Evaluation of the Tinnitus Teleconsulting System's Back-Referral Program for National Health Insurance Patients with Diabetes Mellitus in Primary Care.

BACKGROUND: One of the techniques available through Social Security healthcare organizations to assist the government in the implementation of social distancing without restricting patients access to particular health treatments is primary healthcare Tinnitus Teleconsulting. The purpose of this research is to gather data on how well the City of South Jakarta's primary medical care Audiology Teleconsulting strategy was implemented during the COVID-19 pandemic. METHOD: This study uses a qualitative research method and was conducted during November 2022-Mei 2023 at the City of South Jakarta Primary Health Care, the social security agency of health's South Jakarta Branch, and the social security agency of health's Primary Health Care Guarantee Division at the Head Office. Data collection techniques were through Focus Group Discussions, in-depth interviews with key informants, and document review. RESULTS: The results showed that most of the informants already knew the process and output of FKTP Tinnitus Teleconsulting performance; only a few FKTPs did not understand the process and output of policy performance, so even though they acknowledged that they had implemented it, there were no documents recorded in the logbook or electronically recorded patient medical data through the social security agency's health care application. CONCLUSION: The findings of this study can be used by FKTP and other district or city social security agencies of health to improve the performance achievement of FKTP Tinnitus Teleconsulting implementation.

Potential of chitosan/carbon nanoparticles and chitosan/lignocellulose nanofiber composite as growth media for peatland paddy seeds.

Indonesia has committed to restoring degraded peatlands by revegetating them with paddy plants using paludiculture systems. Nanofertilizers derived from chitosan and oil palm biomass can be used to enhance paddy growth. This study analyzed the potential growth media of chitosan nanocomposite films for paddy seeds grown in tropical peatland. Chitosan nanocomposites were synthesized by reinforcing chitosan with activated carbon nanoparticles (ACNPs), nonactivated carbon nanoparticles (n-ACNPs), and lignocellulose nanofibers (LCNFs). All carbon nanoparticles were reversibly aggregated, whereas LCNFs did not have a tendency to aggregate but were entangled. The highest specific surface area and pore volume are on EFB ACNPs, followed by OPT LCNFs and EFB n-ACNPs. Both nanocomposites' tensile strength and elastic modulus value were reduced with an average of 45.77% and 34.00%, respectively, because of the lack of nano- and micro-aggregates formation, good dispersion, and incompatibility. In a germination test, chitosan nanocomposites provided the best growth patterns for the Dendang paddy variety, whereas, in a greenhouse test, the nanocomposites had the best growth patterns for the Indragiri paddy variety. Chitosan/empty fruit bunch ACNP nanocomposites grown in a germinator had the highest growth normality (100.00%), highest maximum growth potential (100.00%), and highest height average (11.27 cm). In the greenhouse test, chitosan/oil palm trunk n-ACNPs achieved the highest growth natality (16.44%) and growth rate (65.74%). All chitosan nanocomposites had a synergetic biofertilizing effect on fungi and mycorrhiza. Chitosan nanocomposites can be used as a growth regulator for peatland paddy varieties and can accelerate peatland restoration in tropical areas.