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A Selection of Surgical Interventions in Pediatric Hydrocephalus : A Literature Review Musfirah, Nurul; Iskandar
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 1 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i1.11101

Abstract

Introduction: Hydrocephalus is a condition in which the flow of cerebrospinal fluid is disturbed due to an imbalance between production and reabsorption or because there are obstacles along its distribution channel. The most common surgical intervention and standard strategy for treating hydrocephalus in recent years has been the placement of a shunt, particularly a ventriculoperitoneal shunt (VP-Shunt). In addition to shunt placement, endoscopic third ventriculostomy (ETV) and choroid plexus coagulation (CPC) are currently being performed simultaneously, considering that the combination of the two procedures is sufficient to provide maximum results and can even reduce the risk of failure. Method: The method of literature review is used in this study.The method chosen is preferred reporting items for systematic reviews and meta-analyses (PRISMA), which involves selecting the characteristics of literature through electronic media with database searches through the PubMed and Google Scholar sites. Patients diagnosed with hydrocephalus, both communicative and noncommunicative, with an age of 18 years; surgical intervention with a Vp-shunt; EVT with or without CPC; and a 3-month follow-up were the inclusion criteria. Result: There were 1,251 samples included in the 10 articles in this study, 7 of these articles had samples with non-communicable hydrocephalus, with the most common etiologies being post-infection and hemorrhage. The selected interventions, both Vp-Shunt and ETV with or without CPC, have a high percentage of success rates, with an average age of intervention in this study of   6 months. Conclusion: The choice of intervention in cases of hydrocephalus should be based on patient characteristics. Installation of a shunt, ETV, or ETV/CPC may et he first choice based on the etiology of the hydrocephalus, the patient’s age, and a risk assessment that takes into account the complications that may arise from the selected procedure
Surgical Outcomes in Primary Benign Extradural Tumors of The Cervical Spine : A Case Report Musfirah, Nurul; Iskandar; Ananda, Sigit
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 2 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i2.12588

Abstract

Introduction: The prevalence of spinal tumors is rare, only about 15% of all cases of central nervous system tumors and 90% of cases occur at the age of >20 years, which is a productive age for a person. Case Report: A young 25-year-old woman came to the polyclinic complaining of weakness of both hands and feet (all limbs). The MRI results show a suspected of a space occupying lesion of the extradural spinal cord. The patient then underwent tumor removal laminectomy surgery with a posterior approach. After the operation, his motoric was improving and increased to 4/4. After three months she was able to walk and perform daily activities. Discussion: In younger patients, the tumor diagnosis may be more catastrophic, and the required treatment can have a severe impact on the patient's health-related quality of life. The patient was also very fast and assisted with early ambulation. This can be related to the progressivity of tumor cells, in this case a benign tumor with a border that is not aggressive in invading the surrounding tissue. Conclussion: Early diagnostic and complete surgical resection before the occurrence of severe symptoms will show an excellent prognosis in benign primary extradural tumor. Multidisciplinary surgical planning should therefore also include the histological grade, stage, and extent of the tumor to establish the objective biological aggressiveness of the overlying tumor and in turn estimate the feasibility of resection Keywords: Benign; Primary extradural tumor; Surgical outcome
Guru Sebagai Pilar Utama Pembentukan Karakter Musfirah, Nurul; N, Nurbaya; Buka, Nurhan; Alimudin, Akhyar; Hamzah, Andi Abdul
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 6 (2024): Madani, Vol 2, No. 6 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11907011

