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All Journal Enrichment: Journal of Multidisciplinary Research and Development Journal of Information System & Business Management (ISBM)
Fatimah, Ananda Siti
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Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Engineering Health Professions Social Sciences

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Analisis Niat Penggunaan Berkelanjutan Pada Aplikasi Canva Menggunakan Expectation Confirmation Model (ECM) Fatimah, Ananda Siti; Jatnika, Dika
Journal of Information System & Business Management (ISBM) Vol. 3 No. 1 (2025)
Publisher : Universitas Pancasakti Tegal

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Abstract

Penggunaan aplikasi desain grafis seperti Canva semakin meningkat, terutama di kalangan pelajar, mahasiswa, dan profesional untuk memenuhi berbagai kebutuhan desain. Meskipun aplikasi ini sangat populer, pemahaman mengenai faktor-faktor yang mempengaruhi keinginan untuk terus menggunakan aplikasi ini masih terbatas. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi keinginan untuk terus menggunakan aplikasi Canva di kalangan mahasiswa di universitas- universitas di Bandung. Studi ini dilakukan dengan mengunakan Expectation Confirmation Model untuk mengidentifikasi peran faktor-faktor seperti confirmation, perceived usefulness, subjective norm, self efficacy, dan satisfaction terhadap Continuance Use Intention (niat penggunaan berkelanjutan) aplikasi Canva. Penelitian ini menggunakan metode kuantitatif yang melibatkan survei terhadap 100 pengguna aktif Canva dengan alat Smart PLS. Hasil penelitian menunjukkan bahwa niat untuk terus menggunakan aplikasi Canva secara signifikan dipengaruhi oleh dukungan Confirmation, perceived usefulness, subjective norm, dan self- efficacy. Sebaliknya, satisfaction tidak memiliki pengaruh yang signifikan terhadap niat pengunaan berkelanjutan pada aplikasi Canva.
Analysis of Clinical Evidence and Latest Fantastic Four Guidelines in Heart Failure Management Fatimah, Ananda Siti
Enrichment: Journal of Multidisciplinary Research and Development Vol. 3 No. 6 (2025): Enrichment: Journal of Multidisciplinary Research and Development
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/enrichment.v3i6.487

Abstract

Heart failure with reduced ejection fraction (HFrEF) is a leading global cause of illness and death. Although treatments exist, recurrence and mortality rates remain high. The Fantastic Four therapy—combining ARNI, beta-blockers, MRAs, and SGLT2 inhibitors—has proven effective in improving outcomes. However, its implementation faces challenges such as clinical, regulatory, and access barriers, as well as limited understanding among healthcare providers. This research aims to analyze the latest clinical evidence underlying the recommendation for using the Fantastic Four in heart failure management, as well as to evaluate its suitability and implications for clinical practice. The research method used is a qualitative approach through literature review, with analysis stages including data screening, data presentation, and conclusion drawing. Research findings indicate that all four classes of medications are highly effective in reducing cardiovascular mortality and hospitalization rates in patients with HFrEF. The latest guidelines from the ESC 2021 and ACC/AHA/HFSA 2022 recommend initiating this therapy simultaneously from the time of diagnosis. However, implementation in practice, including in Indonesia, remains inconsistent. Lack of clinician understanding and the absence of these therapies in the JKN scheme pose additional barriers. Patient compliance issues, drug interactions, and monitoring of side effects also present challenges. Therefore, systematic strategies, education, and evidence-based policies are needed to ensure effective implementation of these therapies. These findings support the need for adaptation of global guidelines and the development of evidence-based policies to support the implementation of modern combination therapy for heart failure patients.
Co-Authors Jatnika, Dika