35 research outputs found
Implementasi Pendidikan Karakter Sebagai Upaya Membentuk Akhlak Santri Di Pondok Pesantren Bustanul Thullab Kecamatan Sukodadi Kabupaten Lamongan
No full textCharacter education is an important foundation in shaping the morals of the younger generation, especially in Islamic boarding schools whose primary mission is to produce individuals with noble character. This study aims to analyze the implementation of character education and the factors that influence the formation of the morals of students at the Bustanul Thullab Sukodadi Islamic Boarding School. The research method used is descriptive qualitative with data collection techniques through observation, interviews, and documentation. Data analysis uses the interactive model of Miles and Huberman which includes data reduction, data presentation, and drawing conclusions. The results show that character education is implemented through the habituation of worship, teaching Islamic values, the exemplary behavior of ustadz and caregivers, and fostering social activities such as community service and yellow book recitation. This implementation has proven effective in shaping the character of students who are disciplined, honest, responsible, and have integrity. The success of the formation of the morals of students is also supported by a conducive Islamic boarding school environment and the commitment of caregivers in providing consistent guidance. Thus, character education at the Bustanul Thullab Islamic Boarding School is able to make a real contribution to the formation of the morals of students
Problems with Officials Making Land Deeds in Collecting Fees for Acquisition of Land and Building Rights in Tegal City
No full textIn property sale and purchase transactions, especially for buyers, a tax called BPHTB is imposed. The transaction for the transfer of rights to land and buildings is shown in the deed of sale made by the PPAT and the PPAT is the one who collects the BPHTB, but it is not uncommon to find many transactions for the transfer of rights to land and buildings carried out without using the services of a PPAT, only carried out underhand to avoid costs arising from the transfer of rights, including BPHTB. The purpose of this research is to examine the problems of Land Deed Officials in collecting Land and Building Acquisition Tax, and what are the obstacles and solutions of Land Deed Officials in collecting Land and Building Acquisition Tax. The approach method used in this legal research is an empirical legal approach method or in other words, it is called an empirical normative approach. In relation to the research method used, the author did this by researching legislation, regulations, legal theories and the opinions of leading legal scholars which are secondary data which are then linked to the actual situation, as well as related to problems found in the field related to problems faced by Land Deed Officials in collecting Land and Building Acquisition Tax. The results of the research obtained by the author include the contradiction in the BPHTB tax collection system, which was originally based on a self-assessment system, becoming an official assessment system. The validation process to determine the selling price of land and buildings is not regulated in laws and regulations, so that the process has an impact on changing the BPHTB value for a land object, automatically requiring more time.Keywords: Collection; Land; Selling
Diagnostic and Treatment Problems of Primary Sclerosing Cholangitis
No full textPrimary sclerosing cholangitis (PSC) is a chronic cholestatic liver disease with high incidence reported in America (1/100.000 population), but there is still no data available in Indonesia. The best management of this disease is still not found. Thus, in this article author will discuss about the case of PSC in 49-years male patients hospitalized in Cipto Mangunkusumo hospital Jakarta and its treatment
TELEMEDICINE (ONLINE MEDICAL SERVICES) DALAM ERA NEW NORMAL DITINJAU BERDASARKAN HUKUM KESEHATAN (STUDI: PROGRAM TELEMEDICINE INDONESIA/TEMENIN DI RUMAH SAKIT DR. CIPTO MANGUNKUSUMO)
