Background High bilirubin levels may lead to complications such as bilirubin encephalopathy or even death. Therefore, neonatal hyperbilirubinemia patients require appropriate treatment in the form of phototherapy or exchange transfusion. With the advancement of technology, various types of phototherapy, such as the cylindrical intensive phototherapy (bilisphere) and double LED, are now available. Objective To compare cylindrical intensive phototherapy to double surface LED phototherapy in neonatal hyperbilirubinemia. Methods This cohort study was conducted in neonates with hyperbilirubinemia at at Syamsudin SH Hospital, Sukabumi, West Java, who were treated with either cylindrical intensive phototherapy or double surface LED phototherapy. The variables observed were subjects’ characteristics, bilirubin levels pre- and post-therapy, duration of phototherapy, length of stay, and total treatment cost. The data were analyzed using univariate and bivariate analyses. Results Of 47 neonates, the mean bilirubin levels were 19.36 mg/dL pre-therapy and 12.26 mg/dL post-therapy. Subjects’ overall mean duration of phototherapy was 24 hours, mean length of stay was 1 day, and mean cost of treatment was IDR 813,175. There was no significant difference in the bilirubin decrease between the cylindrical intensive phototherapy and double LED groups. However, there were significant differences between the cylindrical intensive phototherapy and double LED groups in duration of phototherapy (10.75 vs. 75.17 hours, respectively (P<0.000), mean length of stay (1 vs. 3.13 days, respectively (P<0.000), and total cost of treatment (IDR 598,918 vs. IDR 1,036,747, respectively P<0.000). Conclusion While the decrease in bilirubin was not significantly different in neonatal hyperbilirubinemia patients who underwent cylindrical intensive phototherapy compared to double LED therapy, cylindrical intensive phototherapy relates to significant shorter phototherapy duration, length of stay, and total treatment cost. Hence, cylindrical intensive phototherapy phototherapy is considered to be more time-efficient and cost-efficient than double LED phototherapy.
Pemanfaatan Teknologi Informasi (TI) yang optimal sangat penting dalam upaya mencapai tingkat kinerja yang maksimal. Untuk meningkatkan kinerja, diperlukan perencanaan pemerolehan atau penerapan layanan TI yang baik. Tingkat pemerolehan dan penerapan layanan TI yang bersifat ad-hoc dan memiliki celah yang cukup besar dengan expected level pada best practice COBIT 4.1 hanya akan menyebabkan terjadinya pemborosan semata. Penelitian yang bersifat deskriptif ini bertujuan untuk mendapatkan gambaran bagaimana kondisi tata kelola pada proses kegiatan TI di Universitas Pembangunan Jaya yang dijadikan sebagai tempat studi kasus. Evaluasi dan analisa dilakukan untuk menganalisis dan mengetahui pemerolehan dan penerapan TI yang digunakan. Evaluasi dan analisa menggunakan framework COBIT 4.1. Domain yang digunakan adalah Acquire & Implement (AI), karena domain ini mengelola pemerolehan dan penerapan TI termasuk pengelolaan perubahannya. Tujuan dari penelitian ini adalah untuk mengevaluasi dan menjadikan hasil analisa sebagai masukan untuk memperbaiki pengelolaan TI yang berjalan pada institusi tersebut.Kata Kunci : Tata Kelola TI, COBIT 4.1, Acquire & Implement
The use of learning websites in the field of education has now become a necessity. One of them is using a Learning Management System that supports the learning process. The Learning Management System is a system that tertiary institutions widely use to help the teaching and learning process run smoothly. Apart from providing benefits to tertiary institutions, this system must also be well received by the primary users, namely students. To assess the performance of a Learning Management System, tools that can be used include the Analysis using the Index -Performance Matrix. This matrix was initially developed to assess consumer satisfaction with the marketing of goods or services. Still, it can be developed to assess user satisfaction with the services of an LMS website. This study tries to assess one LMS using indicators to assess website user satisfaction, using the Importance -Performance Analysis Matrix, which is modified according to website assessment standards. The results of this Analysis obtained data on the gap between the performance expected by the user and the user's preferences regarding the level of importance of each indicator. Based on the data spread over the four quadrants, it can be determined which factors should be prioritized for improvement or improvement. These variables are variables 2, 3, 4 and 6, namely the Application features , application reliability, replication suitability and also ease of repair, we found several variables that need to be fixed immediately and which factors are not yet urgent. This research was conducted at a university in South Tangerang.
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