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Faktor Risiko Angka Kejadian Depresi dan Kecemasan pada Caregiver Anak dengan Disabilitas Intelektual Alfadea Irbah Allizaputri; Bintang Arroyantri Prananjaya; Puji Rizki Suryani
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 10, No 1 (2022): Februari 2022
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.10.1.2022.163-172

Caregiver anak dengan disabilitas intelektual memiliki stressor yang lebih banyak dan berisiko mengalami terjadinya gangguan psikologi yang lebih banyak dibandingkan dengan anak normal. Gangguan psikologi yang paling banyak terjadi pada caregiver diantaranya adalah depresi dan cemas. Gangguan psikologis tersebut disebabkan oleh banyak faktor. Penelitian ini bertujuan untuk mengetahui pengaruh faktor risiko terhadap angka kejadian depresi dan cemas pada caregiver anak dengan disabilitas intelektual di SLB-B Negeri Pembina Palembang. Penelitian dilakukan dengan desain studi analitik observasional dilakukan pada 89 orang caregiver anak dengan disabilitas intelektual menggunakan desain studi potong lintang. Depresi dan cemas diukur menggunakan kuesioner Depression Anxiety Stress Scale (DASS). Hasil pengumpulan data dianalisis dengan uji Mann-Whitney dan Kruskal-Wallis. Terdapat 89 orang caregiver anak dengan disabilitas intelektual di SLB-B Negeri Pembina Palembang. Hasil penelitian menunjukkan sebanyak 24 orang (27%) caregiver mengalami depresi ringan hingga sangat berat dan 42 orang (47,2%) caregiver mengalami cemas ringan hingga sangat berat. Jenis kelamin, status sosioekonomi, derajat disabilitas intelektual anak dan penyakit komorbiditas pada anak merupakan faktor yang memiliki pengaruh yang bermakna secara statistik terhadap depresi dan cemas (p<0,05). Dapat disimpulkan beberapa faktor risiko seperti jenis kelamin, status sosioekonomi, derajat disabilitas intelektual anak dan penyakit komorbiditas pada anak memiliki pengaruh terhadap kejadian depresi dan cemas pada caregiver anak dengan disabilitas intelektual.

Patterns of Using Analgesics for Menstrual Pain in Female Students Sriwijaya University Faculty of Medicine Nita Parisa; M. Khairul Kahfi Pasaribu; Bintang Arroyantri Prananjaya; Ardesy Melizah Kurniati; Ziske Maritska
Archives of The Medicine and Case Reports Vol. 1 No. 2 (2020): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v1i2.10

Dysmenorrhea is a condition that women often feel at their productive age and disrupt their daily activity. A study that was condoned in Palembang finds that 93,8% of SMA female students had dysmenorrhea. A study in India finds that 42% in 654 respondents decided to their dysmenorrhea without visiting a physician and 35% are using the wrong medication Analgetics as a pain reliever sold freely in markets. Dysmenorrhea affects life quality and education for the easiness in obtaining medicine in markets, making the research about analgetics usage patterns in Faculty of Medicine, Sriwijaya University 2016-201 students. The design of this study was cross-sectional descriptive observational from 2 December 2019 until 6 January 2020. The population of this study is FK Unsri (201 2019) students with 628 respondents. The respondent characteristics are found by using a questionnaire. Dysmenorrhea prevalence among FK UNSRI students is 88%. Dysmenorrheprevalence that disrupts activity is 64,7%. FK UNS RI student (2016-2019) that use mefenamic acid is 48,3%, paracetamol is 33,8% and ibuprofen is 6,2% for the dysmenorrhea.FK UNSRI student (2016-2019) that consumed analgetics once per day 80,6%. FK UNSRI students (2016-2019) that picked tablets is 97,9%. FK UNSRI study (2016- 2019) that chose to use it for a day is 76,5%. The analgetics that are mostly chosen for FK UNSRI (2016-2019) students are mefenamic acid, a tablet that was consumed once per day for a day.