No full textHealth is an important basis for the continuity of human life. Every human being has the right to have access to safe, quality, and affordable health services. However, in reality health services in Indonesia still have several obstacles, for examples the lack of health care for remote areas which is hindered by distance and time. Especially during the Corona Virus Disease 2019 (COVID-19) pandemic, a solution is needed to serve public health without violating the regulations that enforce Large-Scale Social Restrictions (PSBB) to prevent the spread of the virus. For this reason, one of the efforts that can be carried out is by “making friends” or utilizing information technology, namely in the form of Telemedicine. Telemedicine is the provision of remote medical services using information and communication technology, which will facilitate access to health services for the public. The purpose of this study was to analyze the application of Telemedicine services in the New Normal Era, especially in the Indonesian Telemedicine Program (TEMENIN) by the Ministry of Health of the Republic of Indonesia at Dr. Cipto Mangunkusumo Hospital. The research method used is normative juridical. The results of the study state that the implementation of Telemedicine services during the New Normal Era mostly refers to the regulations and policies of the Ministry of Health, and is supported by the existence of various Telemedicine applications. However, it does not yet have an official platform from the Government that can guarantee storage and data confidentiality. The author concludes that Telemedicine which already has many benefits, still has several obstacles in it. Furthermore, the author suggests that the Government immediately create a special platform for Telemedicine services, accompanied by laws and regulations or special regulations, which are supported by government agencies or authorities that can oversee its implementation prevent malpractice
Relative Expression of cMyc mRNA in Human Glioma Cells and its Relationship with the Degree of Malignancy
No full textRelative Expression of cMyc85Vol. 5, No. 2, Agustus 2017RESEARCH ARTICLERelative Expression of cMyc mRNA in Human Glioma Cells and its Relationship with the Degree of Malignancy Fidinny I. Hamid,1 Novi S. Hardiany,2* Febrial Hikmah,3 Syaiful Ichwan41Undergraduate Program FM Universitas Indonesia2Department of Biochemistry and Molecular Biology, FM Universitas Indonesia3Biomedical Sciences Program FM Universitas Indonesia4Department of Neurosurgery FM Universitas Indonesia -Dr Cipto Mangunkusumo General Hospital*Corresponding author: [email protected] 10 April 2016; Accepted 23 Agustus 2017DOI: 10.23886/ejki.5.7467AbstractPluripotency of cMyc genes may be one factor for the high glial cell differentiation in glioma thus it can become an alternative therapeutic target. The objective of the study is toanalyze the cMyc mRNA expression and its relationship with the degrees of glioma malignancy. This is a cross-sectional study from 20 glioma samples with different degree of malignancy from Dr. Cipto Mangunkusumo General Hospital, Jakarta during the period of October 2014 until February 2015. The mRNA obtained from glioma samples are converted to cDNA and then amplified. Relative quantification of cMyc mRNA expression is measured by calculating the cycle threshold values of Real Time RT PCR and normalized towards 18s rRNA to predict the relationship between the expression of cMyc and the degree of malignancy. The cMyc expression is increased in accordance with the tumor grade. The cMyc expressions in high grade glioma are 17424.23 folds higher when calibrated to the normal cell, whereas the genes in lower grade tumors are expressed with the rate of 6167.35. Although the values obtained are not statistically significant, this research has strengthened molecular diagnosis, specifically pluripotency as the factor that gives a greater prognostic relevance than the histopathologic diagnosis. As a conclusion, there is a clinical tendency where the relative mRNA expression was higher in in glioma cMyc high degrees compared with low-grade glioma, however it is not statistically significant
EVALUASI IMPLEMENTASI CLINICAL PATHWAY PADA PASIEN INFARK MIOKARD AKUT DI RUMAH SAKIT UMUM PUSAT NASIONAL DR. CIPTO MANGUNKUSUMO JAKARTA
No full textBackground:
Dr. Cipto Mangunkusumo National Center General Hospital (Rumah Sakit
Cipto Mangunkusumo/ RSCM) is a teaching hospital and national referral
hospital, committed to improve international standard of services. One of possible
solution to improve its service equity is by implementing clinical pathway (CP).
There are 8 clinical pathways which were implemented before in RSCM, one of
them is clinical pathway for acute myocardial infarct without complications. This
clinical pathway has been chosen because cardiovascular disease is the leading
cause of death with high risks and high cost. However, there are some obstacles
found in implementing clinical pathway. Therefore, the author want to evaluate
the implementation of clinical pathway in patient with acute myocardial infarct in
RSCM in order to find out the suitability of implementation that has been
performed and to improve the quality of services.
Aim:
The purpose of this research is to evaluate the implementation process of
clinical pathway for patient with acute myocardial infarct in RSCM, toassess the
outcome and obstacle in implementing clinical pathway of acute myocardial
infarct in RSCM.
