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Profil Hormon Penderita Disorder of Sex Development (DSD) di RSUP. Dr. Mohammad Hoesin Palembang Ziske Maritska; Bintang Arroyantri Prananjaya; Nita Parisa; Rovania Yantinez Quardetta
Biomedical Journal of Indonesia Vol. 5 No. 2 (2019): Biomedical Journal of Indonesia
Publisher : Fakultas Kedokteran Universitas Sriwijaya (Faculty of Medicine, Universitas Sriwijaya) Indonesia

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Selain berdasarkan temuan klinis, penentuan diagnosis Disorders of sex development (DSD) juga didukung olehragam pemeriksaan penunjang seperti analisis kromosom, radiologi, dan pemeriksaan laboratorium yang salahsatunya berupa pemeriksaan kadar hormon. Pemeriksaan kadar hormon dapat memberikan gambaran fungsigonadal dan adrenal, yang bermanfaat baik untuk penapisan dan juga penentuan diagnosis DSD. Studi yangbertujuan untuk mengidentifikasi profil hormon pasien DSD di Indonesia masih sangat minim, dan studi inimerupakan studi pertama yang meninjau profil hormon DSD di RSUP Dr. Mohammad Hoesin Palembang. Studi inimerupakan studi deskriptif menggunakan data sekunder dari rekam medik pasien DSD yang menjalanipemeriksaan hormon selama periode 2013-2017. Dari total 173 pasien DSD yang datang berobat ke RSUP Dr.Mohammad Hoesin Palembang selama lima tahun terakhir, hanya 22 (12.72%) pasien yang menjalani pemeriksaanhormon. Ada 13 profil hormon yang diperiksa pada pasien DSD di RSUP Dr. Mohammad Hoesin Palembang denganhormon testosteron (54.54%) sebagai hormon yang paling sering diperiksa. Pemeriksaan profil hormon sebagaisalah satu alat bantu penapisan dan penegakkan diagnosa DSD belum menjadi salah satu pemeriksaan penunjangyang umum dilakukan di RSUP Dr. Mohammad Hoesin Palembang.

Down Syndrome : Through The Eyes of The Parents Ziske Maritska; Fakhri Abdurrahman; Bintang Arroyantri Prananjaya; Nita Parisa; Syifa Syifa; Triwani Triwani
JURNAL KEDOKTERAN DAN KESEHATAN Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Sindroma Down merupakan salah satu kejadian kelainan kromosom tipe aneuploidi yang kerap ditemukan. Kejadian Sindroma Down terkait erat dengan disabilitas intelektual dan stugma sosial yang melekat padanya. Pandangan orang tua mengenai Sindroma Down yang tercerminkan melalui perilaku amat penting karena dukungan keluarga merupakan salah satu kunci utama untuk mengoptimalkan kualitas hidup penyandang Sindroma Down. Studi ini merupakan studi deskriptif pada orang tua penyandang Sindroma Down yang bersekolah di Sekolah Luar Biasa (SLB) di Palembang. Perilaku orang tua diukur dengan menggunakan kuesioner HealthStyles©. Sebagian besar orang tua penyandang Sindroma Down sepakat bahwa anak dengan Sindroma Down harus bersekolah di SLB (82,5%) karena mayoritas meyakini pencampuran penyandang Sindroma Down di sekolah biasa dapat mengganggu murid lain (60%). Namun orang tua memiliki pandangan optimis bahwa anak penyandang Sindroma Down dapat bekerja jika telah dewasa (72,5%). Mereka pun percaya bahwa penyandang Sindroma Down tidak lebih rentan mengalami kecelakaan kerja di tempat kerja (37,5%). Dari studi ini terlihat bahwa orang tua penyandang Sindroma Down memiliki perilaku yang bervariasi tergantung dari aspek mana mereka memandang Sindroma Down.

Geographical Variations of Disorders of Sex Development (DSD) in South Sumatera Region Ziske Maritska; Bintang Arroyantri Prananjaya; Zabila Adwie Prilishia; Nita Parisa; Sativandi Riza
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 3 No. 3 (2019): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v3i3.93

ABSTRACT Background. Disorders of Sex Development (DSD) is a condition where the development of sex chromosomes, gonads, and/or oneâ€™s anatomy is atypical. Its causes are often due to genetic mutations, although some are also linked to environmental risk factors. These multiple aetiologies lead to varied clinical findings, ranging from obvious ambiguous genitals to subtle ones in different regions worldwide, signalling a hint of geographical variability. Objective. This study wishes to observe the variations of clinical findings of DSD patients geographically in South Sumatera. Methods. This was an observational study using patientsâ€™ medical records in RSUP Dr. Mohammad Hoesin Palembang. Both inpatients and outpatients during five-year period span (2013-2017) with clinical findings suited DSD criteria based on Chicago Consensus in 2006 were included in this study. Results. One hundred and forty nine patients from cities and regencies in South Sumatera province and other provinces like Jambi, Lampung, Bengkulu, Bangka-Belitung, and even Riau were included in this study. Among sixteen clinical findings identified, hypospadias ranked first (59.06%), both in general, and in each regions as well. When set by side with other regions, Palembang city as the capital city of South Sumatera province displays twelve out of sixteen clinical findings documented in this study, showing a lot more variety. Conclusion. Every regions show difference clinical findings. Some regions housed clinical findings that were not found in other regions. However, hypospadias is the most commonly found clinical findings in all regions. It is suspected due to its correlation with certain environmental risks, that the occurence of it becomes rather often, compared to other DSD conditions. Future studies considering risk factors involvement in order to elucidate both differences and similarities found in each regions are strongly suggested. Keywords: Disorders of Sex Development, DSD, Geographical variations, South Sumatera

