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Seorang Anak Usia 6 Tahun Dengan Penyakit Castleman: Kasus Jarang Dimas Tri Anantyo; Fadhlan Rahman
Medica Hospitalia : Journal of Clinical Medicine Vol. 5 No. 1 (2018): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (948.973 KB) | DOI: 10.36408/mhjcm.v5i1.351

Abstract

Latar Belakang : Castleman's Disease (CD) adalah penyakit limfoproliferatif yang dapat terjadi secara lokal ataupun sistemik. Penegakan diagnosis baku emas dari CD diperoleh dari pemeriksaan histopatologis biopsi jaringan kelenjar getah bening. Pengobatan definitive dari CD masih dalam tahap penelitian dan pengembangan. Tujuan dari laporan ini, adalah untuk melaporkan satu kasus yang terjadi di Semarang dan melakukan diskusi terkait dengan kasus tersebut sehingga penanganan yang tepat dapat dimulai sesegera mungkin.Kasus : Seorang anak lelaki berusia 6 tahun datang ke rumah sakit dengan keluhan utama timbul massa di daerah inguinal dan submandibular yang berkembang perlahan tanpa gejala.Diskusi : Setahun sebelum terdiagnosis CD anak dikeluhkan teraba benjolan di selangkangan anak, benjolan dirasa membesar lambat, nyeri tekan, terfiksir dan warna jaringan sama dengan sekitarnya, keluhan juga disertai dengan demam yang terjadi hilang timbul.Kesimpulan : Pasien yang didiagnosis Castleman Disease (CD) pada April 2017 pada usia 6 tahun 3 bulan dengan massa di daerah inguinal dan submandibular yang berkembang perlahan tanpa gejala. Perawatan dari CD masih dalam penelitian.Kata Kunci : penyakit castleman, penyakit lymphoproliferative, massa lymph node
THE EFFECT OF MAT PILATES IN LUMBAR FLEXIBILITY OF OVERWEIGHT AND OBESE CHILDREN Graciela Eunike Hartono; Tanti Ajoe Koesoema; Rahmi Isma AP; Dimas Tri Anantyo
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.342 KB) | DOI: 10.14710/dmj.v9i3.27496

Abstract

Background :  Overweight and obesity are the conditions where lumbar have to bear more load, and it will decrease its flexibility. Decrease of lumbar flexibility will affect the range of motion. Based on some literatures, mat pilates will increase the ability on lumbar flexibility, however there is no evidence effect of mat pilates in children, especially overweight and obese children. Aim : To know the effect of mat pilates on lumbar flexibility of overweight and obese children. Method :This study was pre experimental one group pre and post test design with 20 subjects based on inclusion dan exclusion criteria. Subjects did mat Pilates exercise for 12 times. Lumbar flexibility was measured by Modified Modified Schober Test for lumbal flexion and extension before intervention and after 4 weeks mat pilates exercise. Data analyzed by SPSS using Saphiro Wilk test as data’s nomalities test and Paired T test as hypothesis test. Result : The mean of MMST Flexion pre and post test after Mat Pilates have increased from 3,15±0,3118 cm to 7,63±0,4 cm. The mean of MMST extension pre and post test after Mat Pilates hav e increased from 1,415±0,21 cm to 3±0,236 cm. The means of a BMI Post test (24,89 ± 0,9 kg/m2) is higher than the mean of a BMI Pre test (24,86 ± 0,8 kg/m2).The significant result proves the effect of mat pilates in lumbar flexibility of overweight and obese children which measured by MMST Flexion and MMST Extension. The result of p value for MMST Flexion is p=0,00 and the result of p value for MMST Extension is p=0,00 which both of MMST flexion and Extension are significant or different. Conclusion : Mat pilates can increase the lumbar flexibility of overweight and obese children.Keyword: Mat Pilates, Lumbar Flexibility, overweight and obese children.
DETERMINATION OF DENGUE VIRAL INFECTION SEVERITY IN PEDIATRIC BASED ON PHYSICAL EXAMINATION AND LABORATORY TESTS: A CASE STUDY OF A 7 MONTHS OLD BABY WITH DENGUE HAEMORRHAGIC FEVER Muhammad Ghaza Syahputra; Ayu Anggraini Kusumaningrum; Dewi Apriani; Dimas Tri Anantyo
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 6 (2020): DIPONEGORO MEDICAL JOURNAL (Jurnal Kedokteran Diponegoro)
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v9i6.29323

Abstract

Background: Dengue viral infection can infect people of all ages, including infants less than 1-year-old. The Disease severity of dengue infection consists of asymptomatic infection and symptomatic infection. The symptomatic infection has varying degrees of severity: undifferentiated fever, dengue fever, DHF, and Dengue Shock Syndrome (DSS). Method: The data obtained by interviewing the patients' parents for the symptoms and patients' medical records for information on the treatments and examinations.  Case: A 7 months old baby arrived at the hospital with a continuous abrupt 3 days fever, the condition is accompanied by watery stool two times a day, vomiting once a day.  Discussion: The patient arrived at the hospital with a continuous abrupt 3-day fever. The results of the physical examination showed a positive tourniquet test and palpable liver. The laboratory test results showed that the patient has thrombocytopenia, and the chest x-ray results showed that the patient has pleural effusion. Conclusions: The patient was diagnosed with DHF without shock and sent home after the patient got fluid therapy, supportive, and symptomatic treatments. 
THE EFFECT OF BREASTFEEDING EDUCATION AMONG POSTPARTUM MOTHERS ON EXCLUSIVE BREASTFEEDING PRACTICE ONE MONTH AFTER DELIVERY Laurentius Juan Wicaksono; Dimas Tri Anantyo; Julian Dewantiningrum; Bambang Hariyana
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.921 KB) | DOI: 10.14710/dmj.v9i3.27506

