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The Eighth Grade Students' Vocabulary Mastery and Writing Descriptive Text Ability Purnomo, Hari Agus; Irawan, Candra; Pratama, Dedy
Journal of English Education Vol. 1 No. 2 (2023): Journal of English Education
Publisher : CV. Doki Course and Training

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61994/jee.v1i2.372

The purposes of this research were to find out the correlation between students’ vocabulary mastery and writing descriptive text and the contribution of vocabulary mastery on writing ability. The population of the study was all of the 8th grade students in SMP Negeri 6 Lempuing. In choosing the sample, random sampling was used that involved 134 students. The data were collected by using vocabulary mastery and writing descriptive text ability tests. The data were analyzed by using Pearson Product Moment to investigate the correlation between both variables and regression analysis. The results showed that the coefficient of R-value was 0.557. The category of correlation between vocabulary mastery and writing ability showed a moderate correlation. It was found that there was significant correlation between students’ vocabulary mastery and writing descriptive text ability of the eighth-grade students in SMP Negeri 6 Lempuing. There was also contribution of vocabulary mastery to writing descriptive text ability of the eighth-grade students as much 31%. Therefore, the null hypothesis (Ho) was rejected and the alternative hypothesis (Ha) was accepted. In other words, having a rich vocabulary mastery can make students easier for students to write especially for writing descriptive text.

Navigating the intersection of COVID-19 and lower extremity acute limb ischemia: A retrospective cohort study of clinical characteristics and outcomes at Dr. Cipto Mangunkusumo Hospital Muradi, Akhmadu; Fachriza, Ihza; Pratama, Dedy; Suhartono, Raden; Harunarashid, Hanafiah
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2557

Acute limb ischemia (ALI), a critical condition threatening limb viability and patient survival, has demonstrated an increased incidence during the COVID-19 pandemic, primarily due to virus-associated thrombotic complications. The pandemic has also led to delays in the diagnosis and treatment of non-COVID conditions, including ALI. The aim of this study was to evaluate the clinical characteristics and outcomes of ALI patients treated at Dr. Cipto Mangunkusumo Hospital between 2018 and 2022, comparing outcomes before and during the COVID-19 pandemic. Patients were categorized into two cohorts: pre-pandemic (n=28) and pandemic (n=53), with March 2020 marking the onset of the pandemic period. Treatment outcomes—revascularization success, re-intervention, and mortality—were assessed using multivariate logistic regression. Among the 81 patients, 34.6% were treated before the pandemic and 65.4% during the pandemic. Revascularization success was significantly higher during the pandemic (relative risk (RR): 2.46; 95% confidence interval (CI): 1.16–5.24; p=0.013), whereas no significant differences were observed in re-intervention or mortality rates (both with p>0.05). A prior history of COVID-19 was not significantly associated with revascularization outcome (p=0.933). The use of fluoroscopic guidance was significantly associated with improved revascularization success (RR: 36.58; 95%CI: 6.54–204.6; p=0.001). Rutherford classification was a significant predictor of re-intervention success (p=0.022), while the presence of dyslipidemia and cardiovascular disease were independently associated with mortality (RR: 0.08–0.76, p=0.0o5, and RR: 2.24–25.18, p=0.001, respectively). In conclusion, fluoroscopy appears to enhance revascularization outcomes in the treatment of ALI. Comorbidities such cardiovascular disease, and COVID-19 history should be taken into account when managing patients with ALI.

Comparison of Quality of Life Using Chronic Venous Insufficiency Questionnaire (CIVIQ) and Factors Affecting It in Chronic Venous Insufficiency Patients After Endovenous Microwave Ablation with High Ligation + Stripping Hudaya, Miradz; Pratama, Dedy; Sanyoto, Dhanasari Vidiawati
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 8 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i8.4752

The prevalence of Chronic Venous Insufficiency (CVI) continues to increase globally, with approximately 30-40% of the adult population experiencing varicose veins as an early manifestation of venous insufficiency. To date, there are few studies that compare endovenous microwave ablation (EMA) with conventional management of high ligation and stripping (HLS) in terms of quality of life in CVI patients. This study aimed to assess the difference in quality of life of post-operative CVI patients using the CIVIQ-20 questionnaire, by comparing patients who were treated with EMA versus HLS. This prospective cohort study involved 40 CVI patients from RSCM, Hermina Bekasi Hospital, and Hermina Depok Hospital in the May-June 2025 period. Data was collected using questionnaires. Bivariate analysis with Chi-Square test, Fischer's exact test, Independent T-test, and Mann-Whitney U test. Overall, the mean change (?) of CIVIQ score for EMA vs. HLS was 12.82 ± 6.97 vs. 14.33 ± 6.78 (p = 0.334). In patients ? 60 years of age, the ? CIVIQ score for HLS vs. EMA was 16.17 ± 5.67 vs. 10.89 ± 2.67 (p = 0.029). In female patients, the ? CIVIQ score for HLS vs. EMA was 16.63 ± 5.32 vs. 10.23 ± 4.21 (p = 0.006). No significant difference in ? CIVIQ score between HLS and EMA was found in patients < 60 years of age, male, or patients with obesity compared to normoweight. In 60?year-old CVI patients and female CVI patients, management with HLS resulted in a significantly higher CIVIQ-20 ? score than EMA. This showed a better quality of life in both groups of patients when treated with HLS.

