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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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PROFILE OF HISTORY OF FEBRILE SEIZURE IN PATIENTS WITH EPILEPSY Basyarahil, Rayhan Muhammad; Islamiyah, Wardah Rahmatul; Gunawan, Prastiya Indra
MNJ (Malang Neurology Journal) Vol. 8 No. 1 (2022): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.01.5

Abstract

Background: Febrile seizure is convulsions with fever (temperature ³38°C) with no central nervous system infection that commonly found in children (6-60 months). Febrile seizures do not always mean the child has epilepsy. However, febrile seizures can be a possible long-term risk factor for epilepsy.Objective: The objective of this study is to know the profile of febrile seizure in patients with epilepsy.Methods: A retrospective descriptive study on 23 patients with epilepsy in the EEG Department of Neurology, Dr. Soetomo General Hospital, Surabaya, Indonesia in the period 2018-2019 based on inclusion and exclusion criteria. The total number of epilepsy patients is 849 patients, 216 of whom had a history of febrile seizure. Among 216 epilepsy patients who had a history of febrile seizures, 23 of them were qualified as the sample. The sampling technique used was total population sampling. The instrument of this research is the patients’ medical record. Data analysis is carried out descriptively.Results: The characteristics of the history of febrile seizures that found in patients with epilepsy are more patients are male, have the age of onset on less than 2 years old, have the body temperature more than 38.3°C, have the seizure duration less than 15 minutes, have focal seizures, have recurrent seizures in 24 hours, have a history of more than one febrile seizure, have accompanying neurological disorders, and have no family history of epilepsy.Conclusion: Febrile seizure is still becoming a concern because there is a possibility that it may develop into epilepsy. Even though, not all children who experience febrile seizure will generate epilepsy.
The Outcome after Surgery of Patients with Congenital Cataract in the Outpatient Clinic of RSUD Dr. Soetomo Surabaya in January 2014 – January 2017 Nuramalia, Lady Sherly; Wahyuni, Indri; Gunawan, Prastiya Indra
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 2 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.255 KB) | DOI: 10.20473/juxta.V10I22019.64-66

Abstract

Introduction: Congenital cataract is a leading cause of childhood blindness. Congenital cataract is characterized by an opacification of the lens that has existed from birth or shortly after birth. Congenital cataract can occur unilateral or bilateral. The cause of congenital cataract can be idiopathic, hereditary, chromosomal disorders, metabolic disorders, and infections. The use of intraocular lens implantation can provide better visual results. Whereas the results of cataract surgery with aphakia glasses correction showed poor results. This study aims to find out the outcome after surgery of congenital cataract patients in the outpatient clinic of RSUD DR. Soetomo Surabaya.Methods: This research was a descriptive retrospective study. Samples were patients with congenital cataract diagnosis in the Outpatient Clinic of RSUD Dr. Soetomo Surabaya in January 2014 – January 2017.Results: The results showed that there were 21 patients with congenital cataract. The most outcome after surgery of the patients with congenital cataract OS and OD were IOL positive, there were 14 (70%) for OS and 14 (77.77%) for OD.Conclusion: Most patient outcomes after surgery was IOL positive.
Pengembangan Tatalaksana Kejang pada Anak terhadap Tenaga Kesehatan di Kabupaten Kediri: Improvement on Childhood Seizure Management among Health Care Providers in Kediri Gunawan, Prastiya Indra; Noviandi, Riza; Samosir, Sunny Mariana; Setyaningtyas, Arina
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 11 (2024): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v9i11.7914

Abstract

Seizures that last more than five minutes are categorised as prolonged seizures and have the potential to become status epilepticus which can cause damage to brain neurons. Prompt and optimal seizure management is associated with better outcomes. Health workers in first-level health facilities are the spearhead of health services. Kediri district is a large area consisting of 37 primary health centers and 2 government hospitals (type B and C) with a distance to the provincial referral hospital of ± 120 km, so it is necessary to develop the knowledge of medical personnel, especially in the management of seizures in children. This activity aims to improve the knowledge and skills of medical personnel on the management of seizures in children, especially those who work in first and second level health facilities in the Kediri District area. The activity method includes two stages, namely online seminars and examination of pediatric seizure patients which is a follow-up to the presentation of material on pediatric seizure management. A total of 134 participants consisting of general practitioners, pediatricians, and midwives attended the online seminar. A total of 50 participants completed 10 pre-test and post-test questionnaires via Google Form. The results of this activity showed an increase in the knowledge of health workers in Kediri Regency on the management of childhood seizures with a pre-test score of 60.8 and post-test 87.0. An increase in score of 43.1% was obtained. The positive results of this evaluation indicate that participants increased their knowledge of pediatric seizure management.
Profile of Pediatric Central Nervous System (CNS) Tumor Patients at Dr. Soetomo General Academic Hospital Surabaya in 2017-2023 Wirawan, Putu Tanisya Putri; Fauziah, Dyah; Suryaningtyas, Wihasto; Gunawan, Prastiya Indra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i3.55861