A Hospital-Based Study: Interventions for Patients with Disorders of Sex Development (DSD) in National Reference Hospital, South Sumatera Region, Indonesia Ziske Maritska; Bintang Arroyantri Prananjaya; Andhika Diaz Maulana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 3 No. 2 (2019): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v3i2.86

ABSTRACT Background. Disorders of Sex Development (DSD) is a term used to describe a congenital condition where sex chromosomes, gonads, and or anatomy of a person are atypical. It is estimated to affect 1:4,500 people worlwide with varied clinical findings, hence the integrated and diverse interventions. Objective. This study wished to observe the many interventions DSD patients received in Dr. Mohammad Hoesin Hospital as one of the national reference hospitals in Indonesia for South Sumatera region. Methods. Medical records of 173 patients with clinical findings in accordance with DSD spectrum during 2013-2017 was observed in order to identify both surgical and medical interventions applied. Results. Sixty two patients were diagnosed of having hypospadias (35.84%), making it the most common clinical finding among DSD patients in this hospital. Surgical intervention was the most favored intervention, with 155 patients (89.6%) underwent various surgeries, ranging from urethroplasty to vaginoplasty and many more. Five patients(2.9%) were treated with either hydrocortisone and florinef, or both. One patient diagnosed with Congenital Adrenal Hyperplasia (CAH) had both surgical and medical intervention. Conclusion. DSD gives a wide phenotypic spectrum, making its management both challenging and complicated. Surgical, medical, and or a combination of both are the indispensable interventions when dealing with DSD patients. Study focusing on psychological intervention for DSD patients is further needed. Keyword: Disorders of Sex Development, DSD, surgical, medical, intervention.

A Hospital-Based Study: Interventions for Patients with Disorders of Sex Development (DSD) in National Reference Hospital, South Sumatera Region, Indonesia Ziske Maritska; Bintang Arroyantri Prananjaya; Andhika Diaz Maulana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 3 No. 2 (2019): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v3i2.86

ABSTRACT Background. Disorders of Sex Development (DSD) is a term used to describe a congenital condition where sex chromosomes, gonads, and or anatomy of a person are atypical. It is estimated to affect 1:4,500 people worlwide with varied clinical findings, hence the integrated and diverse interventions. Objective. This study wished to observe the many interventions DSD patients received in Dr. Mohammad Hoesin Hospital as one of the national reference hospitals in Indonesia for South Sumatera region. Methods. Medical records of 173 patients with clinical findings in accordance with DSD spectrum during 2013-2017 was observed in order to identify both surgical and medical interventions applied. Results. Sixty two patients were diagnosed of having hypospadias (35.84%), making it the most common clinical finding among DSD patients in this hospital. Surgical intervention was the most favored intervention, with 155 patients (89.6%) underwent various surgeries, ranging from urethroplasty to vaginoplasty and many more. Five patients(2.9%) were treated with either hydrocortisone and florinef, or both. One patient diagnosed with Congenital Adrenal Hyperplasia (CAH) had both surgical and medical intervention. Conclusion. DSD gives a wide phenotypic spectrum, making its management both challenging and complicated. Surgical, medical, and or a combination of both are the indispensable interventions when dealing with DSD patients. Study focusing on psychological intervention for DSD patients is further needed. Keyword: Disorders of Sex Development, DSD, surgical, medical, intervention.

Use of Antipsychotic in Dementia Patients: A Desriptive Study Muhammad Hilal Atthariq Ramadhan; Bintang Arroyantri Prananjaya; Ziske Maritska
Scientia Psychiatrica Vol. 1 No. 4 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i4.22

Introduction: Dementia is a chronic progressive syndrome in which there is a decrease in the function of cognitive abilities including memory impairment, thinking ability, orientation, understanding, calculation, language, and assessment but without impaired consciousness. Apart from cognitive impairment, dementia is often accompanied by psychological symptoms and behavioural symptoms so that antipsychotic therapy is needed to overcome this. This study aims to identify the description of the use of antipsychotics in patients with dementia at Dr Mohammad Hoesin General Hospital Palembang in the period 1 January 2014-31 December 2018. Methods: This research was a descriptive study using secondary data in the form of medical records of dementia patients receiving antipsychotic therapy at Dr Mohammad Hoesin General Hospital Palembang. Samples were taken using a total sampling method. Results: There were 29 dementia patients (38.67%) receiving antipsychotic therapy. Most of the dementia patients who received antipsychotic therapy were in the late elderly age (27.59%) and were female (55.17%). The most commonly administered antipsychotic drug is haloperidol from the dopamine receptor antagonist (60%) with the most frequent dose of 0.5 mg (34.48%). Risperidone from the serotonin-dopamine antagonist class is the second most frequently prescribed antipsychotic drug (34.28%) at a dose of 1 mg (17.28%). The mean of haloperidol was 425 days, and risperidone was 295.5 days. Conclusion: Although in theory, psychological and behavioural symptoms are often found in dementia cases, not all dementia patients in Dr Mohammad Hoesin General Hospital Palembang received antipsychotic therapy. People living with dementia who receive antipsychotic treatment get various types of drugs, dosages, and frequencies.

