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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 Essentia: Journal of Medical Practice and Research Journal of Golden Generation Health
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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Shared medical appointments and quality of life for children with HIV-AIDS Perdani, Roro Rukmi Windi; Farishal, Ahmad; Wardani, Amanda Saphira
Paediatrica Indonesiana Vol. 64 No. 1 (2024): January 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.1.2024.59-64

Abstract

Background The human immunodeficiency virus (HIV) infects immune cells and weakens the immune system. There are 36.9 million HIV sufferers worldwide, with 1.8 million of them being children. Children with HIV and their parents may benefit from focus group discussions, also known as shared medical appointments (SMAs). SMAs represent an educational method capable of enhancing the quality of healthcare services. However, this method remains relatively under-researched in HIV/AIDS patients. Objective To assess the impact of SMA on the quality of life of children with HIV-AIDS. Methods This quasi-experimental study with a cross-sectional approach was carried out for 2 months. Subjects participated in SMAs, accompanied by a pediatrician as facilitator. Subjects filled three Pediatric Quality of Life (PedsQL) questionnaires (Inventory 4.0, General Well-Being Scale 3.0, and Healthcare Satisfaction 3.0), before and after attending SMAs. We compared the results. Results There were 12 respondents, with the majority aged 5-10 years (50%), and a higher proportion of male than female (33.3%). The majority of boys had stage 3 HIV, while most girls had stage 2 HIV. According to the PedsQL Inventory module, the average quality of life for the physical aspect was the highest (83), while the lowest was observed in the school aspect (45). In the General Well-being module, the average emotional health scores were 84 before and 93 after SMAs, which were higher than the overall health scores (68 and 77 before and after SMAs, respectively). In the Healthcare Satisfaction module, the lowest average scores were in family satisfaction (52 before and 64 after SMAs), whereas the highest were in satisfaction with healthcare provider treatment (87 and 81 before and after SMAs, respectively). There was a significant increase before and after the SMAs in emotional health (P=0.009). Conclusion An improvement in emotional health was observed based on the General Well-being module of the PedsQL before and after SMAs intervention. Thus, SMAs may potentially improve the quality of life for children with HIV-AIDS.
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.
Stimulasi Nervus Vagus sebagai Terapi Adjuvan pada Anak Epilepsi Resisten Obat : Literature Review Jonathan Rivaldo Gultom; Roro Rukmi Windi Perdani; Septia Eva Lusina; Intanri Kurniati
Jurnal Anestesi Vol. 3 No. 1 (2025): Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v3i1.1633

Abstract

Drug-resistant epilepsy is the failure to administer two or more anti-epileptic drugs to an epileptic child which becomes a challenge in its management. Failure of this therapy can result in a decrease in the child's quality of life, such as decreased cognitive function, personality disorders and sleep quality. This can also have a negative impact on the parents who care for them. Vagus nerve stimulation is a device attached to the child's left chest and neck that can stimulate the vagus nerve. This literature review provides a comprehensive overview of vagus nerve stimulation in the treatment of drug-resistant epilepsy, including a discussion of indications, techniques for use, and scientific evidence for the efficacy of vagus nerve stimulation. We reviewed and analyzed the current scientific evidence to assess the effectiveness of vagus nerve stimulation in the treatment of drug-resistant epilepsy.
Ensefalitis pada Multisystem Inflammatory Syndrome Associated with Covid-9 pada Anak: Sebuah Laporan Kasus Romadhoni, Luthfia; Izzah, Asiah Nurul; Perdani, Roro Rukmi Windi
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.5945

Abstract

Pandemi Coronavirus 2019 (COVID-19) dideteksi pertama kali di Wuhan, Provinsi Hubei, Cina. Data World Health Organization (WHO) menunjukkan bahwa sejak 30 Desember 2019 hingga 21 Februari 2022, COVID-19 telah menyebar ke 184 negara dan mengakibatkan lebih dari 200 juta orang terinfeksi, dengan 2,3 juta diantaranya mengalami kematian Suatu sindrom yang belum pernah ditemui sebelumnya mulai muncul pada anak dan dikaitkan dengan riwayat infeksi lampau COVID-19. Gejala klinis pada pasien ialah klaster anak-anak dengan demam persisten, disfungsi multiorgan, peningkatan penanda inflamasi, tidak ada bukti penyebab atau etiologi lain, atau epidemiologi infeksi SARS-CoV-2. Keterlibatan neurologis pada MIS-C, yang diamati hingga 34% kasus salah satunya ensefalitis. Ilustrasi kasus: Anak perempuan berusia 18 tahun 0 bulan dengan adanya penurunan kesadaran sejak 1 jam sebelum masuk rumah sakit dengan sebelumnya riwayat kejang berulang sejak 1 minggu yang lalu dengan frekuensi 3 kali dan durasi kurang lebih 1 menit tiap kejang dan saat ini pasien sudah tidak kejang lagi. Riwayat demam sejak 1 bulan yang lalu dan naik turun tanpa dipengaruhi aktivitas dan waktu. Pasien juga mengalami batuk sudah 7 hari. Pada pemeriksaan fisik didapatkan GCS E4V3M3, mata terlihat konjungtiva hiperemis (+/+) sklera ikterik (+/+) dan thorax terdapat ronki. Pada hasil laboratorium didapatkan pansitopenia dan IgG (SARS-CoV-2) reaktif. Pasien kemudian diberikan terapi sibital IV 2 x 50 mg, Meropenem IV 3x1 gr, Gentamicin IV 2x110 mg, Amikasin IV 1x750 mg, Paracetamol IV 3 x 500 mg (jika diperlukan ), Ranitidin IV 2 x 50 mg, Omeprazole 1 x 40 mg, Furosemid 2 x 40 mg, Nifedipin PO 2x10 mg, Calc 3x2 tab, CaCO3 3x2 tab, KSR 3x1 tab, Ambroxol 3x1tab.
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.
Penyuluhan Kesehatan tentang Perilaku Hidup Bersih dan Sehat sebagai Upaya Pencegahan Infeksi Flu Burung pada Kader Kesehatan Puskesmas Kemiling Kota Bandar Lampung Perdani, Roro Rukmi Windi; Susantiningsih, Tiwuk
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 3 No. 1 (2017): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v3i1.2023

