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All Journal Medula Sari Pediatri Paediatrica Indonesiana JURNAL PENELITIAN PERAWAT PROFESIONAL JK Unila (Jurnal Kedokteran Universitas Lampung) Anoa : Jurnal Pengabdian Masyarakat Sosial, Politik, Budaya, Hukum. Ekonomi INDONESIAN JOURNAL OF MEDICAL ANTHROPOLOGY Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Jurnal Sinergi
Roro Rukmi Windi Perdani, Roro Rukmi
University Of Lampung
Agriculture, Biological Sciences & Forestry Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Journal : Medula

 1 
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN LUARAN PENDERITA INFEKSI SUSUNAN SARAF PUSAT DI BANGSAL RAWAT INAP ALAMANDA RSUD Dr. Hi. ABDUL MOELOEK PROVINSI LAMPUNG Assidiq, Hans Pratama; Perdani, Roro Rukmi Windi; Darwis, Iswandi; Berawi, Khairun Nisa
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1066

Abstract

Infection of the Central Nervous System is a disease that can cause death and serious disability if not detected and treated appropriately. Meningitis was a specific cause of death for children under 5 years old during 2000-2013. In the Alamanda Inpatient, RSUD Dr. Hi. Abdul Moeloek, Lampung Province, during 2020-2021 there were 50 cases of CNS infections. The aim of this study was to determine the factors associated with the outcomes of CNS infection sufferers in the Alamanda Inpatient, RSUD Dr. Hi. Abdul Moeloek, Lampung Province. This research uses an observational analysis method with a cross sectional research design. The population of this study were pediatric patients with a medical diagnosis of central nervous system infection at the Alamanda Inpatient, RSUD Dr. Hi. Abdul Moeloek, Lampung Province, for the period January 2020 – May 2021, totaling 50 patients with a total sample population. Univariate analysis showed that 39 sufferers of CNS infections in the Alamanda Inpatient, RSUD Dr. Hi. Abdul Moeloek, Lampung Province, mostly aged > 1 year as much as 79.6%, male as much as 51.3%, type of infection is meningitis or encephalitis as much as 66.7%, GPCS score not comatose 79.5%, normal nutritional status 69.2%, long hospitalization >5 days 69.2% and survival outcome is 82.1%. Bivariate analysis using the Chi-Square test showed that the factors that had the most influence on the outcomes of CNS infection sufferers in the Alamanda Inpatient, RSUD Dr. Hi. Abdul Moeloek, Lampung Province., in order of long hospitalization, GCPS coma score, nutritional status, type of infection, and age. Meanwhile, gender does not influence the outcome of CNS infection sufferers in the Alamanda Inpatient, RSUD Dr. Hi. Abdul Moeloek, Lampung Province.
Glasgow Coma Scale: Tinjauan terhadap Kegunaan, Keterbatasan, dan Perkembangannya Aquila Graham; Setiorini, Anggi; Septiani, Linda; Perdani, Roro Rukmi Windi
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1396

Abstract

The Glasgow Coma Scale (GCS) is a widely used neurological assessment tool for evaluating the level of consciousness in patients with brain injury. Introduced in 1974 by Teasdale and Jennett, it has become a standard in emergency departments, intensive care units, and neurosurgical wards worldwide. The GCS assesses patient responses in three domains: eye opening, verbal response, and motor response, with scores ranging from 3 (deep coma) to 15 (fully conscious). The GCS score is used to classify the severity of Traumatic Brain Injury (TBI) and predict clinical outcomes. However, several studies have highlighted limitations of the GCS, particularly in predicting patient outcomes and its application in specific populations. This article provides a critical review of the GCS, including its utility, limitations, and ongoing modifications and developments.
Challenges and Strategies in Dealing Children with Autism Spectrum Disorder: A Literature Review Nisa, Lutfi Khoirun; Perdani, Roro Rukmi Windi; Graharti, Risti; Wardhani, Dyah Wulan Sumekar Rengganis; Fiana, Dewi Nur; Rahmayani, Fidha
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1356

Abstract

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder that affects children permanently. The exact cause of GSA is not yet known and affects more men than women with a ratio of 4:1. This autism disorder in children appears from birth or a few months after birth, but is often diagnosed when the child is less than 3 years old. Confirmation of GSA diagnosis can use two screening tools, namely DSM-5 and M-CHAT. The management that can be given to children with GSA can be pharmacological and non-pharmacological treatment. According to the World Health Organization (WHO) in 2022, 1 in 100 children in the world is diagnosed with autism. Children with GSA have many disorders that can affect their daily activities, both verbally and non-verbally. The main symptoms that are often encountered in children with GSA are difficulties in social interaction, problems in communication, including difficulty learning language or abnormalities in speech, and a tendency to be obsessive about maintaining a consistent daily routine and environment. The prognosis of GSA depends on the severity of each individual and the accompanying disease. This of course makes parents who have children with GSA will be faced with specific challenges in raising their children because children with GSA have different characteristics. Effective strategies that can be carried out to improve disorders in GSA children include the use of visual aids, the creation of a structured daily schedule, good interpersonal communication, the application of the Applied Behavior Analysis (ABA) method, integrated sensory therapy, occupational therapy, and play therapy. In addition, to overcome the stress experienced by parents of children with GSA, especially in mothers, it can be done by providing parenting education through psychoeducation.
Peran Shunt Ventrikuloperitoneal dalam Strategi Pengobatan Hidrosefalus Pada Anak : Literature Review Sari, Indah Purnama; Roro Rukmi Windi Perdani; Diana Mayasari; Intanri Kurniati; Fidha Ramayani; Rizki Hanriko; Dewi Nur Fiana
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1357