Abstract

Teacher are role models, both in terms of knoqlwdge and personality for for their students. The role of teachers is stated in Article 3 of Law no. 20 of 2003 concerning the National Education System, which states that national education functions to develop abilities and shape the character and civilization of a dignified nation in order to educate the life of the nation, and aims to develop the potential of students to become human beings who believe and are devoted to God Almighty. , have noble character, be healthy, knowledgeable, capable, creative, independent, and be a democratic and responsible citizen. The characters in Greek and Latin come from the word charassein which means to carve a permanent and indelible pattern. Character or character is a combination of all permanent human traits so that it becomes a special sign to distinguish one person from another. Individuals with good character are individuals who can make decisions and are ready to take responsibility for all the consequences of the decisions they make. There are three stages of character formation, namely: Moral knowing, namely a good understanding in children about the meaning of goodness. Moral feeling, namely building love for good behavior in children which will become a source of energy for children to behave well. Moral feeling is strengthening students' emotional aspects so that they become human beings with character. This strengthening is related to the form of attitude that must be felt by students, namely awareness of identity, self-confidence, sensitivity to other people's suffering, love of truth, self-control and humility. Moral action, namely how to change moral knowledge into real action.
Assessing the Impact of Automated Dispensing Systems on Medication Safety and Workflow Efficiency in Hospital Pharmacies Ruslan, Hardiyanti; Musfirah, Nurul; Rahmi, Rahmi
Journal of Asian-african Focus in Health Vol. 2 No. 3 (2024): Journal of Asian-african Focus in Health
Publisher : ScieClouds Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71435/595709

Abstract

This study evaluated the impact of Automated Dispensing Systems (ADS) on medication safety and workflow efficiency in hospital pharmacies. A quasi-experimental design was employed, comparing pharmacy operations before and after the implementation of ADS in a tertiary care hospital. Data were collected from 50 pharmacy staff members and secondary data on medication errors and workflow efficiency, with operational metrics such as dispensing time, error rates, and prescription processing rates. The results indicated a 77.1% reduction in medication errors, with significant improvements in the accuracy of drug dispensing, dosage, and labeling. Additionally, workflow efficiency was enhanced, with dispensing times reduced by an average of 7.4 minutes per prescription, and the number of prescriptions processed per hour increased by 60%. Paired t-tests, regression analysis, and ANOVA tests were used to analyze the data, revealing that ADS adoption led to measurable improvements in both safety and efficiency. The study further found that pharmacist training and system readiness were critical factors in maximizing these benefits. These findings suggest that ADS technology can significantly improve medication safety by reducing errors and enhancing workflow, offering valuable insights for hospitals considering the implementation of automated systems. This research fills a gap in existing literature by providing empirical data on the specific impact of ADS on different types of medication errors and by offering a comprehensive analysis of both operational metrics and staff perceptions.
Pengembangan Instrumen Hasil Penilaian Belajar Tes dan Non Tes Musfirah, Nurul; Nurbaya, Nurbaya; Nursalam, Nursalam; Rasyid, Akbar
Socius: Jurnal Penelitian Ilmu-Ilmu Sosial Vol 2, No 11 (2025): June, 2025
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15534085

Abstract

Pendidikan merupakan proses pembelajaran yang bertujuan untuk mengembangkan dan mengaktualisasikan potensi peserta didik. Pencapaian tujuan pembelajaran yang dihasilkan dari interaksi antara peserta didik, pendidik, dan lingkungan belajar dapat diukur melalui asesmen yang memberikan informasi mengenai kinerja peserta didik. Pengembangan instrumen merupakan metode sistematis yang digunakan untuk merancang, membuat, dan mengevaluasi alat dalam pembelajaran, termasuk penilaian hasil belajar. Artikel ini membahas pengembangan instrumen penilaian hasil belajar dengan menjelaskan pengertian, jenis, serta langkah-langkah sistematis dalam menyusun instrumen tes maupun non-tes. Instrumen tes meliputi tes formatif, sumatif, diagnostik, dan penempatan, dengan bentuk subjektif dan objektif seperti pilihan ganda, benar-salah, menjodohkan, dan isian. Penilaian non-tes menggunakan teknik seperti observasi, angket, dan wawancara yang umum digunakan untuk menilai aspek afektif dan perilaku peserta didik. Hasil menunjukkan bahwa penerapan proses pengembangan instrumen secara sistematis, mulai dari penetapan tujuan, analisis kurikulum, penyusunan kisi-kisi, penulisan butir soal, validasi ahli, hingga uji coba empiric, secara signifikan meningkatkan validitas, reliabilitas, dan kepraktisan instrumen. Kesimpulannya, pengembangan instrumen penilaian hasil belajar melalui tahapan yang terstruktur dapat menghasilkan pengukuran yang lebih akurat, objektif, dan menyeluruh terhadap capaian peserta didik, sehingga mendukung perencanaan dan pengambilan keputusan pendidikan yang lebih baik
Mengidentifikasi Kebutuhan Pembelajaran Musfirah, Nurul; Marjuni, Marjuni; Maulana, Andi
Socius: Jurnal Penelitian Ilmu-Ilmu Sosial Vol 2, No 11 (2025): June, 2025
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15536374