Abstract

Central nervous system (CNS) tumors are a heterogeneous group in any region of the brain and spinal cord. They causes significant morbidity and mortality. CNS tumor is diagnosed based on clinical and radiological findings, but a definitive diagnosis requires histopathology examination. However, the demographic and histopathological profile of pediatric CNS tumor is rarely studied in Indonesia. The study aims to analyze the profiles of pediatric CNS tumor patients based on demographic and histopathological characteristics. This retrospective descriptive study was conducted using secondary data from a medical records of all pediatric CNS tumor patients at Dr. Soetomo General Academic Hospital from January 2017 to December 2023. The results show a total of 165 cases were included in this study, 60% occurred in male and 40% in female. The majority of the patients aged 5-8 years old (30.3%) and tumors commonly located within posterior fossa (21.4%). WHO grade I pilocytic astrocytoma (24.2%) is the most common histopathological subtype for benign CNS tumors followed by WHO grade IV medulloblastoma (20.6%) for malignant CNS tumor. Thus, pediatric CNS tumor was found to be more frequent in males than females, with the peak occurring in 5-8 years old. The most common location was within posterior fossa. The most common histopathological subtype was WHO grade I pilocytic astrocytoma.
THE CORRELATION BETWEEN APGAR SCORE AND GESTATIONAL AGE WITH NEONATAL SEPSIS AND ASSOCIATED MORTALITY Nabila Annisa Harum; Martono Tri Utomo; Aditiawarman -; Prastiya Indra Gunawan
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3388

Abstract

Background: Neonatal sepsis is increasingly recognized as an important global health problem that challenges neonatal survival. In 2018, sepsis caused approximately 15% of all neonatal deaths worldwide. Recent data regarding preterm birth and low Apgar score as risk factors for neonatal sepsis-related death have not been reported in Indonesia. Methods: This was a case-control study conducted in Dr.Soetomo General Hospital. A case group was obtained from medical records by a total sampling of all neonates diagnosed with neonatal sepsis in 2019, and a control group of non-neonatal sepsis cases was taken by random sampling. Chi-square test and logistic regression were used to analyze the data. Results: Statistical analysis showed a significant correlation between one and five-minute Apgar score
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

Abstract

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.
Binocular Diplopia in Miller Fisher Syndrome Pediatric Patient: A Rare Case Report: Poster Presentation - Case Report - Resident Zhafira, Dinda; Prastyani, Reni; Gunawan, Prastiya Indra; Noviandi, Riza; Samosir, Sunny Mariana
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: 10.35749/36zz6w74

Abstract

Introduction : Miller Fisher Syndrome (MFS) is a rare variant of Guillain-Barré syndrome that usually presents with ataxia, areflexia and ophthalmoplegia. It is more common among patients in their 40s and number of cases in pediatric patients is significantly smaller. Our objective is to report a rare case of diplopia in Miller Fisher. Case Illustration : An 11 years old boy came with complaint of double vision and history of gaze restriction. Patient had history of inpatient admission due to acute progressive generalized limb weakness and walking difficulty followed by respiratory failure. Patient also had history of chewing and swallowing difficulty. Inpatient treatment included intravenous immunoglobulin (IVIG) for 5 days which resultedin clinical improvement. Electromyography examination done while hospitalization showed normal results. Orthoptic examination revealed 15 degrees exotropia of left eye with 30 prism dioptres (PD) at near and far distance. Worth four dot test resulted in cross diplopia with no abnormality in head CT scan. After 2 months follow-up with push-up pencil exercise, patient showed improvement of symptoms. Discussion : MFS is a clinical diagnosis that can be assessed by clinical triad of ataxia, areflexia and ophthalmoplegia. Diagnosis can be supported by ancillary test such as cerebrospinal fluid analysis, electrophysiologic studies or antibody anti-GQ1b . Treatment of MFS are mainly for supportive care with respiratory support and immunotherapy if needed in severe cases. Conclusion : The outcome of MFS is usually good with a complete recovery. The improvements generally begin within two to four weeks after the onset of neurological symptoms and complete within six months.
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