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All Journal Diponegoro International Medical Journal (DIMJ) Al-Kharaj: Jurnal Ekonomi, Keuangan & Bisnis Syariah
Kurniawan, Cornelius Danu
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Agriculture, Biological Sciences & Forestry Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Social Sciences

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The Difference Between Post-Laparoscopic Cystectomy Anti-Mullerian Hormone Levels In Endometrioma And Non-Endometrioma Cysts Patients Kurniawan, Cornelius Danu
Diponegoro International Medical Journal Vol 4, No 1 (2023): July 2023
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v4i1.16053

Abstract

Background: Endometrioma is a complex gynecological disease with increasing global prevalence. Laparoscopic cystectomy remains to be the primary choice of modality. Several studies, however, have revealed that laparoscopic cystectomy in endometriomas can cause ovarian damage and reduction in ovarian reserve. They demonstrated a decrease in serum AMH levels in endometrioma patients following laparoscopic cystectomyObjective: To identify the difference between the mean post-laparoscopic cystectomy AMH levels in endometrioma and non-endometrioma cysts patientsMethods: A prospective cohort study with 40 selected patients undergoing laparoscopic cystectomy in Kariadi General Hospital Semarang. They were divided into 2 groups of endometrioma and non-endometrioma cysts. AMH levels were measured before and after laparoscopic cystectomy surgery in both groupsResults: The mean age of endometrioma and non-endometrioma group were 32.40 ± 6.26 and 30.6 ± 3.69 years consecutively. The most common cysts were unilateral cysts with a diameter of > 4 cm which were dominated by endometrioma cysts. The group of subjects with endometrial cysts had lower AMH levels, both before (9.47 + 5.26 ng/mL) and after laparoscopic cystectomy (7.80 + 4.27 ng/mL). AMH levels before and after laparoscopic cystectomy in the endometrioma group showed a significant difference (p=0.004). In contrast, there was no significant difference in delta AMH between the non-endometrioma group (-1.63 + 4.12; p=0.685) and the endometrioma group (-1.74 + 2.37 ng/mL; p=0.685)Conclusion: Both endometrioma and non-endometrioma groups showed a decrease in AMH levels after laparoscopic cystectomy but they did not show a significant difference.
The Effect of Nurses' Workload on Compliance in Implementing Patient Education Before Discharge: The Mediating Effect of Perceived Organizational Support and Burnout Level Kurniawan, Cornelius Danu; Meilani, Yohana F. Cahya Palupi
Al-Kharaj: Jurnal Ekonomi, Keuangan & Bisnis Syariah Vol. 8 No. 1 (2026): Al-Kharaj: Jurnal Ekonomi, Keuangan & Bisnis Syariah
Publisher : Intitut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/alkharaj.v8i1.10381

Abstract

Nurses are essential to delivering discharge education, which ensures safe transitions and reduces hospital readmissions. However, high workloads can hinder nurses' ability to consistently provide this education. While burnout and perceived organizational support (POS) may mediate this relationship, evidence in the Indonesian healthcare setting is limited. Objective to analyze the effect of nurse workload on compliance with discharge education and assess the mediating roles of burnout and perceived organizational support. Methods a cross-sectional quantitative study was conducted with 100 nurses at a Type B private hospital in Semarang, Indonesia. Data were collected via validated questionnaires and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results Workload had a significant negative effect on compliance with discharge education and a significant positive effect on burnout. Burnout also had a strong negative effect on compliance and significantly mediated the relationship between workload and compliance. Conversely, perceived organizational support showed no significant influence on compliance and did not mediate the workload–compliance relationship. Conclusion Increased nurse workload reduces compliance with discharge education, primarily through its effect on burnout. Although nurses reported high levels of organizational support, it did not significantly impact educational compliance. Interventions focusing on workload management and burnout prevention are crucial to enhance the quality of discharge education and patient outcomes.
Co-Authors Yohana F. Cahya Palupi Meilani