Abstract

Proses pembelajaran menuntut perencanaan yang matang dan sistematis untuk menjamin tumbuh kembang potensi kognitif dan psikomotorik peserta didik. Salah satu langkah penting dalam perencanaan pembelajaran adalah identifikasi kebutuhan belajar, yang berfungsi untuk menemukan kesenjangan antara kondisi faktual dan tujuan pembelajaran yang diharapkan. Penelitian ini bertujuan untuk mengkaji konsep kebutuhan dalam pembelajaran, jenis-jenis kebutuhan, serta langkah-langkah sistematis dalam proses identifikasinya. Metode yang digunakan adalah studi literatur dengan pendekatan deskriptif-kualitatif. Hasil kajian menunjukkan bahwa kebutuhan pembelajaran mencakup enam jenis utama, yaitu: kebutuhan normatif, komparatif, yang dirasa, ekspresif, antisipatif, dan insiden kritis. Proses identifikasi kebutuhan dilakukan melalui tujuh langkah berkelanjutan, dimulai dari identifikasi masalah hingga penetapan prioritas tujuan pembelajaran. Kesimpulan dari studi ini menekankan bahwa identifikasi kebutuhan pembelajaran merupakan fondasi penting dalam mendesain pembelajaran yang efektif, efisien, dan adaptif terhadap perkembangan peserta didik dan perubahan kurikulum.
Evaluasi Program Pembelajaran Tahsin Al-Qur’an Melalui Tutor Sebaya di Pondok Pesantren Putri Ummul Mukminin Berdasarkan Model Cipp Musfirah, Nurul; N, Nurbaya; Rasyid, Muhammad Nur Akbar; N, Nursalam
Socius: Jurnal Penelitian Ilmu-Ilmu Sosial Vol 3, No 1 (2025): Agustus
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15970179

Abstract

This study aims to evaluate a tahsin coaching program through peer tutors in Ummul Mukminin Girls Boarding House using the CIPP (Context, Input, Process, Product) evaluation model. The study used a qualitative approach with an evaluation design that included analysis of the program context, inputs used, implementation processes, and outcomes achieved. The data source involved participants from Ummul Mukminin Girls Boarding School lodge. Data were collected through interviews, document analysis, and observation. The data analysis techniques used were data reduction, data presentation, and inference drawing. The results of the evaluation of the Qur’anic tahsin program through peer tutors in Ummul Mukminin Girls Boarding House were judged to be relevant and beneficial in improving the Qur’anic reading ability of students. Optimization of inputs and processes is required to achieve more maximized results. On the contextual aspect of the Qur’anic tahsin program through peer tutors is needed to answer the low Qur’anic reading ability of students coming from diverse religious educational backgrounds. The peer tutor approach was chosen because it is capable of creating a comfortable and effective learning atmosphere, as well as helping with teaching staff constraints. The resource input aspects of the tahsin program include teachers, peer tutors, Iqra’ books, and relatively adequate study rooms. Process aspects The implementation of the tahsin program goes with the peer tutor method which effectively builds interaction and learning convenience. Lastly, the product aspect will present the learners’ learning outcomes. Discussion will relate findings to related literature and theory, as well as relevant prior research.