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EFEKTIFITAS PENERAPAN MANAJEMEN PERPUSTAKAAN MENGGUNAKAN SENAYAN LIBRARY MANAJEMEN SISTEM (SLIMS) PADA PERPUSTAKAAN UNIVERSITAS INDONESIA TIMUR. Harianto; Fatri Ardiansyah; Indra Setya Permana; Sukarman
Literatify: Trends in Library Developments Vol 5 No 1 (2024): MARCH
Publisher : UPT Perpustakaan UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/literatify.v5i1.44017

Abstract

This research aims to evaluate the effectiveness of implementing library management using Senayan Library Management (SLIMS) at the University of East Indonesia Library, with a focus on the application of information technology to improve service efficiency and library information access. The research method used is descriptive qualitative with a phenomenological approach, exploring experiences and phenomena related to service mechanisms and information processing in the library. Data was collected through direct observation and in-depth interviews with library heads, librarians and users. Data analysis involves collecting, reducing, assessing, and critically interpreting data to reach conclusions. The implementation of SLIMS in libraries has had a positive impact, increasing operational efficiency with easy access via online OPAC, bibliographic management and fast E-Library membership. Despite progress, integration of SLIMS with other technologies such as online access to e-journal and e-book collections is still in the preparation stage. Constraining factors involve data availability, metadata standards, security and access, changes in digital resources, identity management, resource availability, and alignment with user needs which are still being adapted.
A 61 Year Old Woman With Hypoglycemia on Diabetes Mellitus due to Sulphonylurea , Urinary Tract Infection, Hypertension, Cholelithiasis, Kidney Disorder: A Case Report Rahmat Yusuf Arifin; Rachmad Aji Saksana; Indra Setya Permana; Anggi Fitria Kusumaningtyas
The International Journal of Medical Science and Health Research Vol. 10 No. 2 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/85sjs261

Abstract

Background : Hypoglycemia is defined as a condition of plasma glucose below normal limits. The most common cause of hypoglycemia is the use of antidiabetic drugs from sulphonylurea and can be exacerbated by renal function disorder. We report hypoglycaemia caused by sulfonylurea and kidney disorders as well as treatment selection in patients with Diabetes Mellitus (DM) with kidney disorder in Chronic Kidney Disease (CKD) patients especially with Glomerular Filtration Rate (GFR) < 30 ml/min/1.73 m 3 . Case Report : The 61-year-old woman, came with a complaint of loss of consciousness for two hours before entering the hospital, previously the patient complained of dizziness. Patients have a history of diabetes mellitus and hypertension. Patients regularly take metformin, glimepirid and captopril. Vital signs blood pressure 170/85 mmHg, heart rate 86x/min, respiratory rate 22x/min, temperature 36.3 oC , oxygen saturation 99%, lateralization not found. The blood glucose test showed 28 mg/dL. Laboratory results of kidney function showed urea 134mg/dL and creatinine 8.8mg/dL. Treatment using a hypoglycemia algorithm, with Dextrose 40% and Dexamethasone, provides a good effect so that hypoglycemia does not occur again. Discussion : The choice of antidiabetic drugs in DM patients with high risk factors for hypoglycemia and kidney disorder needs to be considered. Hypoglycaemia is caused by the failure of counter-regulation processes in the body triggered by insulin. Insulin production increases due to the effects of sulphonylurea drugs. CKD exacerbates the condition of hypoglycemia by decreasing the process of insulin degradation and gluconeogenesis. Conclusion : This case underscores the necessity of vigilant drug selection, renal-adjusted dosing, and comprehensive care to mitigate hypoglycemia risk in DM patients with CKD, ultimately improving clinical outcomes and quality of life. Prevention of hypoglycaemia and selection of DM therapy in patients with kidney disorders requires special attention by paying attention to the side effects of the drug and the success of therapy. Drug therapy options that can be given are metformin, SGLT-2 in the drug canaglifozin , thiazolidinediones, new generation sulfonylureas, DPP-4 inhibitors, and insulin with dose adjustments. Hypoglycemia can be prevented by maintaining the patient's symptoms and self-monitoring blood glucose.
Minimally Invasive Approach In The Treatment Of Lung Abscess: A Case Report Rahmat Yusuf Arifin; Rachmad Aji Saksana; Indra Setya Permana; Anggi Fitria Kusumaningtyas
The International Journal of Medical Science and Health Research Vol. 10 No. 2 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/mrwg6s92

Abstract

Background : Lung abscess is characterized by a localized collection of pus or necrotic tissue in the lung parenchyma, which develops into a cavity. Early diagnosis and appropriate management are essential to prevent further complications. Minimally invasive procedures can be performed on lesions larger than 6cm in diameter. Case Report : A 63-year-old man came with a chief complaint of progressive shortness of breath and coughing up blood. The cough had been present for 1 month, accompanied by night sweats, and weight loss. The patient's general condition appeared thin. Physical examination showed decreased fremitus and dull percussion in the left hemithorax. Laboratory results showed leukocytosis with increased neutrophils. Chest radiography showed air-fluid level in the inferior zone and the left parahilar cavity with infiltration suggest a suspected lung abscess. Based on the findings obtained, the patient underwent percutaneous drainage guided by ultrasound ( U S -guided drainage ) using a 14-gauge abbocath needle as a therapeutic procedure. The procedure was performed twice, evacuating 400 cc and 250 cc of purulent fluid. Thoracic radiology evaluation showed resolution of the lung abscess, along with significant clinical improvement in the patient. The patient received metronidazole antibiotic therapy combined with ceftriaxone. The patient underwent treatment for 5 days, before finally being allowed to go home. Discussion: In cases of lung abscess, if conservative therapy using antibiotics does not provide adequate improvement, then invasive intervention such as open surgical procedures is needed. Minimally invasive approaches such as ultrasound-guided percutaneous drainage are an alternative option in areas with limited resources and no computed tomography (CT) facilities. This approach is considered to provide shorter hospitalization and faster recovery. In this case, the percutaneous drainage procedure in cases of lung abscess showed good clinical improvement in the patient. Conclusion: Lung abscess is a serious condition that requires rapid diagnosis and intervention. Ultrasonography-guided percutaneous drainage has been shown to be effective as a therapeutic modality in treating lung abscess . Operator reliability in operating ultrasonography can reduce the risk of complications that may occur.