Abstract

Background: Exclusive breastfeeding is a standart of care for newborn. In 2017 within area of Semarang City, only 19,5% women who practiced exclusive breastfeeding .One of the problems was low level of mother’s knowledge because lack of breastfeeding education especially by the health services institutions. The aim of the study is to asses the effect of breastfeeding education among postpartum mothers on exclusive breastfeeding practice in one month after delivery. Method: A quasi experimental study design was conducted among postpartum mother in purposively selected health institutions of Semarang city. All eligible women were placed into intervention (n=25) and control (n=25) group. The intervention group received standart education with educational media and control group received standart education only which lasts for 15 minutes. Data were collected through interviewer-administered questionnaire at one month after education session. Results: The number of mothers who  practiced exclusive breastfeeding for a month was greater in intervention group than the control group (p=0,025). The level of  knowledge also greater in intervention group (p=0,016). Also, there were no significant relationship between age, working status, maternal parity and exclusive breastfeeding while there was significant relationship between maternal education and exclusive breastfeeding practice. Conclusion: Breastfeeding education with educational media increases the mother’s knowledge about exclusve breastfeeding and practice of exlusive breastfeeding up to 1 month.
HUBUNGAN ANTARA PAPARAM MEDIA LAYAR ELEKTRONIK DAN PERKEMBANGAN BAHASA DAN BICARA Husnia Febri Amalia; Farid Agung Rahmadi; Dimas Tri Anantyo
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 8, No 3 (2019): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.617 KB) | DOI: 10.14710/dmj.v8i3.24432

Abstract

Latar Belakang: Perkembangan bahasa dan bicara merupakan indikator dari seluruh perkembangan karena kemampuan bahasa dan bicara sensitif terhadap keterlambatan atau kerusakan pada sistem lainnya, dan melibatkan kemampuan kognitif, sensori motor, psikologis, emosi serta lingkungan di sekitar anak. Apabila terjadi keterlambatan perkembangan pada awal kemampuan bahasa dan bicara  dapat  mempengaruhi berbagai fungsi dalam kehidupan sehari hari diantaranya kehidupan personal sosial, juga akan menimbulkan kesulitan belajar, bahkan dapat mempengaruhi  kemampuan dalam dunia kerja suatu hari nanti. Banyak faktor perkembangan bahasa dan bicara  diantaranya faktor prenatal, perinatal dan postnatal. Faktor postnatal yang mempengaruhi perkembangan bahasa dan  bicara  dapat berupa paparan layar media elektronik. Tujuan: Mengetahui Hubungan paparan layar media Elektronik dengan perkembangan bahasa dan bicara. Metode: Penelitian ini menggunakan desain  cross-sectional  dengan observasi dan pengumpulan data dilakukan bersamaan. Subjek penelitian adalah anak usia 18-36 bulan dan orangtua yang dilakukan di posyandu di wilayah puskesmas Rowosari Kota Semarang. Pengambilan sampel dengan metode purposive sampling. Pengumpulan  data dilakukan dengan pengisian kuesioner, pengukuran antropometri dan instrument capute scale. Uji statistik yang digunakan adalah uji Korelasi Spearman. Hasil: Dari 60 subjek penelitian terdapat rerata nilai CLAMS anak yang terpapar layar media elektronik ≤ 1 jam (98,88±10,256) dan > 1 jam (86,83±8,243), pada onset paparan layar media  elektronik  usia ≤ 12 bulan (85,35±8,60) dan >12 bulan (91,47±10,37), dan pada jenis program hiburan layar media elektronik (88,77±11,21) dan jenis program edukasi  (93,52±5,94). Korelasi CLAMS dengan durasi, onset, jenis paparan layar media elektronik berdasarkan uji korelasi Spearman didapatkan nilai p= <0,005 . Simpulan: Terdapat hubungan durasi, onset, dan  jenis paparan layar  media elektronik  dengan  perkembangan bahasa dan bicaraKata Kunci: CLAMS,durasi,onset,jenis paparan layar media elektronik,anak usia 18-36 bulan
Factors Influencing Success Rate of Referral for Asphyxiated Newborns Before and After Helping Babies Breathe (HBB) Training Yurico, Ariq Azky Yurico; -, Adhie Nur Radityo; Putri Sekar Wiyati; Dimas Tri Anantyo
Basic and Applied Nursing Research Journal Vol 4 No 2 (2023): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.04.02.10

Abstract

Introduction: Referral for asphyxia newborns is the process of transferring newborns with difficult breathing conditions from one health facility to another. Emergency management of asphyxia newborns must be handled properly; one of the examples is taught in a Helping Babies Breath (HBB) training. Other factors that influence the determinants of referral are positive-pressure ventilation action, the state of hypothermia, and the duration of referral. Methods: The research design used in this study was cross-sectional. The samples were collected by purposive sampling from January 2019 to December 2020 from the medical records of Puskesmas Kabupaten Grobogan. Results: There was no significant association between the success rate of referral for asphyxia newborns and the Helping Babies Breathe (HBB) training (p=0.213). Before the HBB was implemented, there was no significant association between the incident and positive-pressure ventilation action (p = 0.092). Still, there was a significant association between the incidence of hypothermia (p=<0.001) and referral duration (p=0.011). After the HBB was implemented, there was no significant association between the incident with positive-pressure ventilation action (p=0.758) and the duration of the referral (p=0.2). Still, there was a significant association with the incidence of hypothermia (p=0.002). Conclusion: There is a significant association between the success rate of referral of asphyxia newborns and hypothermia before and after the HBB Program was implemented and the duration of referrals before the HBB Program was implemented.