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All Journal Jurnal Pendidikan dan Pembelajaran Khatulistiwa (JPPK) JURNAL KEPERAWATAN SEHAT Neurona
Maharani, Kartika
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Decision Sciences, Operations Research & Management Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Other

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FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN BBLR (BAYI BERAT LAHIR RENDAH) DI RSU Dr. WAHIDIN SUDIRO HUSODO MOJOKERTO Purwati, Heni; Maharani, Kartika
JURNAL KEPERAWATAN SEHAT Vol 13, No 01 (2016): JKS : JANUARI-JUNI 2016 Volume 13No. 01
Publisher : JURNAL KEPERAWATAN SEHAT

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Abstract

Babies with low birth weight is one of the main causes of infant mortality in the world. Impact low birth weight baby greater than in normal infants at the same gestational age. This study aims to determine the factors that affect mothers low birth weight babywith descriptively based on age, parity, education level, job, Haemoglobin Estimated and Disease/complications. This study used a non Random Sampling (Non probality) type of purposive sampling. The population was all mothers who gave birth to low birth weight mothers gained 97 and obtained samples of 44 mothers. Data taken from medical records, inserted into the data tabulation table. After collected entered data processing andincluded in the frequency distribution table. The final conclusion is low birth weight baby found in the age group 20-35 years by 25 mothers (56.8%). Multipara maternal parity on as many as 23 mothers (52.3%). Mother’s education level at the high school by 20 mothers (45.5%). Mother’sjob as a Housewife of 37 mothers (84.1%). Mother’s have Haemoglobin Estimate ≥11gr/dL by 26 mothers (59,1%).Mothers don’t have complications there were 28 mothers (63.6%). In this study found no dominant factors affecting the incidence of low birth weight baby. To decrease the incidence of low birth weight babies by providing information about nutrition during pregnancy because it is so related to the health of the fetus.Keywords:Age, Parity, Education Level, Job, Haemoglobin Estimated,Diseases/Complications, Low Birth Weight Babies
TEACHING READING NARRATIVE TEXT BY USING RECIPROCAL TECHNIQUE Maharani, Kartika; Sudarsono, Sudarsono; Rosnija, Eni
Jurnal Pendidikan dan Pembelajaran Khatulistiwa Vol 8, No 10 (2019): Oktober 2019
Publisher : Jurnal Pendidikan dan Pembelajaran Khatulistiwa

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AbstractThis research aimed to find out the effectiveness of reciprocal technique to teach narrative texts to the Year-10 students of SMK Cahaya Bangsa in Academic Year 2018/2019. The research participants were Class X Pharmacy which consisted of 25 students. The data were collected through a written test. The finding showed that the students’ mean score of post-test (72) was higher than that of pre-test (56). Statistically the t-test (11.58) was higher than the t-table (0.381) and the effect of the treatment was categorized strong (2.31). In short, the use of Reciprocal Technique affects the teaching of narrative texts significantly. Therefore, the alternative hypothesis which stated “Reciprocal Technique affects the teaching of reading comprehension of narrative texts to the Year-10 students of “SMK Cahaya Bangsa Rasau Jaya in Academic Year 2018/2019” was accepted.  Keywords: Reading, Narrative Text, Reciprocal Technique
Pendekatan Diagnosis dan Tata Laksana Multipel Sklerosis Sutanto, Anyelir; Widya Andini, Putri; Maharani, Kartika; Imran, Darma; estiasari, riwanti
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 1 (2023): Vol 40 No 1 (2023)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i1.420

Abstract

We reported three cases of young adults with typical and atypical neurological manifestations, supported by positive brain and spinal imaging findings, along with cerebrospinal fluid (CSF) analysis consistent with McDonald's criteria 2017 for multiple sclerosis (MS). Clinical manifestations varied with optic neuritis, myelopathy, vertigo, ataxia, and urinating problems in relapsing-remitting patterns in two cases and progressive in one other. Brain MRI showed T2-hyperintense lesion in cortical/juxtacortical, periventricular, and infratentorial areas, coupled with a spinal cord lesion shown in spinal MRI. The CSF analysis for oligoclonal band type II was positive in all cases. All three patients received relapse therapy with post-therapy clinical improvement, followed by long-term therapy with DMD (disease-modifying drugs) fingolimod, interferon β-1a, and one patient was treated with mycophenolate mofetil. Careful clinical observation was maintained to evaluate different relapse rates.
ENSEFALITIS ANTIRESEPTOR NMDA: ENSEFALITIS DENGAN GEJALA AWAL PSIKOSIS Estiasari, Riwanti; Imran, Darma; Maharani, Kartika; Pangeran, David; Octaviana, Fitri; Wulandari, Dewi
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 1 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i1.35

