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All Journal Medicina E-Jurnal Medika Udayana Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Archives of Pediatric Gastroenterology, Hepatology, and Nutrition
Ni Nyoman Metriani Nesa
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Udayana/RS Universitas Udayana
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology

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Tingkat pengetahuan, sikap, dan perilaku orangtua tentang penyakit diare dan penanganannya pada anak balita di Pandu D’Care Made Refika Widya Apsari Tangkas; Ni Nyoman Metriani Nesa; Ayu Setyorini Mestika Mayangsari; Nyoman Budi Hartawan
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.646 KB) | DOI: 10.15562/ism.v11i3.678

Abstract

Background: Diarrhea is an increased frequency of defecation, 3 times or more a day, with changes in the consistency of the stool which become loose to watery. World Health Organization (WHO) states that there are 1.7 billion cases of diarrhea annually and responsible for 525,000 deaths in children each year.Aim: This study aimed to determine the level of knowledge, attitudes, and behavior of parents regarding early treatment of diarrhea of toddlers in D’Care Pandu Child Care Center in January 2019.Method: This study was a cross-sectional observational study. Research subjects consisted of 47 parents who entrust their children to be taken care at the D'Care Pandu Child Care Center. Subjects were asked to fill out a questionnaire to determine the level of knowledge, attitudes and behavior of parents regarding diarrheal disease and its management.Results: Most parents had good knowledge about diarrhea (66%). Most respondent had good attitude level (66%) and moderate level of parental behavior (52%).Conclusion: There were adequate knowledge, attitudes and behaviors of parents related to diarrhea problems in children. Diare adalah meningkatnya frekuensi defekasi yaitu 3 kali atau lebih dalam sehari, dengan perubahan konsistensi tinja menjadi lebih lembek hingga cair. World Health Organization (WHO) menyatakan bahwa terdapat 1,7 milyar kasus diare pertahun secara global dengan angka kematian pada anak sebesar 525.000 tiap tahunnya.Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap, serta perilaku orangtua dalam penanganan awal diare pada balita di Tempat Penitipan Anak Pandu D’Care.Metode: Penelitian ini menggunakan merupakan penelitian observasional dengan pendekatan potong-lintang. Subyek penelitian terdiri dari 47 orangtua yang menitipkan anaknya di TPA Pandu D’Care pada Januari 2019. Subyek diminta mengisi kuisioner untuk mendapatkan gambaran tingkat pengetahuan, sikap serta perilaku orangtua tentang penyakit diare dan penanganannya.Hasil: tingkat pengetahuan orangtua mengenai diare sebagian besar adalah baik (66%). Sebagian besar responden memiliki tingkat sikap yang baik (66%) dan didapatkan dominansi perilaku orangtua dalam tingkatan sedang yaitu sebesar 52%.Simpulan: Studi ini menunjukkan cukup adekuatnya pengetahuan serta sikap dan perilaku orang tua terkait permasalahan diare pada anak. 
Cholelithiasis and chronic cholecystitis in a ten-year-old-boy: a case report Carissa Lidia; I Gusti Ngurah Sanjaya Putra; I Putu Gede Karyana; Ni Nyoman Metriani Nesa; I Made Darmajaya; Kadek Deddy Ariyanta
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (881.86 KB) | DOI: 10.15562/ism.v11i3.684

