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All Journal Sari Pediatri Jurnal Ilmiah Kedokteran Wijaya Kusuma Indonesian Journal of Medicine
Prasetyo, Okky
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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TRAUMA KEPALA PADA ANAK: KLASIFIKASI HINGGA PEMANTAUAN JANGKA PANJANG Erny, Erny; Prasetyo, Okky; Prasetyo, Denny
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 8, No 2 (2019): EDISI SEPTEMBER 2019 (available online since Oktober 2019)
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1030.164 KB) | DOI: 10.30742/jikw.v8i2.620

Abstract

Head trauma in children are frequent caused by falling, games, traffic accidents and more. Not all of head trauma continues to be brain injury. According with this, all of doctor must be able to established the diagnosis and classified head trauma to determine the optimal management and prognosis especially related with problems of brain development after head trauma. Long-term follow up should be done especially in severe and moderate head trauma to early detection any problems about development progress in this child
Neurological Abnormalities in Congenital Rubella Syndrome and Possible Pathophysiology Erny, Erny; Prasetyo, Okky; Soekanto, Ayli
Indonesian Journal of Medicine Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2022.7.4.585

Abstract

Background: Congenital rubella syndrome is a disease that is a relative severe health problem because it causes multiorgan disability. The purpose of the study was to describe the neurological abnormallities that occur in congenital rubella syndrome and its pathophysiology.Case Presentation: A descriptive study with the subjects of the study of infants and children with congenital rubella syndrome found in the private practice of pediatricians for 10 years aged 15 years with the most complaints of developmental and growth delays, recurrent seizures and behavioral disorders. most are first children with mothers without Measles, Mumps, and Rubella (MMR) vaccination. Inclusion criteria: infants and children with clinical manifestations of at least 2 of all major clinical signs (hearing loss, congenital cataracts and congenital heart defects) accompanied by evidence of infection in the form of rubellaspecific serum IgM and a history of the mother experiencing infection during pregnancy as evidenced by IgG results and or IgM rubella antibodies.Results: 13 cases were obtained, 92.3% of the case population with multiorgan disability and only 1 case (7.69%) with neurological disorders alone. 84.6% of cases of neurological disability occurred as a result of infection in the 1st trimester.Conclusion: Neurological abnormalities were acquired in the entire study population and were mostly due to infections in the 1st trimester of pregnancy.Keywords: neurological abnormalities, congenital rubella syndrome.Correspondence: Erny. Pediatric Department Medical Faculty Wijayakusuma University. Jl. Dukuh Kupang XXV no 54 Surabaya, East Java, Indonesia. Email: drernyspa@gmail.com. Mobile: 0818381740.Indonesian Journal of Medicine (2022), 07(04): 449-455https://doi.org/10.26911/theijmed.2022.07.04.10
Hubungan Jumlah Trombosit dan Kadar Hematokrit dengan Severitas Infeksi Dengue Prasetyo, Okky; Hartoyo, Edi; Sanyoto, Didik Dwi; Marhaeni, Wulandewi; Muljanto, Selli
Sari Pediatri Vol 27, No 5 (2026)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.5.2026.329-37

Abstract

Latar belakang. Infeksi dengue masih menjadi masalah kesehatan utama dengan angka kejadian yang terus meningkat, terutama pada -anak. Pemeriksaan hematologi sederhana seperti kadar hematokrit dan jumlah trombosit berpotensi digunakan sebagai indikator awal severitas dengue. Tujuan. Menilai hubungan kadar hematokrit dan jumlah trombosit dengan severitas infeksi dengue, serta membandingkan sensitivitas dan spesifisitas keduanya sebagai prediktor dini severe dengue. Metode. Penelitian observasional analitik retrospektif dilakukan pada 119 pasien anak dengan infeksi dengue di RSUD Ulin Banjarmasin periode Januari 2023–Desember 2024. Analisis data menggunakan uji Chi-square, Spearman, serta kurva ROC. Hasil: Hemokonsentrasi ditemukan pada 33,6% pasien dan menunjukkan hubungan signifikan dengan severitas dengue (p=0,009; r=0,233). Hematokrit memiliki sensitivitas 100%, spesifisitas 69%, dan area di bawah kurva/AUC 0,762. Trombositopenia ditemukan pada 77,3% pasien dan juga berhubungan signifikan (p=0,019; r=0,227), dengan sensitivitas 100%, spesifisitas 12,2%, dan AUC 0,799. Hemokonsentrasi terbukti sebagai indikator dini kebocoran plasma, sedangkan trombositopenia efektif sebagai parameter eksklusi severe dengue, tetapi tidak cukup spesifik bila digunakan secara tunggal. Kesimpulan. Hematokrit dan trombosit berhubungan dengan tingkat keparahan infeksi dengue pada anak. Pemeriksaan hematologi sederhana ini dapat menjadi alat skrining dini untuk mengidentifikasi risiko severe dengue, sehingga membantu klinisi dalam menentukan tatalaksana lebih cepat dan tepat.
Co-Authors denny prasetyo Edi Hartoyo Erny Erny, Erny Marhaeni, Wulandewi Muljanto, Selli Sanyoto, Didik Dwi Soekanto, Ayli