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All Journal Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Ilmu Kesehatan Indonesia (JIKSI) Frontiers on Healthcare Research Indonesian Journal of Global Health Research
Alkamdani, Riki
Universitas Andalas
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Delayed Bochdalek Diaphragmatic Hernia Appearance and Coincidence with Pneumonia in One-Year-Old Baby: A Case Report Imil Irsal Imran; Finny Fitry Yani; Riki Alkamdani
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 2 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i2.783

Abstract

Background: Congenital diaphragmatic hernia (CDH) is a developmental defect in the diaphragm leading to protrusion of abdominal contents into the thoracic cavity. The incidence rates showed that this disease happened to one in 2,200-3,000 births. This study aimed to describe a case of delayed Boschdalek diaphragmatic hernia and coincidence with pneumonia in a one-year-old baby. Case Presentation: A 12-month-old girl came to the emergency room of Dr. M. Djamil General Hospital with a chief complaint of breathlessness for 2 days before admission to the hospital. She had difficulty gaining weight, only about 200 grams per month. The symptoms are breathlessness, cyanosis, asymmetry of lung sounds, change in the position of the heart sound, and scaphoid abdomen. The chest X-ray showed the opacity loops, which are fluid-filled, suggestive left diaphragmatic hernia. Conclusion: Pneumonia-like symptoms and signs could be an initial or coincidence with delayed presentation of Bochdalek hernia diaphragmatic.
Penurunan Kasus Tuberkulosis Anak saat Pandemi Covid-19 di RSUD Dr. Achmad Mochtar Bukittinggi Humaira, Hamdini; Fitria, Liza; Alkamdani, Riki; Yani, Finny Fitry
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1278

Abstract

Abstrak Latar Belakang: Pandemi COVID-19 berdampak pada layanan esensial tuberkulosis (TB) di seluruh dunia. Objektif: Penelitian ini bertujuan untuk mendeskripsikan profil TB anak sebelum dan selama pandemi COVID-19 pada pasien rawat jalan anak di Rumah Sakit Dr. Achmad Mochtar Bukittinggi, Sumatera Barat, Indonesia. Metode: Penelitian ini dilakukan secara deskriptif retrospektif, dari data rekam medis pasien rawat jalan TB anak tahun 2017-2022 di Rumah Sakit Dr. Achmad Mochtar Bukittinggi. Data usia, jenis kelamin, klasifikasi diagnosis TB, gejala dan tanda dikumpulkan. Kami juga membandingkan total kasus sebelum (2017-2019) dan saat (2020-2022) pandemi COVID-19. Hasil: Subyek yang terdiagnosis TB anak sebanyak 164 anak, sebagian besar berusia 5-14 tahun (56,1%) dan berjenis kelamin laki-laki (53%). TB paru sebanyak 65,9% dan sebagian besar didiagnosis berdasarkan sistem skor TB anak Indonesia (68,9%). Gejala terbanyak adalah batuk >2 minggu (75%), diikuti gizi buruk (70,1%), dan demam >2 minggu (55,5%). Pembesaran kelenjar getah bening sebanyak 51,8% dan tidak ada pembengkakan sendi atau tulang. Tes kulit tuberkulin positif ditemukan sebanyak 62,2% dan rontgen dada menunjukkan sugestif TB pada 25,6% pasien. Dalam analisis perbandingan, kami menemukan bahwa jumlah kasus TB anak mengalami penurunan yang signifikan (p<0,01) selama pandemi COVID-19 mencapai 70% dibandingkan sebelumnya. Namun tren kasus TB anak kembali meningkat pada tahun 2022 lebih dari 100%. Kesimpulan: Terjadi penurunan kasus TB anak secara signifikan selama pandemi COVID-19, namun meningkat tajam pada tahun 2022. Kata kunci: COVID-19, tuberkulosis anak
Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra Yani, Finny Fitry; Izzah, Amirah Zatil; Alkamdani, Riki; Widoyo, Ratno
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p8-16.2024

Abstract

Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association. Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44). Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients.
Long-Term Observation of a Child with Foreign Body Aspiration Pneumonia and Reccurent Cardiac Arrest from an Incarcerated Mothers Muhammad Reza Syahli; Asrawati Asrawati; Indra Ihsan; Fitrisia Amelin; Riki Alkamdani
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1459

Abstract

This study employed a longitudinal case study design aimed at describing the clinical course, respiratory recovery, nutritional status, developmental progress, and social dynamics of a child with aspiration pneumonia accompanied by cardiac arrest. The research subject was a one-year-old girl who experienced baked potato aspiration while living in a correctional facility with her mother. The patient received intensive treatment at Andalas University Hospital and was subsequently monitored for three consecutive semesters after discharge. Data collection was conducted through multiple sources to obtain comprehensive information. Clinical data during the acute phase were obtained through a review of the patient’s medical records, including physical examination findings, laboratory and radiological results, and records of medical interventions provided during hospitalization. Follow-up data were collected through direct clinical observation during routine control visits, focusing on respiratory recovery, nutritional status, and developmental progress. Child development was assessed using standardized developmental screening tools, namely the Denver Developmental Screening Test II (Denver II) and the Capute Scales (CAT-CLAMS). Additional contextual data were obtained through in-depth interviews with the child’s parents, correctional facility health workers, and healthcare providers at the referral hospital to understand the caregiving environment and health management after discharge. Home visits were also conducted after the mother returned from the correctional facility to evaluate the child’s living conditions, caregiving practices, and environmental factors that might influence recovery and development. Data analysis was carried out using a descriptive and thematic approach. Clinical and developmental data were analyzed longitudinally to identify patterns of recovery from the acute phase to the follow-up period across three semesters. The analysis also explored the interaction between medical factors (such as treatment response and clinical outcomes) and social factors (including caregiving environment and family support) in influencing the child’s recovery and development. All research procedures adhered to pediatric ethical principles, including maintaining the confidentiality of the patient’s identity and obtaining informed consent from the family for documentation and analysis of the case. This approach allows for a comprehensive understanding of the child’s recovery process, integrating both clinical and social perspectives.
Co-Authors Amelin, Fitrisia Amirah Zatil Izzah Asrawati Nurdin Finny Fitry Yani Humaira, Hamdini Imil Irsal Imran Indra Ihsan Liza Fitria, Liza Muhammad Reza Syahli Ratno Widoyo, Ratno