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Abstrak :
ABSTRACT
Background: resistive index (RI) is highly utilised to assess the graft function using Doppler ultrasonography. The RI has been shown as the best ultrasound parameter to assess kidney allograft dysfunction. Several studies have established the role of the RI as a predictor of transplant failure. However, these studies were using RI measurement in the later stages post transplantation. The present study has conducted to identify the association between early RI measurement and early graft function represented as delayed graft function (DGF) and immediate graft function (IGF), as well as long-term graft survival. Methods: an evidence based clinical review of studies published before May 2018 was conducted from Medline, Science Direct, EMBASE and Cochrane databases. Studies on early measurement of RI whereby the primary or secondary goals of the study related to graft function and/or graft survival were included. Studies using late RI measurement and without RI value groups were excluded. The Mantzel Haenzel method was used to analyse pooled risk ratio and 95% confidence interval, while the heterogeneity of the study was calculated through I2 value. Data analysis was performed using Review Manager 5.3. Results: nine studies with a total of 1802 patients who had undergone a kidney transplant were analysed. DGF was found in 19% (193/1015) of the low RI group and in 42.8% (337/787) of the high RI group (RR 2.04 (95% CI 1.72 - 2.41), p < 0.00001, I2 = 28%). IGF was found in 39.5% (62/157) of the low RI group and in 10.5% (28/268) of the high RI group (RR 0.26 (95% CI 0.17 0.40), p < 0.00001, I2 = 0%). Long term graft survival, with follow up between 60 144 months, was found in 83% (701/845) of the low RI group and in 69.4% (395/569) of the high RI group (RR 0.82 (95% CI 0.72 0.93), p = 0.002, I2 = 63%). Conclusion: the results of this study emphasise the association between early measurement of RI and early graft function, and longterm graft survival. An elevated RI provides the chance of recognizing the patients with poor longterm prognosis, from the first moment after kidney transplant.

Abstrak :
Pasien yang menderita Gagal Ginjal Terminal harus mendapatkan TerapiPengganti Ginjal berupa transplantasi ginjal, hemodialisis atau peritoneal dialisis.Diperkirakan pasien gagal ginjal terminal di Indonesia yang membutuhkan cucidarah atau dialisis sekitar 150.000 orang. Namun yang sudah mendapatkan terapidialisis baru sekitar 100.000 orang. Pelayanan CAPD di Klinik Khusus Ginjal Ny.R.A. Habibie sudah dimulai sejak tahun 2010 namun jumlah pasien CAPD masihsedikit. Tujuan penelitian ini untuk menganalisis Strategi Pemasaran PelayananContinuous Ambulatory Peritoneal Dialysis di Klinik Khusus Ginjal Ny. R. A.Habibie Batam Tahun 2016. Desain penelitian yang digunakan adalah analitikdeskriptif dengan pendekatan kuantitatif dan kualitatif. Alat yang digunakandalam penelitian ini berupa lembaran kuesioner, cek list indikasi dankontraindikasi CAPD, Lembar pertanyaan untuk informan CAPD, LembarPedoman Analisis Situasi. Tahapan analisis yang digunakan adalah strategi FredR.David yang kemudian dilanjutkan dengan Segmenting, Targeting danPositioning, lalu menentukan bauran pemasaran Product, Promotion, Price,Place, People, Physical evidence, Process, Customer Service . Strategi Pemasaranyang layak dan sesuai dengan analisis situasi adalah : Market Penetration danProduct Development. Pemasaran produk pelayanan di Klinik Khusus Ginjal Ny.R. A. Habibie Batam dapat berupa periklanan melalui berbagai media seperti talkshow di radio, talk show di stasiun televisi di kota Batam, dan leaflet; penyebaranleaflet di ruangan pelayanan Ilmu Penyakit Dalam; promosi penjualan, danpembinaan dokter puskesmas. Selain itu bisa dilakukan promosi secara online.Dan dokter di Klinik Khusus Ginjal Ny.R.A. Habibie Batam dan di Rumah SakitBudi Kemuliaan Batam diberangkatkan ke Bandung untuk mengikuti pelatihanoperasi pemasangan catheter tenckhoff metode Bandung.

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Name Bertha TohaStudy Programe Magister of Hospital Administration StudiesThesis Title Marketing Strategy of Continuous Ambulatory PeritonealDialysis Service at Mrs R.A. Habibie Special KidneyClinic Batam Year 2016Patients who suffer from Kidney Failure Terminal should get kidney replacementtherapy in the form of kidney transplantation, hemodialysis or peritoneal dialysis.It is estimated that patients with terminal renal failure in Indonesia who needdialysis or dialysis of approximately 150,000 people. But that is already gettingdialysis therapy about 100,000 people. CAPD Services at Mrs. R.A. HabibieSpecial Kidney Clinic began in 2010 but the number of CAPD patients is stillsmall. The purpose of this study to analyze the Marketing Strategy of ContinuousAmbulatory Peritoneal Dialysis Services at Mrs. R.A. Habibie Special KidneyClinic Batam Year 2016. The design study is an analytic descriptive withquantitative and qualitative approaches. The tools used in this study aquestionnaire sheet, check list CAPD indications and contraindications, andquestionnaires for informants CAPD, Guidelines Situation Analysis Sheets. Stagesof analysis is Fred R.David strategy followed by Segmenting, Targeting andPositioning, and then determine the marketing mix Product, Promotion, Price,Place, People, Physical Evidence, Process, Customer Service . Marketingstrategies are feasible and in accordance with the analysis of the situation is Market Penetration and Product Development. Product marketing services inMrs. R.A. Habibie Special Kidney Clinic Batam may include advertising throughvarious media such as radio talk shows, talk shows on television stations in thecity of Batam, and leaflet for distributing leaflets in internist pollyclinic serviceroom sales promotion, and training doctors clinic. In addition it can be doneonline promotions. Mrs. R.A. Habibie Special Kidney Clinic Batam and BudiKemuliaan Hospital Batam send to Bandung to attend training catheter fixingoperation Tenckhoff Bandung method.