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Characteristics of Brain Tumor Metastases at dr. Cipto Mangunkusumo National Referral Hospital Sari, Riska Nanda; Aninditha, Tiara; Rachman, Andhika; Ranakusuma, Teguh A. S; Andriani, Rini; Yesnuar Safri, Ahmad; Sofyan, Henry Riyanto; Wiratman, Winnugroho
eJournal Kedokteran Indonesia Vol. 12 No. 3 (2024): Vol. 12 No. 3 - Desember 2024
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Metastatic brain tumors, surpassing primary brain tumors in prevalence by tenfold, are the most common brain neoplasms, emphasizing the role of early diagnosis in improving the patient's quality of life. This study aimed to identify the characteristics of brain tumor metastases at Cipto Mangunkusumo National Referral Hospital.  With consecutive sampling, a cross-sectional design study using secondary brain tumor data was conducted at dr. Cipto Mangunkusumo National Referral Hospital from January 2016 to December 2020. Characteristics data were presented in percentages, and bivariate analysis was conducted using Chi-square or Fisher's test. Among 222 subjects (mean age 50.9 ± 10.4 years, 60.8% women), metastases were predominantly supratentorial (50.6%), multiple (65.8%), and associated with mass effects (51.4%), particularly midline shift (69.6%). Primary tumors were predominantly lung (36.5%) , breast (34.2%), and 55.9% experienced metastases in other organs. Brain metastases manifested metachronously in 67.6% of cases, with primary breast tumors showing a higher propensity for metatentorial and infratentorial metastases, while primary lung tumors showed a synchronous onset. The study highlighted associations between mass effects, loss of consciousness -, and poor performance in subjects. Primary lung and breast tumors exhibited the highest incidence of brain metastases.
Cerebrospinal Fluid Profile in Suspected Leptomeningeal Metastases in Dr. Cipto Mangunkusumo National Referral Hospital and Dharmais National Cancer Center Hospital Aninditha, Tiara; Maulina, Lisa; Andriani, Rini; Susanto, Eka; Ranakusuma, Teguh; Sofyan, Henry Riyanto
Indonesian Journal of Cancer Vol 19, No 1 (2025): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i1.1286

Abstract

Background: Leptomeningeal metastases (LM) are a condition in which malignant cells spread to the leptomeninges and subarachnoid space, with an increasing incidence and poor prognosis. Cerebrospinal fluid (CSF) analysis is an important examination, with cytology as the gold standard for detecting malignant cells in CSF. We aim to describe the CSF profile (i.e. protein, glucose, cell count, and cytology) in detecting malignant cells among patients with suspected LM in Cipto Mangunkusumo National Referral Hospital and Dharmais National Cancer Center Hospital from January 2018 to December 2021. Method: A multicenter cross-sectional retrospective study was conducted to describe the CSF profile in suspected LM from January 2018 to December 2021. Suspected LM cases were established from clinical and radiological findings. The lumbal puncture was performed in those suspected LM cases. Clinical manifestations, radiological data, tumor type, some aspects from CSF routine analysis (i.e. protein, glucose, cell count), and lumbar puncture frequency were described. Their correlation with CSF cytology was analyzed. Results: There were 153 subjects with abnormalities on CSF routine analysis (75.2%), consisting of CSF cell count 5/uL (47.1%) with a median of 5 (1–3504)/uL, CSF protein 45 mg/dL (52.9%) with a median of 50 (5–820) mg/dL, and CSF glucose 50 mg/dL (15%) with a median of 68 (3–629) mg/dL. The positive CSF cytology result was 20.3%. Positive CSF flow cytometry immunophenotyping in hematological malignancy with suspected LM was 25.6%. There was a significant correlation between the increase in CSF cell count, hematological malignancy, and MRI results with CSF cytology (p 0.001; p = 0.03; p = 0.03). There was no significant correlation between clinical manifestations and lumbar puncture frequency with CSF cytology.Conclusion: Abnormalities in CSF routine analysis were found in the majority of subjects with suspected LM, but the CSF cytology positivity rate was considered low. The presence of varied clinical symptoms and repeated lumbar punctures didn’t increase the likelihood of positive CSF cytology
Analisis Fasilitas, Kepercayaan Dan Lokasi Usaha Terhadap Kepuasan Konsumen Pada Pojok Kuliner UMKM di Bandara Kualanamu Andriani, Rini; Febrina, Annisa
YUME : Journal of Management Vol 8, No 1 (2025)
Publisher : Pascasarjana STIE Amkop Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37531/yum.v8i1.8475

