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Widya Pratiwi
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PERBANDINGAN ANTARA PEMILIHAN OHO DAN NILAI CREATININE CLEARANCE SERTA HUBUNGANNYA PADA PASIEN DM TIPE 2 DI PUSKESMAS TERARA, LOMBOK, NTB Widya Pratiwi; Almerveldy Azaria Dohong; Joshua Sebastian Pratama Sondakh; Ahda Faza Hunafa; Syifa Muzalifa Nadobudskaya; Rody Kurniawan
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 2 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i2.9449

Abstract

Pendahuluan: Kabupaten Lombok Timur menduduki peringkat teratas dalam jumlah pasien diabetes melitus tertinggi di Nusa Tenggara Barat pada tahun 2023. Diabetes mellitus (DM) merupakan penyebab utama dari gagal ginjal. Tujuan penelitian ini untuk mengetahui perbandingan antara pemilihan obat hipoglikemik oral (OHO) dan nilai creatinine clearance (CrCl) serta hubungannya pada pasien DM tipe 2. Metode: Penelitian potong lintang terhadap 66 pasien DM tipe 2 yang menjalani pengobatan OHO di Puskesmas Terara. Analisis hubungan penggunaan jenis OHO terhadap penurunan fungsi ginjal dilakukan menggunakan uji Chi-Square. Analisis lebih lanjut dilakukan untuk melihat perbedaan rerata kadar CrCl berdasarkan golongan OHO dilakukan dengan uji T-independent dan perbedaan kadar serum kreatinin dianalisis dengan uji Mann-Whitney U. Hasil: Pasien DM tipe 2 dengan jenis OHO sulfonilurea memiliki penurunan fungsi ginjal yang lebih berat (p=0,031; OR 5,143 ((IK 95%) 1,284-20,601). Selain itu, didapatkan perbedaan bermakna pada kadar serum kreatinin antara kelompok biguanid dan sulfonilurea (p=0,029). Meskipun, rerata nilai CrCl tidak berbeda secara statistik (p=0,301). Kesimpulan: Terdapat hubungan antara jenis OHO terhadap penurunan fungsi ginjal dan perbedaan bermakna kadar serum kreatinin antara kelompok biguanid dan sulfonilurea. Akan tetapi, tidak didapatkan perbedaan rerata nilai creatinine clearance (CrCl). Pemilihan jenis OHO sebaiknya tetap mempertimbangkan parameter fungsi ginjal. Kata kunci: Creatinine Clearance, Diabetes Mellitus, Obat Hipoglikemik Oral, Penurunan Fungsi Ginjal Background: The East Lombok Regency occupies the top rank in the highest number of diabetes mellitus patients in West Nusa Tenggara in 2023. Diabetes mellitus (DM) is the primary cause of kidney failure. The aim of this study is to determine the comparison between the selection of oral hypoglycemic agents (OHA) and creatinine clearance (CrCl) values and their relationship in type 2 diabetes mellitus (T2DM) patients. Method: A cross-sectional study involving 66 type 2 diabetes mellitus (T2DM) patients undergoing oral hypoglycemic agent (OHA) treatment at the Terara Health Center. The analysis of the relationship between the use of different types of OHAs and the decreased kidney function was performed using the Chi-Square test. Further analysis was carried out to see the difference in mean CrCl levels based on OHAs class using the T-independent test and differences in serum creatinine levels were analysed using the Mann-Whitney U test. Result: Type 2 diabetes mellitus (DM) patients using sulfonylurea exhibited a more pronounced decline in kidney function (p=0.031; OR 5.143 (95% CI: 1.284-20.601)). Additionally, there was a significant difference in serum creatinine levels between the biguanide and sulfonylurea groups (p=0.029). However, the mean CrCl values were not statistically different (p=0.301). Conclusions: There was an association between the type of OHAs and the decline in renal function and a significant difference in serum creatinine levels between the biguanide and sulfonylurea groups. However, there was no statistically significant difference in the mean creatinine clearance (CrCl) values. The choice of OHA type should still consider renal function parameters. Keywords: Creatinine Clearance, Diabetes Mellitus, Oral Hypoglycemic Agents, Kidney Impairment
PSIKOEDUKASI PENCEGAHAN BULLYING MELALUI PENINGKATAN SELF-AWARENESS PADA SISWA SMKN 3 GOWA Abdillah, Andi Arif; Farhan, Andi Aulia; Budur, Syarifah Ummu; Almur, Verawaty; Pratiwi, Widya; Rifani, Rohmah
Afeksi: Jurnal Psikologi Vol. 3 No. 3 (2024): Afeksi: Jurnal Psikologi
Publisher : Afeksi: Jurnal Psikologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.572349/afeksi.v3i3.2106

