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All Journal Folia Medica Indonesiana Jurnal Kedokteran Majalah Obstetri dan Ginekologi Health Notions Journal of Public Health Research and Community Health Development (JPH RECODE) AKSONA
Joni Wahyuhadi, Joni
Department Of Neuro-surgery, Faculty Of Medicine, Universitas Airlangga
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Other

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The Relationship Between Severity of Attention Deficit Hyperactivity Disorder (ADHD) and Maternal Anxiety Setiawati, Yunias; Mukono, H J; Wahyuhadi, Joni; Warsiki, Endang
Health Notions Vol 2 No 4 (2018): April 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.126 KB)

Abstract

Attention deficit hyperactivity disorder (ADHD) is the most common childhood neurobiologic disorder with main  symptom of inattention, hyperactivity, impulsivity and minimal occurrence in two different place settings, for example at home and at school. ADHD disorders will last sustainably from adolescence to adulthood. Mothers of ADHD children tend to be anxious, tired and desperate because they are often blamed by the environment for failing to educate children due to opposing childrens behavior, disobeying orders that result in ADHD children being rejected and experiencing low learning achievement. Mothers are also often must lose his job due to having to take care of his own ADHD child.Methods: Observational analytic study with cross sectional design of 30 mothers of ADHD children aged 6 to 12 years of Bina Karya primary school Surabaya by random sampling method. Assessment of ADHD by mothers using SPAHI (Skala Penilaiana Anak Hiperaktif Indonesia)  and maternal anxiety  assessment using Hamilton Anxiety Rating Scale questionnaire Results: there was significant correlation between maternal anxiety level  and severity of ADHD with score p = 0.003 and r = 0.530 Conclusion: The degree of maternal anxiety is related to the severity of ADHD.   
RAPID RESOLUTION OF ACUTE EPIDURAL HEMATOMA Rohadi, Rohadi; Wahyuhadi, Joni
Jurnal Kedokteran Vol 3 No 4 (2014)
Publisher : Faculty of Medicine Universitas Mataram

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Abstract

Epidural hematoma akut merupakan suatu keadaan yang urgent dan serius. Tata laksana standar berupa diagnosa dini dan pembedahan untuk evakuasi secara cepat. Disisi lain, kasus ini memiliki risiko deteriorisasi yang cepat dan kematian. Hanya sedikit pasien epidural hematoma bersifat asimptomatis yang dapat diterapi konservatif dengan close observation. Kami melaporkan satu kasus epidural hematoma frontalis sinistra traumatik. Kasus ini merupakan kasus jarang yang secara cepat resolusi spontan dari epidural hematom dalam rentang 3 hari. Beberapa variasi mekanisme yang mungkin terjadi sebagai mekanisme resolusi tersebut yang kita dibahas dalam literatur pada terapi epidural hematoma secara konservatif. Indikasi dilakukan operasi boorhole drainase pada pasien ini adalah nyeri kepala yang menetap. Kata Kunci: Resolusi dini, Epidural Hematoma, Boorhole Drainase
The Profile of Brain Tumor Cases in RSUD Dr Soetomo, Surabaya R. Yuvasanghar Ravindra Mohan; Joni Wahyuhadi; Ni Wajan Tirthaningsih
Health Notions Vol 5, No 2 (2021): February
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50203

Abstract

Brain tumor is a condition affecting many people worldwide.Patients often had similar functional neurological symptoms even if the type of tumors diagnosed were entirely different at a later stage.Some of the neurological symptoms were tingling in the feet, changes in eyesight,tremors in the extremities, headaches or migraines and more. Patients who suffer from brain tumor go through a screening process to identify the cause of the problem. Factors such as age and gender was observed in this study which affected the data distribution of brain tumors. This study aimed to find the data distribution of the brain tumor cases in RSUD Dr Soetomo. The results obtained showed that the highest number of brain tumor found were meningiomas followed by unspecified brain neoplasms as the second highest and adenomas being the third highest tumor type found in RSUD Dr Soetomo. The total number of female patients with brain tumor were higher than that of males. The median age of the patients was found to be 45. The highest number of tumor cases were seen in the adult age group followed by teens, children and elderly. The benign tumor type is found to be higher in number as compared to malignant. The number of supratentorial tumors are also found to be higher than infratentorial overall. Keywords: age; gender; brain tumor
Psychiatric Assistance at Cataract Juvenile I Gusti Ayu Indah Ardani; Yunias Setiawati; Joni Wahyuhadi
Health Notions Vol 3, No 11 (2019): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.042 KB) | DOI: 10.33846/hn31101