The First Look in Autism Spectrum Disorder (ASD) Geographical Distribution in National Reference Hospital, South Sumatera Region, Indonesia Ziske Maritska; Bintang Arroyantri Prananjaya; Nita Parisa
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 4 No. 2 (2020): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v4i2.108

Background. Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized with disorders in cognitive, behaviour, and social interaction. It is estimated to affect 1:160 children worlwide. Despite its increasing trend, the exact cause of it is yet to be known. Objective. This study wished to identify the geographical distribution of ASD cases in Dr. Mohammad Hoesin Hospital as one of the national reference hospitals in Indonesia for South Sumatera region. Methods. Medical records of the patients who are diagnosed with ASD during 2014-2018 was observed in order to identify the patientsâ€™ residential area. Results. There were 107 patients who were clinically diagnosed of having ASD during 2014-2018 in Dr Mohammad Hoesin Hospital, Palembang. Based on its residential area, ASD cases were mostly found in Palembang as the capital city of South Sumatera Province. Conclusion. ASD is found in small and big cities across the South Sumatera province, implying its common occurrence. The varied prevalence could be signifying the role of different related risk factors identified in the area.

Geographical Variations of Disorders of Sex Development (DSD) in South Sumatera Region Ziske Maritska; Bintang Arroyantri Prananjaya; Zabila Adwie Prilishia; Nita Parisa; Sativandi Riza
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 3 No. 3 (2019): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v3i3.93

ABSTRACT Background. Disorders of Sex Development (DSD) is a condition where the development of sex chromosomes, gonads, and/or oneâ€™s anatomy is atypical. Its causes are often due to genetic mutations, although some are also linked to environmental risk factors. These multiple aetiologies lead to varied clinical findings, ranging from obvious ambiguous genitals to subtle ones in different regions worldwide, signalling a hint of geographical variability. Objective. This study wishes to observe the variations of clinical findings of DSD patients geographically in South Sumatera. Methods. This was an observational study using patientsâ€™ medical records in RSUP Dr. Mohammad Hoesin Palembang. Both inpatients and outpatients during five-year period span (2013-2017) with clinical findings suited DSD criteria based on Chicago Consensus in 2006 were included in this study. Results. One hundred and forty nine patients from cities and regencies in South Sumatera province and other provinces like Jambi, Lampung, Bengkulu, Bangka-Belitung, and even Riau were included in this study. Among sixteen clinical findings identified, hypospadias ranked first (59.06%), both in general, and in each regions as well. When set by side with other regions, Palembang city as the capital city of South Sumatera province displays twelve out of sixteen clinical findings documented in this study, showing a lot more variety. Conclusion. Every regions show difference clinical findings. Some regions housed clinical findings that were not found in other regions. However, hypospadias is the most commonly found clinical findings in all regions. It is suspected due to its correlation with certain environmental risks, that the occurence of it becomes rather often, compared to other DSD conditions. Future studies considering risk factors involvement in order to elucidate both differences and similarities found in each regions are strongly suggested. Keywords: Disorders of Sex Development, DSD, Geographical variations, South Sumatera

The First Look in Autism Spectrum Disorder (ASD) Geographical Distribution in National Reference Hospital, South Sumatera Region, Indonesia Ziske Maritska; Bintang Arroyantri Prananjaya; Nita Parisa
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 4 No. 2 (2020): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v4i2.108

Background. Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized with disorders in cognitive, behaviour, and social interaction. It is estimated to affect 1:160 children worlwide. Despite its increasing trend, the exact cause of it is yet to be known. Objective. This study wished to identify the geographical distribution of ASD cases in Dr. Mohammad Hoesin Hospital as one of the national reference hospitals in Indonesia for South Sumatera region. Methods. Medical records of the patients who are diagnosed with ASD during 2014-2018 was observed in order to identify the patientsâ€™ residential area. Results. There were 107 patients who were clinically diagnosed of having ASD during 2014-2018 in Dr Mohammad Hoesin Hospital, Palembang. Based on its residential area, ASD cases were mostly found in Palembang as the capital city of South Sumatera Province. Conclusion. ASD is found in small and big cities across the South Sumatera province, implying its common occurrence. The varied prevalence could be signifying the role of different related risk factors identified in the area.

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