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"Why not feel gloriously better? Every day our bodies are bombarded with pollutants from food, air, and stress. This buildup of toxins is bad for you and ultimately leads to fatigue, depression, and a host of other chronic health problems.In this book are ways to help you give your body a fresh start and achieve vibrant good health."

"A clinically proven program that allows you to detoxify from chemical exposure while shedding excess fat.Everyone knows the world is toxic. But few of us realize that the average person carries a load of seven hundred chemicals in the body. The gradual buildup of these toxins has a ripple effect on our health, starting with mild ailments and culminating in chronic illness.Working with hundreds of patients, integrative medicine expert Dr. Jeffrey A. Morrison has found an easy and effective solution. Outlining both a thirty-day intensive and a ten-day seasonal tune-up, he offers a simple and nutritious eating plan that efficiently detoxifies the body, allowing it to heal itself. Readers will not only cleanse their body of toxins, but also shed pounds of toxic weight as they uncover and remove the underlying causes of illness.Unlike other detox plans, Cleanse Your Body, Clear Your Mind, features cooked food and regular meals, making it easy for readers to start and stay on the path to good health."

"Your guide to using nutritional supplements to optimize your health and protect your body from the ill-effects of the environment that we live in. Learn simple daily habits to stay healthy in an unhealthy world by incorporating stress reducing techniques to maximize your energy levels. Your guide to using nutritional supplements to optimize your health and protect your body from the ill-effects of the environment that we live in. Learn simple daily habits to stay healthy in an unhealthy world by incorporating stress reducing techniques to maximize your energy levels."

"A guide to enjoying all the benefits of a spa or health farm without the expense; Divided into three sections, each featuring a weekend plan for detoxing, energy-boosting or relaxing; Each section is broken down into an hour-by-hour guide to the weekend; A variety of popular techniques and therapies are explained in full, from mediation and aromatherapy to hydroptherapy and acupressure; Includes delicious recipe plans, invigorating therapies and stress-relieving strategies"

"A guide to enjoying all the benefits of a spa or health farm without the expense; Divided into three sections, each featuring a weekend plan for detoxing, energy-boosting or relaxing; Each section is broken down into an hour-by-hour guide to the weekend; A variety of popular techniques and therapies are explained in full, from mediation and aromatherapy to hydroptherapy and acupressure; Includes delicious recipe plans, invigorating therapies and stress-relieving strategies"

"Penelitian ini bertujuan untuk melihat kesintasan IDU yang melaknkan konseling dan detoksifikasi terhadap kepatuhan berobat metadon di puskesmas kecamatan Jatinegara. Dengan demikian dapat diketahui seberapa besar pengaruh konseling dan detoksifikasi terbadap kepatuhan berobat metadon. Studi kohort retrospektif dilakuken dengan menggunakan data yang terdapat dalarn catatan medis, register pasien dan catatan harian minum metadon. Digunakan pendekatan analisis Cox Regression untuk melihat kesintasan IDU yang melakuken konseling dan detoksifikasi terhadap kepatuhan berobat metadon. HR (hazard ratio) digunakan sebagai estimasi RR (risiko relative) [ untuk pengaruh konseling dan detoksifikasi terhadap kepatuhan berobat metadon, Analisis multivariat digunakan untuk mengendalikan variabel-variabel perancu.Sebanyak 259 data IDU di puskesmas Kecamatan Jatinegara dianalisis dalam penelitian ini, Probabilitas kesintasan secara keseluruhan pada IDU yang berobat metadon di puskesmas Kecarmatan Jatinegara berkisar antara 64,86 %, sampai dengan 0,04%. Sedangkan Median kesintasan IDU adalah 219 hari. Artinya setengah dari IDU bertahan dalam program selama 219 hari. Terdapat !DU yang melaknkan konseling 10 x sebanyak 68 orang dan IDU yang melaknkan konseling >I 0 x sebanyak 191 orang. Sedangkan IDU yang melakuken Detoksifikasi <2 x sebanyak 149 orang dan IDU yang melakuksn detoksifikasi 2:: 2x sebanyak 110 orang, Universitas Indonesia Dari analisis multivariate-cox Regresi, didapatkan nilai HR untuk IDU yang melakukan konseling sehesar 1. 3(95% nilai p=\),00 I. Sedangkan untuk IDU yang melakukan detoksifikasi didapat nilai HR sebesar 1,80 (95% CI: 1,29-2,52) dengan !>"' 0,001 setelah dikendaliksn dengan variabel umur,pendidikan den riwayat rehabilitasi. Dari hasil penelitian disimpulkan bahwa pengaruh konseling terhadap kepatuhan berobat setelah dikontrol dengan variabel riwayat rehabilitasi, ditemukan hahwa IDU yang tidak melakukan konseling beresiko 7,93 kali untuk tidak patuh daripada IDU yang melakukan konseling. Sedangkan pengaruh detoksifikasi terhadap kepatuhan berobat setelah dilakukan interaksi dan dikontrol dengan variable umur, pendidikan dan riwayat rehabilitasi, ditemukan bahwa IDU yang tidak melakukan detoksifikasi baresiko 1,80 kali lebih tinggi untuk tidak patuh daripada IDU yang melakukan detoksifikasi.