Abstract

Background: Psychiatric assistance is required in the integrated handling of physical health disorders in the field of other disciplines known as CLP. A collaborative approach to the field of psychiatry with other scientific disciplines in accordance with WHO health criteria that includes physical and mental health for improving health and quality of life. Case presentation: A boy, 8 years, was consulted from the Ophthalmology Department with Right eye cataract juvenile, and left eye ptisis bulbi to give pre-operative psychological assistance for eye assessment and diagnostics. Patient also complained the blurred vision since last year and cannot see anything since 10 months ago. The current condition represents the patient cannot speak, often screams, likes to injure his head and scratch his face. Patients treated in the pediatric’s ward with global developmental delay. Patients were also consulted to the child psychiatry section with childhood autism, audiology, nutrition and metabolic diseases of children, pediatric neurology, and finally collaboration with the Surabaya City Health Office for a follow-up management plan. Conclusions: Child psychiatrist as a liaison, interacting with multidisciplinary medical or rehabilitation teams, families, schools, community and local city government are beneficial in the management of child disorders and improving family wellbeing. Keywords: cataract juvenile; autism; psychiatric assistance; consultation liaison psychiatry (CLP)
The Relationship Between Severity of Attention Deficit Hyperactivity Disorder (ADHD) with Maternal Anxiety Yunias Setiawati; H. J. Mukono; Joni Wahyuhadi; Endang Warsiki
Health Notions Vol 2, No 4 (2018): April
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.126 KB) | DOI: 10.33846/hn.v2i4.168

Abstract

Attention deficit hyperactivity disorder (ADHD) is the most common childhood neurobiologic disorder with main symptom of inattention, hyperactivity, impulsivity and minimal occurrence in two different place settings, for example at home and at school. ADHD disorders will last sustainably from adolescence to adulthood. Mothers of ADHD children tend to be anxious, tired and desperate because they are often blamed by the environment for failing to educate children due to opposing children's behavior, disobeying orders that result in ADHD children being rejected and experiencing low learning achievement. Mothers are also often must lose his job due to having to take care of his own ADHD child.Methods: Observational analytic study with cross sectional design of 30 mothers of ADHD children aged 6 to 12 years of Bina Karya primary school Surabaya by random sampling method. Assessment of ADHD by mothers using SPAHI (Skala Penilaiana Anak Hiperaktif Indonesia) and maternal anxiety assessment using Hamilton Anxiety Rating Scale questionnaire Results: there was significant correlation between maternal anxiety level and severity of ADHD with score p = 0.003 and r = 0.530 Conclusion: The degree of maternal anxiety is related to the severity of ADHD. Keywords: ADHD, Maternal anxiety
Clinical Outcome of Patients with Diffuse Axonal Injury Receiving Adrenocorticotropin Analogue at Dr. Soetomo Hospital Joni Wahyuhadi; Pandu Wicaksono; Hari Basuki Notobroto
Folia Medica Indonesiana Vol. 54 No. 3 (2018): September
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.892 KB) | DOI: 10.20473/fmi.v54i3.10019

Abstract

Brain traumatic injury (BTI) is one of the causes of death and disability worldwide that affects people regardless of sex, age, income and social status, race, or nationality. In patients with brain traumatic injury, one of the problems that occurs is Diffuse Axonal Injury (DAI) that can produce a direct clinical effect, leading to coma and death. Adrenocorticotropin analogues (ACTH) is one of neuroprotective therapy in brain injury. The aim of this study was to analyze the effect of ACTH analogue on the clinical output (Glasgow Outcome Score/GOS and Bartle Index) in patients with DAI at hospital discharge, 3 months and 6 months post-treatment. This study revealed that ACTH analogue administration resulted in higher GOS and Barthel Index scores than that in control. Further study will required with other variables, such as cognitive and motor examination, and some biomarkers can also be examined serially.Brain traumatic injury (BTI) is one of the causes of death and disability worldwide that affects people regardless of sex, age, income and social status, race, or nationality. In patients with brain traumatic injury, one of the problems that occurs is Diffuse Axonal Injury (DAI) that can produce a direct clinical effect, leading to coma and death. Adrenocorticotropin analogues (ACTH) is one of neuroprotective therapy in brain injury. The aim of this study was to analyze the effect of ACTH analogue on the clinical output (Glasgow Outcome Score/GOS and Bartle Index) in patients with DAI at hospital discharge, 3 months and 6 months post-treatment. This study revealed that ACTH analogue administration resulted in higher GOS and Barthel Index scores than that in control. Further study will required with other variables, such as cognitive and motor examination, and some biomarkers can also be examined serially.
Korelasi Usia dan Jenis Kelamin dengan Angka Kejadian Meningioma Arlia Ayu Damayanti; Viskasari Pintoko Kalanjati; Joni Wahyuhadi
AKSONA Vol. 1 No. 1 (2021): JANUARY 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.656 KB) | DOI: 10.20473/aksona.v1i1.99

