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MANIFESTASI KULIT SEBAGAI PETUNJUK DIAGNOSIS PADA KWASHIORKOR Angelina; Prawitasari, Titis
Majalah Kedokteran Indonesia Vol 68 No 6 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Abstract

Pendahuluan: Kwarshiorkor merupakan kondisi malnutrisi berat yang disebabkan asupan protein tidak adekuat. Kwashiorkor seringkali tidak terdiagnosis karena kecurigaan klinis masih rendah, adanya edema menutupi malnutrisi, kurangnya pengetahuan mengenai manifestasi klinis tipikal kwarshiorkor. Tujuan: Meningkatkan pengetahuan klinis terhadap kasus kwashiorkor, khususnya yang datang dengan manifestasi kulit, sehingga tidak terjadi keterlambatan diagnosis. Kasus: Anak lelaki 3,5 tahun dengan lesi kulit luas seluruh tubuh dirujuk dengan kecurigaan lupus eritematosa sistemik. Pasien terkesan cengeng, murah marah, tampak edema, dan alopesia yang jelas. Status dermatologikus secara umum didapatkan lesi kulit hipopigmentasi dan hiperpigmentasi dengan eritema, erosi multipel dan skuama putih kecoklatan. Status antropometri berdasarkan kurva WHO 2006 menunjukkan berat badan (BB) menurut umur 1 SD < Z score < 2 SD, tinggi badan (TB) menurut umur -1 SD < Z score < 0 SD, dan BB menurut TB > 3 SD. Terdapat riwayat penurunan BB 12 kilogram (kg) dalam 6 bulan terakhir. Pemeriksaan laboratorium terdapat hipoalbuminemia dan defisiensi seng. Selama perawatan pasien mendapat formula khusus gizi buruk F100 dan F135, suplementasi mikronutrien, dan vaselin album. Pada hari perawatan kelima eritema, erosi, dan deskuamasi kulit mulai menghilang. Berat badan menurun seiring dengan berkurangnya edema. Kesimpulan: Setiap tenaga kesehatan harus memikirkan kemungkinan kwarshiokor sebagai diagnosis banding pada pasien dengan edema dan menifestasi kulit luas, yang memiliki riwayat penurunan berat badan bermakna sebelumnya.
PRAKTIK MANAJEMEN OPERASIONAL DI PERUSAHAAN MANUFAKTUR ELEKTRONIK ZUANBAO carol, caroline; Fendy Cuandra; Angelina; Lian Andrianus; Septriana; Titan Martinus
JURNAL KREASI RAKYAT Vol. 1 No. 2 (2023): May - July
Publisher : Lembaga Riset dan Inovasi Kreyat Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64617/kreyat.v1i2.083-100

Abstract

Penelitian ini dilakukan untuk mengetahui penerapan aspek manajemen operasional pada perusahaan manufaktur Zuanbao. Penelitian dilakukan dengan memanfaatkan metode kualitatif berupa studi pustaka serta wawancara narasumber dimana narasumber merupakan kepala produksi atas produk konektor di perusahaan manufaktur Zuanbao. Dari 10 aspek manajemen operasional yang diantaranya manajemen rantai pasok, kualitas, serta strategi proses, Zuanbao sebagai perusahaan manufaktur yang dapat dikategorikan sebagai perusahaan besar memiliki manajemen dan proses yang berlaku pada perusahaan tersebut sehingga kegiatan operasional berlangsung dengan efisien dan efektif sesuai dengan harapan perusahaan.
Severe Dengue or Covid-19 Related MIS-C? Diagnostic Challenges in Resource-Limited and Dengue-Endemic Regions Angelina; Dewi, Arfianti Chandra
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v17i1.5929

