Universitas Achmad Yani

Introduction: The Vasoactive-Inotropic Score (VIS) quantifies cardiovascular support in critically ill children by aggregating vasoactive medication doses into a single numerical value. Despite widespread clinical use, a comprehensive synthesis of VIS as a predictor of pediatric outcomes across diverse populations is lacking. This systematic review aimed to evaluate the predictive value of VIS for mortality and morbidity in pediatric critical care populations. Methods: A systematic review was conducted following PRISMA guidelines. We screened studies based on predefined criteria: pediatric population (0-18 years), explicit VIS calculation using standard formulas, reporting of clinical outcomes, and statistical analysis examining VIS-outcome relationships. Studies were excluded if limited to adult populations, case reports, conference abstracts, or editorials. Data extraction included population characteristics, VIS calculation methods, predicted outcomes, predictive performance metrics, and key findings. Results: Eighty-seven studies published between 2010-2025 met inclusion criteria, encompassing 29,920 patients across diverse settings (PICU, cardiac ICU, NICU). Post-cardiac surgery populations were most frequently studied (n=34), followed by septic shock (n=18) and neonatal populations (n=15). VIS demonstrated strong mortality prediction across populations: septic shock (AUROC 0.779-0.976), neonatal cardiac surgery (AUROC 0.83), congenital diaphragmatic hernia (AUROC 0.925), and extremely low birth weight preterm infants (AUROC 0.816-0.92). Optimal thresholds varied substantially from VIS >5 in preterm infants to >70 in myocarditis. Maximum VIS in the first 24-48 hours showed strongest associations with outcomes. VIS predicted prolonged mechanical ventilation (OR 5.20, 95% CI 3.78-7.16) and composite poor outcomes (OR 6.5-8.1). The Vasoactive-Ventilation-Renal (VVR) score outperformed VIS alone in cardiac surgery populations (AUC 0.87-0.98 versus 0.68-0.78). Discussion: VIS demonstrates consistent predictive validity across pediatric critical care populations, with performance comparable or superior to established scoring systems. Threshold heterogeneity reflects population-specific severity, age-related physiologic differences, and condition-specific considerations. Serial VIS monitoring provides incremental prognostic information beyond single measurements. Conclusion: VIS is a valid, readily calculable predictor of mortality and morbidity in pediatric critical care. Population-specific thresholds and integration with multi-organ dysfunction scores enhance predictive utility. Future research should focus on prospective validation of thresholds and implementation of VIS-guided clinical decision support.

Adolescence represents a critical phase in which menstrual hygiene management (MHM) significantly affects the health, education, and psychosocial development of girls. In Indonesia, poor MHM is prevalent due to limited knowledge, cultural taboos, inadequate school-based education, and insufficient Water, Sanitation and Hygiene (WASH) facilities. Although various school-based MHM interventions have been introduced, their designs and outcomes are heterogeneous, and a comprehensive synthesis of their effectiveness is lacking. Schools represent a strategic platform for implementing health education and promoting practical change. However, evidence specific to Indonesia, as this country has its cultural diversity, educational system, and national health policies, has not been systematically reviewed. This review aims to synthesise current evidence on school-based MHM interventions in Indonesia, focusing on their impact on adolescent girls’ knowledge, attitudes and practices related to menstruation. This systematic review is registered with PROSPERO (ID: CRD420251082789) and follows the PRISMA 2020 reporting guidelines. A manual search was conducted across three Indonesian national journal databases: Garuda, Perpusnas, and ISJD, from June 15 to July 2, 2025. Eligible studies were peer-reviewed, full-text original articles in Bahasa Indonesia or English, published between 2019 and 2024, with quantitative experimental designs. Inclusion criteria focused on MHM interventions conducted in formal educational settings targeting girls aged 10–19. Studies not conducted in Indonesia, not school-based, or lacking an experimental design were excluded. Titles and abstracts were manually screened, followed by independent full-text review and quality appraisal by multiple reviewers to ensure the rigorous selection and minimise bias. Out of 687 initially identified articles from three Indonesian national databases, a total of 13 articles were included in this review. The educational level of participants in the included studies was junior high school (9), senior high school (2), and primary school (2), with an age range from 10 to 18 years old, and the total sample was 960 students. The studies were conducted in most areas of Java (10), and the other three were from Bengkulu, Maluku, and South Sulawesi, respectively. The interventions in the included studies were experimental designs, with 7 studies being pre-experimental and 6 being quasi-experimental. Most interventions demonstrated improvements in knowledge and attitudes. However, evidence of sustained practical change remains weak due to reliance on self-reported, non-validated instruments. The review suggests the potential effectiveness of school-based interventions in improving knowledge, attitude and practice of adolescents regarding menstrual hygiene practice. However, a thorough evaluation of these studies revealed significant methodological limitations that must be acknowledged in interpreting these results. Future studies could explore the other effective interventions of MHM and use more rigorous instrument methods. PROSPERO registration number: CRD420251082789.

