UI Scholars Hub (Universitas Indonesia)
Not a member yet
14026 research outputs found
Sort by
Moving From Feasible Solutions to Sustainable Systems in The Built Environment
No full textThe built environment plays a crucial role in global sustainability efforts. Buildings, infrastructure, and cities consume large amounts of energy and materials that shape social behavior, and lock in environmental impacts. Over the past two decades, research has produced a wide range of technical solutions to reduce these impacts. Renewable energy systems, energy-efficient buildings, alternative construction materials, and new construction methods are no longer experimental concepts. Many have proven technical and economic potential. Yet, real-world transformation remains slow and uneven. This gap suggests that sustainability challenges in the built environment are no longer driven by a lack of technology. Instead, they are shaped by how technologies are adopted, governed, financed, and embedded within existing systems. The papers in this issue tried to understand this challenge from different scales and contexts. Together, they show that sustainability is best understood as a socio-technical transition, where technical solutions must align with institutions, markets, spatial structures, and human practices
Kegagalan Kepastian: Membingkai Ulang Manajemen Strategis Melalui Kompleksitas
No full textThis paper explores the integration of complexity theory into the field of strategic management, arguing that traditional, positivist-based models—such as the planning school, positioning school, and resource-based view—are increasingly inadequate for addressing the volatility, uncertainty, complexity, and ambiguity (VUCA) of contemporary business environments. While classical theories emphasize linearity, stability, and top-down control, complexity theory reconceptualizes organizations as complex adaptive systems (CAS) characterized by emergence, nonlinearity, and continuous learning. Drawing on insights from both historical and contemporary strategic paradigms, this study proposes that complexity theory does not replace but rather extends classical frameworks by enabling more adaptive, iterative, and resilient approaches to strategy. The paper reviews the theoretical foundations of complexity theory, its implications for adaptive strategy, and its application in real-world contexts such as digital transformation, platform ecosystems, and crisis management. It also addresses the challenges of operationalizing complexity theory and calls for a paradigm shift toward more pragmatic, learning-centered models in both research and practice. Ultimately, embracing complexity enables strategic management to better reflect and respond to the dynamic realities of the modern business landscape
Pengaruh Ivabradin terhadap Variabilitas Detak Jantung pada Gagal Jantung dengan Fraksi Ejeksi Rendah Akibat Penyakit Jantung Koroner
No full textIntroduction. Heart failure is one of the major challenges in global health due to its significant contribution to morbidity and mortality. One of the pathophysiological aspects is autonomic nervous system dysfunction which can be monitored through heart rate variability (HRV) parameters. Ivabradine is a pharmacological agent that potentially improves the balance of sympathetic and parasympathetic tone. This study was designed to evaluate the impact of ivabradine administration on HRV parameters in heart failure with reduced ejection fraction (≤40%) due to coronary heart disease in Indonesian population.
Methods. This study used a quasi-experimental research type with a pretest and posttest method without control which was conducted at Dr. Kariadi Hospital from October 2024 to February 2025. Sixteen patients diagnosed with heart failure with reduced ejection fraction due to coronary heart disease underwent intervention in the form of ivabradine administration at a fixed dose of 5 mg twice a day for 30 days. Evaluation of HRV was carried out through 24 hours holter recording before and after therapy. The HRV parameters analyzed included SDNN, SDANN, RMSSD, pNN50, and LF/HF ratio. Data processing was carried out using a paired t-test for normal distribution and the Wilcoxon Signed-Rank test for non-normal data. P value \u3c0.05 was considered statistically significant.
Results. A total of 16 subjects participated in this study, consisting of 14 men (87.5%) and 2 women (12.5%), with a mean age of 57 years. There was a significant increase in SDNN of 14.71 (SD 24.15) milliseconds (p = 0.028), SDANN of 56.99 (SD 26.94) milliseconds (p \u3c 0.001), RMSSD of 18.39 (SD 27.05) milliseconds (p = 0.007), and pNN50 of 6.96% (SD 7.87) (p \u3c 0.001), as well as a decrease in the LF/HF ratio of 1.42 (SD 0.85) (p \u3c 0.001) after 30 days of ivabradine therapy.
