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Junita Maja Pertiwi
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Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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MOYAMOYA DISEASE DENGAN PERDARAHAN INTRAVENTRIKULAR PADA PASIEN USIA MUDA Gilbert Tangkudung; Ricky Gunawan; Rizal Tumewah; Junita Maja Pertiwi
Jurnal Sinaps Vol. 3 No. 2 (2020): Volume 3 Nomor 2, Juni 2020
Publisher : Neurologi Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.703 KB)

Abstract

Pendahuluan : Moyamoya Disease (MMD) adalah kasus langka yang dapat menyebabkan stroke pada usia muda. Insiden MMD sangat jarang, biasanya terjadi pada wanita di bawah usia 20.1 MMD hadir dengan berbagai kasus serebrovaskular termasuk TIA, stroke iskemik, perdarahan intrakranial, sakit kepala, atau kejang. Tipe iskemik mendominasi pada usia muda, sedangkan tipe hemoragik mendominasi pada orang dewasa.2 Perkembangan MMD progresif dan simptomatik dalam 5 tahun; hasilnya buruk jika tanpa pengobatan. Ini merupakan kasus pertama yang kami temukan. Laporan kasus : Sebuah kasus, perempuan Asia 21 tahun, mengalami sakit kepala berat dengan VAS: 9, kaku kuduk, paresis saraf wajah kanan tipe UMN, dengan pemeriksaan darah normal. NCCT Otak ditemukan perdarahan intraventrikular pada ventrikel lateral kiri. Angiografi serebral ditemukan oklusi total segmen M1 kiri, kolateral leptomeningeal dari ACA kiri ke MCA, dilatasi segmen P1 kiri, kolateral leptomeningeal PCA kiri cabang temporal ke kortikal MCA, blush koroidal di sisi kiri. Pasien didiagnosis dengan MMD (klasifikasi Suzuki stage II) dan tatalaksana pengobatan konservatif, mRS setelah perawatan adalah 0. Pasien menjalani MRI dan MRA TOF setelah 9 bulan kemudian dan ditemukan normal pada MRI dan ada penyempitan kaliber di segmen proksimal A1 kiri. Kesimpulan : MMD adalah kasus yang langka yang didiagnosis dengan angiografi serebral. Manajemen perawatan konservatif adalah pilihan pada onset awal dalam kasus ini. Namun, pemantauan ketat terhadap pemeriksaan klinis dan radiologis diperlukan. Kata Kunci: Moyamoya Disease, stroke usia muda, perdarahan intraventrikular.
Analisis Implementasi Aktivitas Fisik Berdasarkan Health Belief Model oleh Tenaga Kesehatan di Puskesmas Marsela Juliawati Alfa Berhimpong; Angelheart Joy Maynard Rattu; Junita Maja Pertiwi
Indonesian Journal of Public Health and Community Medicine Vol. 1 No. 4 (2020): Oktober 2020
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.1.4.2020.31453

Abstract

Background: Physical activity is bodily movement produced by skeletal muscles and requires energy expenditure and is the fourth leading risk factor for global death. The Health Belief Model is a health behavior change theory and psychological model that is used to predict health behavior by focusing on individual perceptions and beliefs about an illness. The purpose of this research is to analyze how the implementation of physical activity based on the health belief model by health workers at Puskesmas Bahu Manado. Methods: This research was conducted using qualitative methods at Puskesmas Bahu Manado from July to August 2020, using a purposive sampling technique. The target population is all employees at Puskesmas Bahu Manado and the reachable population is representatives of the staff at Puskesmas Bahu who are informants. There were 6 informants in this study who were based on the principles of appropriateness (approppiateness) and adequacy (adequacy). The research instruments used were interview guides, notebooks, voice recorders, and cameras. Data collection was carried out by in-depth interviews and direct observation. Data analysis using content analysis. Results: The results of in-depth interviews and document observations based on the health belief model show that health workers believe that people will be motivated to take actions that will improve their health because they know the risk of diseases that negatively affect their health. Conclusion: The implementation of physical activity based on Perceived Suspectibility, Perceived Severity, Perceived Benefits, Perceived Barriers, Cues To Action and Self Efficacy by health personnel at Puskesmas Bahu has been implemented.
Co-Authors Angelheart Joy Maynard Rattu Gilbert Tangkudung Marsela Juliawati Alfa Berhimpong Ricky Gunawan Rizal Tumewah