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All Journal Sari Pediatri ARTERI : Jurnal Ilmu Kesehatan
Danny Yovita Maharani
Universitas Lampung
Electrical & Electronics Engineering Health Professions Medicine & Pharmacology Nursing Public Health

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Bayi Baru Lahir dengan Kelainan Kongenital berupa Menigoensefalokel Parietal: Sebuah Laporan Kasus Arninda Rahman; Danny Yovita Maharani; Nurul Islamy; Javedh Iqbal
ARTERI : Jurnal Ilmu Kesehatan Vol 3 No 1 (2021): November
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v3i1.190

Abstract

Meningoencephalocele is a rare congenital disorder with an incidence of 1–4 cases per 10,000 live births. Meningoencephalocele is a congenital abnormality resulting from a neural tube defect. The male patient was born at term with cesarean section on indication of congenital abnormalities. The patient had a lump on the side of the head since birth. The patient's mother admitted that she did not consume enough folic acid during pregnancy. On physical examination found a lump in the occipital with a size of 15x15 cm. No blood or pus was found. There is a fluctuation and indicates a transillumination. A CT scan of the head without contrast revealed a parietal meningoencephalocele with a regional defect. The patient was given management in the form of a mass dressing with sterile gauze/24 hours, antibiotics, analgesics and meeting the patient's fluid needs. The patient underwent neurosurgical surgery, namely resection of transcranial meningoencephalocele followed by careful observation and monitoring of the baby's vital signs during surgery. After surgery, there was no evidence of cerebrospinal infection and leakage of cerebrospinal fluid. The wound healed completely and there was no sign of increased intracranial pressure during hospitalization. Head circumference was measured and graphed twice a week. The patient's condition was followed up and showed improvement every day. The research method used an empirical case study that investigated a symptom in a real-life setting and it was concluded that the patient had no visible involvement of the brain in the parietal meningoencephalocele and no hydrocephalus, so this patient had a good prognosis. Suggestions for further research is to look at the prognosis and complications in patients so that they can be assessed early and become a doctor's consideration in determining the action to be taken.
Manifestasi Klinis dan Keputusan Tata Laksana Awal pada Wheezing Anak Prasekolah di Layanan Primer Fadhilah Apriliandri; Suciati Jandraningrum; Danny Yovita Maharani; Amelina Ratih Listyaningrum
Sari Pediatri Vol 28, No 2 (2026)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp28.2.2026.88-97

Abstract

Latar belakang. Wheezing merupakan keluhan respiratori tersering pada anak prasekolah di layanan primer, namun bukti mengenai hubungan manifestasi klinis dengan keputusan tata laksana awal di Indonesia masih terbatas.Tujuan. Menganalisis hubungan manifestasi klinis (frekuensi napas, retraksi dinding dada, derajat wheezing, dan saturasi oksigen) dengan pemberian terapi awal dan keputusan rujukan pada anak prasekolah dengan wheezing di layanan primer Magetan dan Maospati.Metode. Studi potong lintang prospektif multicenter pada 130 anak usia 12–59 bulan dengan wheezing di empat Puskesmas. Analisis bivariat menggunakan uji Fisher-Freeman-Halton exact test, multivariat dengan regresi logistik Firth.Hasil. Retraksi dinding dada ringan (adjusted OR 8,73; IK95% 1,23–62,19; p=0,031) dan derajat wheezing pada auskultasi (adjusted OR 61,07–73,68; p=0,017; p=0,020) berhubungan dengan peningkatan pemberian terapi awal, sementara takipnea justru menurunkan pemberian terapi (adjusted OR 0,07; IK95% 0,01–0,92; p=0,043). Untuk keputusan rujukan, takipnea (adjusted OR 45,45; IK95% 7,83–263,79; p<0,001) dan hipoksia berat (adjusted OR 16,98; IK95% 1,80–160,56; p=0,013) merupakan prediktor terkuat, sedangkan wheezing dengan stetoskop justru menurunkan kemungkinan rujukan (adjusted OR 0,01–0,06; p=0,004; p=0,032).Kesimpulan. Determinan klinis pemberian terapi awal berbeda dengan determinan keputusan rujukan pada anak prasekolah dengan wheezing di layanan primer.
Co-Authors Amelina Ratih Listyaningrum Arninda Rahman Fadhilah Apriliandri Javedh Iqbal Nurul Islamy Suciati Jandraningrum