Method:
This research used descriptive cross sectional study. The analytical unit in this
case is the evaluation of clinical pathway implementation for patient with acute
myocardial infarct that had been performed in RSCM. The data were collected
retrospectively with quantitative and qualitative method. The data were taken
from medical records, throughquestionnaire to the nurses and doctors who were
in charge in ICCU RSCM, and by conducting a Focus Group Discussion (FGD).
Result:
The obedience in implementing clinical pathway for patient with acute
myocardial infarct in RSCM wasn�t good enough. Although the mean was
95,4%, the obedience would be considered 0% if one of the CP wasn�t fully
completed as the stated policy. The lowest obedience was the service in
transferring the patient from Emergency Unit to ICCU, obedience of DPJP (doctor
in charge) and the obedience in performing Corangiography/PCI ranged about
58% to 72.5%.
Length of Stay (LOS) of respondents in this research wasn�t good, the mean
was 8.2 days. By 55% met the standard, but the other 45% had LOS more than 7
daysthat reflected 45% of the respondents did not meet the standard of clinical
pathway for acute myocardial infarct in RSCM. There was 4.3% respondents who
had complication of acute myocardial infarct in RSCM. This research did not find
any mortality but there was 11.6% of the respondents had readmission, and 7 of
them came back because of a schedule for medical procedure and 1 person had
recurrent acute myocardial infarct. The result of chi square test which was used to
evaluate the relationship between LOS with the duration of patient�s transfer to
ICCU, a long time waiting for a medical procedure, and DPJP existence, p value
obtained for each variable >0.05 which means none of them was related with
LOS. The relationship between LOS with the length of waiting time formedical
xiii
procedure resulted p value 1.000, LOS with duration of patient�s transfer to ICCU
resulted p value 0.619 and between LOS with DPJP existence resulted p value
1.000. The case proportion between LOS7days was almost the
same. There were no differencesin, the availability of ICCU, the rapidity e in
giving treatment, and DPJP existence, towards LOS. It was possible that DPJP
visited without signing the verification sheet on patient�s medical record.
There were 27 obstacles and six of them were mostly complained by the
medical staffs in the implementation of clinical pathway for acute myocardial
infarct in RSCM. They were the lack of socialization to all staffs about filling the
CP for
Penentuan Tingkat Kedaruratan Bedah Adenoma Hipofisis Melalui Stratifikasi Prabedah di Rumah Sakit Umum Pusat Nasional dr. Cipto Mangunkusumo
No full textAdenoma hipofisis menyebabkan defisit neurologis yang memerlukan tata laksana tepat. Belum ada standar baku penetapan tingkat kedaruratan bedah untuk adenoma hipofisis. Penelitian ini bertujuan mengetahui distribusi tingkat kedaruratan bedah pengangkatan tumor melalui operasi trans-sfenoid pada pasien adenoma hipofisis. Penelitian retrospektif berbasis rekam medik dilakukan pada 50 pasien adenoma hipofisis yang menjalani operasi pengangkatan tumor dengan teknik trans-sfenoid di Departemen Bedah Saraf FKUI-RSUPNCM pada tahun 2018-2019. Proporsi pasien yang menjalani operasi elektif dan dipercepat dibandingkan dengan stratifikasi risiko prabedah menurut tingkat kedaruratan bedah A/B/C/D. Proporsi pasien yang menjalani operasi elektif dan dipercepat adalah 86% dan 14%, sedangkan proporsi tingkat kedaruratan bedah adalah 54% (A), 36% (B), 8% (C), dan 2% (D). Median hari waktu tunggu menuju operasi [min-max] adalah 77,6 (4-549) hari (A); 45,4 (7-258) hari (B); 71 (8-140) hari (C); dan 99 hari (D); tidak terdapat perbedaan bermakna. Terdapat ketidaksesuaian proporsi antara pasien kategori dipercepat/elektif dan tingkat kedaruratan bedah A/B/C/D serta tidak ada perbedaan waktu tunggu menuju operasi pada keempat kelompok risiko operasi A/B/C/D. Diperlukan penelitian lebih lanjut untuk menetapkan manfaat stratifikasi risiko prabedah tumor hipofisis terhadap luaran pasien pasca operasi pengangkatan tumor melalui operasi trans-sfenoid. Determination of Surgical Emergency Levels of Pituitary