Abstract

Hydrocephalus is a condition characterized by the accumulation of cerebrospinal fluid (CSF) within the brain's ventricles, presents a significant challenge in pediatric care. The increased intracranial pressure resulting from this CSF buildup can lead to severe neurological damage if left untreated. Ventricular peritoneal shunt (VP shunt) surgery remains a primary surgical intervention aimed at diverting excess CSF, thereby reducing intracranial pressure and mitigating the risk of irreversible neurological damage. This literature review provides a comprehensive review of the role of VP shunts in the management of pediatric hydrocephalus, encompassing a detailed examination of indications and contraindications for shunt placement, various surgical techniques employed, and the effective management of common post-operative complications such as infection, shunt malfunction (obstruction or overdrainage), and hemorrhage. We meticulously analyze current literature data to assess the effectiveness of VP shunts in improving neurological outcomes, fostering cognitive development, and enhancing the overall quality of life for children affected by hydrocephalus. The analysis will incorporate a review of long-term followup studies to evaluate the durability and efficacy of different shunt types and materials. Case studies and clinical experiences are integrated to provide a nuanced understanding of current clinical practices and to highlight the complexities often encountered in managing this condition. Furthermore, this literature review delves into recent advancements in shunt technology, including the development of programmable valves and less invasive surgical approaches. It also addresses the persistent challenges in optimizing hydrocephalus care, emphasizing the crucial need for a multidisciplinary approach involving neurosurgeons, pediatric neurologists, developmental pediatricians, and other healthcare professionals to ensure holistic and individualized patient care. The ultimate goal is to provide practical, evidence-based guidance for healthcare professionals in the effective and safe management of pediatric hydrocephalus using VP shunts, ultimately improving patient outcomes and quality of life.
Faktor-faktor yang Memengaruhi Menarche Dini pada Remaja Perempuan Hafizha, Syifa; Angraini, Dian Isti; Mayasari, Diana; Perdani, Roro Rukmi Windi
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1452

Abstract

Adolescence is a critical phase of rapid growth characterized by the maturation of reproductive organs, known as puberty. In females, puberty is marked by the onset of menstruation, with menarche being the first occurrence of menstruation, typically between the ages of 12 and 14 years. However, the average age of menarche in Indonesia has declined over the years, leading to an increase in early menarche cases. Early menarche occurs at an age of < 11 years (9-10 years) that is primarily driven by elevated estrogen levels in the female body. Factors influencing early menarche include genetics, nutritional status, lifestyle, dietary intake, physical activity, stress management, socioeconomic conditions, sexual behavior, and media exposure. This literature review aims to examine the correlation between these factors and the decreasing age of menarche among adolescent girls in Indonesia. Nutritional status and imbalanced dietary patterns are external factors strongly associated with early menarche. Genetic factors, particularly maternal menarche age, significantly influence the likelihood of early menarche in daughters. Low levels of physical activity contribute to increased ovarian activity and elevated estrogen levels, thereby raising the risk of early menarche. Furthermore, insufficient physical activity is directly linked to early menarche. External influences such as media exposure shape sexual behaviors, which may accelerate menarche onset. Poor stress management also disrupts estrogen regulation, further contributing to early menarche.
Co-Authors Anugerah Indah Sari Aquila Graham Arini Meronica Asep Sukohar Assidiq, Hans Pratama Baehaqi Bambang Sudarmanto Dara Marissa Widya Purnama Dewi Nur Fiana Dian Isti Angraini Diana Mayasari Dwi Indria Anggraini Farishal, Ahmad Ferdiansyah, Ahmad Irzal Fidha Ramayani Hafizha, Syifa Hanna Mutiara Intanri Kurniati Iswandi Darwis Izzah, Asiah Nurul Jonathan Rivaldo Gultom Khairun Nisa Kinanti Rahmadhita Mayasari, Diana Nanda Salsabila Itsa Nidia Putri Meisuri Nisa, Lutfi Khoirun Nisrina Afifah Noviana Hartika Sari Piesta Prima Beta Pairul Purnama, Dara Marissa Widya Puspaningrum, Dewi Ayu Rahmayani, Fidha Risti Graharti Rizki Hanriko Romadhoni, Luthfia Sabrina Fahrieza Septia Eva Lusina Septiani, Linda Setiorini, Anggi Sofyan Musyabiq Wijaya Sowiyah Sowiyah Sri Agustina Susianti Susianti Sutarto Suwaib Amiruddin TA Larasati Theodorus, Emeraldha Tiwuk Susantiningsih Wardani, Amanda Saphira Wardhani, Dyah Wulan Sumekar Rengganis Wulan, Anggraini Janar