E-Journal Unismuh Palu - Universitas Muhammadiyah Palu
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Duration of Preoperative Anti-Tuberculosis Treatment (OAT) and Clinical Outcomes Post-Surgery in Spinal TB Patients: A Systematic Review and Meta-Analysis
No full textSpinal tuberculosis (TB) is a rare but severe infection that can lead to deformities, back pain, and neurological deficits. Preoperative administration of anti-tuberculosis drugs (OAT) is commonly used to reduce bacterial activity and inflammation before surgery. However, the optimal duration of OAT preoperatively is still debated. This study aims to systematically review and analyze the relationship between preoperative OAT duration and clinical outcomes post-surgery in patients with spinal TB. A systematic review and meta-analysis were performed on studies comparing the effects of different OAT durations preoperatively in spinal TB patients. Data were collected from PubMed, Scopus, and EMBASE. Key outcomes evaluated included Visual Analog Scale (VAS) for pain, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), wound healing, and bone fusion.The meta-analysis showed that preoperative OAT duration of 1 to 2 weeks significantly reduced inflammation, with a notable decrease in ESR and CRP post-surgery (p = 0.006 for ESR, p = 0.02 for CRP). However, no significant differences in functional recovery or wound healing were observed between shorter (1-2 weeks) and longer (2-4 weeks) OAT durations. Bone fusion results were similar across both groups. A shorter duration of OAT preoperatively (1-2 weeks) is effective in reducing inflammation and improving postoperative recovery, though it does not significantly impact bone healing or fusion. Thus, a shorter preoperative OAT regimen can be considered a viable option in managing spinal TB patients
Implementation of Cloud Computing to Improve Data Management Efficiency in the Education Sector
No full textCloud computing has become a strategic solution in improving the efficiency of data management in the education sector, including in Banten Province. This research aims to explore the implementation of cloud computing and its impact on academic data management in educational institutions. Using a qualitative approach with case studies, data were collected through in-depth interviews and observations of institutions that have adopted cloud systems. The results showed that cloud computing accelerates administrative processes, increases flexibility of data access, and reduces administrative workload. In addition, the cloud supports the development of personalized learning and innovation of digital-based education services. However, the study also found significant challenges, such as limited digital literacy of educators and dependence on internet network infrastructure. Organizational support, through visionary leadership and regular training, proved to be a key factor for successful cloud implementation. On the other hand, data security is a major concern, requiring strategies such as multi-factor authentication, data encryption and role-based access control to reduce the risk of data breaches. By properly managing these challenges, cloud computing not only improves efficiency, but also encourages continuous educational innovation. This research recommends the need for synergy between educational institutions, cloud service providers and local governments to strengthen the education digital ecosystem. A secure, adaptive, and innovation-oriented cloud implementation is expected to accelerate the transformation of education in Banten Province towards competitive and inclusive global standards
A Systematic Review and Meta-Analysis of Healing Outcomes in Pediatric Lateral Humerus Condyle Fractures Treated with K-Wire Pin Fixation
No full textSagittal balance refers to the equilibrium between external forces acting on the spine, particularly gravity, and the body's response to maintain an upright position with minimal muscular energy expenditure. Disruption of this balance can lead to sagittal imbalance, which is linked to poor clinical outcomes in conditions such as adult scoliosis and degenerative spondylolisthesis. The sedentary lifestyle, especially in office workers who spend significant time sitting, makes understanding spinal alignment changes in various positions crucial. This study aims to assess the differences in lumbopelvic sagittal balance in standing, upright sitting, and relaxed sitting positions in a healthy population. This analytical study used a case series approach with 25 healthy subjects aged 18-40. X-ray images were taken in three positions: standing, upright sitting, and relaxed sitting. Parameters including lumbar lordosis (LL), sacral slope (SS), pelvic tilt (PT), pelvic incidence (PI), and PI-LL mismatch were measured using RadiAnt DICOM Viewer. Data were analyzed using ANOVA to compare the sagittal balance parameters across different positions. differences were found in LL, SS, PT, and PI-LL mismatch between positions (p < 0.05). LL was highest in standing and lowest in relaxed sitting. PT increased significantly in relaxed sitting, while SS was highest in standing. PI did not show significant changes across positions. Lumbopelvic sagittal balance varies significantly between standing and sitting positions, highlighting the need to consider sitting postures in spinal assessments. These findings provide valuable insights for spine surgery planning and postural assessments
