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All Journal Scientia Psychiatrica Community Medicine and Education Journal Sriwijaya Journal of Radiology and Imaging Research Sriwijaya Journal of Otorhinolaryngology Jurnal Pengabdian Masyarakat dan Riset Pendidikan
Istiqomah Putri
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Physics Public Health Other

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The Role of Ultrasound in the Diagnosis and Management of Pediatric Abdominal Emergencies in Jakarta, Indonesia Istiqomah Putri; Ratih Dwi Astuti
Sriwijaya Journal of Radiology and Imaging Research Vol. 3 No. 1 (2025): Sriwijaya Journal of Radiology and Imaging Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjrir.v2i2.165

Abstract

Introduction: Pediatric abdominal emergencies demand swift and accurate diagnosis for optimal management. In resource-constrained settings, point-of-care ultrasound (POCUS) has emerged as a valuable tool. This study aimed to evaluate the utility of ultrasound in diagnosing and managing pediatric abdominal emergencies in Jakarta, Indonesia. Methods: A retrospective review of pediatric patients (age ≤ 18 years) presenting with acute abdominal pain to a tertiary care hospital in Jakarta from 2018 to 2023 was conducted. Data collected included demographics, clinical presentation, ultrasound findings, final diagnosis, and management decisions. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of ultrasound for various abdominal emergencies were calculated. Results: A total of 543 patients met the inclusion criteria. The most common diagnoses were appendicitis (n=187, 34.4%), intussusception (n=82, 15.1%), and gastroenteritis (n=75, 13.8%). Ultrasound demonstrated high sensitivity and specificity for diagnosing appendicitis (92% and 88%, respectively), intussusception (95% and 90%), and free fluid in the abdomen (98% and 94%). POCUS influenced management decisions in 68% of cases, including expediting surgery or avoiding unnecessary interventions. Conclusion: Ultrasound is a valuable tool for the diagnosis and management of pediatric abdominal emergencies in Jakarta. Its high sensitivity and specificity, coupled with its point-of-care availability, make it particularly useful in resource-limited settings.
The Impact of Health Policy on Community-Based Palliative Care Services: A Mixed-Methods Evaluation in Bandung, Indonesia Dea Albertina; Istiqomah Putri; Nazeera Hamid; Cindy Susanti
Community Medicine and Education Journal Vol. 6 No. 1 (2025): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v6i1.697

Abstract

Palliative care is a crucial component of comprehensive healthcare, yet access to community-based palliative care services remains limited in many low- and middle-income countries, including Indonesia. This study aimed to evaluate the impact of existing health policies on community-based palliative care in Bandung, Indonesia. A mixed-methods approach was employed, combining quantitative and qualitative data collection and analysis. Quantitative data included a retrospective analysis of patient records (n=350) from three community-based palliative care providers in Bandung from 2018-2023, assessing referral patterns, service utilization, and patient demographics. Qualitative data were gathered through semi-structured interviews with policymakers (n=10), healthcare providers (n=15), and patients/caregivers (n=20) to explore their perspectives on policy implementation and its impact. Data were analyzed using descriptive statistics, thematic analysis, and a framework approach guided by the WHO Health Systems Framework. The study found that while national health policies acknowledge the importance of palliative care, significant gaps exist in implementation at the local level. The number of patients accessing community-based palliative care increased modestly from 45 in 2018 to 78 in 2023, but this represents a small fraction of the estimated need. Key policy-related barriers identified included: limited funding allocated specifically for community-based palliative care , inadequate training and workforce capacity in palliative care, lack of standardized referral pathways from hospitals to community-based services and limited public awareness of palliative care. In conclusion, health policies in Indonesia have not yet translated into widespread access to quality community-based palliative care in Bandung. Strengthened policy implementation, increased funding, workforce development, improved referral systems, and enhanced public awareness are crucial to address this gap and improve the quality of life for patients with life-limiting illnesses and their families.
The Indonesian Otitis Media Severity Score (IOMSS): A Prospective Cohort Study Evaluating its Prognostic Value in Pediatric Patients Winata Putri; Aline Hafidzah; Lisye Tiur Simanjuntak; Badrool Nizham; Istiqomah Putri
Sriwijaya Journal of Otorhinolaryngology Vol. 3 No. 1 (2025): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v2i2.187

Abstract

Introduction: Acute otitis media (AOM) and otitis media with effusion (OME) are common pediatric illnesses with varying clinical courses. A reliable prognostic tool to predict outcomes and guide treatment decisions in the Indonesian context is lacking. This study aimed to evaluate the prognostic value of the Indonesian Otitis Media Severity Score (IOMSS) in predicting treatment response and complications in pediatric patients with AOM and OME. Methods: A prospective cohort study was conducted at five tertiary care hospitals in Indonesia (Medan, Jakarta, Samarinda, Makassar, and Denpasar) from January 2020 to December 2022. Children aged 6 months to 12 years diagnosed with AOM or OME were enrolled. The IOMSS, which incorporates clinical findings (otalgia, fever, otorrhea, tympanic membrane appearance, and hearing loss), was calculated at baseline. Patients were followed up for 6 months to assess treatment response (resolution of symptoms, tympanic membrane healing), and the development of complications (e.g., recurrent AOM, chronic suppurative otitis media (CSOM), mastoiditis, hearing loss). Statistical analyses, including Cox proportional hazards regression and receiver operating characteristic (ROC) curve analysis, were performed to evaluate the association between IOMSS and clinical outcomes. Results: A total of 850 children (mean age 5.2 ± 2.8 years, 55% male) were included. Higher IOMSS scores at baseline were significantly associated with a lower probability of complete resolution of AOM/OME at 6 months (hazard ratio [HR] 0.85 per 1-point increase in IOMSS, 95% CI 0.80-0.90, p<0.001). The IOMSS also predicted the development of complications, with a higher score significantly increasing the risk of recurrent AOM (HR 1.20, 95% CI 1.10-1.31, p<0.001), CSOM (HR 1.35, 95% CI 1.18-1.54, p<0.001), and persistent hearing loss (HR 1.28, 95% CI 1.12-1.46, p<0.001). ROC curve analysis demonstrated good discriminatory ability of the IOMSS for predicting complications (AUC = 0.82, 95% CI 0.78-0.86). Conclusion: The IOMSS is a valuable prognostic tool for predicting treatment outcomes and the risk of complications in Indonesian children with AOM and OME. Its use can aid clinicians in identifying high-risk patients who may benefit from more aggressive management and closer follow-up.
The Impact of Tuina Massage Therapy on Sensory Processing, Sleep Disturbances, and Maladaptive Behaviors in Young Children with Autism Spectrum Disorder in Jakarta, Indonesia: A Controlled Clinical Study Fatimah Mursyid; Lin Chia; Khairiel Anwar; Istiqomah Putri; Bjorka Alma
Scientia Psychiatrica Vol. 6 No. 4 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i2.191

