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All Journal Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Kajian Ilmu Pendidikan (JKIP)
Septriana Putri, Septriana
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Education Immunology & microbiology Medicine & Pharmacology Neuroscience Social Sciences Other

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Meta-Analysis of Effective Management Strategies for Malignant Central Airway Obstruction Putri, Septriana; Yessy Susanty Sabri; Fenty Anggrainy
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 11 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i11.1108

Abstract

Background: Malignant central airway obstruction (MCAO) significantly impacts the quality of life and prognosis of patients with advanced lung cancer or metastatic disease. This meta-analysis aims to evaluate the effectiveness and safety of various management strategies for MCAO. Methods: A systematic search of PubMed, Embase, and Cochrane databases from 2018 to 2024 was conducted to identify randomized controlled trials (RCTs) and observational studies comparing different MCAO management approaches. Primary outcomes included improvement in airway patency, dyspnea scores, and survival. Secondary outcomes included procedural complications and quality-of-life measures. A random-effects model was used to pool data, and heterogeneity was assessed using the I² statistic. Results: A total of 25 studies (15 RCTs, 10 observational studies), encompassing 3456 patients, were included in the meta-analysis. Interventions assessed were rigid bronchoscopy with various modalities (e.g., laser therapy, cryotherapy, electrocautery, balloon dilation, stenting), external beam radiation therapy (EBRT), brachytherapy, and systemic therapy. Rigid bronchoscopy: Significantly improved airway patency and dyspnea scores compared to supportive care alone (OR 2.86, 95% CI 1.95-4.18; p<0.001). Stenting: Demonstrated superior airway patency and symptom relief compared to other bronchoscopic interventions (OR 1.73, 95% CI 1.21-2.48; p=0.003). EBRT/Brachytherapy: Offered moderate symptom improvement but with higher complication rates than bronchoscopic interventions (OR 1.39, 95% CI 1.05-1.85; p=0.021). Systemic therapy (chemotherapy/immunotherapy): Provided limited benefit in terms of airway patency but may impact overall survival in specific tumor types. Conclusion: Rigid bronchoscopy, particularly with stenting, is the most effective initial management strategy for MCAO, providing rapid symptom relief and airway recanalization. EBRT/brachytherapy can be considered as adjuncts or alternatives in select cases. Further research is needed to determine the optimal combination and sequencing of therapies for different tumor types and stages.
Implementasi Layanan Bimbingan Konseling Dalam Membantu Perkembangan Akademik Dan Non-Akademik Siswa Kelas 3B SD Negeri 16 Kota Bengkulu Putri, Septriana; Andika, Devi; Anggraini, Munisa; Rahma, Kalia; Budiatna, Galih; Zubaidah, Zubaidah
Jurnal Kajian Ilmu Pendidikan (JKIP) Vol. 5 No. 1 (2024): Jurnal Kajian Ilmu Pendidikan (JKIP)
Publisher : Lembaga Riset dan Inovasi Almatani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55583/jkip.v5i1.928

Abstract

Penelitian ini bertujuan untuk mengevaluasi pelaksanaan layanan bimbingan konseling dalam membantu perkembangan akademik dan non akademik siswa kelas 3B di SD Negeri 16 Kota Bengkulu. Layanan bimbingan dan konseling merupakan aspek penting dalam menunjang perkembangan peserta didik secara menyeluruh, baik dalam bidang akademik maupun non-akademik. Metode penelitian yang digunakan adalah pendekatan kualitatif dengan teknik pengumpulan data melalui observasi, wawancara dan studi dokumen. Partisipan dalam penelitian ini terdiri dari siswa kelas 3B, guru kelas, guru BK, dan orang tua siswa. Hasil penelitian menunjukkan bahwa pelaksanaan layanan bimbingan dan konseling di SD Negeri 16 Kota Bengkulu telah terlaksana dengan baik, meskipun terdapat beberapa kendala seperti keterbatasan sumber daya manusia dan fasilitas. Layanan bimbingan dan konseling memberikan dampak positif dalam membantu perkembangan akademik siswa, seperti meningkatkan motivasi belajar dan prestasi akademik. Dalam bidang non-akademik, layanan bimbingan dan konseling membantu mengembangkan keterampilan sosial, emosional, dan kepribadian siswa. Penelitian ini memberikan rekomendasi untuk meningkatkan kualitas layanan bimbingan konseling di sekolah, seperti peningkatan kualitas dan kuantitas tenaga bimbingan konseling yang profesional, penyediaan sarana dan prasarana yang memadai, serta peningkatan kerjasama antara sekolah, orang tua dan masyarakat dalam mendukung siswa secara komprehensif. perkembangan.
Co-Authors Andika, Devi Anggraini, Munisa Budiatna, Galih Fenty Anggrainy Rahma, Kalia Yessy Susanty Sabri Zubaidah Zubaidah