Abstract

Perilaku bullying di lingkungan sekolah masih menjadi masalah signifikan meskipun berbagai upaya telah dilakukan untuk mengatasinya. Penelitian ini bertujuan mengembangkan psikoedukasi sebagai metode intervensi untuk mencegah bullying melalui peningkatan self-awareness pada siswa SMK Negeri 3 Gowa. Metode penelitian yang digunakan adalah kuantitatif dengan desain pre-test dan post-test. Partisipan dalam kegiatan ini sebanyak 34 siswa dari kelas 10 dan 11. Hasil analisis data menggunakan uji Wilcoxon menunjukkan peningkatan signifikan dalam pemahaman siswa tentang bullying dan self-awareness setelah diberikan materi psikoedukasi, dengan nilai rata-rata pre-test 34,12 meningkat menjadi 62,02 pada post-test. Nilai Asymp. Sig. (2-tailed) sebesar 0,000 menunjukkan bahwa program psikoedukasi yang dilakukan efektif untuk meningkatkan pengetahuan dan pemahaman siswa tentang pencegahan bullying melalui peningkatan self-awareness. Program psikoedukasi yang dilakukan juga mendapat respon positif dari peserta, yang merasa kegiatan ini bermanfaat untuk menciptakan lingkungan sekolah yang lebih aman dan nyaman.
Literature Review: Financial Management in Hospitals Using Process Improvement Methods Putra, Agung Manik Septiana; Nasution, Musthofa Lutfi; Pratiwi, Widya; Atmanto, Kusumo Adi Arji; Paramarta, Vip
Jurnal Indonesia Sosial Sains Vol. 5 No. 10 (2024): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v5i10.1460

Abstract

Financial management in hospitals faces significant challenges due to increasing healthcare costs and the demand to maintain high-quality patient care. Process Improvement methods such as Lean and Continuous Improvement have been adopted by hospitals to address these challenges. This study aims to review the literature regarding the impact of implementing Lean and Continuous Improvement methodologies on hospital financial management. The research methodology employed a systematic approach, analyzing studies published between 2018 and 2023. The results of the review showed that the implementation of Lean and Continuous Improvement methods significantly improved operational efficiency, leading to cost reductions of up to 30%, while simultaneously enhancing patient care quality and staff satisfaction. In conclusion, these methodologies offer a sustainable approach for hospitals to manage financial pressures without compromising the quality of care. Hospitals are encouraged to adopt these strategies to achieve long-term financial stability and operational excellence.
Hedonic Shopping Value dan Shopping Lifestyle Sebagai Determinan Impulse Buying Melalui Positive Emotion pada Generasi Z Pengguna Tiktok Shop Putri Afiandian; Panji Ulum; Tarjo Tarjo; Widya Pratiwi
Jurnal Inovasi Manajemen, Kewirausahaan, Bisnis dan Digital Vol. 2 No. 4 (2025): November : Jurnal Inovasi Manajemen, Kewirausahaan, Bisnis dan Digital
Publisher : Asosiasi Riset Ilmu Manajemen dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/jimakebidi.v2i4.902