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This study was aimed to observe IDU survival rates that had counseling and detoxification to methadone treatment obedience in health center at Jatinegara sub-district As for that. influences of counseling and detoxification to methadone treatment obedience with be known. Retrospective cohort study was done by using data obtained from medical record, patient's registry and methadone consumption dally notes. Cox Regression approaches was used to assess IDU that had counseling survival and detoxification to methadone treatment obedience. HR (Hazard ratio) was used as estimation value of RR (Relative risk) for counseling influences and detoxification to methadone treatment obedience.

Multivariate analysis was used to minimize confounding variables. In this study there were 259 IDU's data analyzed in health center a:t Jatinegara sub--district. Survival probability of whole IDU that had methadone treatment in health center at Jatinegara sub-district was ranged at 64.86%0.04%. In the other hand survival IDU median is 219 days. It means that half of iDUs were survived in this program for 219 days. There were 68 IDUs that had eounseling S 10 times and 191 IDUs had counseling> 10 time(s), Moreover, there were 149 IDUs who had detoxification <2 time(s) and 110 1DUs had detoxification::?; 2 times. from multivariate analysis - interaction Cox proportional Hazard. HR score obtain for 1DU who had counseling and was 8.5 I (95% Confidence inteJVal - CI: 5.98 - 12.13) with p value= 0.001. Whereas IDUs that had detoxification, HR scores obtained was L80 (95% Cl:1.29 - 2.52) with p value 0.00! after controlled by acces, education and rehabilitation variables.

Universitas Indonesia The study's result suggested that counseling influences of treatment obedience after controlled by rehabilitation histories variables, it could concluded that risks of not being obedience of IDUs who had not counseling were 7,93 times fold compared to IDUs had counseling. Whereas that detoxification influences of treatment obedience after interaction was done and controlled by age, education and rehabilitation histories variables, whereas risks of not being obedience of lDUs who had not detoxification were 1,8 tunes fold compared to IDUs had detoxification."

"Puasa Ramadan dapat menyebabkan perubahan pola tidur dan makan yang memengaruhi pasien dengan penyakit neurologis kronis. Penelitian ini bertujuan mengevaluasi kualitas tidur pasien selama puasa Ramadan. Studi potong lintang ini melibatkan 40 pasien dengan penyakit neurologis kronis di Poliklinik Saraf RSUPN Dr. Cipto Mangunkusumo dari Februari hingga Juni 2023. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), dan STOP-BANG. Hasil menunjukkan 77,5% subjek mengalami gangguan tidur setelah puasa, dengan perubahan signifikan pada tingkat insomnia (ISI) dan risiko obstructive sleep apnea (OSA). Namun, tidak terdapat perubahan signifikan pada kualitas tidur menurut ESS dan PSQI. Mayoritas subjek (75%) adalah perempuan dengan usia rata-rata 40,25 tahun. Kesimpulannya, meskipun puasa dapat memicu gangguan tidur, manajemen yang tepat memungkinkan pasien menjalankan puasa tanpa dampak buruk yang signifikan terhadap kualitas tidur. Hal ini memberikan harapan bagi pasien dengan penyakit neurologis kronis untuk tetap menjalankan puasa secara aman.