Abstract

Besides serological cross-reactivity and co-infection between dengue and SARS-CoV-2, diagnostic challenges arise because many people have had positive dengue IgG in dengue-endemic regions, and patients usually come after 4-5 days of fever. We report a case of 9-year-old girl, diagnosed with dengue with warning signs on admission because of fever, severe abdominal pain, thrombocytopenia, and positive dengue IgG. The subsequent course of the illness was not consistent with dengue infection because the shock happened during the febrile phase concurrent with rising leucocyte and platelet counts, the fever continued for longer than seven days, and there was bilateral non-purulent conjunctivitis with subconjunctival hemorrhage. She was diagnosed with MIS-C because of positive SARS-CoV-2 IgG and hyperinflammatory markers. Her clinical condition improved progressively after steroid administration. Clinical awareness about MIS-C is required to avoid misdiagnosis and improper treatment during or after the COVID-19 pandemic. Every clinician should consider MIS-C as a differential diagnosis if patients have inconsistencies with the course of dengue illness.
Combined enzymatic and ultrasound-assisted aqueous two-phase extraction of antidiabetic flavonoid compounds from Strobilanthes crispus leaves Arbianti, Rita; Angelina; Suryapranata, Bryan; Purwati Latifah, Linatri; Fadilah Putri, Najah; Surya Utami, Tania; Muharam, Yuswan; Slamet
Communications in Science and Technology Vol 8 No 2 (2023)
Publisher : Komunitas Ilmuwan dan Profesional Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21924/cst.8.2.2023.1214

Abstract

A novel green extraction method combining enzymatic and ultrasound-assisted aqueous two-phase extractions was employed to enhance and purify the flavonoid extract from Strobilanthes crispus leaves. Cellulase was used in the pretreatment, and ethanol-(NH4)2SO4 was selected as the solvent. A concentration of 7% (w/w) cellulase and a duration of 2 h were the optimal conditions for pretreatment. The optimal conditions for ultrasound-assisted aqueous two-phase extraction were 33% (w/w) ethanol and 14% (w/w) (NH4)2SO4 as they produced a yield (77.81%), partition coefficient (31.17), extraction efficiency (98.04%), and a high total flavonoid content (0.3666 mg QE/g dry leaf powder). Six compounds from the leaf extract were identified through liquid chromatography-mass spectrometry/mass spectrometry-quadrupole-time of flight (LCMS/MS-Q-TOF) analysis. The crude extract and three compounds in it (kaempferol, graveobioside A, and genistein) showed an antidiabetic activity with IC50 values of 390.35, 201.87, 292.73, and 431.82 mg/mL, respectively. These values are comparable to the standard drug acarbose.
Membangun Kecerdasan Verbal Anak melalui Pendampingan Sesi Cerita pada Ibadah Anak GKI GS Anisza Ratnasari; Prita Karina Diandra; Nadia Diandra; Angelina; Natanael Wijaya
IKRA-ITH ABDIMAS Vol. 8 No. 3 (2024): Jurnal IKRAITH-ABDIMAS Vol 8 No 3 November 2024
Publisher : Universitas Persada Indonesia YAI

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Abstract

Ibadah anak merupakan bentuk pelayanan gereja untuk membentuk iman dan karakter anak sejakdini. Menurunnya jumlah kehadiran anak-anak untuk beribadah menjadi persoalan penting yangharus diselesaikan. Tim guru sekolah minggu harus menyusun rencana pembelajaran yang kreatifagar anak-anak dapat fokus hingga sesi berakhir. Disadari oleh orang tua atau tidak, masing-masingsesi ibadah berpotensi meningkatkan kecerdasan majemuk yang dimiliki anak, terutama sesi cerita.Melalui bentuk aktivitas dan media yang tepat, sesi ini dapat membangun kecerdasan verbal anak.Kegiatan pelayanan GKI GS yang bertempat di kompleks SDK Penabur GS ini menerapkanpendekatan pendampingan. Rangkaian kegiatan dilaksanakan 7, 11, 18 dan 25 Februari 2024 padapukul 10.30-12.00 WIB. Aktivitas seperti membaca bersama, role play, drama, pantomim,musikalisasi puisi, menyusun gambar, menghafal, bernyanyi serta mendengarkan lagu dapatmenjadi sarana menyampaikan pesan dalam cerita. Kegiatan berfokus pada pelayanan ibadah anakumur 8-9 tahun yang berjumlah sekitar 32 anak. Evaluasi dari kegiatan menunjukkan bahwakonsistensi jumlah kehadiran pada Februari, yaitu sekitar 26-28 anak membuktikan bahwa ibadahyang dikemas menarik bukan hanya rutinitas. Selain itu antusiasme anak-anak untuk untuk aktifberdiskusi, menyampaikan ide dan berpendapat menunjukkan bahwa integrasi look, book, hook dantook tema dalam sesi cerita dapat menjadi sarana meningkatkan kecerdasan verbal anak.
Optimizing Predictions For Thyroid Disease Sufferers Using Correlation Matrix And Random Forest With Hyperparameter Tuning Angelina; Filosofia, Nadhea; Arga Wijaya, Riyan
Media Journal of General Computer Science Vol. 2 No. 1 (2025): MJGCS
Publisher : MASE - Media Applied and Engineering