Background: Diabetes Mellitus (DM) is a degenerative disease and ranks among the top four non-communicable diseases that continue to rise annually, posing a global health threat (Sun et al, 2022). Objective: This study aims to examine the relationship between the level of knowledge about diabetes mellitus and dietary patterns with effort to prevent diabetes mellitus among 11th grade science students at SMAN 21, Tangerang Regency. Methods: The research employed a descriptive quantitative design with a cross-sectional approach. The sample consisted of 80 students from 11th-grade science classes, selected through purposive sampling. Research instruments included the DKQ-24 questionnaire to assess knowledge, the Food Frequency Questionnaire (FFQ) to evaluate dietary patterns, and a diabetes prevention questionnaire. Data were analyzed using univariate and bivariate methods with the chi-square test. Results: The findings revealed a significant relationship between knowledge level and dietary patterns with diabetes prevention efforts (p<0.001). Conclusion: Students with good knowledge and healthy eating habits tend to be more proactive in preventing diabetes mellitus. Therefore, health education within the school environment plays a crucial role in fostering healthy behaviors from an early age.

The phenomenon of mobile coffee (Starling/Kopling) has become an informal business model that has transformed the coffee consumption landscape in Indonesia, including in Banjarmasin, by offering high accessibility and affordable prices. This study aims to analyze and identify the most dominant determining factors influencing the Purchase Decisions of Generation Z in Banjarmasin. This quantitative research uses an explanatory cross-sectional design with 105 Generation Z respondents in Banjarmasin, selected through accidental sampling, where the majority of respondents are students (49.52%). The independent variables examined are Product Quality (X1), Price (X2), Location/Access (X3), Promotion/Social Media (X4), Brand Image (X5), and Service Quality (X6) on Purchase Decision (Y). Partially (t-test), four variables were proven to have a significant effect: Product Quality (X1), Location/Access (X3), Brand Image (X5), and Service Quality (X6). Based on the regression coefficient values, Brand Image (0.300) is the most dominant factor, followed by Service Quality (0.250). Meanwhile, Price (X2) and Promotion/Social Media (X4) do not have a significant effect. These findings highlight that amidst the homogeneity of mobile coffee prices, psychological and social factors reflected in brand image, product quality, and service become the main determinants of Purchase Decisions for Generation Z.