Conclusions. The administration of ivabradine had a significant effect on improving heart rate variability parameters in both the time and frequency domains in patients with heart failure with reduced ejection fraction due to coronary heart disease. These findings indicate enhanced parasympathetic dominance and reduced sympathetic nervous system activity
Perbandingan Ablasi Radiofrekuensi dengan Transplantasi Hati sebagai Terapi Kuratif pada Karsinoma Hepatoseluler Stadium Awal: Laporan Kasus Berbasis Bukti
No full textHepatocellular carcinoma (HCC) is the most common type of liver cancer and the second leading cause of cancer-related mortality worldwide. Liver transplantation is considered the definitive treatment for HCC; however, in Indonesia, adult liver transplantation is still rarely performed due to donor limitations and high costs. Radiofrequency ablation (RFA) has therefore become a preferred therapeutic option in the management of HCC. This report discuss about the survival and recurrence rates of HCC in patients treated with RFA compared with those undergoing liver transplantation. A literature search was conducted using the PubMed, Cochrane, Embase, and Scopus databases. Selected articles were screened according to the predefined clinical question as well as inclusion and exclusion criteria. Critical appraisal was performed based on the 2011 Oxford Centre for Evidence-Based Medicine framework, assessing validity, importance, and applicability. Critical appraisal was conducted on two selected articles. One study reported comparable survival rates between the two groups. However, overall, both articles demonstrated that liver transplantation was associated with higher survival rates and lower recurrence rates compared with RFA. In conclusion, survival outcomes are superior with liver transplantation compared with RFA. Nevertheless, RFA may be considered in the management of hepatocellular carcinoma as a bridging therapy to liver transplantation or in situations where liver transplantation is not available
Analisis Perbedaan Biaya Satuan Sectio Caesarea Tanpa Penyulit dengan Tarif INA-CBGs di Rumah Sakit Swasta Tipe D (X) di Ternate Tahun 2022
No full textCesarean section unit cost is an important component for hospital’s management to implement strategic efficiency steps in the future, especially for Rumah Sakit X which 90% of patients are Jaminan Kesehatan Nasional’s participant. Geographically, this hospital is one of hospitals which serve delivery and labor services in Ternate Island that can accommodate references from nearby islands. This resulting in high caesarean section rate, 55 % of all deliveries. The low JKN rate for caesarean section forced management to know the detailed cost component, so the efficiency strategies and the continuity of hospital services could be more increased. This research through quantitative strategy, processing caesarean section patients’ secunder data, interviewing staff, and looking through hospital’s financial statements. We analyzed every Caesarean sections in 2022 using Activity Based Costing. The total cost for caesarean section is 6.659.302 IDR. The difference from INA-CBGs are 1.569.376 IDR for 3rd class, 754.976 IDR for 2nd class, and 59.524 IDR for 1st class. Efficiency efforts than had been done was reducing the length of stay and using consumables with lower price. Expansion of caesarean section was suggested with cooperation with midwives and first degree health care in order to minimize the hospital referrence
Unraveling the Drivers of Inequality in Maternal Healthcare Utilization in Indonesia: A Decomposition Analysis
No full textThis study assessed socioeconomic inequalities in maternal healthcare utilization in Indonesia and identifies key factors driving these inequalities. We used data from 2013 and 2023 Indonesian Health Surveys, comprised of a total unweighted sample of 15,638 and 9,923 women aged 15-49 in the 2013 and 2023, respectively. Concentration index (CI) measured wealth-based inequality, and decomposition analysis identified primary drivers of inequalities in maternal healthcare access. Overall maternal healthcare service utilization has increased, but significant inequalities persist. Antenatal care showed minimal improvement, with the CI rising from 0.059 to 0.079, indicating a persistent higher socioeconomic distribution. Facility-based deliveries improved, with the CI decreasing from 0.115 to 0.039. Cesarean section inequality, though reduced, remains high, with CI declining from 0.299 to 0.158. Decomposition analysis revealed that socioeconomic status, women’s education, and geographic location were the primary drivers of inequalities in maternal healthcare utilization. While Indonesia has made progress in increasing facility-based deliveries, especially among the poorest women, inequalities persist in antenatal care and cesarean section. Pro-poor policies must address these multidimensional barriers by improving access to education, particularly for women, and implementing region-specific interventions, especially in eastern Indonesia, which lags in healthcare development
Information Literacy Capability of Preschool Teachers in An Effort To Improve The Pedagogical Competence of Preschool Teachers in Central Lampung District