Abstract

Serangan global Avian Infulenza atau flu burung telah terjadi sebanyak 3 kali. Propinsi Lampung sebagai salah satu lumbung ternak ayam tidak terlepas dari ancaman flu burung. Untuk pencegahan penularan kepada manusia antara lain dengan sosialisasi dan penyuluhan kesehatan mengenai infeksi flu burung. Metode yang digunakan dalam kegiatan pengabdian kepada masyarakat ini adalah penyuluhan kesehatan dengan ceramah dan diskusi. Kegiatan ini dihadiri oleh 30 peseta yang terdiri dari kader kesehatan di Puskesmas Kemiling Bandar Lampung. Setelah dilakukan penyuluhan terjadi peningkatan pengetahuan yang didapatkan dari nilai pre tes dan pos tes yaitu 63% menjadi 68,8%. Terjadi peningkatan penegtahuan mengenai flu burung pada kader kesehatan di Puskesmas Kemiling Bandar Lampung.Kata kunci: Flu burung, pengetahuan, penyuluhan.
Edukasi Gizi Jajanan Sehat Menggunakan Metode Role Play pada Siswa Sekolah Dasar Negeri 6 Metro Barat Wijaya, Sofyan Musyabiq; Perdani, Roro Rukmini Windi
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 4 No. 1 (2019): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v4i1.2535

Abstract

Isu pokok dalam masalah gizi yang dimaksudkan adalah masalah status gizi yang optimal. Hal ini dikarenakan beberpa faktor langsung yaitu kurangnya asupan yang adekuat dan penyakit. Untuk memenuhi kebutuhan energi dan protein anak sekolah, Pangan Jajanan Anak Sekolah (PJAS) dibutuhkan bagi anak yang tidak atau kurang sarapan dan tidak membawa bekal. Kontribusi zat gizi PJAS terhadap pemenuhan kecukupan gizi harian sebaiknya berkisar antara 15-20%. SD Negeri 6 Metro Barat yang menjadi mitra dalam kegiatan ini terletak di Kelurahan Ganjar Agung 14/2, Kecamatan Metro Barat, Kota Metro Lampung. Lokasi berjarak kurang lebih 38 km dari Unila. Lokasi tersebut cukup strategis di depan jalan arteri kota Metro. Hal ini dapat dengan mudah menarik pedagang jajanan untuk anak-anak di sekolah. Tujuan dari kegiatan ini adalah meningkatkan kesadaran dan kemandirian siswa dalam memilih jajanan di sekolah. Metode yang akan dilakukan adalah dengan memberikan penyuluhan, dan bermain peran (Role Play).Hasil pengabdian berupa peningkatan pemahaman siswa dalam memilih jajan sehat melalui nilai yang didapatkan dari kegiatan Role Play.Kata Kunci: Anak Sekolah, Jajanan Sehat, Role Play
Co-Authors Anugerah Indah Sari Aquila Graham Arini Meronica Asep Sukohar Assidiq, Hans Pratama Baehaqi Bambang Sudarmanto Bernie Endyarni Medise Dara Marissa Widya Purnama Dewi Nur Fiana Dian Isti Angraini Diana Mayasari Dwi Indria Anggraini Farishal, Ahmad Ferdiansyah, Ahmad Irzal Fidha Ramayani Hafizha, Syifa Hanifah Oswari Hanna Mutiara Intanri Kurniati Irawan Mangunatmadja Iswandi Darwis Izzah, Asiah Nurul Jonathan Rivaldo Gultom Khairun Nisa Kinanti Rahmadhita Lee, Hee Jae Mayasari, Diana Muhammad Maulana Nanda Salsabila Itsa Nastiti Kaswandani Natasha, Messya Nidia Putri Meisuri Nisa, Lutfi Khoirun Nisrina Afifah Noviana Hartika Sari Piesta Prima Beta Pairul Prambudi Rukmono Purnama, Dara Marissa Widya Puspaningrum, Dewi Ayu Rahmayani, Fidha Risti Graharti Rizki Hanriko Romadhoni, Luthfia Sabrina Fahrieza Septia Eva Lusina Septiani, Linda Setiorini, Anggi Setyo Handryastuti Silma Nuraini Sofyan Musyabiq Wijaya Sowiyah Sowiyah Sri Agustina Susianti Susianti Sutarto Suwaib Amiruddin TA Larasati Terza Aflika Happy Thandavarayan, Rajarajan Amirthalingam Theodorus, Emeraldha Tiwuk Susantiningsih Wardani, Amanda Saphira Wardhani, Dyah Wulan Sumekar Rengganis Wawaimuli Arozal Wulan, Anggraini Janar