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Shendy , Shendy
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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pengetahuan tenaga kesehatan tentang penilaian early warning system pada pasien rawat inap: tinjauan pustaka Shendy , Shendy; Perangin-angin, Citra Rencana; Oktavia , Eva; Josephine, Clara Valentia
Jurnal MedScientiae Vol. 4 No. 3 (2025): Desember
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v4i3.3955

Abstract

The Early Warning System (EWS) is a mechanism designed to identify patients' physiological conditions that may change at any time, thereby preventing unexpected events and improving patient survival rates. However, suboptimal implementation of the EWS has a significant impact on the morbidity and mortality of inpatients. A study revealed that 75% of healthcare workers face challenges in applying the EWS, 50% make errors in completing the EWS instruments, and 50% misinterpret the EWS instruments. This literature review aims to examine healthcare workers’ knowledge of EWS assessment in inpatient. Method This literature review was conducted by systematically searching electronic databases such as Google Scholar, ProQuest, and PubMed using the keywords: knowledge, nurse, inpatient care, and EWS. Results From this literature review, 9 out of 10 journals indicated a significant relationship between knowledge about EWS and the implementation of EWS, based on the data extraction table. Many studies found that nurses with a good level of knowledge perfor med EWS implementation well, which can be interpreted as positive data and is also in line with theoretical foundations. However, this literature review also has limitations, as it only compares studies without directly conducting research on the analyzed subjects and objects.
Diagnosis Dan Tatalaksana Terkini Retinopati Autoimun : Sebuah Tinjauan Pustaka Anugrahsari, Santi; Koloay, Gisselle Angeli Marchella; Shendy , Shendy; Prakarsi, Griyanti Purna
Jurnal MedScientiae Vol. 4 No. 3 (2025): Desember
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v4i3.4019

Abstract

Autoimmune Retinopathy (AIR) is a rare inflammatory disease that causes progressive vision loss due to an autoimmune response against retinal proteins, primarily those of photoreceptor and bipolar cells. AIR is divided into two main subtypes: Paraneoplastic Retinopathy (Carcinoma-Associated Retinopathy (CAR) and Melanoma-Associated Retinopathy (MAR) and Non-Paraneoplastic Autoimmune Retinopathy (npAIR). Diagnosing Autoimmune Retinopathy remains challenging because no standardized diagnostic criteria exist. Essential diagnostic criteria include visual dysfunction, electroretinogram abnormalities, the presence of anti-retinal antibodies, the absence of fundus lesions, and the absence of intraocular inflammation. Currently, no evidence-based standard treatment protocol exists; however, immunosuppressive interventions such as systemic steroids, steroid-sparing agents, local therapy, and biologic agents have been used to slow disease progression. This study is a literature review that aims to examine the current diagnosis and management aspects of Autoimmune Retinopathy, based on 11 scientific articles selected from the Google Scholar and PubMed databases, using recent inclusion criteria (2020–2025). Autoimmune retinopathy is a disease with a multifactorial immunopathological mechanism involving humoral and cellular immunity. Early diagnosis, close monitoring of retinal function, and appropriate selection of immunosuppressive therapy are key to preventing further retinal damage. The results of this review are expected to provide comprehensive guidance and identify knowledge gaps for future AIR management.
Co-Authors Josephine, Clara Valentia Koloay, Gisselle Angeli Marchella Oktavia , Eva Perangin-angin, Citra Rencana Prakarsi, Griyanti Purna Santi Anugrahsari