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All Journal MEDIA MEDIKA INDONESIANA Jurnal Berkala Epidemiologi MNJ (Malang Neurology Journal) Majalah Obstetri dan Ginekologi Sari Pediatri Jurnal Ilmiah Kedokteran Wijaya Kusuma Universa Medicina Paediatrica Indonesiana Health Notions Syntax Literate: Jurnal Ilmiah Indonesia PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Majalah Kedokteran Neurosains JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Neurologico Spinale Medico Chirurgico Jurnal Abdi Insani Majalah Biomorfologi (Biomorphology Journal) Indian Journal of Forensic Medicine & Toxicology Cermin Dunia Kedokteran AKSONA MEDICINUS Neurona Ophthalmologica Indonesiana Jurnal Widya Medika
Prastiya Indra Gunawan
Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Unversitas Airlangga Surabaya
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Journal : AKSONA

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Electroencephalogram in Children who Experienced First Unprovoked Seizure Arinda Putri Auna Vanadia; Prastiya Indra Gunawan; Abdurachman Abdurachman; Martono Tri Utomo; Hanik Badriyah Hidayati
AKSONA Vol. 2 No. 2 (2022): JULY 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (670.869 KB)

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Highlight: Epiletiform abnormalities on the EEG provide additional clinical infromation about seizures The majority of patients who have a first unprovoked seizure have an abnormal EEG (Abnormal II). Using EEG as a supporting diagnostic tool in patients experiencing their first unprovoked seizures may provide more information to improve treatment   ABSTRACT Introduction: The first unprovoked seizure is defined as a series of seizures that occur within 24 hours and are followed by recovery of consciousness with unknown triggering causes such as head trauma, central nervous system infections, tumors, or hypoglycemia. The first unprovoked seizure is a thing that cannot be underestimated. According to a previous study, less than half of those who experience their first unprovoked seizure will have another. An electroencephalogram (EEG) is one of the supporting examinations for the first unprovoked seizure. Objective: This study aims to determine the EEG as the first unprovoked seizure supporting examination. Methods: This is a retrospective, descriptive, observational study with sampling from the patient's medical record at Dr. Soetomo General Hospital Surabaya from January 2017 to December 2018 based on predetermined inclusion and exclusion criteria. Results: The EEG results in children who experienced their first unprovoked seizure were more abnormal (52.9%) than normal (47.1%), with an abnormal EEG breakdown of abnormal II (17.6%) and abnormal III (35.3%). There were no patients in this study who had EEG abnormal I. All patients with EEG abnormal II (17.6%) had an intermittent slow EEG waveform, while all patients with EEG abnormal III (35.3%) had a sharp waveform. The most common location of EEG wave abnormalities was temporal (55.6%). Conclusion: In the first unprovoked seizure, an EEG examination can assist clinicians as a seizure diagnostic assistant tool. It is hoped that the results of the EEG can provide better management of the first unprovoked seizure.
Analysis of Socioeconomic Status Among Risk Factors of Pediatric Abusive Head Trauma: A Systematic Review Felice, Calista; Parenrengi, Muhammad Arifin; Gunawan, Prastiya Indra; Suryaningtyas, Wihasto
AKSONA Vol. 5 No. 2 (2025): JULY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v5i2.53600

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Highlight: Most studies agreed that socioeconomic status (SES) influences the prevalence of pediatric abusive head trauma. SES is associated with other AHT risk factors and contributes to varied clinical outcomes. AHT incidence can be reduced by prevention strategies that focus on education and enhanced healthcare access.   ABSTRACT Introduction: Previous studies have shown that children from low socioeconomic status (SES) families are more likely to experience abusive head trauma (AHT). However, research on this topic remains limited. Some argue that clinicians may demonstrate diagnostic bias, tending to overidentify AHT in lower-SES children,  regardless of actual risk. Is low SES truly  a risk factor for AHT? If so, how does it affect AHT occurrence and its relationship with other risk factors? Objective: This review was to observe the relationship of SES as one of the risk factors of pediatric AHT. Methods: A systematic review was conducted on pediatric AHT using household SES data. Children with AHT were compared to non-abusive head trauma (non-AHT) controls. Articles published between  2002 and 2022 were searched from Scopus, PubMed, and Google Scholar, following PRISMA guidelines. Exlusion criteria included duplicates, inaccessible or non-English/Indonesia articles, and studies not meeting  PECO criteria. Data on child age, sex, type of head trauma, and SES were collected. Demographic characterisctics, SES, risk factors, outcome, and preventive measures were analyzed. Results: A total of 19,700 articles were found after searching Scopus, PubMed, and Google Scholar. After several screenings, 18 articles were included. Of the 18 articles, 17 included data on patients with AHT, and 6 included data on control patients. In total, there were 21,451 patients with AHT and 411,185 controls. The control group consisted of children with non-AHT and children without trauma. The mean, median , and standard deviation of the percentage of low SES patients with AHT were relatively higher than controls. A higher amount of articles agreed that SES had a significant impact. Conclusion: SES may influence pediatric AHT prevalence, but it should not be used as a determinant in diagnostic decision-making.
Co-Authors Abdurachman Abdurachman Adinda Chairunnisa Aditiawarman Aditiawarman, Aditiawarman Agus Sulistyono Alfira Nailatul Izzah Aminuddin Harahap Andriati Andriati Arina Setyaningtyas Arinda Putri Auna Vanadia Avida Marisa Ilmi Basyarahil, Rayhan Muhammad Budi Utomo Darto Saharso Darto Suharso Darto Suharso, Darto Denisa Dwi Rahmayani Dwiyanti Puspitasari, Dwiyanti DYAH FAUZIAH, DYAH Faroek Hoesin Felice, Calista Florentina Sustini Hanik Badriyah Hidayati,* Mohammad Hasan Machfoed,* Kuntoro,** Soetojo,*** Budi Santoso,**** Suroto,***** Budi Utomo****** Heru Setiawan Indri Wahyuni Irwanto, Irwanto Islamiyah, Wardah Rahmatul Kanti Ismayani Lourin Nova Martono Tri Utomo Mohammad Aldika Akbar Mohammad Nata Ardiansyah Mohammad Sjaifullah Noer Muhammad Rizki Darmawan M Nabila Annisa Harum Nabila Fitri Ariyati Ni Wayan Tirthaningsih Ninik Asmaningsih Soemyarso Noviandi, Riza Nuramalia, Lady Sherly Parenrengi, Muhammad Arifin Prastyani, Reni Pravita Tri Andrianti Ratih Dwi Andini Risky Vitria Prasetyo Riza Noviandi Riza Noviandi Riza Noviandi Romdhoni, Achmad Chusnu Rozalina Loebis, Rozalina Samosir, Sunny Mariana Sri Andreani Utomo, Sri Andreani Sunny Mariana Samosir Sunny Mariana Samosir Theresa Laura Limanto Viskasari P. Kalanjati wihasto suryaningtyas Wirawan, Putu Tanisya Putri Zhafira, Dinda