Validity and Reliability Test of the Indonesian Version of the Boredom Prone Scale (BPS) in Medical Student Chandra Wahyudi; Bintang Arroyantri Prananjaya
Sriwijaya Journal of Medicine Vol. 3 No. 2 (2020): Vol 3, No 2, 2020
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i2.72

Introduction. Boredom is defined as a state of relatively low arousal and dissatisfaction, which is attributed to inadequately stimulating situations. Everyone tends to experience boredom. Boredom Proneness Scale is one of many scales that can measures boredom proneness. BPS hasn't been adapted from the original language (English) in Indonesia. Methods. This study uses validity and reliability approach. Process of education divided into the adaptation process and psychometric analysis process. Psychometric analysis of the BPS Indonesian Version consists of Item Content Validity Analysis (I-CVI) & Scale Content Validity Index (S-CVI). BPS Indonesian Version was spread twice amongst students of Medicine Program Faculty of Medicine Batch 2016─2018. Psychometric analysis of Boredom Proneness Scale Indonesian Version as the Guttman Scale was done by counting the coefficient of reproducibility (CR) and coefficient of scalability (CS). The adaptation process obtained BPS Indonesian Version. Results. Based on nine experts' appraisal in experts panel, minimum I-CVI is 0,83 (minimally accepted index 0,78) on the 10th scale, and S-CVI is 0,98 (minimally accepted index 0,90). CR of BPS Indonesian Version is 0,589 (first) and 0,594 (second) which defines BPS Indonesian Version is not valid. CS of BPS Indonesian Version is obtained as 0,177 (first) and 0,188 (second) which defines BPS Indonesian Version is not appropriate to be used in the study. Conclusion. BPS Indonesian Version is not appropriate to be used in measuring boredom proneness in students.

Profil Hormon Penderita Disorder of Sex Development (DSD) di RSUP. Dr. Mohammad Hoesin Palembang Ziske Maritska; Bintang Arroyantri Prananjaya; Nita Parisa; Rovania Yantinez Quardetta
Biomedical Journal of Indonesia Vol. 5 No. 2 (2019): Vol 5, No 2, 2019
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Selain berdasarkan temuan klinis, penentuan diagnosis Disorders of sex development (DSD) juga didukung oleh ragam pemeriksaan penunjang seperti analisis kromosom, radiologi, dan pemeriksaan laboratorium yang salah satunya berupa pemeriksaan kadar hormon. Pemeriksaan kadar hormon dapat memberikan gambaran fungsi gonadal dan adrenal, yang bermanfaat baik untuk penapisan dan juga penentuan diagnosis DSD. Studi yang bertujuan untuk mengidentifikasi profil hormon pasien DSD di Indonesia masih sangat minim, dan studi ini merupakan studi pertama yang meninjau profil hormon DSD di RSUP Dr. Mohammad Hoesin Palembang. Studi ini merupakan studi deskriptif menggunakan data sekunder dari rekam medik pasien DSD yang menjalani pemeriksaan hormon selama periode 2013-2017. Dari total 173 pasien DSD yang datang berobat ke RSUP Dr. Mohammad Hoesin Palembang selama lima tahun terakhir, hanya 22 (12.72%) pasien yang menjalani pemeriksaan hormon. Ada 13 profil hormon yang diperiksa pada pasien DSD di RSUP Dr. Mohammad Hoesin Palembang dengan hormon testosteron (54.54%) sebagai hormon yang paling sering diperiksa. Pemeriksaan profil hormon sebagai salah satu alat bantu penapisan dan penegakkan diagnosa DSD belum menjadi salah satu pemeriksaan penunjang yang umum dilakukan di RSUP Dr. Mohammad Hoesin Palembang.