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Ramadan fasting can lead to changes in eating and sleeping patterns that affect patients with chronic neurological diseases. This study aimed to evaluate the sleep quality of patients during Ramadan fasting. A cross-sectional study was conducted involving 40 patients with chronic neurological diseases at the Neurology Clinic of RSUPN Dr. Cipto Mangunkusumo from February to June 2023. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), and STOP-BANG. The results showed that 77.5% of the subjects experienced sleep disturbances after fasting, with significant changes in insomnia severity (ISI) and the risk of obstructive sleep apnea (OSA). However, there were no significant changes in sleep quality as measured by ESS and PSQI. The majority of subjects (75%) were female, with an average age of 40.25 years. In conclusion, while fasting may trigger sleep disturbances, proper management enables patients to fast without significant adverse effects on sleep quality. This finding provides hope for patients with chronic neurological diseases to safely observe Ramadan fasting."

"Latar belakang: Di Indonesia pedikulosis yang disebabkan oleh Pediculus humanus capitis (kutu kepala) masih menjadi masalah kesehatan masyarakat, namun tidak ada program penanganan khusus untuk memberantas pedikulosis tersebut Selama ini pengobatan pedikulosis menggunakan permetrin 1%, namun di berbagai negara dilaporkan bahwa P.h. capitis sudah mengembangkan resistensi terhadap permetrin. Pada penelitian ini akan dibandingkan efektivitas permetrin dengan efektivitas malation berdasarkan kemampuannya menghambat kerja enzim detoksifikasi pada P.h. capitis. Metode: : Stadium dewasa P. h. capitis dipaparkan dengan kertas filter yang ditetesi larutan permetrin (0,25%; 0,5%; dan 1%) dan malation (0,5%; 1% dan; 1,5%). Bioassay in vitro dilakukan selama 10, 20, 30, 45 dan 60 menit pada suhu ruang. Aktivitas asetilkolinesterase (AChE), glutation-S-transferase (GST), dan oksidase dianalisis menggunakan metode CDC (Centers for Disease Control). Hasil: Selama 60 menit, 100% (90/90) P. h. capitis mati dengan permetrin pada konsentrasi 0,25%; 0,5%; 1%. Sedangkan pada malation tidak mati sama sekali (0,0%). Dalam 60 menit P. h. capitis memiliki LT50 dan LT90 terendah pada permetrin dengan konsentrasi 1%. juga bahwa permetrin dengan aktifitas AChE, GST, dan oksidase menurun pada kelompok permetrin, sedangkan pada kelompok malation aktifitas AChE, GST, dan oksidase meningkat. Kesimpulan: Permetrin memiliki efikasi terhadap P. h. capitis yang lebih baik dibandingkan malation dan permetrin masih dapat digunakan sebagai pediculosida.