Model Prediksi Maturasi Fistula Arteriovenosa Menggunakan Skor Risiko di RSUPN Dr. Cipto Mangunkusumo pada Periode Januari 2024 – Januari 2025 Rayka, Ivan; Pratama, Dedy; Soemarko, Dewi Sumaryani
Jurnal Locus Penelitian dan Pengabdian Vol. 5 No. 2 (2026): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v5i2.5131

Arteriovenous fistula (AVF) merupakan akses vaskular pilihan utama pada pasien penyakit ginjal kronik (PGK) stadium akhir yang menjalani hemodialisis. Namun, kegagalan maturasi AVF dilaporkan terjadi pada 20–60% kasus dan menjadi penyebab utama morbiditas serta perlunya intervensi tambahan. Hingga saat ini, belum terdapat model prediksi maturasi AVF yang dikembangkan khusus untuk populasi Indonesia. Penelitian ini bertujuan untuk mengembangkan model prediksi berbasis skor risiko untuk memperkirakan keberhasilan maturasi AVF pada pasien PGK stadium akhir di RSUPN Dr. Cipto Mangunkusumo. Penelitian ini merupakan studi kohort retrospektif yang melibatkan 87 pasien yang menjalani pembuatan AVF periode Januari 2024 hingga Januari 2025. Data diperoleh dari rekam medis meliputi karakteristik demografi, komorbiditas, lokasi AVF, diameter anastomosis, riwayat akses vaskular, dan luaran maturasi. Analisis bivariat menggunakan uji Mann–Whitney dan kai kuadrat, dilanjutkan analisis multivariat dengan regresi logistik biner metode backward stepwise. Model prediksi dievaluasi menggunakan kurva ROC dan uji Hosmer–Lemeshow. Sebagian besar pasien berjenis kelamin perempuan (54%), dengan rerata usia 49,8 tahun (SB 12,3) dan rerata BMI 25,3 kg/m² (SB 4,5). Lokasi AVF proksimal (brachiocephalic) lebih banyak dilakukan (62,1%) dibandingkan distal (radiocephalic) (37,9%). Kombinasi diabetes melitus dan hipertensi merupakan komorbiditas tersering (49,4%). Keberhasilan maturasi dalam waktu ?2 bulan mencapai 77%. Analisis multivariat menunjukkan bahwa hanya indeks massa tubuh (BMI) yang berhubungan signifikan dengan maturasi AVF (p=0,019). Model regresi logistik yang diperoleh adalah logit(p) = 0,142 × BMI – 4,898 dengan nilai Nagelkerke R² sebesar 0,169. Probabilitas maturasi meningkat seiring peningkatan BMI, misalnya dari 20,6% pada BMI 25 menjadi 34,5% pada BMI 30.

Navigating the intersection of COVID-19 and lower extremity acute limb ischemia: A retrospective cohort study of clinical characteristics and outcomes at Dr. Cipto Mangunkusumo Hospital Muradi, Akhmadu; Fachriza, Ihza; Pratama, Dedy; Suhartono, Raden; Harunarashid, Hanafiah
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2557