Abstract

     ANTI-NMDA RECEPTOR ENCEPHALITIS: ENCEPHALITIS PRESENTING WITH EARLY PSYCHOSIS SYMPTOMSABSTRACTAnti N-methyl-D-aspartate (NMDA) receptor encephalitis is seldom found in Indonesia. The atypical initial presentation of psychosis and cognitive disturbance results in underdiagnosed, or even undiagnosed case. This report described a 12-year-old girl presenting with initial psychiatric symptom followed by seizure and oropharyngeal dystonia. Anti-NMDA receptor antibody test carried out on both serum and  cerebrospinal  fluid (CSF) were positive and  no other pathogen was detected in the CSF. Clinical improvement was seen following the third day of methylprednisolone administration. This case demonstrates the importance of considering anti-NMDA receptor encephalitis or the other autoimmune encephalitis as the differential of infective encephalitis. Anti-NMDA receptor antibody test, which can already be performed in Indonesia, will greatly guide to the definitive diagnosis.Keywords: Encephalitis, NMDA, oropharyngeal dystonia, psychiatricABSTRAKEnsefalitis antireseptor N-metil-D-aspartat (NMDA) masih jarang ditemukan di Indonesia. Gejala awal yang tidak khas berupa psikosis dan gangguan kognitif menyebabkan keterlambatan diagnosis, atau bahkan tidak terdiagnosis, ensefalitis jenis ini. Berikut dilaporkan kasus seorang perempuan 12 tahun dengan gejala awal berupa gejala psikiatrik yang diikuti dengan kejang dan munculnya distonia orofaring. Pemeriksaan antibodi antireseptor NMDA pada serum dan cairan serebrospinal (CSS) positif dan tidak ditemukan patogen lain pada pemerikaan CSS. Perbaikan klinis terlihat setelah pemberian metilprednisolon selama 3 hari. Kasus ini memperlihatkan pentingnya mempertimbangkan diagnosis ensefalitis antireseptor NMDA atau ensefalitis autoimun lainnya sebagai diagnosis banding pada kasus ensefalitis infeksi. Oleh karena itu, pemeriksaan antibodi antireseptor NMDA yang telah dapat dilakukan di Indonesia akan sangat membantu proses penegakan diagnosis.Kata kunci: Distonia orofaring, ensefalitis, NMDA, psikiatrik
Neuritis Optik Unilateral sebagai Manifestasi Klinis Myelin Oligodendrocyte Glycoprotein Antibody-Associated Disease (MOGAD) Tannika, Ayudhea; Estiasari, Riwanti; Maharani, Kartika
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 39 No 3 (2022): Vol 39 No 3 (2022)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i3.364

Abstract

Myelin-oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is an oligodendrocytopathic autoimmune disorder, characterized by demyelination and inflammation in the central nervous system, especially brain parenchyma and spinal cord. There are three main clinical manifestations in MOGAD: optic neuritis, transverse myelitis, and acute disseminated encephalomyelitis (ADEM). This case report presents a seropositive anti-MOG patient with early manifestation of optic neuritis. A 29 years old man presented with a complaint of blurry right vision and dull pain around his right eye in the last 5 months before hospital admission. Neurological examination revealed a right visual acuity of 2/60 and right relative afferent pupillary defect (RAPD). Brain MRI with contrast revealed an enhancement on the right optic nerve and nonspecific, multiple hyperintense lesions in bilateral frontal and parietal lobes. The patient’s result was reactive for anti-MOG antibody. After the administration of high dose methylprednisolone (1000 mg) for 5 consecutive days, the patient’s visual acuity was slowly improving; supported with an improvement on the Humphrey visual field analyzer. Immunosuppressant agent azathioprine was given as a long-term treatment without any worsening symptoms to this day. Unilateral optic neuritis could be an early clinical manifestation in MOGAD. It is important for clinicians to identify typical and atypical optic neuritis to be able to determine follow-through examination and workup and the associated differential diagnosis. Optic neuritis in MOGAD could be improved by the administration of high dose methylprednisolone, along with immunosuppressant therapy as long-term therapy
DIAGNOSIS DAN TATA LAKSANA NEUROMYELITIS OPTICA SPECTRUM DISORDER (NMOSD) Estiasari, Riwanti; Chandra, Fitria; Remana Sitinjak, Monalisa; Susanto, Arief; Maharani, Kartika; Imran, Darma
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 1 (2024): Vol 41 No 1 (2024): Volume 41, No 1 - Desember 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i1.576

Abstract

Neuromyelitis optica spectrum disorders (NMOSD) is an autoantibody mediated chronic inflammatory disease that predominantly affects optic nerves and spinal cord. NMOSD patients could experience visual disturbances, sensorimotor disorders, or autonomic disorders aligned with the pathological lesion involvement. Diagnostic criteria of the International Panel for NMO Diagnosis (IPND) 2015 are utilized to establish NMOSD diagnosis. Management of NMOSD encompasses initial and maintenance treatments that aim to prevent disease progression.
Co-Authors Arief Susanto Chandra, Fitria Dewi Wulandari Eni Rosnija Fitri Octaviana Heni Purwati Imran, Darma Laksono Trisnantoro Pangeran, David Remana Sitinjak, Monalisa Riwanti Estiasari Sutanto, Anyelir Tannika, Ayudhea Widya Andini, Putri