PARTISIPASI REMAJA DALAM PROGRAM DAKWAH DI MASJID NURUL YAQIN KELURAHAN MALENI KABUPATEN DONGGALA
No full textThis research aims to analyze youth participation in the da'wah program at the Nurul Yaqin Mosque, Maleni Village, Donggala Regency. Youth participation is very important in the religious and social development of society. In the context of mosques, teenagers have a strategic role in supporting da'wah activities to make them more dynamic and sustainable. The research method used is qualitative with a descriptive approach. Data was collected through observation, interviews and documentation. The research results show that the level of youth participation at the Nurul Yaqin Mosque is still relatively moderate. Factors that influence participation include family support, social environment, and the attractiveness of the da'wah program being held. Obstacles faced include a lack of internal motivation among teenagers, a lack of innovation in delivering preaching material, and limited supporting facilities. This research suggests improving the quality of da'wah programs by involving more creative and modern elements to make them more relevant to the needs and interests of today's teenagers
PERAN JAKSA DALAM MEMAKSIMALKAN PEMBAYARAN DENDA OLEH TERPIDANA DALAM TINDAK PIDANA KORUPSI DI KEJAKSAAN BOALEMO
No full textPenanganan tindak pidana korupsi tidak hanya bertujuan untuk menghukum pelaku tetapi juga untuk memulihkan kerugian negara melalui pembayaran denda dan uang pengganti. Dalam konteks ini, kejaksaan memegang peran strategis sebagai eksekutor putusan pengadilan, termasuk memastikan pelaksanaan pembayaran denda oleh terpidana korupsi. Penelitian ini bertujuan untuk menganalisis peran jaksa dalam memaksimalkan pembayaran denda oleh terpidana tindak pidana korupsi di Kejaksaan Negeri Boalemo. Metode penelitian yang digunakan adalah yuridis-empiris dengan pendekatan kualitatif. Data diperoleh melalui wawancara dengan jaksa, studi dokumen, dan observasi langsung terhadap kasus-kasus tindak pidana korupsi yang ditangani di Kejaksaan Negeri Boalemo. Hasil penelitian menunjukkan bahwa jaksa memainkan peran penting dalam proses penelusuran aset, penyitaan, dan pelelangan untuk memastikan pembayaran denda. Namun, pelaksanaan peran ini masih menghadapi beberapa kendala, seperti keterbatasan sumber daya, keberadaan aset yang disembunyikan oleh terpidana, dan lemahnya koordinasi antar-lembaga. Penelitian ini menyimpulkan bahwa efektivitas peran jaksa dapat ditingkatkan melalui pendekatan proaktif dalam penelusuran aset, pemanfaatan teknologi, dan kerja sama lintas lembaga, baik di tingkat nasional maupun internasional. Dengan strategi yang lebih terintegrasi, Kejaksaan Negeri Boalemo dapat mengoptimalkan pemulihan kerugian negara serta memberikan efek jera kepada pelaku tindak pidana korupsi
Prevention Behavior of Related to COVID-19 Among Food Handlers in Restaurants in Pontianak City, Indonesia
No full textIntroduction: The spreading of COVID-19 has been a disadvantage to all countries around the world. The COVID-19 situation in Indonesia based on the date April 26th, 2021 showed that 44,500 people have died, 1,636,194 cases infected, and 1,492,322 positive cases were declared cured. The COVID-19 can be transmitted through food handlers if they do not comply with health protocols. Perceptions about COVID-19 affect food handler compliance with health protocols. This study aimed to examine the correlation between the perception of food handlers in restaurants and the prevention behavior of COVID-19.
Methods: This study adopted a cross-sectional design and was conducted between July-August 2020 in 90 food handlers in restaurants in Pontianak City, and data were collected through random sampling. The univariate and bivariate (Chi-Square) were used to analyze the data. Ethical approval was obtained from Faculty of Public Health, Universitas Muhammadiyah Semarang (Certificate of approval No. 373/KEPK-FKM/UNIMUS/2020).
Results: This study found only three independent variables have significance with prevention behavior of spreading of COVID-19 such as physical activity (p-value 0.011), seeking or getting COVID-19 information (p-value 0.036), and perception of self-efficacy (p-value 0.005). Additionally, the rest of the independent variables have no significance related to prevention behavior of spreading of COVID-19 like sex, education level, economic effect, smoke status, perceived vulnerability, and perception of the hoax information spread.