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62205/mjgcs.v2i1.26

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Thyroid disease is one of the most common endocrine disorders, affecting the body's hormone function and balance. Symptoms can include changes in weight, fatigue, and temperature regulation issues. Although the causes are varied, thyroid disease can generally be treated with medications or medical interventions. The objective of this study is to present and optimize a predictive model for thyroid disease patients by measuring the comparison between correlation analysis of traits and the variables used, as well as evaluating the performance of the Random Forest method in optimizing predictions. One machine learning method that can be used to optimize the prediction of thyroid disease patients is Random Forest. The features used include age, gender, smoking history, radiotherapy history, and pathology characteristics, which are utilized to optimize predictions using this Random Forest algorithm. This study employs hyperparameter tuning, with the best parameters being (n_estimators) 100 and (max_depth) 30, which are then used to predict the occurrence of thyroid disease with an accuracy of 95%.
Pap Smear Practices among Female Healthcare Professionals in Indonesia and Their Associated Factors Ramli, Richelle; Angelina
Medicinus Vol. 14 No. 1 (2024): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v14i1.9226

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Introduction : Cervical cancer is the fourth most frequent disease in women worldwide. However, pap smear coverage in Indonesia remains below the target. The purpose of this study was to describe pap smear practice among female healthcare professionals and its associated factors. Methods : This cross-sectional study was conducted from August 2022 to June 2023 among married female healthcare professionals of reproductive age who worked in Kelapa Dua district, Tangerang, Banten, Indonesia. Three general hospitals, two primary clinics, and one community health center were involved in this study. Data was collected using a self-administered questionnaire and analyzed using a chi-square test. Results : From 236 respondents, only 80 respondents (33.9%) had pap smear tests. The most common reasons for not doing the test were lack of time and having not experienced any of the symptoms. Those who were doing the pap smear tests were likely to be more than 40 years old (OR 29.900; 95% CI 9.595 – 93.172; p<0.001), married for more than 10 years (OR 28.737; 95% CI 9.955 – 82.955; p<0.001), multiparous (OR 6.941; 95% CI 2.706 – 17.805; p<0.001), and have higher economic income (OR 7.333; 95% CI 1.443 – 37.274; p=0.020). Female healthcare professionals other than medical practitioners, nurses, or midwives were less likely to do the pap smear tests (OR 0.370; 95% CI 0.167 – 0.823; p=0.02). Conclusion: Pap smear practice among female healthcare professionals in Indonesia was inadequate. Age, marriage duration, parity status, types of healthcare professionals, and socioeconomic status were significantly associated with pap smear practice.
INFLUENCE SIZE COMPANY, QUALITY AUDIT, GOOD CORPORATE GOVERNANCE AND LIQUIDITY TO OPINION AUDIT GOING CONCERN COMPANY GOODS CONSUMPTION REGISTERED IN BEI YEAR 2019-2021 Enda Noviyanti Simorangkir; Darwin Wijaya; Felixcyrus Ganily; Angelina
International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC) Vol. 1 No. 5 (2023): October
Publisher : ZILLZELL MEDIA PRIMA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61990/ijamesc.v1i5.93