Abstract

Penelitian ini dilakukan pada Pojok Kuliner UMKM Bandara Kualanamu dengan tujuan penelitian untuk mengetahui pengaruh fasilitas, kepercayaan dan lokasi usaha terhadap kepuasan konsumen. Populasi adalah konsumen yang datang berkunjung dan mengkonsumsi kuliner di Pojok Kuliner dengan rata-rata per bulan sebanyak 980 konsumen yang datang mengunjungi 10 stand UMKM yang ada di Bandara Kualanamu, sehingga tiap stan terdapat sekitar 98 konsumen yang datang per bulannya, pengambilan sampel dilakukan secara acak dengan rumus Slovin sehingga jumlah sampel yang digunakan sebanyak 91 responden. Jenis data digunakan yaitu data primer dan sumber data digunakan yaitu data sekunder, teknik pengumpulan data menggunakan studi pustaka, survei dan observasi. Teknik analisis data yaitu regresi linear berganda, uji asumsi klasik dan uji hipotesis. Hasil penelitian bahwa fasilitas, kepercayaan dan lokasi usaha secara parsial dan simultan berpengaruh signifikan terhadap kepuasan konsumen pada Pojok Kuliner UMKM Bandara Kualanamu. Terdapat korelasi yang cukup antara fasilitas, kepercayaan dan lokasi usaha dengan kepuasan konsumen. Nilai R2 = 0,304 artinya kepuasan konsumen di Pojok Kuliner UMKM dapat dijelaskan oleh fasilitas, kepercayaan dan lokasi usaha sebesar 30,4% dan sisanya 69,6% dapat dijelaskan oleh variabel lain yang tidak diteliti.Kata Kunci: Fasilitas, Kepercayaan, Lokasi Usaha, Kepuasan Konsumen
PENGOLAHAN UMBI GADUNG SEBAGAI BAHAN DASAR PEMBUATAN PRODUK LOKAL STICK GADUNG DI DUSUN BATU MELIK, DESA SEMINAR SALIT, KECAMATAN BRANG REA, KABUPATEN SUMBAWA BARAT Kartika, Amalinda; Sriminingsih, Orien; Sabriana, Ofhi; Muhammad, Syafiq; Hafiza, Nurul; Azzahra, Fatima; Maktun, Kintan Haiatul; Rahmatin, Ina Ramadhani; Ramadhoan, Ramadhoan; Fauzi, Ihsan; Sugiatma, Iksan; Iltizam, Muhammad; Milasari, Sri; Rozi, Fahrul; Priawibawa, Ghozi; Wardika, Ruzga; Afrida, Galuh; Andriani, Rini; Susanti, Elifah Rika; Sudiarta, I Wayan
Jurnal Wicara Vol 1 No 5 (2023): Jurnal Wicara Desa
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/wicara.v1i4.3391

Abstract

Dusun Batu Melik, Desa Seminar Salit, Kecamatan Brang Rea, Kabupaten Sumbawa Barat merupakan salah satu dusun yang berada di kawasan pegunungan yang kaya akan potensi hasil hutan berupa umbi gadung. Sejauh ini, potensi umbi gadung sangat melimpah namun hanya dimanfaatkan oleh masyarakat sebagai makanan pendamping yang jarang dikonsumsi. Umbi gadung belum dimanfaatkan secara maksimal oleh masyarakat meskipun potensi dan nilai tambah yang tinggi. Berdasarkan masalah tersebut, bersama mitra desa dilakukan pengolahan dan pengembangan hasil hutan ini menjadi produk lokal berupa stik gadung dengan konsep pemberdayaan Masyarakat. Tahap-tahap pelaksanaan program kemitraan berupa Identifikasi, perumusan dan solusi permasalahan; pelaksanaan Program; partisipasi Mitra dan evaluasi keberlanjutan program. Simpulan dari program pengabdian kepada masyarakat ini adalah: (1) Umbi gadung dapat memberikan nilai tambah bagi perekonomian masyarakat melalui pengolahan inovasi produk lokal salah satunya stik gadung. (2) Umbi gadung dapat diolah menjadi berbagai produk lokal, namun dengan proses pengolahan yang cukup lama untuk menghilangkan kandungan racun (HCN). Kegiatan pengolahan umbi gadung ini mendapatkan respon positif dari masyarakat Dusun Batu Melik. Program pelatihan pembuatan stik gadung ini menjadi salah satu opsi bagi masyarakat dalam hal pengembangan diri, olah keterampilan dalam upaya mewujudkan SDM yang berkualitas, terampil dan mandiri. Ditambah dengan adanya kegiatan penyuluhan keamanan pangan dan perizinan usaha yang sangat didukung dan direspon baik oleh masyarakat guna meningkatkan pengetahuan dan keterampilan dalam pengolahan makanan.
The Correlation of Inflammatory Markers with Clinical Manifestation, Peritumoral Edema, and Recurrence in Meningioma Patients Aninditha, Tiara; Auliya, Putri; Mulyadi, Rahmad; Aman, Renindra Ananda; Andriani, Rini; Sofyan, Henry Riyanto
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1287