Abstract

Background: Cholelithiasis in children is uncommon and challenging to diagnose because the patient is often asymptomatic and the clinical feature doesn't clearly depict cholelithiasis or cholecystitis. This case study aims to describe a rare case of cholelithiasis with chronic cholecystitis in a ten-year-old boy.Case Presentation: A ten-year-old boy presented with umbilical pain, nausea, and emesis. Physical examination showed there is no tenderness in all abdominal quadrants with a negative Murphy sign. Laboratory results revealed elevated white blood cell count 20.42x103/?L, elevated erythrocyte sedimentation rate 47.2 mm/hour, normal liver function tests, urine, and stool analysis. He underwent transabdominal ultrasound twice. The latest transabdominal ultrasound showed cholelithiasis, free fluid around the pelvic region due to suspected visceral organ perforation. Laparoscopic cholecystectomy was performed without complication. The result of pathology anatomy examination was chronic cholecystitis. The patient was discharged 3 days after surgery in good condition. The long-term prognosis of the patient was good.Conclusion: Even though the patient is male with good nutritional status (not obese), the patient was in the mean age that was identified as a key contributor to this disease. Ultrasonography examination is a screening modality that is still an excellent diagnostic tool with 95% accuracy even though it is highly operator dependent. Laparoscopic cholecystectomy is a gold standard for management even in children with decreased pain and shorter lengths of stay in the hospital.
Choledochal Cyst Todani Classification Type IC and Choledocholithiasis Presenting as Recurrent Pancreatitis in a 7-Year-Old Girl – A Case Report Della Sabrina Marta; I Putu Gede Karyana; I Gusti Ngurah Sanjaya Putra; Ni Nyoman Metriani Nesa; Ketut Dewi Kumara Wati; Kadek Deddy Ariyanta
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 5 No. 1 (2026): APGHN Vol. 5 No. 1 February 2026
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.5.1.2026.28-36

Abstract

Background: Choledochal cyst is an uncommon but important cause of biliary pathology in the pediatric population which can lead to choledocholithiasis and recurrent pancreatitis. High clinical suspicion, comprehensive imaging, and multidisciplinary evaluation are essential for accurate diagnosis and treatment. Definitive management is achieved through surgical intervention. Case: A 7-year-old girl experienced recurrent postprandial right upper quadrant and epigastric pain for three years, with fluctuating pancreatic and hepatic enzymes. Initial ultrasound and magnetic resonance cholangiopancreatography (MRCP) revealed ductal dilatation with biliary sludge, while multislice computed tomography (MSCT) suggested autoimmune pancreatitis, leading to temporary steroid response. Symptoms persisted, and contrast-enhanced magnetic resonance imaging (MRI) demonstrated fusiform common bile duct dilatation with debris, confirming Todani type IC choledochal cyst and choledocholithiasis. She underwent laparoscopic cyst and gallbladder excision with Roux-en-Y hepaticojejunostomy. Intraoperative and histological findings verified sludge, gallstones, and chronic cholecystitis. Discussion: Choledochal cysts should be considered in pediatric recurrent pancreatitis, particularly with biliary obstruction. Advanced imaging and differential diagnosis are crucial. Surgical excision with biliary reconstruction is the treatment of choice. Conclusion: Early recognition and timely surgical intervention are essential to prevent long-term complications.
Co-Authors Ayu Setyorini Mestika Mayangsari Bagus Setyoboedi Carissa Lidia Della Sabrina Marta Dewi Sutriani Mahalini Endy Paryanto Prawirohartono Eva Jacomina Jemima Sapulete Gusti Ayu Putu Nilawati Hendra Santoso Hendra Santoso I Dewa Made Satrianjaya I Gusti Istri Agung Widnyani I Gusti Lanang Sidiartha I Gusti Ngurah Sanjaya Putra I Made Darmajaya I Made Pramana Dharmatika I Made Yullyantara Saputra I Nyoman Budi Hartawan I Putu Gede Danika Adikarya I Putu Gede Karyana I Wayan Dharma Artana Kadek Deddy Arianta Kadek Deddy Ariyanta Kadek Deddy Ariyanta Ketut Dewi Kumara Wati Komang Ayu Witarini Kompiang Gede Suandi Luh Wayan Puspa Ningsih Made Darmajaya Made Dharmajaya Made Refika Widya Apsari Tangkas Made Sukmawati Martono Tri Utomo Melinda Masturina Muhammad Reza NP Veny Kartika Yantie Putu Diah Pratiwi Rendi Aji Prihaningtyas Sanjaya Putra Sjamsul Arief