Conclusion: The strongest independent variable is a perception of self-efficacy which means that the food handlers who had a poor perception of self-efficacy tend to do not practice the prevention behavior of COVID-19. The Future studies should address stakeholder role to educate and train the food handlers to increase their self-efficacy in terms of health problems, including COVID-19
Communicable Disease Patterns and Public Health Policy Responses: A SWOT Analysis in an Island Region
No full textIntroduction: Communicable diseases pose a major threat to public health with significant impacts on mortality rates. Despite efforts to control these diseases, challenges in addressing their spread remain, especially in regions with limited resources. Kabupaten Pangkajene and Kepulauan faces this issue, with diseases such as ISPA, Diarrhea, and Tuberculosis (TBC) being the main concerns.
Objective: This study aims to analyze the trends in the spread of communicable diseases and evaluate the health policies implemented in Kabupaten Pangkajene and Kepulauan from 2021 to 2023.
Methods: This research adopts a mixed-methods approach. The quantitative approach analyzes disease trends based on case report data from the Health Office and Public Health Centers (Puskesmas). The qualitative approach involves Focus Group Discussions (FGD) and interviews with program implementers to evaluate health policies. SWOT analysis is used to identify the strengths, weaknesses, opportunities, and threats related to disease prevention policies.
Results: ISPA, Diarrhea, and Tuberculosis (TBC) are the main communicable diseases in Kabupaten Pangkajene and Kepulauan from 2021 to 2023. The SWOT analysis reveals strengths in community awareness but weaknesses in healthcare infrastructure. Opportunities to strengthen the health system are abundant, while threats from disease spread and resource shortages remain significant.
Conclusion: Communicable diseases are rising in Pangkajene and Kepulauan Regency, notably respiratory infections, diarrhea, and tuberculosis. The SWOT analysis reveals both systemic strengths and areas for policy intervention. Strengthening public health education, healthcare infrastructure, disease surveillance, and GIS-based risk mapping is essential. These findings offer critical insights for policymakers to redesign regional health strategies, allocate resources more effectively, and build a resilient, data-driven response framework for managing current and future public health threats.  
Faktor yang Berhubungan dengan Tingkat Keberhasilan Desa Open Defecation Free (ODF) di Desa Ayula Selatan Kecamatan Bulango Selatan Kabupaten Bone Bolango: Factors Related to the Success Rate of Open Defecation Free (ODF) Villages in South Ayula Village, South Bulango District, Bone Bolango Regency
No full textOpen Defecaion Free merupakan kondisi setiap individu dalam suatu komunitas tidak melakukan perilaku buang air besar sembarangan yang berpotensi menyebarkan penyakit. Faktor tingkat keberhasilan ODF meliputi peran aparat desa, ketersediaan air bersih, perilaku penggunaan jamban, dan dukungan keluarga. Tujuan penelitian adalah untuk menganalisis faktor-fakor yang berhubungan dengan tingkat keberhasilan Desa Open Defecation Free (ODF) Di Desa Ayula Selatan Kecamatan Bulango Selatan Kabupaten Bone Bolango. Jenis penelitian ini adalah observasional analitik dengan desain penelitian Cross Sectional Study. Populasi yaitu seluruh KK Desa Ayula Selatan Kecamatan Bulango Selatan Kabupaten Bone Bolango dengan jumlah 227 KK dengan Jumlah sampel 145 KK, dimana setiap KK diwakili oleh 1 orang yang diperoleh menggunakan teknik accidental sampling. Intrumen penelitian menggunakan kuesioner dan observasi. Data dianalisis menggunakan uji korelasi spearman. Hasil penelitian menunjukan bahwa variabel yang berhubungan dengan tingkat keberhasilan Open Defecation Free (ODF) yaitu peran aparat desa (p-value = 0,000; r = 0,509), ketersediaan air