Acute limb ischemia (ALI), a critical condition threatening limb viability and patient survival, has demonstrated an increased incidence during the COVID-19 pandemic, primarily due to virus-associated thrombotic complications. The pandemic has also led to delays in the diagnosis and treatment of non-COVID conditions, including ALI. The aim of this study was to evaluate the clinical characteristics and outcomes of ALI patients treated at Dr. Cipto Mangunkusumo Hospital between 2018 and 2022, comparing outcomes before and during the COVID-19 pandemic. Patients were categorized into two cohorts: pre-pandemic (n=28) and pandemic (n=53), with March 2020 marking the onset of the pandemic period. Treatment outcomes—revascularization success, re-intervention, and mortality—were assessed using multivariate logistic regression. Among the 81 patients, 34.6% were treated before the pandemic and 65.4% during the pandemic. Revascularization success was significantly higher during the pandemic (relative risk (RR): 2.46; 95% confidence interval (CI): 1.16–5.24; p=0.013), whereas no significant differences were observed in re-intervention or mortality rates (both with p>0.05). A prior history of COVID-19 was not significantly associated with revascularization outcome (p=0.933). The use of fluoroscopic guidance was significantly associated with improved revascularization success (RR: 36.58; 95%CI: 6.54–204.6; p=0.001). Rutherford classification was a significant predictor of re-intervention success (p=0.022), while the presence of dyslipidemia and cardiovascular disease were independently associated with mortality (RR: 0.08–0.76, p=0.0o5, and RR: 2.24–25.18, p=0.001, respectively). In conclusion, fluoroscopy appears to enhance revascularization outcomes in the treatment of ALI. Comorbidities such cardiovascular disease, and COVID-19 history should be taken into account when managing patients with ALI.

Graduated Compression Stockings for Deep Vein Thrombosis prevention in Surgical Patients: A Systematic Review Pratama, Dedy; Simatupang, Satria M.H
The New Ropanasuri Journal of Surgery Vol. 7, No. 1
Publisher : UI Scholars Hub

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Introduction. Oral anticoagulant therapy is commonly used to prevent deep vein thrombosis (DVT). However, it might increase the risk of intraoperative and postoperative bleeding. Graduated compression stockings (GCS) reduced DVT risk, but there is a lack of supporting evidence. Thus, the study aimed to find the efficacy of GCS compared to the pharmacological method in high-risk surgical patients. Method. Literature search proceeded in Cochrane, ClinicalKey, and PubMed. Using keywords graduated compression stockings" or "mechanic" or mechanical") and ("pharmacologic" or "oral anticoagulants" or "NOAC") and "comparison" and "prophylaxis" and ("DVT" or "deep vein thrombosis) and ("surgery" or "surgical"). Results. There were six articles reviewed (27,966 participants). The analysis focused on follow-up, diagnostic method, GCS application days, thromboprophylaxis baseline used, and outcomes, i.e., DVT and pulmonary embolism. No statistically significant clinical advantage was found in surgical patients using the mechanical method of GCS for DVT prophylaxis over the pharmacological method. Conclusion. No significant clinical advantage of using the GCS for DVT prophylaxis over the pharmacological method but preventing intraoperative and postoperative bleeding. However, the efficacy of GCS remains an issue to be evaluated, as recently supported by insufficient data. However, GCS implementation as a prophylactic method in surgical patients with a high risk of DVT contraindications for pharmacological prophylaxis is safe.

Review: Conventional Thrombectomy with Intraoperative Fluoroscopy in Acute Limb Ischemia Rutherford IIb Angkoso, Heru; Pratama, Dedy
The New Ropanasuri Journal of Surgery Vol. 7, No. 1
Publisher : UI Scholars Hub

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Introduction. Acute limb ischemia (ALI) is a severe condition affecting the extremities and the patient’s survival that requires immediate treatment. It can be treated with either surgical or endovascular revascularization or both (hybrid procedure). It is crucial to evaluate the defect using intraoperative fluoroscopy or angiography in each case. The review aimed to find out the outcomes of the thrombectomy with intraoperative fluoroscopy for ALI Rutherford IIb. Method. According to the PRISMA protocol, the literature search proceeded in online databases, i.e., Cochrane, Scopus, PubMed, and EBSCOhost, with no year limitation on the publication. All articles were screened and critically appraised. Five eligible articles enrolled in this study with 269 patients ALI Rutherford IIb. All selected articles are cohort studies, including prospective and retrospective. Results. The endovascular intervention (with intraoperative fluoroscopy assistance) showed lower mortality and morbidity than open thrombectomy – however, no difference between open and hybrid thrombectomy in mortality rate. In addition, morbidities such as amputation and limb salvage showed no difference significantly between these interventions. Open thrombectomy has a high risk of mortality and amputation. Meanwhile, the endovascular intervention likely showed a risk of reocclusion, thus, requiring a conversion to open thrombectomy. Conclusion. Intraoperative angiography during open thrombectomy may reduce complications of postintervention reocclusion.