Abstract

Background: Meningiomas can induce inflammation in their tumorigenesis process, thereby linking inflammation with clinical symptoms, peritumoral edema, and recurrence of meningiomas. Easily accessible and cost-effective inflammatory markers include the neutrophillymphocyte ratio (NLR) and monocyte-lymphocyte ratio (MLR). This study aims to investigate the relationship between peripheral inflammation markers, specifically the NLR and MLR, and their association with clinical symptoms, peritumoral edema, and meningioma recurrence.Method: A retrospective cohort study was conducted at Cipto Mangunkusumo National General Hospital from January 2016 to December 2019, utilizing a consecutive non-probability sampling method. Inclusion criteria were patients aged 18 years or older with meningiomas(gradesI-III), first surgery. Peripheral inflammatory markers were derived from differential blood counts, peritumoral edema data from radiological reports, and other data from medical records. The cut-off valuesfor NLR and MLR were determined to be 2.415 and 0.295, respectively. Bivariate analyses using ChiSquare and Mann-Whitney tests were followed by multivariate logistic regression analysis. Results: 173 patients were eligible for analysis. Of these, 27 had preoperative CT scans, 126 had MRIs, and 20 had no preoperative radiology data. Clinical and recurrence analyses were performed on all 173 patients, with radiology and tumor size analyses conducted on subsets of 153 and 126 patients, respectively. The majority of meningiomasin thisstudy were grade I, found in 94.2% of subjects, with the remainder being grade II and III. Higher NLR and MLR values were significantly associated with headaches (p 0.001). Elevated NLR and MLR were also correlated with peritumoral edema (p 0.001). MLR was independently associated with recurrence, with an adjusted odds ratio (aOR) of 12.647 (95% CI 2.355–67.919); p = 0.003.Conclusion: NLR and MLR as peripheral inflammatory markers demonstrated higher median values in meningioma patients with headaches and peritumoral edema. Additionally, inflammation in meningiomas was associated with the occurrence of recurrence.
Educational intervention using the Complementary Feeding Practice Module on maternal knowledge and behavior Andriani, Rini; Supriyatno, Bambang; Kekalih, Aria; Gunardi, Hartono; Timan, Ina Susianti; Syafiq, Ahmad; Sidiartha, I Gusti Lanang; Sjarif, Damayanti Rusli
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.71-7

Abstract

Background Correct complementary feeding practice can be a challenge for mothers. Our complementary feeding practice module provides practical information regarding evidence-based complementary feeding practices. Objective To assess the effect of educational intervention using the complementary feeding practice module on maternal knowledge and behavior and to compare the effect of video vs. printed delivery of the module. Methods This open label randomized controlled trial included mothers with babies aged 4 to 8 months in Pontianak, West Kalimantan, Indonesia, who engaged in complementary feeding. Subjects were randomized into an intervention group that received a printed booklet of the module, an intervention group that received a video of the module, or a control group that received the standard Indonesian mother and child health (MCH) handbook. Maternal knowledge and behavior regarding complementary feeding practice were assessed before and after the educational intervention using the PI-MPASI questionnaire. Results Of 360 mothers screened, 241 subjects were randomized into the video education group (n=76), the printed education group (n=84), and the control group (n=81). A total of 212 subjects completed the study by submitting both the pre- and post-test: 66 in the video group, 74 in the printed booklet group, and 72 in the control group. Subjects who received the module (video or printed) had significantly higher knowledge and behavior scores than those in the control group. Video education was associated with a greater increase in behavior score than printed education and control. The outcome of video education was not influenced by maternal educational level. Conclusion  Education using a simple and practical video or printed module improves maternal knowledge and behavior in complementary feeding practices. Video education is associated with a greater improvement in maternal complementary feeding behavior than printed education.
Pengaruh Pengajaran dengan Media Video terhadap Pengetahuan Mahasiswa tentang Pengukuran Antropometri Bayi Linati, Raudina Dwita; Handoko, Willy; Andriani, Rini
Sari Pediatri Vol 27, No 1 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.1.2025.51-7