bersih (p-value = 0,001; r = 0,277), perilaku penggunaan jamban (p-value = 0,000; r = 0,649), dan dukungan keluarga (p-value = 0,000; r = 0,456). Disimpulkan ada hubungan peran aparat desa, ketersediaan air bersih, perilaku penggunaan jamban, dan dukungan keluarga dengan tingkat keberhasilan Open Defecation Free (ODF) Di Desa Ayula Selatan Kecamatan Bulango Selatan Kabupaten Bone Bolango. Disarankan kepada Pemerintah Desa untuk memberi bimbingan teknis terkait pelaksanaan program, untuk meningkatkan pengetahuan dan kesadaran masyarakat di Desa Ayula Selatan, serta peran dari tokoh masyarakat sangat diharapkan untuk mendukung keberhasilan ODF
Penerapan Kurikulum Merdeka dalam Pembelajaran Pendidikan Agama Islam di SDN 9 Mamboro: Application of the Independent Curriculum in Learning Islamic Religious Education at SDN 9 Mamboro
No full textDalam permasalahan yang dihadap oleh Guru PAI di SDN 9 Mamboro adalah Keterbatasan sarana prasarana, keterbatasan referensi, kurangnya pemahaman guru PAI terhadap konsep kurikulum merdeka. Untuk mengungkapkan data yang akurat, penulis menggunakan metode kualitatif dengan pengambilan data melalui data primer dan data sekunder. Adapun Prosedur pengumpulan data yakni melalui observasi, wawancara, dan dokumentasi serta data yang diperoleh melalui buku-buku referensi. Adapun solusi dari permasalahan tersebut yaitu: Pertama Guru dapat bekerja sama dengan pihak lain, seperti komite sekolah, orang tua siswa, atau masyarakat sekitar, untuk mendapatkan dukungan dalam meningkatkan sarana dan prasarana yang dibutuhkan. Guru Pendidikan Agama Islam dapat mengatasi problematika dalam penerapan Kurikulum Merdeka meskipun dalam keterbatasan sarana dan prasarana. Kedua Pihak sekolah mengusulkan beberapa langkah strategis. Ini termasuk memperluas akses terhadap sumber belajar digital, menyediakan pelatihan berkelanjutan bagi guru tentang penggunaan teknologi dan sumber daya online, serta menjalin kerjasama dengan perpustakaan daerah dan komunitas pendidikan untuk memperkaya koleksi materi pembelajaran. Ketiga Pihak sekolah memfasilitasi dengan mengadakan sosialisasi dan pelatihan yang diharapkan dapat membantu para guru dalam menyelesaikan problematika yang sedang dihadapi
Manajemen Pakan Pada Pembesaran Udang Vaname (Litopenaeus Vannamei) Dengan Teknik Blind Feeding Dan Manual Feeder Di Tambak Willy-Kso Cp Prima Medan Di Pasar 20 Securai Sel., Kec. Babalan, Kab.Langkat, Sumatera Utara: Feed Management in the Enlargement of Vaname Shrimp (Litopenaeus Vannamei) with Blind Feeding and Manual Feeder Techniques in Willy-Kso Cp Prima Medan Ponds in Pasar 20 Securai Sel., Babalan District, Langkat Regency, North Sumatra
No full textPenelitian ini bertujuan untuk mendeksripsikan manajemen pakan pada konservasi udang vaname ( Litopenaeus vannamei ) dengan teknik blind feeding dan manual feeder di tambak Willy-Kso Cp Prima Medan di Pasar 20 Securai Sel., Kec. Babalan, Kab. Langkat, Sumatera Utara. Metode penelitian yang digunakan yaitu deskriptif kualitatif. Manajemen pakan di tambak Willy-Kso Cp Prima Medan menggunakan manual feeder dan blind feeding dapat menjadi solusi agar pakan yang dimakan udang sesuai dan tidak menganggu lingkungan perairan di tambak. Tambak Willy-Kso menggunakan 2 tambak yaitu tambak 1 dan 4. Pemberian pakan manual feeder dilakukan dengan menebarkan pakan jenis bubuk oleh pekerja yang berkeliling tambak sesuai jadwal dan kebutuhan udang vaname. Pakan ditebar setengah lingkaran agar tidak merusak kualitas udara akibat ketidakrataan pemberian pakan. Sedangkan pemberian pakan blind feeding dilakukan selama 30 hari di awal budidaya karena belum pasti menampilkan survival rate dan biomassa udang. Blind feeding diharapkan mampu menambah jumlah berat udang yang ditargetkan pada DOC 40 sebesar 3-5 gram.ekor. Pada DOC 14 udang vanname mulai dibor naik ke anco dengan cara memberi pakan pada anco sebanyak 1% dari total pakan. Blind feeding menjadikan pertumbuhan udang lebih optimal