Adenoma Patients Through Pre-Surgical Stratification at the dr. Cipto Mangunkusumo National Hospital Pituitary adenomas may cause neurological deficits that require prompt management. There is no standard for determining the level of surgical emergencies for pituitary adenomas. The author aims to know the distribution of pituitary adenomas surgically removed through trans-sphenoid surgery. This medical record-based retrospective study was conducted on 50 pituitary adenoma patients who underwent trans-sphenoidal surgery at the Department of Neurosurgery, dr. Cipto Mangunkusumo National Hospital in 2018-2019. The proportion of patients undergoing elective and urgent surgery is compared with pre-surgical risk stratification according to the level of A/B/C/D surgical emergencies. The proportions of patients who underwent elective and urgent surgery were 86% and 14% respectively, while the proportion of surgical emergencies for each group was 54% (A), 36% (B), 8% (C), and 2% (D). The median waiting time to surgery [min-max] for each group is 77.6 (4-549) days (A); 45.4 (7-258) days (B); 71 (8-140) days (C); and 99 days (D); no significant difference were found. There was a large discrepancy in the proportion between patients included in the urgent/elective category and the level of emergency A/B/C/D surgery. Furthermore, there is no difference in waiting time for surgery between the four risk groups for A/B/C/D. Further research is needed to establish the benefits of preoperative risk stratification of pituitary adenoma in terms of patient outcomes after trans-sphenoid surgery.  
Application of probiotics and different size of sodium bicarbonate powders for feedlot sheep fattening
No full textFluconazole and Itraconazole Susceptibility Pattern in Monofungal and Multifungal Infection in Cipto Mangunkusumo General Hospital: Cross-Sectional Study
No full textKajian Yuridis terhadap Peran Serta Sukarelawan Pengatur Lalu – Lintas (Supeltas) dalam Menciptakan Ketertiban Lalu – Lintas di Surakarta
No full textImplementation of law enforcement should be consistent, consistent, and very thorough in dearer society, and in order pass - cross so is diwajib obey the signs - signs traffic - and also includes not break through light signals traffic -. And what if on a road that is very crowded intersection in the city center Surakarta there has been no traffic lights - laintas, would be very chaotic and mutual seized occur among road users. And here the necessity of their governing officials would smooth the traffic -. But with the limitations of police officers so frequent congestion - traffic. Here the authors raise the research titled "Study of Juridical Against Participation of Volunteers Regulatory Then - Cross (Supeltas) In creating Ketertuban Then - Traffic in Surakarta" because in Surakarta when we meet the members of the Volunteer Manager Then - Cross (Supeltas) set up in several road intersection in Surakarta. The purpose of this study was to determine the role of, the legality of existence, and hope - hope Regulatory Then Volunteers - Cross (Supeltas) in creating an orderly traffic in city of Surakarta. This research is descriptive and views of its objectives including empirical legal research. The location of this research is done on some streets intersection. That is the first in the Crossroads JL. National Awakening And JL. Bhayangkara, both at the Crossroads JL. K.H. Samanhudi And JL. Pioneer Independence, third at the Crossroads JL. M.T. Haryono And JL. SEMARANG - Surakarta, and the fourth at the Crossroads JL. Wora - Wari and JL. DR. Cipto Mangunkusumo. Data used include primary data and secondary data. Data collection through interviews and research of literature both books, legislation, papers, results of previous studies, documents, and so on. Analysis of data using qualitative analysis. Based on this research, the result that the legality of the law in terms of the members of the Governing Then Volunteers - Cross (Supeltas) does not have the legal or weeks to set the right road. But in order to create the smooth running of life passed lintas required the participation of parties outside the police, one of which is the Volunteer Manager Then - Cross(Supeltas)