Abstract

Pendahuluan: Meningioma merupakan tumor otak primer yang berasal dari jaringan arakhnoid. Angka kejadian meningioma di Indonesia menunjukkan peningkatan dari tahun ke tahun. Selain mutasi gen supresor tumor, meningioma dapat dipengaruhi oleh faktor eksternal diantaranya usia dan jenis kelamin. Tujuan: Mengetahui hubungan antara usia dan jenis kelamin dengan angka kejadian meningioma pada pasien di RSUD Dr. Soetomo, Surabaya, Indonesia tahun 2018 berdasarkan derajat keganasannya. Metode: Penelitian ini merupakan studi observasional analitik cross-sectional retrospektif dari data sekunder lembar hasil pemeriksaan patologi anatomi pasien yang dirawat inap melalui SMF. Ilmu Bedah Saraf, RSUD Dr. Soetomo tahun 2018; data yang tidak lengkap akan dieksklusi. Analisis data dilakukan menggunakan uji Chi squre (SPSS 25) dengan tingkat signifikansi p <0,05. Hasil: Didapatkan 45 pasien meningioma yang sesuai dengan kriteria inklusi, dengan mayoritas perempuan (71%) pada kelompok usia 45 – 49 tahun (22,2%), WHO grade I (82%) dengan tipe histopatologi transisional (49%). Terdapat hubungan yang signifikan antara angka kejadian meningioma dengan kelompok usia tertentu (r = 0,718, p = 0,025), dan dengan jenis kelamin (r = 0,441, p = 0,002). Rasio perempuan dibanding laki- laki sebesar 1:2,36. Kesimpulan: Usia dan jenis kelamin berkorelasi erat dengan angka kejadianmeningioma.
A Model of Performance Evaluation for Healthcare Workers Based on Satisfaction and Remuneration (Financial and Non-Financial) Joni Wahyuhadi; Nur Hidayah; Qurratul Aini
Folia Medica Indonesiana Vol. 58 No. 4 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (739.873 KB) | DOI: 10.20473/fmi.v58i4.38126

Abstract

Highlights: This study aimed to formulate an evaluation model of the performance of health workers. Employee performance targets and employee satisfaction were assessed by considering the financial and non-financial remuneration, Job Description Index (JDI), competencies, and motivation. The performance evaluation model for health workers shows the importance of remuneration for government agencies, employees, and employee performance.   Abstract: This study aimed to formulate an evaluation model of the performance of health workers from the perspective of financial and non-financial satisfaction and remuneration. The research method used was a literature study with a literature review approach. The research findings were the healthcare workers' performance evaluation model based on satisfaction and remuneration. The evaluation was conducted by assessing the employee performance targets (sasaran kerja pegawai/SKP) and employee satisfaction related to the financial and non-financial remuneration, Job Description Index (JDI), competencies, and motivation. In addition, this model has been also used for the evaluation of performance appraisal based on remuneration among employees (i.e. health workers) in government agencies, especially hospitals.
Diffusion Weighted Imaging (DWI) Classification and Apparent Diffusion Coefficient (ADC) Value Tendency Based on Cerebral Glioma Grading in Patients at Dr. Soetomo General Academic Hospital in 2016-2020 Komang Wahyu Kurniawan; Sri Andreani Utomo; Joni Wahyuhadi
AKSONA Vol. 3 No. 1 (2023): JANUARY 2023
Publisher : Universitas Airlangga