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Company size, audit quality, good company leadership, and liquidity influence reception opinion auditing, which becomes attention. In market capital, this registered good company, big and small companies. Large and small companies alike have assets. A big company usually owns more Lot access than a small company. Large companies often get audit opinion concerns Because of the ease of obtaining funds. This research aims to evaluate the influence of company size, audit quality, good company management, and liquidity on a worrying audit opinion from a consumer goods company registered on the IDX between 2019-2021. Financial report data is the data source used in this research. This research analyzes Consumer Goods Companies Listed on the IDX 2019-2021. During the 2019–2021 research period, the sample selection technique was purposively used for choosing 61 companies. Results show that Opinion Auditing Going Concern Consumer Goods companies registered on BEI 2019-2021 are not influenced by the size of the Company, Quality Auditing, Good Corporate Governance, And Liquidity. Analysis data was done with analysis regression logistics in SPSS.
Edukasi Gizi Tentang Kebiasaan Konsumsi Minuman Berpemanis dan Kadar Gula Darah pada Remaja di SMKN 65 Jakarta Avicena, Rasyid; Ratnayani, Ratnayani; Gabriella, Ananda; Nurlestari, Wanda; Cahyanti, Heri Nur; Aspiran, Meisi; Angelina; Nabila, Nanda
Jurnal Pengabdian Masyarakat Bakti Parahita Vol. 6 No. 1 (2025): Jurnal Pengabdian Masyarakat Bakti Parahita
Publisher : Universitas Binawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/

Abstract

Diabetes merupakan penyakit kronis yang disebabkan oleh gangguan produksi atau fungsi insulin, yang berdampak pada peningkatan kadar gula darah (hiperglikemia). Peningkatan konsumsi gula tambahan, terutama melalui Sugar Sweetened Beverages (SSB), menjadi salah satu faktor utama penyebab penyakit ini. SSB merupakan sumber utama kalori dan gula tambahan dalam pola makan manusia, yang berkontribusi pada risiko obesitas, diabetes tipe 2, dan penyakit kardiovaskular. Sebagai upaya peningkatan kesadaran kesehatan, Program Studi Gizi, Fakultas Ilmu Kesehatan dan Teknologi Universitas Binawan, melaksanakan kegiatan pengabdian masyarakat di SMKN 65 Jakarta. Kegiatan ini bertujuan untuk memberikan edukasi kepada siswa-siswi tentang kandungan gizi pada minuman kemasan dan dampaknya terhadap kadar gula darah. Melalui penyuluhan kesehatan, siswa diharapkan memahami bahaya konsumsi SSB dan mengadopsi perilaku hidup sehat. Hasil kegiatan diharapkan mampu meningkatkan kesadaran generasi muda tentang pentingnya memilih asupan minuman yang lebih sehat, sekaligus mendukung pencegahan dini terhadap risiko penyakit kronis akibat konsumsi gula berlebih.   Diabetes is a chronic disease caused by impaired insulin production or function, leading to elevated blood sugar levels (hyperglycemia). The increased consumption of added sugars, especially through Sugar-Sweetened Beverages (SSBs), is one of the main contributing factors to this disease. As an effort to raise health awareness, the Nutrition Study Program of the Faculty of Health Sciences and Technology, Binawan University, conducted a community service activity at SMKN 65 Jakarta. This activity aimed to provide nutrition education to students about the nutritional content of packaged beverages and their impact on blood sugar levels. The method of community service was through a health education session, followed by a pre- and post-test. The goal was for students to understand the dangers of consuming SSBs and adopt healthy lifestyle behaviors. The session also included a discussion segment to enhance understanding. The results showed that 32 students (91.43%) experienced an increase in knowledge after participating in the pre- and post-test, while 3 students (8.57%) showed no change in their knowledge.
PENERAPAN SISTEM MANAJEMEN OPERASIONAL DI PT. SUPER MANDIRI PRATAMA KOTA BATAM Angela; Fendy Cuandra; Jesslin Clorina; Angelina; Supriyadi Arifin
JURNAL KREASI RAKYAT Vol. 1 No. 2 (2023): May - July
Publisher : Lembaga Riset dan Inovasi Kreyat Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64617/kreyat.v1i2.071-082

Abstract

PT. Super Mandiri Pratama is a manufacturing company founded on December 25, 2000, engaged in glass renovation, construction and production. During 22 years of existence, PT. Super Mandiri Pratama has successfully competed in a competitive industry and has built and maintained a good reputation. The research method used is descriptive qualitative research, the data sources used are primary that was obtained from observation and interview and secondary data obtained from various sources of library materials which contained various matters relating to operational management. The purpose of this research is to analyze the implementation of operational management at PT. Super Mandiri Pratama. Results showed that the company implemented human resource management, project management, and supply chain management in a proper and structured manner. However, the company does not set a location strategy, so the authors suggest companies to implement location strategy in order to minimize transportation costs and achieve work effectiveness.