Abstract

Latar belakang. Antropometri adalah salah satu metode dalam penilaian status nutrisi pada anak maupun dewasa. Malnutrisi menjadi salah satu masalah kesehatan masyarakat di Indonesia terutama Kalimantan Barat dengan proporsi 19,58%. Saat pandemi COVID-19 dilaksanakan pembelajaran jarak jauh, sehingga diperlukan suatu media yang inovatif sebagai upaya pembelajaran mahasiswa mengenai pengukuran antropometri bayi. Tujuan. Mengetahui perubahan pengetahuan mahasiswa mengenai pengukuran antropometri bayi setelah pengajaran dengan media video.Metode. Penelitian menggunakan metode one group pretest-posttest. Sampel penelitian diambil secara total sampling dengan jumlah 100 mahasiswa Program Studi Kedokteran Universitas Tanjungpura angkatan 2021. Analisis bivariat menggunakan uji t berpasangan.Hasil. Proporsi mahasiswa dengan tingkat pengetahuan “sangat baik” meningkat dari 29% sebelum intervensi menjadi 72% setelah intervensi, menunjukkan adanya peningkatan yang signifikan setelah pemberian media video. Penggunaan media pembelajaran berbasis video terbukti efektif dalam meningkatkan pengetahuan siswa mengenai pengukuran antropometri pada bayi.Kesimpulan. Pengajaran dengan media video secara signifikan meningkatkan pengetahuan mahasiswa kedokteran mengenai pengukuran antropometri bayi.
Faktor-Faktor Manajemen Material dalam Percepatan Pelaksanaan Proyek Konstruksi Padang Pariaman Andriani, Rini; Jumas, Dwifitra Y.; Rita, Eva
Jurnal Civronlit Unbari Vol 10, No 1 (2025): April
Publisher : Universitas Batanghari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/civronlit.v10i1.142

Abstract

In the implementation of construction projects, the application of material management shows an influence on the smoothness of project work time, therefore it is necessary to examine and describe what parts of material management have an influence and how much influence they have. Based on literature studies and interviews and the author's experience as a project actor, a study was conducted to obtain the most influential factors in accelerating the implementation time of construction projects in Padang Pariaman Regency. The study was conducted using a Likert scale questionnaire method which was distributed to project actors as respondents and after that validity, reliability and factor analysis were tested on respondents' answers using SPSS. The results of the study obtained 2 new factors related to project material management, namely the first factor of inventory and warehousing control and the second factor was the factor of selecting specifications and material scheduling. The results obtained were quite unexpected because the specification selection factor is rarely discussed and used as a consideration when discussing the project implementation time, however, with the emergence of this factor, we as project actors are aware that this specification selection factor is very important in accelerating construction work in the Padang Pariaman Regency area.
Hubungan Antara Durasi Penggunaan Gadget Terhadap Perkembangan Dasar Anak Usia Prasekolah di Taman Kanak-Kanak (TK) Kota Pontianak Aswada, Dias Arivia; Andriani, Rini; Ilmiawan, Muhammad In'am
Majalah Kedokteran Andalas Vol. 47 No. 2 (2024): MKA April 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i4.p567-577.2023

Abstract

Latar Belakang : Sebesar 1-3% anak di bawah usia 5 tahun mengalami keterlambatan perkembangan dasar, dimana penggunaan gadget yang berlebihan merupakan salah satu penyebabnya.1 Tujuan: Mengetahui hubungan antara durasi penggunaan gadget terhadap perkembangan dasar anak usia prasekolah di Taman Kanak-kanak (TK) Kota Pontianak. Metodologi: Penelitian ini bersifat analitik dengan desain potong lintang pada 96 siswa di TK Kota Pontianak. Hasil penelitian diuji dengan uji statistik chi square menggunakan SPSS 23.0. Hasil: Analisis univariat menunjukkan gadget milik orang tua sebesar 84,5% dan pengenalan gadget dilakukan oleh orang tua berjumlah 80,2% serta usia anak paling muda mengenal gadget adalah 8 bulan. Terdapat 15 orang (15,6%) mengalami penyimpangan, sebagian besar pada aspek bicara bahasa. Analisis bivariat antara durasi penggunaan gadget terhadap perkembangan dasar yaitu p=0,376. Kesimpulan: Terdapat anak yang mengalami penyimpangan perkembangan namun tidak ditemukan hubungan bermakna antara durasi penggunaan gadget terhadap perkembangan dasar anak usia prasekolah di Kota Pontianak.
Analysis of Health Services for People with Mental Disorders (ODGJ) at the Kampar District Health Office in 2021 Andriani, Rini; Harnani, Yessi; Afridayanti, Afridayanti
Jurnal Ilmu Kesehatan Vol 10 No 1 (2022): Jurnal Ilmu Kesehatan
Publisher : Universitas Muhammadiyah Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30650/jik.v10i1.3272