The Correlation between Premenopausal Estrogen and Estrogen Receptors in Breast Cancer Kurnia, Ahmad; Pratama, Dedy; Mirwan, Muhammad
The New Ropanasuri Journal of Surgery Vol. 7, No. 2
Publisher : UI Scholars Hub

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Introduction. The correlation between the premenopausal estrogen hormone and estrogen receptors is unknown. The hormone estrogen has a risk factor for causing breast cancer. Meanwhile, the estrogen receptor plays a role in determining further treatment plans in breast cancer patients. Patients with high estrogen receptors have a better prognosis. If the premenopausal estrogen hormone can affect the estrogen-receptor, then the estrogen hormone can be modified to have a better prognosis. Method. A cross-sectional study enrolled 32 subjects with complete data and was statistically analyzed to find the correlation between premenopausal estrogen hormone and estrogen-receptors. Results. The estradiol ranged from 15.3 − 89.8 pg/mL, and estrogen receptors showed a range of 10–90%. The Spearman correlation test between the estradiol and the estrogen receptor showed a p-value = 0.864 and a negative correlation coefficient of 0.032. Conclusion. Estrogen hormone is not statistically associated with estrogen receptors in premenopausal breast cancer patients, thus illustrating that the prognosis of breast cancer is not associated with the estrogen hormone

ABO Blood Group Type and the Risks of Peripheral Artery Disease in Type II Diabetes Mellitus Pratama, Dedy; Puruboyo, Adi N.D
The New Ropanasuri Journal of Surgery Vol. 8, No. 2
Publisher : UI Scholars Hub

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Introduction. Peripheral artery disease (PAD) is a common complication of diabetes mellitus (DM), affecting up to 20% of people over 65. Blood type is hypothesized to influence PAD, although it has yet to be extensively studied. We aim to investigate the correlation between ABO blood group type and the severity of PAD in patients with type II DM. Methods. We conducted a cross-sectional study on DM type II patients with PAD at the Cipto Mangunkusumo National Hospital in Indonesia between January 2022 to June 2022. PAD was diagnosed based on the ankle-brachial index (ABI) measurement. The PAD severity was grouped into mild (ABI 0.7-0.9) and moderate-severe (ABI <0.7). Patients were categorized as O blood type and non-O (A, B, and AB). Results. Of 366 patients included, 194 with O type and 172 with non-O type. No significant difference in the occurrence. PAD was significantly more severe in non-O blood type patients (p = 0.041). Longer periods of diabetes (OR 10.325, CI95% 5.108-20.871, p <0.001) and hypertension (OR 4.531, CI95% 1.665-12.326, p <0.003) were risk factors for more severe PAD. Conclusion. ABO blood group type was not significantly associated with the occurrence of PAD in patients with type II DM. Non-O blood type was associated with more severe PAD, while more prolonged periods of diabetes and hypertension were found to be significant risk factors for more severe PAD.

Safety and Efficacy of Rivaroxaban-Aspirin Combination Compared to Aspirin Monotherapy on Lower Peripheral Artery Disease after Revascularization: Systematic Review and Meta-analyses Thio, Robby E; Pratama, Dedy
The New Ropanasuri Journal of Surgery Vol. 9, No. 1
Publisher : UI Scholars Hub

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Introduction. Currently, single antiplatelet treatments using aspirin or clopidogrel are recommended for post-revascularization peripheral artery disease (PAD) patients. However, a recent study suggested that a combination of rivaroxaban and aspirin was more favorable to use. We conducted a systematic review to determine the efficacy and safety of rivaroxaban and aspirin combination compared to aspirin alone. Method. A systematic review conducted based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol. Search using keywords was conducted on Cochrane, PubMed, Scopus, EBSCOHost, and Google Scholar. Inclusion and exclusion criteria were applied. Selected studies were appraised using the Cochrane risk of bias tool v.2 for inclusion. The studies included were extracted for characteristics and outcomes. Outcomes were analyzed qualitatively and quantitatively. We used a fixed- or random-effect model to determine the pooled ratio per appropriate. A 95% confidence interval and p-value of 0.05 and below were used as indicators of statistical significance. Results. Two multicentered, randomized controlled studies were included after searching. They were appraised with a low risk of bias. Both studies showed greater primary effectivity outcomes in the combination group and improvements in major bleeding risk. The quantitative analysis found lower PAD complications rate (OR = 0.79; 95% CI = 0.66–0.95), which included myocardial infarction, stroke, cardiovascular death, and acute limb ischemia. The combination group provided lesser primary (OR = 1.32; 95% CI = 1.06–1.67) and secondary (OR = 1.47; 95% CI = 1.19–1.84) safety outcomes. Conclusion. A combination of rivaroxaban and aspirin provided better clinical outcomes in post-revascularization PAD patients. However, this combination should be used carefully as this yields a more significant risk of bleeding in the population.

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