Abstract

This study aims to analyze the influence of Hedonic Shopping Value and Shopping Lifestyle on Impulse Buying with Positive Emotion as a mediating variable in Generation Z TikTok Shop users in Muara Bungo City. This study uses a quantitative approach with a causal associative method. Primary data were obtained through distributing online questionnaires to 170 respondents selected using accidental sampling techniques. Data analysis was carried out by validity and reliability tests, multiple linear regression analysis, partial tests (t-test), simultaneous tests (F-test), and coefficient of determination (R²) analysis using the SPSS version 26 program. The results showed that Hedonic Shopping Value, Shopping Lifestyle, and Positive Emotion had a positive and significant effect on Impulse Buying, both partially and simultaneously. The coefficient of determination (R²) value of 0.732 indicates that 73.2% of the variation in impulsive buying behavior can be explained by these three variables, while the rest is influenced by other factors outside the research model. Positive Emotion has been shown to act as a mediating variable, strengthening the influence of Hedonic Shopping Value and Shopping Lifestyle on Impulse Buying. This finding underscores the importance of emotional aspects and digital lifestyle in driving Generation Z's consumer behavior in the social commerce era.
Co-Authors Abdillah, Andi Arif Abu Bakar Abu Bakar Acfira, Lukytta Gusti Acfira Adillah Sulistiawati Adiyono Adiyono Afriyani, Fina Ahda Faza Hunafa Aini, Baiq Quratul Akbar Wibriansyah Al Azhar L Alfiyah, Siti Almerveldy Azaria Dohong Almur, Verawaty Andary, Ria Wuri Andreani, Andreani Anggraini, Zepa Anisa Ruhi Shabrina Ariyanto M Ariyanto M Ariyanto. M, Ariyanto. M Arman Tjoneng Armansyah Matondang, Armansyah Atmanto, Kusumo Adi Arji Ayu Fitriana Banuaji, Datu Azura Bincar Nasution Budur, Syarifah Ummu Burhanuddin Candra, Devilia Dwi Chatarina Umbul Wahyuni Chotib, H. M. Darmawanto Darmawanto Darmawanto Darmawanto, Darmawanto Dedi Epriadi Deni handani Dhian Satria Yudha Kartika Elsyra, Nova Eni Nurhayati, Eni Epriadi, Dedi Eva Marlina Fadila, Salsya Bella Nur Fahmi, Rohmat Ubaidillah Fajrin Priadinata, Akhmad Farhan, Andi Aulia Farida Yuliaty Feri Antoni Fitri, Anindo Saka Fitri, Syarifah Massuki Gonjales, Nana Timorida Hadi, Tasya Diva Fortuna Haji Muhammad Chotib Hamirul Hamirul Hamirul Hamirul Hamirul, Hamirul Hasdani Helva Rahmi Herian, Anisah Hidayat, Nanang Al Hilaly, Salwa Ghaliyah indah, widya Istianingsih, Nanik Iswahyu Pranawukir Jannatuzzahra, Khoirunisa Jesika, Silvia Johar Alimuddin, Johar Joshua Sebastian Pratama Sondakh Juhana Juniarsih, Delvita Kamaliah Kamaliah Kartika, Annisa Dita Putri Kholisah, Siti Nur Kosasih, K Laurensi br Kaban Lestari, Rizki Maharani Puspa Sari Mardansyah . Mardiansyah Marlina, Eva Mart Hindrasyah Pandia, Dhayu Matias Yoki Melysa Hayati Mona Sihombing Muhaimin Abdullah Muhammad Nasir Muhammad Syukri NABILA, SALMA Nasution, Ali Napiah Nasution, Musthofa Lutfi Natalia, Dita Ayu Rani Nova Elsyra Nur Latifah, Nur Pahmi, Saepul Panji Ulum Prabowo, M. Bogie Rizki Pratama, Arista Puput Tri Agustine Putra, Agung Manik Septiana Putri Afiandian Relya Contesa Rezki Amelia Rody Kurniawan Rohmah Rifani Rusdi Rusdi Rusdi Rusdi Rusnaini, Sasmita S.Pd. M Kes I Ketut Sudiana . Salsabilla, Kharisma Agustya Zahra Sasmita Rusnaini Shella Kesuma Dewi Silvia Jesika Silvia Jessika Sinawati, Sinawati suparjan suparjan Susilawati, Susilawati Syah Amin Albadry Syahwami, Syahwami Syifa Muzalifa Nadobudskaya Tarjo Tarjo Tarjo Tarjo Tomi Hendra Ulum, Panji Vip Paramarta Wening Sari Wiji Astika, Yulia Wulansari, Anita Yasmir, Yasmir Yuspiadi, Yuspiadi Zahra, Sazkia Rahma Zahran, Afif Ghani Zain, Ahmad Arifin Zulbahrain, Zulbahrain Zulhilmi, Hafizhan Zulkifli Zulkifli Zulkifli