Learning the Qur’an in non-formal institutions requires effective teaching methods to ensure that learners can read the Qur’an correctly, fluently, and in accordance with tajwīd rules. Rumah Qur’an Al-Hafidz Andang applies two main methods, namely the Iqra method, which focuses on reading fluency, and the Makhraji method, which emphasizes the accuracy of makhraj and the characteristics of Arabic letters. This study aims to examine the implementation and effectiveness of these two methods using a Mixed Method approach. This approach combines qualitative data obtained through observations, interviews, and documentation with quantitative data collected through Qur’anic reading tests and student response questionnaires. The findings reveal that the Iqra method is effective in improving reading fluency at the initial stages, while the Makhraji method significantly enhances the accuracy of letter articulation and the application of tajwīd. The integration of both data sets indicates that combining the Iqra and Makhraji methods produces more comprehensive learning outcomes, as shown by improved average test scores and positive responses from both students and teachers. This study concludes that the Mixed Method approach provides a deeper and more holistic analysis of the effectiveness of Qur’anic learning methods.

Pengembangan kompetensi guru merupakan proses sistematis dan berkelanjutan yang bertujuan untuk meningkatkan potensi guru agar dapat mengimplementasikan pengetahuan, keterampilan, dan kepribadiannya secara efektif. Tujuan penelitian ini adalah untuk mengetahui bagaimana pelatihan kompetensi guru diselenggarakan dari perspektif pembelajaran mendalam di SMA Negeri 1 Kandangan. Metode yang digunakan dalam penelitian ini adalah metode penelitian kepustakaan. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan kualitatif deskriptif. Peneliti melakukan melakukan tanya jawab secara lisan dan langsung bertatap muka dengan pihak informan yaitu kepala sekolah untuk menggali informasi yang mendalam dan dibutuhkan mengenai pembinaan kompetensi guru dari perspektif pendekatan deep learning di SMA Negeri 1 Kandangan. Hasil penelitian ini menunjukkan bahwa pembinaan kompetensi guru dalam perspektif pendekatan deep learning di SMA Negeri 1 Kandangan yaitu pertama dengan pengadaan pelatihan yang berkaiatan dengan deep learning. Kedua, pembentukan komunitas belajar. Ketiga, pelaksaan supervisi kepala sekolah. Keempat, penilaian kinerja guru oleh tim. Kelima, pendampingan pengawas. Keenam, memfasilitasi keikutsertaan guru dalam kegiatan MGMP. Terakhir mengikutsertakan perwakilan guru dalam kegiatan luar terkait deep learning.

Black garlic is obtained through a controlled fermentation process that alters its color, aroma, and flavor while enhancing its concentration of bioactive compounds. This product is rich in phenolics, flavonoids, alkaloids, and organosulfur compounds such as S-allyl cysteine, which are known to exhibit antioxidant, anti-inflammatory, and antimicrobial properties. This study aimed to determine the total alkaloid, flavonoid, and phenolic content, antioxidant activity, and acute toxicity profile of black garlic. Black garlic samples were prepared by fermenting Solo garlic for 12 days at 60–70 °C. Alkaloid content was analyzed spectrophotometrically using Bromocresol Green reagent with quinine as the standard, flavonoid content was determined using quercetin, and total phenolic content was measured using the Folin–Ciocalteu method with gallic acid as the standard. Antioxidant activity was assessed using the DPPH method, while acute toxicity testing was conducted on male BALB/c mice at doses of 500–5.000 mg/kg BW following OECD/GHS guidelines. The results showed that black garlic contained 301.65 ± 3.436 mg QE/kg alkaloids, 2.190 ± 0.051 mg QE/g flavonoids, and 81.976 ± 1.179 mg GAE/g phenolics. Antioxidant activity was categorized as very strong with an IC₅₀ value of 9.94 ± 0.012 ppm, comparable to Vitamin C (9.92 ± 0.005 ppm). Acute toxicity tests revealed no toxic symptoms or mortality up to 5.000 mg/kg BW, classifying black garlic as practically non-toxic. In conclusion, black garlic is rich in bioactive compounds, demonstrates strong antioxidant activity, and is safe for consumption, making it a potential functional food and health supplement.

