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All Journal Sumatera Medical Journal Cermin Dunia Kedokteran
Destariani, Cynthea Prima
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Factors Influencing the Decision of Parents to LP in Pediatric with CNS Infection Dessy Dian Antarini; Dimyati, Yazid; Rosdiana, Nelly; Fujiati, Isti Ilmiati; Destariani, Cynthea Prima
Sumatera Medical Journal Vol. 2 No. 3 (2019): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v2i3.1262

Abstract

Lumbal Puncture (LP) is a procedure that can help to diagnosed CNS infection in children. The procedure of LP is a common invasive procedure, but sometimes it had refused by the parents. Furthermore, it can cause a delayed in the diagnosis and affected the prognosis. The subject was the parents of pediatric patients with CNS infection. We have a questionnaire and using Chi-square and Fisher exact test to analyze factors that influenced the parent’s decision of LP procedure. From the parents of 50 children with CNS infection, 19 parents (38%) were refused the LP procedure. Father’s education was related to the refusal of LP procedure with PR 6.64 (95%CI; 8.95-788.08). Mother’s education was related to the refusal of LP procedure with PR 7.69 (95%CI; 3.19-16.24). There was the significant result of the parent's education with the decision of LP procedure.
Peranan Mikronutrien terhadap Perkembangan Otak Siregar, Gursal Rai Gandra; Saing, Johannes Harlan; Dimyati, Yazid; Destariani, Cynthea Prima
Cermin Dunia Kedokteran Vol 46, No 3 (2019): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (610.365 KB) | DOI: 10.55175/cdk.v46i3.504

Abstract

Perkembangan otak dimulai saat konsepsi sampai masa dewasa muda. Nutrisi berperan penting dalam perkembangan saraf, mulai dari neurulasi sampai mielinasi. Penelitian telah menunjukkan hubungan antara kadar mikronutrien dengan perkembangan otak, baik bersifat sementara maupun permanen dan dalam jangka pendek maupun jangka panjang.Brain development begin from conception through young adult period. Nutrition plays a main role in the brain development from neurulation until myelination process. Studies showed the relationship between micronutrient status and brain development.
Politerapi Anti Epilepsi pada Penderita Epilepsi Anak Wijaya, Jovita Silvia; H Saing, Johannes; Destariani, Cynthea Prima
Cermin Dunia Kedokteran Vol 47, No 3 (2020): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (547.55 KB) | DOI: 10.55175/cdk.v47i3.370

Abstract

Epilepsi merupakan salah satu penyebab terbanyak morbiditas di bidang saraf anak, yang menimbulkan berbagai permasalahan antara lain kesulitan belajar, gangguan tumbuh-kembang, dan kualitas hidup anak. Prinsip pengobatan epilepsi dimulai dari monoterapi lini pertama, menggunakan Obat Anti Epilepsi (OAE) sesuai jenis bangkitan. Kegagalan monoterapi berisiko menjadi epilepsi refrakter (intraktabel), sehingga perlu politerapi OAE. Epilepsy causes of morbidity in children, causing various problems such as learning difficulties, growth disorders, and quality of life. Principles of epilepsy treatment is to start with first-line AntiEpileptic Drug (AED) monotherapy according to seizure type. Monotherapy failure is at risk of becoming refractory epilepsy (intractable) necessitating AED polytherapy.
Peran Vitamin D pada Epilepsi Anak Batubara, Ratna Suwita; Saing, Johannes Harlan; Sianturi, Pertin; Dimyati, Yazid; Destariani, Cynthea Prima
Cermin Dunia Kedokteran Vol 46, No 10 (2019): Farmasi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (694.588 KB) | DOI: 10.55175/cdk.v46i10.432

Abstract

Vitamin D memiliki peran penting selama perkembangan otak, proliferasi, diferensiasi, neurotrofik dan neuroprotektif. Bentuk aktif vitamin D menekan inflamasi dan mengubah keseimbangan antara sitokin inhibitor dan sitokin eksitasi. Bentuk aktif vitamin D menunjukkan efek imunomodulator dan secara efektif dapat menekan inflamasi sehingga mempunyai efek antikonvulsan. Penderita epilepsi anak berisiko tinggi defisiensi vitamin D.Pemakaian obat antiepilepsi sebagai politerapi dihubungkan dengan penurunan kadar vitamin D yang lebih besar dibandingkan obat antieepilepsi sebagai monoterapi. Pemberian vitamin D harus cukup untuk mempertahankan kadar normal 25(OH)D (≥30 ng/mL). Pemberian vitamin D pada epilepsi dapat meningkatkan batas ambang kejang secara signifikan dan mengurangi keparahan kejang.Vitamin D has an important role during brain development, proliferation, differentiation, neurotrophic and neuroprotection. The active form of vitamin D suppresses inflammation and changes the balance between inhibitory cytokines and excitatory cytokines. The active form of vitamin D shows an immunomodulatory effect and can effectively suppress inflammation so that it has an anticonvulsant effect. Epileptic children are in high risk of vitamin D deficiency. Antiepileptic polytherapy is associated with a greater reduction in vitamin D levels than in monotherapy. Vitamin D supplementation must be sufficient to maintain normal level of 25(OH)D (≥30 ng/mL. Vitamin D can significantly increase the seizure threshold and reduce the severity of seizure. 
Co-Authors Batubara, Ratna Suwita Dessy Dian Antarini Dimyati, Yazid Fujiati, Isti Ilmiati H Saing, Johannes Nelly Rosdiana Pertin Sianturi Saing, Johannes Harlan Siregar, Gursal Rai Gandra Wijaya, Jovita Silvia