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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Journal of Anesthesiology and Clinical Research
Fajar Ristranda
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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HUBUNGAN KEIKUTSERTAAN ANAK DI PAUD DENGAN HASIL PRESTASI BELAJAR ANAK DI SDN KAUMAN 1 MALANG Fajar Ristranda; Rahayu .; Prasodjo .
Saintika Medika Vol. 10 No. 2 (2014): Desember 2014
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.v10i2.4157

Abstract

Hubungan Keikutsertaan Anak di PAUD dengan Hasil Prestasi Belajar Anak di SDN Kauman 1 Malang, Karya Tulis Akhir, Fakultas Kedokteran, Universitas Muhammadiyah Malang. Latar Belakang: PAUD adalah suatu sarana stimulasi dini bagi perkembangan kecerdasan anak, yang terjadi sangat pesat di usia 0-6 tahun. Tujuan Penelitian: Untuk mengetahui hubungan keikutsertaan anak di PAUD dengan hasil prestasi belajar anak di SDN Kauman 1 Malang. Metodologi Penelitian: Analitik observasional dengan pendekatan secara cross sectional. Sampel yang didapat dengan teknik total sampling adalah sebanyak 263 orang. Hasil Penelitian: Dari 263 sampel didapatkan 160 siswa yang mengikuti PAUD Formal dan Non Formal, sedangkan yang hanya mengikuti PAUD Formal saja sebanyak 103 siswa. Kesimpulan: Terdapat hubungan keikutsertaan anak di PAUD dengan hasil prestasi belajar anak di SDN Kauman 1 Malang.
A Rare Complication of Vasovagal Syncope Induced by Pulsed Radiofrequency in a Patient with Cervical Spondylosis and Occipital Neuralgia: A Case Report Fajar Ristranda; Buyung Hartiyo Laksono; Taufiq Agus Siswagama
Journal of Anesthesiology and Clinical Research Vol. 7 No. 1 (2026): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v7i1.869

Abstract

Introduction: Pulsed radiofrequency is widely utilized as a minimally invasive neuromodulation technique for managing chronic neuropathic pain, including cervical radicular pain and occipital neuralgia. While pulsed radiofrequency is generally celebrated for its robust safety profile and absence of thermal tissue destruction, unexpected autonomic complications remain poorly characterized in the literature. Case presentation: A 41-year-old female with a six-month history of chronic cervical root syndrome (C3-C6) and refractory occipital neuralgia presented for interventional pain management. Following a comprehensive clinical and radiological evaluation, the patient underwent fluoroscopy-guided pulsed radiofrequency of the bilateral C3 and C4 dorsal root ganglia and the greater and lesser occipital nerves. The procedure was technically successful and uneventful. However, approximately 24 hours post-procedure, the patient experienced a sudden, profound episode of vasovagal syncope, characterized by acute hypotension, bradycardia, and a precipitous drop in consciousness (Glasgow Coma Scale: E3V3M6). Immediate resuscitation, including intravenous fluid boluses and continuous hemodynamic monitoring, led to a full neurological recovery. At follow-up, the patient reported significant attenuation of both radicular and occipital pain scores. Conclusion: This report documents a rare and severe episode of delayed vasovagal syncope following upper cervical and occipital pulsed radiofrequency neuromodulation. The temporal association suggests a complex neuro-autonomic reflex, potentially mediated by the trigeminocervical complex and sudden withdrawal of chronic sympathetic tone. Clinicians performing cervical pulsed radiofrequency must remain vigilant regarding delayed autonomic dysregulation, necessitating extended postoperative observation protocols in susceptible individuals.
Co-Authors Buyung Hartiyo Laksono Prasodjo . Rahayu . Taufiq Agus Siswagama