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Abstract

Highlight: Many studies conclude that the prognosis of gliomas can be determined using the DWI sequence and ADC value on MRI The correlation between DWI and ADC values with glioma grading is related to tumor cellularity, nuclear-cytoplasmic ratio, and extracellular space, which affect the movement of water molecules.   ABSTRACT Introduction: Glioma grading is crucial to know its prognosis. Magnetic resonance imaging (MRI) is used as a preoperative examination that contains diffusion-weighted imaging (DWI) sequences confirmed by an apparent diffusion coefficient (ADC) value that helps assess tissue based on water diffusion. Objective: To prove the relationship between DWI and ADC values with cerebral glioma grading in patients at Dr. Soetomo General Academic Hospital in 2016—2020. Methods: This retrospective study collected medical records and MRI files in DICOM (Digital Imaging and Communications in Medicine) format. Gender, age, tumor histopathology, and glioma grading were collected. DWI and ADC values were obtained using the RadiAnt DICOM Viewer application. The data were analyzed using descriptive and analytical statistics. The chi-square test was used to analyze the relationship of DWI with glioma grading, and the spearman rank test was used to analyze the relationship of ADC value with glioma grading. Results: The majority of 35 patients were male (54.3%), aged 31–40 years old (22.9%), and the most common histopathology was glioblastoma (37.1%), WHO grade IV. On DWI, most low-grade glioma (LGG) patients showed unrestricted diffusion, and most high-grade glioma (HGG) patients showed restricted diffusion. The ADC value of HGG was lower than the ADC value of LGG. Statistical tests showed a relationship between DWI and glioma grading (p<0.05) and a relationship between the ADC value and glioma grading (p<0.05). Conclusion: There was a relationship between DWI and ADC with glioma grading in Dr. Soetomo General Academic Hospital patients for the period 2016—2020
Case Report: Ventriculoperitoneal Shunt Catheter Migration and Transanal Extrusion in Persistent Vegetative State Adult Patient Fauzi, Asra Al; Parenrengi, Muhammad Arifin; Wahyuhadi, Joni; Subagio, Eko Agus; Turchan, Agus
Folia Medica Indonesiana Vol. 55 No. 4 (2019): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.392 KB) | DOI: 10.20473/fmi.v55i4.24515

Abstract

The complications of ventriculoperitoneal (VP) shunts are many and are reported in literature extensively. The complication of transanal extrusion after bowel perforation is known although rare. This complication is very well described amongst the children. The authors describe the case of bowel perforation and transanal extrusion of a VP shunt occurring in a 51-year-old adult patient. The patient has a history of craniotomy for acute subdural hematoma after severe head injury one year ago continued with VP shunt for post-traumatic hydrocephalus. Home care with bedridden conditions is done at home until finally, the family gets the catheter extrude from the transanal. Bowel perforation and transanal extrusion of VP shunt catheter is a rare but serious problem. The exact pathogenesis of shunt-related organ perforation and extrusion through the anus is unclear, and various mechanisms have been suggested, Among many factors, age is the prominent factor for bowel perforation.1 Because of weak bowel musculature and stronger peristaltic activity, children are more susceptible to bowel perforation than adult patients. In adult shunted patient, one of the risk factors is related to PVS with chronic immobilization, as described in this case. Risk factors of bowel perforation in adult are quite distinct from children. Persistent vegetative state (PVS) with chronic immobilization is one of the risk factors to be aware of.
Co-Authors Arlia Ayu Damayanti Damayanti, Arlia Ayu Endang Warsiki Endang Warsiki dan Citra Dewi Wahyono Putri (E-Jurnal Agro-Industri Indonesia) Fauzi, Asra Al Haq , Irwan Barlian Immadoel Hari Basuki Hari Basuki Notobroto Heryani, Dini I Gusti Ayu Indah Ardani J Mukono Komang Wahyu Kurniawan Mukono, H J Nur Hidayah Pandu Wicaksono Parenrengi, Muhammad Arifin Puspikawati, Septa Indra Qurratul Aini R. Yuvasanghar Ravindra Mohan Ramadhaningtyas , Erica Medina Rohadi Rohadi Sari, Erni A Setiawati, Yunias Sri Andreani Utomo, Sri Andreani Subagio, Eko Agus Suharjono, Suharjono Susilo, Rahadian Indarto Tedy Apriawan Tirthaningsih, Ni Wajan Turchan, Agus Viskasari P. Kalanjati