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Inappropriate Use of Parenteral Analgesics for Mild Pain and Uncomplicated Fever in the Emergency Department: Findings from an Internal Audit Dewi, Rissa Maharani; Rosyid, Abdur; Timur, Willi Wahyu; Nastiti, Nindita Sari; Ningrum, Dwi Monika; Widiyanto, Dimas
Sciences of Pharmacy Volume 5 Issue 1
Publisher : ETFLIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58920/sciphar0501519

Abstract

Inappropriate prescribing of parenteral analgesics in patients with mild pain or uncomplicated fever remains a relevant concern in emergency care. This study reports findings from a retrospective internal audit conducted in the emergency department of a private hospital in Banjarbaru, Indonesia, to evaluate the appropriateness of non-steroidal anti-inflammatory drug (NSAID) use. Medical records of 384 emergency department visits were reviewed, including data on pain intensity using the Numeric Rating Scale (NRS), clinical indications, route of administration, and immediate adverse reactions. Inappropriate use was defined as administration of parenteral NSAIDs in patients with mild pain (NRS 1–3) or uncomplicated fever when oral therapy was feasible, based on Royal College of Emergency Medicine (RCEM) guidelines. The audit identified inappropriate parenteral NSAID use in 7 patients (3.6%). These cases were associated with mild, immediate adverse effects such as nausea and dizziness. Although the proportion was small, the findings indicate potentially avoidable use of injectable analgesics and highlight the need for improved adherence to guideline-based analgesic selection. Reinforcement of routine pain assessment, clinician re-education, and periodic prescribing audits are recommended to support rational and patient-centered analgesic use in emergency settings.
The Influence of Knowledge Level, Perception, and Religiosity among Working Women in Semarang City on Halal Cosmetics Use Primahana, Sheilanita Aulia; Rosyid, Abdur; Dewi, Rissa Maharani; Febrinasari, Nisa; Januarti, Ika Buana; Sabiti, Farroh Bintang
Halal Science Volume 2 Issue 1 (2026)
Publisher : ETFLIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58920/halal0201634

Abstract

This study examined the associations of knowledge level, perception, and religiosity with halal cosmetics use among working women in Semarang City. A quantitative cross-sectional design was used, involving 111 respondents selected via snowball sampling. Data collected through a structured online questionnaire were analyzed using multiple linear regression. Results showed that knowledge (β = 0.070), perception (β = 0.077), and religiosity (β = 0.034) significantly and positively influenced halal cosmetics use (all p < 0.05), with perception emerging as the strongest predictor. The model explained a substantial proportion of variance (R^2 = 0.469). Respondents with positive perceptions were more likely to use halal-certified cosmetics consistently, indicating that usage is driven not only by religious values and knowledge but also by practical factors like accessibility, quality, safety, and consumer confidence. Although the cross-sectional design and non-probability sampling may limit generalizability, these findings offer valuable insights. Future studies should involve larger, more geographically diverse populations and explore additional marketing variables. Ultimately, these insights can guide cosmetic manufacturers, certification authorities, and policymakers in developing targeted educational strategies, transparent communication, and consumer-oriented promotional approaches within Indonesia’s competitive urban halal personal care market.
Comparative Effectiveness of Sunnah Fasting Variations on Fasting Blood Glucose Monitoring in Type 2 Diabetes Mellitus: A Pragmatic Pilot Study Rosyid, Abdur; Satibi, Satibi; Rahmawati, Fita; Lazuardi, Lutfan
Sciences of Pharmacy Volume 5 Issue 2 (2026)
Publisher : ETFLIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58920/sciphar0502673

Abstract

Intermittent fasting has increasingly been incorporated into complementary and alternative medicine (CAM) strategies for the management of type 2 diabetes mellitus (T2DM). The extent to which weekly fasting frequency dictates glycemic outcomes is well-noted; however, the distinct clinical benefit of increasing Sunnah fasting adherence to two days weekly remains an unresolved question in diabetes management. This study aims to compare the effectiveness of Monday-only Sunnah fasting versus combined Monday and Thursday Sunnah fasting on Fasting Blood Glucose (FBG) among patients with Type 2 Diabetes Mellitus (T2DM). This research is a pre-experimental employing a within-subject exploratory pilot comparison with a single-group pre-post design involving 50 participants selected through purposive sampling, with data analyzed using the Wilcoxon Signed Ranks Test (p < 0.05). The results demonstrated that most participants (84%) were between 43 and 54 years of age, and the majority were female (56%). practicing Sunnah fasting twice weekly (Monday and Thursday) resulted in significantly lower average FBG (186,67 mg/dL) compared to fasting only once a week on Mondays (202.28 mg/dL), statistically significant reduction in FBG (Z= -2.660, p= 0.008; r= 0.37, Cohen’s d= 0.79). The study suggests that practicing Sunnah fasting twice weekly offers a more favorable impact on fasting blood glucose control for T2DM patients than fasting only once a week.