PHYSICAL COMORBIDITIES IN CHILDREN WITH AUTISM SPECTRUM DISORDERS Ziske Maritska; Rahmi Isman; Bintang Arroyantri Prananjaya; Nita Parisa
Indonesian Journal for Health Sciences Vol 6, No 2 (2022): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v6i2.4615

Autism Spectrum Disorders (ASD) is a neurodevelopmental disorder characterized by two core symptoms; impairments in social communication and restricted or repetitive behavior. ASD is a broad group of conditions where patients have a variety of abilities and needs. Their ASD related-physical and psychological comorbidities also affect their mortality risk. This study wished to investigate physical comorbidities associated with ASD in the national reference hospital in Indonesia. This is a descriptive study with a cross-sectional approach on children with ASD who visited RSUP Dr. Mohammad Hoesin, Palembang, during 2014-2018. Data were obtained from the medical records and telephone interviews with the parents. Of all the 60 participants included in the study, most are male (n=52;86,7%). The most prevalent ASD-related physical comorbidities were gastrointestinal disorders (n=27;45%), followed by nervous system disorders (n=35;58,3%), and immune system disorders (n=11;18,3%). Despite the small sample size, the prevalence of ASD-related physical comorbidities in children with ASD is profoundly high, implying the need to do early detection from both parents and health professionals to prevent morbidity and complications that may occur. Children with autism can benefit from various therapies start in early childhood and continue throughout their lives to improve their development, and quality of life.

Vaginismus: An Approach from biology to psychological aspect Bintang Arroyantri Prananjaya; Syarifah Aini; Jiann Lin Loo; Diyaz Syauki Ikhsan; Puji Rizki Suryani; Alessandro Syafei Rashid
Jurnal Psikiatri Surabaya Vol. 12 No. 1 (2023): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v12i1.44205

Background: The prevalence of vaginismus ranges from 1-6%, and the ratio becomes 5%-17% in clinical setting, although it varies widely worldwide. The main cause of vaginismus is not known, but is often considered multifactorial. This paper aims to describe the factors that contribute to vaginismus. Case: A 26 years old, married woman, health practitioner presented with the complaint of not being able to have sexual intercourse. About 1 month ago, since marriage, the patient was unable to have sexual intercourse with her husband. The patient feels guilty and anxious because of the inability to please her husband. The patient's father was very dominant and was a "religious" type of parent who always gave advice with religious aspects regarding all matters. The patient's mother was a nervous person and always said that what the father said was a law that had to be obeyed. Likewise, talk about sex is a taboo topic of discussion and is considered embarrassing. Discussion: Many factors need to be explored related vaginismus. In the case, the biological aspect can be ruled out because the patient has consulted with the ob-gyn doctor. from the psychological aspect; perceptions, attitudes and attitudes towards sex and the values held by parents contribute to vaginismus in this patient. Conclusion: a therapeutic approach which focuses on all aspects promises quite good therapeutic outcomes.

GENETICS OF DEMENTIA: THE CANDIDATE GENES AND AVAILABLE GENETIC TESTINGS Ziske Maritska; Diah Andini; Febryana Ramadhani Machyar; Rachmat Taufan; Try Merdeka Puri; Tryvanie R Putra; Uswati Uswati; Bintang Arroyantri Prananjaya; Rini Nindela; Nita Parisa
Indonesian Journal for Health Sciences Vol 7, No 2 (2023): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v7i2.6353

When dementia is present, a person's memory, reasoning, behavior, and even their capacity to carry out day-to-day chores can all become distorted. This syndrome remains present and actually worsens as time passes. It's possible that synapse loss, death and dysfunction of brain cells, gliosis, and inflammation are all factors in the progression of dementia. The clinical syndrome, age, and a history of the ailment in the patient's family should dictate the choices made about counseling and testing. Dementia is known as a multifactorial condition, brought on by the combination of strong genetic factors and environmental factors. There are several candidate genes associated with Dementia; APP, PSEN1, and PSEN2 genes, in addition to the GRN and MAPT genes. This literatura review provide insight on the genetic of Dementia, particularly in the genetic causes and testings

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