RSUD Prof. Dr. Saiful Anwar Malang

The rapid development of Artificial Intelligence (AI) has transformed educational leadership practices, including at the elementary school level, which raises distinctive pedagogical and ethical considerations. This study aims to examine AI-based educational leadership in elementary education, emphasizing the balance among data utilization, pedagogical wisdom, and humanistic values. A Systematic Literature Review (SLR) was conducted by analyzing peer-reviewed articles published between 2015 and 2025 that address educational leadership, AI, and primary education. The findings indicate that AI significantly supports data-driven leadership by enhancing responsive and evidence-based decision-making; however, it cannot replace the role of school principals as interpreters of data who consider students’ social-emotional development and the unique context of elementary education. The successful implementation of AI is also highly dependent on establishing teachers’ psychological safety, fostered by supportive, ethical leadership that encourages reflective adaptation to technology without undermining professional autonomy. Furthermore, AI has strong potential to support differentiated and inclusive learning, provided it is managed fairly and does not lead to labeling or learning inequalities. This study underscores that elementary school leadership in the AI era must be grounded in a strong ethical commitment to child protection, equity, and inclusivity, positioning AI as a means to strengthen educational practices rather than an end in itself.

Background: Septic, an infection-induced condition, triggers an inflammatory response leading to life-threatening organ dysfunction and hypoalbuminemia. Albumed milk, containing extracts from egg whites and sprouts, has been considered a potential intervention to prevent hypoalbuminemia.Objective: This study aimed to evaluate the impact of albumed milk on elevating serum albumin levels in septic patients in the intensive care unit (ICU).Methods: An experimental study involved two groups totaling 40 patients. The control group received a standard ICU diet, while the treatment group received half of the regular ICU diet supplemented with 30 grams of albumed milk every 8 hours. Albumin levels were measured on days 0 and 3.Results: A significant reduction in average albumin levels occurred in the control group at 0.605 units (p-value = 0.006). Conversely, the treatment group showed a non-significant decrease, with an average reduction in albumin level of 0.03 units (p = 0.839).Conclusion: Albumed milk administration preserves albumin levels in septic patients compared to control patients without albumed, who show albumin level reduction. This highlights the potential utility of albumed milk as a supplementary measure in mitigating septic-related hypoalbuminemia.

Advances in technology and research in the field of pharmacy have driven innovation in drug formulation and administration methods to improve the effectiveness and safety of therapy. One of the most widely developed dosage forms is suspension injections, which are sterile preparations containing particles of active ingredients that are insoluble in the carrier fluid. This study aims to review the effects of various administration routes, such as intra-articular, intramuscular, and subcutaneous, on the efficacy and safety of suspension injections. The method used is a literature study analyzing various scientific journals from databases published in the last ten years. The results of the review show that the route of administration has a significant effect on the therapeutic effect, where the intra-articular route provides a strong local effect with low systemic risk, the intramuscular route produces long-term effects and is relatively easy to perform, while the subcutaneous route provides stable drug release over a long period of time. Overall, the choice of injection route for suspension injections should be tailored to the characteristics of the drug, the patient's condition, and the therapeutic goals to achieve optimal, safe, and comfortable treatment outcomes for the patient.

Background: Primary breast lymphoma is a rare category of extranodal non-Hodgkin's lymphoma accounting for less than 1% of all non-Hodgkin's lymphoma and less than 0.5% of all breast cancer. It often presents radiologically and clinically as breast cancer leading to delayed diagnosis and inappropriate management. It remains a rare diagnosis that continues to challenge radiologists and clinicians. Case Presentation: A 45-year-old woman presented with a rapidly enlarging mass in her right breast over the past two months. She reported no skin changes, nipple discharge, or associated pain. There was no noteworthy family history or comorbidities. A large, firm, solid mass with skin deformity and attachment to the chest wall was discovered during physical examination. A large, irregular, solid, hypoechoic mass with hypervascularity was discovered by breast ultrasonography. A CT scan of the chest showed several right rib destruction and a soft tissue mass infiltrating the pectoralis muscle. A solid intradural extramedullary lesion from the C4 to L4 vertebrae showing canal stenosis and myeloid edema on a spinal MRI suggested either lymphoma infiltration or dural metastasis. Large lymphoid cells in diffuse proliferation, positive expression of CD45, CD20, and a Ki-67 proliferation index greater than 90% were found in FNAC, histopathology and immunohistochemical examination. The right breast, axilla, vertebrae, and spinal dura mater all showed high FDG uptake on PET-CT. The patient was diagnosed with high-grade B-cell non-Hodgkin lymphoma in the right breast, which had already spread to the bone and spinal cord. The R-CHOP regimen was used to start systemic therapy. Conclusion: Diagnostic vigilance needed in rare cases such as breast non-Hodgkin lymphoma has been emphasized. Clinically, it supports a systematic approach from a deep history and physical examination to reach a correct diagnosis. Radiologically, a homogeneous extensive mass lesion of soft tissue occupying and destroying bone without the common features associated with carcinoma such as skin in-drawing or calcification bears importance for it is not a primary source of epithelial origin. Apart from that, Initial biopsy on atypical breast masses before an operative intervention, and interprofessional collaboration for attaining an appropriate diagnosis and therapy, are crucial. Besides that, it is further expected that radiological awareness of breast lymphoma would eventually lead to better evaluation, diagnosis, management, and unnecessary procedures avoided among the clinicians and radiologists.