Full text linkThe title of the proposed research is Information Literacy Skills of Early Childhood Education (ECE) Teachers in Efforts to Enhance Pedagogical Competence of ECE Teachers in Central Lampung Regency. This research aims to explore the information literacy skills of ECE teachers in the Central Lampung Regency, Lampung Province, using the ACRL (Association of College & Research Libraries) standards, and to understand how ECE teachers can meet the demands to improve their professional competence in line with current technological and informational developments. The research adopts a qualitative case study approach with a mixed methods methodology (interviews, observations, and surveys). The research findings indicate that ECE teachers in the Central Lampung Regency are able to identify information needs by formulating problems beforehand. However, the information search process often employs very basic strategies, limited to typing keywords. Moreover, in the process of evaluating information sources, ECE teachers, whether in ECE or higher levels, tend to only use additional information to verify the accuracy of the information obtained. In using and communicating information, teachers generally combine new information with existing knowledge to create summaries. Furthermore, through this research, the extent of ECE teachers\u27 understanding of academic ethics, such as avoiding plagiarism by citing the sources of information used, will also be examined. ECE teachers who apply information literacy in the learning process by presenting problems to early learners are expected to foster better foundational understanding and develop critical thinking skills for ECE students in the future
The Influence of Environmental Knowledge on Pro-Environmental Lifestyles of UI Vocational Students Domiciled in the Jabodetabek Area
Full text linkThe environmental crisis demands the younger generation, especially students, to play an active role in implementing an environmentally friendly lifestyle. This study aims to determine the influence of environmental knowledge on the pro-environmental lifestyle of students in the Jabodetabek area. Using a quantitative survey method on 100 students, the data was analyzed through simple linear regression. The results showed that environmental knowledge significantly influenced pro-environmental lifestyle (p \u3c 0.05), while family support and access to environmentally friendly facilities also played important roles. These findings support the importance of environmental education at the college level to shape sustainable behavior
The Determining Factor of Inconsistencies in French Feminist Foreign Policy in the Field of Protection Against Women’s Violence
Full text linkStratégie internationale de la France pour l\u27égalité femmes-hommes (2018-2022) is an international strategy on gender promoted by the French Government. It aims to promote the value of gender equality and women\u27s empowerment, especially in protecting women\u27s rights from any acts of violence in the European Union. Unfortunately, the French Government has shown inconsistencies in the implementation of the feminist foreign policy, which has increased the number of violence from the beginning of this policy until nowadays. This research was conceived by a liberal feminism approach and conceptualized under the feminist foreign policy and patriarchy concepts to prove the determining factor of inconsistency in feminist foreign policy that set out in the frame of Stratégie internationale de la France pour l\u27égalité femmes-hommes (2018-2022). The argument can be proceeded by conducting an explanatory qualitative method. The data research is based on primary and secondary data sources through document studies. This research proved that France\u27s inconsistency of feminist foreign policy is caused by France’s cultural matter of patriarchal values. Patriarchal values can be indicated through five indicators: policy regulations, funding systems, government structures, EU cooperative relations, and actors involved in the policy. As a result, gender-based violence is still very common in society and gender equality is impossible to achieve as long as policies and laws reformed by the government still contain elements of patriarchy
Characteristic and Survival Analysis of Infants with Critical Congenital Heart Disease
Full text linkCongenital heart disease (CHD) is a major health concern worldwide. This study focused on survival analysis and the factors influencing survival in infants with critical congenital heart disease (CCHD). A total of 79 infants diagnosed with CCHD were identified, with 48.1% (n=38) exhibiting duct-dependent pulmonary circulation, 35.6% (n=28) exhibiting duct-dependent systemic circulation, 6.3% (n=5) exhibiting critical non-duct-dependent, and 10.2% (n=8) exhibiting parallel circulation issues. Of the infants studied, 55.7% (n=44) were male, 78.5% (n=62) had a gestational age of ≥37 weeks, 62% (n=49) had a birth weight of ≥2,500 grams, 59.5% (n=47) exhibited normal fetal growth, 93.7% (n=74) experienced no asphyxia, 91.1% (n=72) had no other congenital disabilities, 87.3% (n=69) had no history of fetal distress, 58.2% (n=46) maintained normal oxygen saturation, and 88.6% (n=70) had an extended stay in the neonatal intensive care unit. The survival analysis indicated that the prognosis of newborns with CCHD was markedly affected by gestational age, birth weight, desaturation, respiratory distress, and hereditary abnormalities. Additional study is required to assess the risk factors influencing the survival of newborns with CCHD