Abstract

Background : According to the Law of the Republic of Indonesia No.18 of 2014 Mental Health is a condition that allows an individual to develop physically, mentally, spiritually, and socially so that the individual is aware of his own abilities, can cope with pressure, can work productively and is able to contribute to their community (Ministry of Health, 2014). Data from the Kampar District Health Office in 2019 there was an increase in cases of People With Mental Disorders (ODGJ) in 2020 totaling 141 people with a prevalence of 0.15 of the population. In 2020, it has a target of 1,218 people, only 781 people recorded and 535 people received health services. The highest cases of mental disorders were in the working area of ​​the Mining Community Health Center with 121 cases. The Community Health Center with the lowest cases of mental disorders was Kampar Kiri Hulu II Health Center with 5 cases of mental disorders. Objective : To identify the problems found and provide recommendations for alternative solutions regarding the Health Services for People with Mental Disorders (ODGJ) at the Kampar District Health Office. Method : qualitative using fishbone Data collection was carried out by means of observation, interviews and document searches at the Kampar District Health Office. Results: Based on the analysis, it was found that health services for people with severe mental disorders (ODGJ) and non-communicable diseases (hypertension and diabetes mellitus) were found in Kampar Regency. The priority problem through ultrasound weighting is the lack of health services for people with severe mental disorders (ODGJ). Conclusion: The problem solving recommendations given are asking for cross-sectoral support to increase awareness of mental health, proposing/producing more posters, books, leaflets related to mental health, conducting training on early detection of mental disorders for officers from community health centers.
Co-Authors , Oktarini Khamilah Siregar Abror Irsan Afrida, Galuh Afridayanti, Afridayanti Ahmad Faried Ahmad Syafiq Aman, Renindra Ananda Andhika Rachman Aninditha, Tiara Aria Kekalih Armyanti, Ita Asmaripa Ainy Aswada, Dias Arivia Azolia, Citra Putri Azzahra, Fatima Bambang Supriyatno Damayanti Rusli Sjarif Darma Putra Dewi, Rahma Dewin, Nikrial Djohansjah, Joice Rosewitasari Aryanti Dwifitra Jumas Eliana Sari, Eliana Erwin Setiawan, Erwin Eva Rita Fahrul Rozi Fauzi, Ihsan Febrina Annisa Gill, Arwinder Singh Hafiza, Nurul Handoko, Willy Hartono Gunardi Hartono, Bryan Arista hasyim, hasyim Herdiman, Alicia HILMAN TADJOEDIN, HILMAN I Gusti Lanang Sidiartha I Wayan Sudiarta Ibrahim, Karma Ilmiawan, Muhammad In'am Iltizam, Muhammad Ina Susianti Timan Jasmine, Nadia Junaid Junaid, Junaid Karnati, Neti Kartika, Amalinda Lilis Ardini Linati, Raudina Dwita Maisyarah, Renny Maktun, Kintan Haiatul Maulina, Lisa Milasari, Sri Muhammad Firdaus Muhammad, Syafiq Munandar Hutagaol, Imam Aris Murdiningsih Murdiningsih, Murdiningsih Nur Asmi Nurkadri, Nurkadri Priawibawa, Ghozi Putri Auliya, Putri Putri, Eka Ardiani Rahmad Mulyadi, Rahmad Rahmatin, Ina Ramadhani Ramadhoan, Ramadhoan Ranakusuma, Teguh Ranakusuma, Teguh A. S Rayhani, Farilaila Rosalina Rosalina Sabriana, Ofhi Sari, Riska Nanda SENDY PRATIWI RAHMADHANI Siradjuddin, Siradjuddin Sofyan, Henry Riyanto Sriminingsih, Orien Suci Destriatania Sugiarto, Yosafat Kurniawan Sugiatma, Iksan Suryana, Kresna Dharma Susanti, Elifah Rika Susanto, Eka Tantri, Afri Waraswati, Nurpuri Wardika, Ruzga Widarta, Oskar Ady Wiratman, Winnugroho Yesnuar Safri, Ahmad Yessi Harnani Zaenal Abidin