In “Management of Decongestion in Acute Heart Failure: Time for a New Approach?” (Indonesian Journal of Cardiology, 43(2), 77-89. https://doi.org/10.30701/ijc.1381), there is an error noted. An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1381. The error occurs only in the PDF; the DOI listed in the article metadata is already correct. The publisher apologizes for any inconvenience caused by this error.DOI of original article: https://doi.org/10.30701/ijc.1381

Background: Lung cancer is the most common malignancies that lead to highest mortality and morbidity. Advanced lung cancer is treated with chemotherapy and the evaluation is using RECIST. Thrombocytosis and or leukocytosis in lung cancer, theoritically stand with bad condition.The aim of this study is to analyse whether thrombocytosis and or leukocytosis can be a prognostic factor compare to the result of RECIST,Progression Free Survival and the stadium of lung cancer. Method: This study uses retrospective analytic cross-sectional design.Data were taken from medical record at Saiful Anwar Hospital,2018-2021,processed with Chi square,Mann-Whitney, and Fisher Exact test. Result:The result of Chi square Thrombocytosis and Leukocytosis to the first result of RECIST are ᵡ²(1) =59,659; p=0,000 and ᵡ²(1) = 5,707:p=0,017.To the median PFS 5,66 months the test are ᵡ²(1)=51,776:p=0,000; ᵡ²(1)=4,259:p=0,039.To the state of progression, the test are ᵡ² (1)=15,171:p=0,000; ᵡ²(1)=2,226:p=0,329.To stadium, Mann-Whitney test are:1145,00;Z= -1,026:p=0,305 and 1040,500;Z= -1,393:p=0,164. Conclusion: There is statistically significance between thrombocytosis or leukocytosis to the first result of RECIST,median PFS 5,66 months.No significance to the stadium of lung cancer.Thrombocytosis and or leukocytosis can be a prognostic factor for result of chemoteraphy.

This study aims to analyze the practice of empowering women who work as halal assistants at LP3H UIN Sunan Kalijaga. Women's participation and gender equality that places women in a position equal to men are an important part of the success of the Sustainable Development Goals (SDGs) program including women's empowerment and economic independence. The method used in this research is field research (faild research) with data collection techniques through observation, interviews and documentation about halal assistance and halal women assistants at LP3H UIN Sunan Kalijaga. The results of this study indicate that in the midst of a patriarchal culture that is still rooted in Indonesian society, women who work as halal assistants are able to survive and there are even practices of women's empowerment, this is indicated by cooperation, collaboration, and even mutual support between female assistants. The formation of an organization/community as a forum for halal assistants is very influential on the productivity of assistance carried out by women. In addition, the factor of strategic positions filled by women both as chairman / management of communities such as Pumikop and Forkom (Communication Forum) UMKM makes women more active and productive in providing assistance to business actors

Introduction: Menopause is a normal phase in a woman's life marked by the discontinuation of menstruation due to hormonal changes, often accompanied by sleep disturbances. These sleep disturbances can negatively impact health and well-being. The global prevalence of sleep disturbances among postmenopausal women is quite significant. Several studies have shown that hypnosis therapy can improve sleep quality in menopausal and postmenopausal women. This review aims to evaluate the effects and benefits of hypnosis therapy on sleep disturbances in menopausal and postmenopausal women through a literature review. We also analyze how various media are used in hypnosis therapy interventions. Methods: This study uses a literature review method by accessing relevant articles through electronic databases such as PubMed, Science Direct, and Google Scholar, focusing on publications from the last 10 years. Inclusion and exclusion criteria were applied in selecting the articles. Results: Five studies were analyzed, showing that hypnosis therapy using various research methods and types of hypnosis effectively addresses sleep disturbances in menopausal and postmenopausal women. Discuss: Hypnotherapy teletherapy could become a standard form of therapy globally, though there may still be a necessity for traditional face-to-face therapy based on patient preference.11 Teletherapy hypnosis can improve sleep quality by targeting psychological mechanisms such as pre-sleep arousal and reducing worry, paving the way for more effective interventions. Conclusion: The results indicate that different research methods and media types used for hypnosis therapy in the sample show consistent results that hypnosis therapy positively affects reducing sleep disturbances in menopausal and postmenopausal women.

Implementing interprofessional collaboration practices is a key strategy for enhancing the quality and outcomes of health services. This collaboration involves multiple professions, requiring cooperation from each team member and organization to improve patient satisfaction and safety. This study aims to examine the determinant factors and their relationships in interprofessional collaboration practices within the scope of surgical procedures. This study employs a scoping review approach, following the stages of problem identification, literature collection, literature selection, thematic analysis, mapping, and report preparation. The analysis identified 11 articles that met the criteria and revealed determinant factors at three levels: individual, team, and organizational. These determinant factor groups consist of several factors; at the individual level, work experience and age factors were predominant; at the team level, communication and teamwork were key factors; and at the organizational level, the factors included organizational characteristics and hospital design programs. The analysis indicated that certain determinant factors influence interprofessional collaboration (IPC) practices both directly and indirectly through intermediary determinants that link the influence of primary determinant factors to collaborative practices in the surgical field. Future research should conduct in-depth analyses of these determinant factors within the surgical field or in other health service areas.