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All Journal Jurnal Kedokteran Diponegoro Ophthalmologica Indonesiana
Ayu Anggraini Kusumaningrum
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Health Professions Medicine & Pharmacology Public Health

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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. 
EFEKTIVITAS MACADAMIA OIL 10% DALAM PELEMBAB PADA KULIT KERING Ayu Anggraini Kusumaningrum; Retno Indar Widayati
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 6, No 2 (2017): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.443 KB) | DOI: 10.14710/dmj.v6i2.18551

Abstract

Latar Belakang. Setiap hari jutaan orang menderita kekeringan kulit, gatal, bersisik dan kemerahan karena berbagai macam penyebab. Kulit kering atau xerosis cutis didefinisikan sebagai gambaran hilangnya atau berkurangnya kadar kelembaban stratum corneum. Xerosis cutis merupakan kelainan kulit dimana kulit menjadi kasar, bersisik, berkeriput dan kurang elastis dibandingkan kulit normal dan kering pada perabaan. Pelembab secara umum digunakan untuk meringankan kulit kering. Pelembab dapat mengurangi transepidermal water loss (TEWL) dengan meningkatkan perbaikan barrier, menciptakan barrier buatan sementara, dan mengembalikan kelembutan kulit. Macadamia oil adalah minyak botani yang tinggi asam lemak tak jenuh tunggal dan cocok dengan komposisi asam lemak pada kulit. Dewasa ini banyak pelembab yang mengandung bahan herbal di dalamnya, Macadamia oil dijadikan pilihan karena kandunganya yang baik untuk kesehatan kulit. Tujuan. Mengetahui efektivitas Macadamia oil 10% dalam pelembab pada kulit kering.Metode. Penelitian ini merupakan penelitian eksperimental dengan rancangan pre-test post-test control group design dengan populasi penelitian mahasiswi Universitas Diponegoro. Didapatkan 56 responden yang memenuhi kriteria inklusi dengan rentang usia 18-22 tahun. Data yang didapatkan adalah data primer. Uji analisis yang digunakan adalah uji Saphiro Wilk, uji Wilcoxon dan uji Mann-Whitney.Hasil. Didapatkan penurunan bermakna skor ODS pada kulit yang menggunakan pelembab dengan Macadamia oil 10% setelah intervensi (p=0,0000) dan terdapat perbedaan bermakna antara skor ODS setelah pemakaian produk pelembab dengan dan tanpa Macadamia oil 10% (p=0,003).Kesimpulan. Terdapat efektivitas Macadamia oil 10% dalam pelembab pada kulit mahasiswi Universitas Diponegoro berusia 18-22 tahun yang memiliki jenis kulit kering.
Chemical Eye Burn Injury Due to Polyester in Industrial Worker: A case report: Poster Presentation - Case Report - General practitioner Zahira Rikiandraswida; Ayu Anggraini Kusumaningrum
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/vg8zwg18

Abstract

Introduction : Chemical eye burns are common causes of work-related eye injuries. Prompt and appropriate emergency management may be the most important factor in determining the visual outcome. Case Illustration : A 50-year-old man who works in a plastic factory immediately went to the emergency room after being exposed to melted polyester in his right eye. He complained of hurt and hotness in his eye. The emergency primary survey was stable. Triage of ophthalmology was an emergency. Initial Uncorrected Visual Acuity (UCVA) was light perception with correct projections. Physical examination revealed 2nd-degree combutio on the forehead and left cheek. Anterior right eye examination revealed palpebral edema, polyester debris on the eyelid, conjunctival mixed injection, ischemia of less than 1/3 of the limbus, corneal edema, corneal opacity, and polyester sticking to the cornea. The damage was determined as Roper-Hall grade II. In the Emergency room, Eye was immediately irrigated with 1 L of normal saline. A referral was made to the ophthalmologist and Immediate debridement was carried out. Wide corneal erosion was found after the procedure. Treatment was continued with antibiotic eye drops, lubricant eye drops, oral vitamin, and oral analgetic. The patient had improved visual acuity to 20/20 f2 with corneal scar and opacity 1 month after surgery. Discussion : The combined management of this case consisted of ocular lavage, surgery, and medication. A Chemical Eye Burn requires immediate management to prevent extensive damage leading to visual impairment. Conclusion : Initial treatment in the emergency department and referral to the ophthalmologist can improve patient outcomes.
MILLER FISHER SYNDROME: A RARE BENIGN VARIANT OF GUILLAIN- BARRE SYNDROME: Poster Presentation - Case Report - General practitioner Ayu Anggraini Kusumaningrum; Zahira Rikiandraswida; Riski Prihatningtias
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/14dt6n54

Abstract

Abstract Introduction : Guillain-Barré Syndrome (GBS) is a broad category of syndromes that includes several types of acute immune-mediated polyneuropathy. Miller Fisher Syndrome (MFS) is a scarce variant of GBS (1-2:1,000,000) that presents at least 2 of ataxia, areflexia, and ophthalmoplegia. Case Illustration : A 32 years-old-man came to JEC-Candi with ophthalmic discomfort and exhibited a week onset of total ophthalmoplegia, ptosis, diplopia, and lagophthalmos. Two weeks backward, the patient had a respiratory infection then emerged symmetrical sensory abnormalities (glove-and-stocking-type pinprick sensations in distal extremities). Neurological examinations were performed, and the patient got multiple cranial nerve weaknesses (oculomotor, trochlear, abducens, trigeminal, and facial) both in motoric and sensory, ataxia (positive Romberg sign, stepping test, gait, shallow-knee- bend), and negative pathologic reflexes. Hematology showed leukocytosis, MRI and CT-Scan were normal. Pulse therapy was given (Methylprednisolone 1g/day) for three days, neuroprotector and artificial tears added. Ataxia and diplopia improved, then the patient was referred to Kariadi Hospital for five-times plasmapheresis that involved neurologist and internist. Ophthalmoplegia improved slowly, and lagophthalmos disappeared one month after hospital admission. Discussion : GBS subvariant could overlap; this case presents bifacial weakness with paresthesia and MFS. Viral infection precedes neurological symptoms in most cases, with an average of 10 days of the incubation period. Ataxia, diplopia, and ophthalmoplegia may confuse the physician and presume an upper motor neuron sign or central cause. Steroid and plasmapheresis evince meaningful upturn. Conclusion : This rare disease requires a multidisciplinary approach to cure and diagnose. Nonetheless, MFS has a good prognosis. Appropriate treatment selection will enhance patients' quality of life.
Co-Authors Dewi Apriani Dimas Tri Anantyo Muhammad Ghaza Syahputra Retno Indar Widayati Riski Prihatningtias Zahira Rikiandraswida