur's traditional MSME cakes. Based on the adjusted R square value of 0.715, which means that the independent variables are product quality, price, and service, they are able to explain 71.50 percent of the dependent variable, namely consumer satisfaction, and the remaining 28.50 percent is explained by other variables not studied.
Detection of Small Lesion Insulinoma with 68Ga-DOTATATE PET/CT scan: A Case Report Irma Wahyuni; Tri Juli Edi Tarigan; Hendra Budiawan; Alvita Dewi; Rian Hidayatullah; Hasan Maulahela
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 1 (2025): InaJEMD Vol. 2, No. 1
Publisher : PP PERKENI

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Endogenous hyperinsulinism is a rare condition characterized by inappropriate insulin secretion, with insulinoma accounting for approximately 55% of cases. A 36-year-old woman presented with recurrent hypoglycemic episodes for 4.5 years, particularly in the morning, relieved by glucose intake. Laboratory findings during a supervised fasting test revealed a blood glucose of 44 mg/dL, elevated insulin (15 μIU/mL), C-peptide (2.27 ng/mL), proinsulin (53.1 pmol/L), and suppressed beta-hydroxybutyrate (0.1 mmol/L), indicating endogenous hyperinsulinemia. Initial imaging modalities including CT, MRI, and EUS failed to localize the lesion. The patient discontinued investigation but resumed a year later with nuclear imaging studies. A 99mTc-HYNIC-TOC scan was inconclusive, but subsequent ^68Ga-DOTATATE PET/CT at Hasan Sadikin Hospital revealed a somatostatin receptor-expressing nodule at the pancreatic head, consistent with insulinoma. Given the lesion's location and imaging findings, treatment options were discussed, including Whipple’s procedure versus radiofrequency ablation. Insulinomas are typically small, with 80% under 2 cm and 40% under 1 cm, often making localization challenging. While CT and MRI have detection rates of 70% and 86% respectively, the combination of CT and EUS may reach 100% sensitivity. In cases where conventional imaging is inconclusive, ^68Ga-DOTATATE PET/CT provides a valuable alternative, capable of detecting neuroendocrine tumors as small as 6 mm. This case highlights the critical role of nuclear medicine in localizing elusive insulinomas and guiding definitive treatment.
Co-Authors Alvita Dewi Buni Amin Dedy Darmansyah Hasan Maulahela Hendra Budiawan Khairun Nisa Liston Siringo Ringo M Abduh Ulim Rian Hidayatullah Tri Juli Edi Tarigan