The rising cases of juvenile delinquency in Indonesia, such as theft, assault, drug abuse, and youth brawls, highlight a growing concern for society, particularly in preserving moral values among the younger generation. As the majority of Indonesians are Muslims, instilling moral values is crucial, one of which is through Islamic Religious Education (PAI). PAI plays a central role in shaping the character, morality, and spirituality of students. The Akidah Akhlak (faith and morality) component in PAI, which addresses the foundation of faith and ethics in daily life, is vital to the success of Islamic education. Akidah Akhlak is taught progressively from Primary School to University levels, with characteristics and approaches adapted to the cognitive, psychological, and social development of students at each level. This study aims to analyze the characteristics of Akidah Akhlak materials across various educational stages, ensuring their alignment with students' developmental needs and contributing to reducing juvenile delinquency. The results show that Akidah Akhlak is systematically designed, focusing on basic faith and good character habits in primary education, expanding on social and moral aspects in secondary education, applying Islamic ethics in society at the senior level, and offering more complex discussions at the university level. The material at each stage aims to produce individuals who are not only intellectually competent but also spiritually strong and morally sound.

Kalimantan Selatan kaya ragam kekayaan budaya seperti kerajinan tangan tradisional, permainan tradisional, dan kesenian tradisional (seni musik dan seni tari), serta bangunan bersejarah seperti museum dan masjid. Salah satu kekayaan budaya yang cukup terkenal adalah bangunan masjid bersejarah yang banyak dikunjungi oleh wisatawan, baik lokal, nasional maupun mancanegara. Penelitian ini akan memfokuskan pada tiga masjid bersejarah di Kalimantan Selatan, yaitu Masjid Sultan Suriansyah (Banjarmasin), Masjid Agung Al Karomah (Martapura), Masjid Keramat Al-Mukarramah (Banua Halat, Tapin). Penelitian yang dilaksanakan adalah penelitian kualitatif deskriptif, yang bertujuan mendeskripsikan hasil temuan/eksplorasi etnomatematika pada bangunan masjid bersejarah di Kalimantan Selatan, dengan pendekatan etnografi. Teknik pengumpulan data yang dilakukan peneliti yaitu dengan menggali informasi melalui studi kepustakaan, observasi, serta wawancara. Instrumen yang digunakan dalam penelitian ini peneliti sendiri (human instrument), pedoman wawancara dan lembar observasi. Teknik analisis data yang digunakan adalah analisis data kualitatif, yaitu data reduction, data display, dan conclusion drawing/verification. Hasil penelitian menunjukkan bahwa pada bangunan tiga masjid bersejarah di Kalimantan Selatan terdapat banyak konsep matematika di dalamnya. Secara garis besar ada dua konsep utama yang dominan ditemui pada ketiga masjid, yaitu konsep geometri dan konsep kekongruenan. Selain itu, ada konsep garis sejajar, konsep sudut, konsep transformasi geometri, konsep Pythagoras. South Kalimantan is rich in various cultural wealth, such as traditional handicrafts, traditional games, traditional arts (music and dance), and historical buildings (museums and mosques). One of the most famous cultural wealth is the historical mosques, which are visited by local, national, and foreign tourists. The particular study focused on three historical mosques in South Kalimantan. They were the Sultan Suriansyah Mosque in Banjarmasin, the Masjid Agung of Al-Karomah in Martapura, and the Masjid Keramat Al-Mukarramah in Banua Halat, Tapin). It used a descriptive qualitative study with an ethnographic approach. It aimed to describe the findings/exploration of ethnomathematics in historical mosque buildings in South Kalimantan. The data collection techniques were literature studies, observations, and interviews. The instruments were the researcher himself (human instrument), interview guidelines, and observation sheets. The data analysis technique used data reduction, data display, and conclusion drawing/verification. The study showed that the buildings of the three historical mosques in South Kalimantan have many mathematical concepts. Generally, two main concepts are dominant in the three mosques, namely geometry and congruence. Also, it found the concepts of parallel lines, angles, geometric transformation, and Pythagoras.