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Background: In Indonesia, pediculosis caused by Pediculus humanus capitis (head louse) is still a public health problem, but there is no special treatment program to eradicate this pediculosis. So far, pediculosis is treated using 1% permethrin, but in various countries it has been reported that P.h. capitis has developed resistance to permethrin. In this study, we will compare the effectiveness of permethrin with the effectiveness of malathion based on its ability to inhibit the action of detoxification enzymes on P.h. capitis. Methods: Adult stage P. h. capitis exposed with filter paper dripped with a solution of permetrin (0,25%; 0,5%; and 1%) and malation (0,5%; 1%; and 1,5%). In vitro bioassays were carried out for 10, 20, 30, 45 and 60 minutes at room temperature. The activities of acetylcholinesterase (AChE), glutathione-S-transferase (GST), and oxidase were analyzed using the CDC (Centers for Disease Control) method. Results: For 60 minutes, 100% (90/90) P. h. capitis died with permethrin at a concentration of 0,25%; 0,5%; 1%. While the malation does not die at all (0.0%). In 60 minutes P. h. capitis had the lowest LT50 and LT90 in permethrin with a concentration of 1%. also that permethrin with AChE, GST, and oxidase activity decreased in the permethrin group, whereas in the malathion group the activity of AChE, GST, and oxidase increased. Conclusion: Permetrin has efficacy against P. h. capitis which is better than malation and permetrin can still be used as a pediculoside."

"ABSTRAKTesis ini membahas tentang bagaimana Satuan Pemeriksaaan Intern SPI memilih topik audit berdasarkan risiko organisasi dalam industri spesifik seperti pelayanan kesehatanan. RSCM adalah salah satu rumah sakit terbesar yang dimiliki oleh Pemerintah Republik Indonesia. RSCM memiliki Komite Mutu dan Keselamatan Kerja KMKK yang stafnya memilliki latar belakang pendidikan medis, sedangkan staf SPI tidak memiliki latar belakang pendidikan medis. Audit hanya dilakukan oleh SPI, sedangkan KMKK mengkoordinasi pengelolaan risiko pada RSCM. SPI dan KMKK bekerja sendiri-sendiri. Laporan audit kinerja dari auditor eksternal menyatakan bahwa kinerja pelayanan kesehatan pada RSCM tidak sepenuhnya efektif karena AI tidak melaksanakan monitoring dan evaluasi atas pelayanan kesehatan. SPI hanya melakukan audit keuangan. Topik audit dipilih oleh SPI melalui diskusi internal antar staf SPI dan tidak mendokumentasikannya ke dalam kertas kerja sehingga tidak dapat di-review transparansi dan objektifitasnya. Standar IIA menyatakan bahwa Kepala SPI harus menyusun rencana audit berbasis risiko untuk menetapkan kegiatan prioritas SPI yang sesuai dengan tujuan organisasi. SPI harus memahami risiko organisasi baik keuanfr4gan maupun bukan untuk menyusun rencana audit berbasis risiko. SPI dapat memberikan nilai tambah bagi organisasi dengan memilih objek audit yang memiiki risiko lebih tinggi dalam mencapai tujuan organisasi. Kerja sama antara SPI dan KMKK dapat mendukung sistem pengelolaan risiko untuk berjalan sebagaimana mestinya dan mengoptimalkan RSCM dalam mencapai tujuan organisasi.

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ABSTRACTThis paper examines how internal audit IA choose audit objects based on organization rsquo s risk in specific industry such as health service organization. RSCM is one of the largest hospital owned by Indonesia rsquo s government. RSCM have risk division which its staff have medical education background, while IA division staff have non medical education background. Audit only performed by IA, while risk division coordinating risk management in RSCM. IA and risk division working individually. Performance audit report from an external auditor stated that health service performance at RSCM is not fully effective because IA has not conducted monitoring and evaluation on it. IA usually perform only financial audit. The audit objects are chosen by IA through discussion among IA rsquo s staff and not documented in working paper so it couldn rsquo t be reviewed for the transparency and objectivity. The Institute of Internal Auditors IIA Standard states that the head of IA must develop a risk based plan to establish priorities for IA activities in accordance with organizational objectives. IA should know organization rsquo s risk whether financial or non financial to make risk based audit plan. IA could add higher value to organization by choosing audit objects in audit plan which have higher risk in organization rsquo s objectives achievement. Collaboration between IA and risk division could fulfill risk management system intended purposes and optimizing RSCM in achieving its objectives. "