Abstract

Introduction: Autism spectrum disorder (ASD) is a complex neurodevelopmental condition characterized by challenges in social communication, restricted interests, and repetitive behaviors, often accompanied by sensory processing abnormalities, sleep disturbances, and maladaptive behaviors. Current interventions offer variable efficacy, prompting exploration of complementary therapies. Tuina, a form of therapeutic massage in Traditional Chinese Medicine (TCM), has shown potential in pediatric neurodevelopmental issues. This study aimed to investigate the impact of Tuina massage therapy on sensory processing, sleep quality, and maladaptive behaviors in young children with ASD in Jakarta, Indonesia. Methods: A controlled clinical study was conducted with 88 children aged 3-7 years, diagnosed with ASD according to DSM-5 criteria and confirmed using the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2). Participants were recruited from specialized pediatric clinics in Jakarta and assigned to either an intervention group (n=44) receiving a standardized Tuina protocol thrice weekly for 12 weeks alongside standard care, or a control group (n=44) receiving standard care only. Standard care included established interventions such as behavioral therapy, speech therapy, occupational therapy, or special education programs. Outcome measures included the Sensory Profile 2 (SP-2), the Children's Sleep Habits Questionnaire (CSHQ), and the Aberrant Behavior Checklist-Community (ABC-C), administered at baseline, week 6, week 12 (post-intervention), and at a 3-month follow-up (week 24). Results: At 12 weeks, the Tuina group demonstrated statistically significant improvements compared to the control group in sensory processing, specifically in auditory filtering (mean difference [MD] -8.5, 95% CI -11.2 to -5.8, p<0.001) and tactile sensitivity (MD -7.9, 95% CI -10.5 to -5.3, p<0.001) on SP-2 quadrant scores. Total CSHQ scores indicated significantly better sleep in the Tuina group (MD -6.8, 95% CI -9.1 to -4.5, p<0.001), particularly in subscales of bedtime resistance and sleep anxiety. ABC-C scores for irritability (MD -5.2, 95% CI -7.0 to -3.4, p<0.001) and hyperactivity (MD -6.1, 95% CI -8.3 to -3.9, p<0.001) were also significantly lower in the Tuina group. These improvements were largely maintained at the 3-month follow-up. No serious adverse events were reported. Conclusion: This study provides evidence that Tuina massage therapy, as an adjunct to standard care, can significantly improve sensory processing, reduce sleep disturbances, and mitigate maladaptive behaviors in young children with ASD in an Indonesian context. These findings suggest Tuina may be a valuable complementary intervention for managing core and associated symptoms of ASD. Further research with larger, diverse samples and longer follow-up periods is warranted.
Standarisasi Manajemen Risiko ISO 31000: Tantangan dan Strategi Implementasi pada PT. Telkom Indonesia: Penelitian Afrila Mulyati Siregar; Kariono; Ade Rani; Dara Yuliani; Natalin Pepayosa Sembiring; Chika Naibaho; Febri Sabrina Hasibuan; Istiqomah Putri
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 1 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 1 (Juli 2025 -
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i1.1564

Abstract

This study analyzes the challenges and strategies for implementing ISO 31000: 2018 Risk Management standardization in PT. Telkom Indonesia. It is characterized by globalization that supports the advancement of information and Communication Technology in the field of telecommunications industry. PT. Telkom Indonesia as one of the major players in this industry, is required to be able to effectively manage risks in order to ensure the continuity of operations and services to customers. Standardized risk management is an important aspect that can help companies in identifying, analyzing, and addressing potential risks that can interfere with business performance. Using the literature review method, this study identifies inhibiting factors such as operational complexity, administrative burden, and dependence on IT infrastructure. The results showed that PT. We have adopted ISO 31000: 2018 through policy updates, risks faced, employee training, and ERM application development. This has a positive impact such as reducing GHG emissions, increasing customer satisfaction, and fulfilling corporate governance. However, issues such as security risks and costs must still be considered. The study provides recommendations and suggestions to reduce risks and strengthen system integration in order to achieve business sustainability.
Co-Authors Ade Rani Afrila Mulyati Siregar Aline Hafidzah Badrool Nizham Bjorka Alma Chika Naibaho Cindy Susanti Dara Yuliani Dea Albertina Fatimah Mursyid Febri Sabrina Hasibuan Kariono Khairiel Anwar Lin Chia Lisye Tiur Simanjuntak Natalin Pepayosa Sembiring Nazeera Hamid Ratih Dwi Astuti Winata Putri