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All Journal Jurnal Akta Trimedika
Mulia Rahmansyah
Fakultas Kedokteran, Universitas Trisakti, Jakarta, Indonesia

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REAKSI BERDUKA PADA PENYINTAS KEHILANGAN BUNUH DIRI: LAPORAN KASUS Dyani Pitra Velyani; Mulia Rahmansyah; Ika Nur Fitriana
Jurnal Akta Trimedika Vol. 1 No. 1 (2024): Januari 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i1.19212

Abstract

World Health Organization reported that there were more than 700,000 deaths due to suicide each year. Suicide incidents were like stones thrown into calm lakes, causing widespread ripples. Levi-Belz, in his study, stated that each suicide case affected an average of five family members and up to 135 individuals, including partners, colleagues, and the community. Suicide loss survivors were at a higher risk of experiencing complicated grief, depression, and suicide compared to the bereaved due to causes. Stigmatisation of suicide behavior and suicide loss survivors made them reluctant to disclose themselves, leading to less access to the help they needed. This case report described a 51-year-old woman experiencing grief reactions due to her daughter's suicide. She exhibited denial, anger, guilt, and self-blame. Her decision not to disclose her condition to family and relatives forced her to face emotional and mental turmoils on her own. This patient is still in the acute phase of grief reactions and is receiving psychological intervention in an individual setting. The assessment of suicide risk and ongoing observation of persistent psychological symptoms should be conducted periodically.
STUDI KASUS: OSTEOCHONDROMA SCAPULA DAN TIBIA FIBULA PADA REMAJA USIA 14 TAHUN Tandy Chintya Tanaji; Firdha Leonita; Partogi Napitupulu; Astien Astien; Revalita Wahab; Mulia Rahmansyah; Gupita Nareswari
Jurnal Akta Trimedika Vol. 2 No. 1 (2025): Januari 2025
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v2i1.21717

Abstract

Multiple Hereditary Exostoses (MHE) is an autosomal dominant inherited genetic condition characterized by multiple exostoses (or osteochondromas). Genetic analysis had identified a certain type of mutated Exostosin genes, can potentially cause exostoses. A 14 years old boy referred to our hospital with a chronic hard palpable lump on his left back and right lower limb in the past 10 years, and was gradually increased in size. Laboratory test which consists of complete blood count, urinalysis, and renal function test were normal. A radiographic examination of the related skeleton demonstrated multiple osteochondromas of scapula and tibia fibula. As a consequence of mutations in the Exostosin 1 and Exostosin 2 genes, chondrocytes exhibiting shortened Heparan Sulfate chains are present in this region. In the later stages, these cells develop exostoses. Multiple Hereditary Exostoses may involve different bone locations and could be diagnosed using various medical imaging modalities, however plain radiography x-ray was already sufficient enough to conclude the abnormality. Sessile lesions were much more common than pedunculated in Multiple Hereditary Exostoses, however Sessile lesions bear a higher risk of malignant transformation into chondrosarcoma. Upon early detection, the prognosis for patients who have chondrosarcoma was favorable. Multiple Hereditary Exostoses is a rare bone disorder marked by the development of non-cancerous tumors near the growth plates of bones. This condition can greatly affect an individual's quality of life, resulting in restricted mobility, skeletal abnormalities, ongoing pain, inhibited growth, and the risk of the exostoses becoming malignant.