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Role of drug-eluting stent on Takayasu arteritis with renal artery stenosis I Ketut Alit Utamayasa; Mia Puspitasari; Taufiq Hidayat; Mahrus Abdur Rahman
Paediatrica Indonesiana Vol 62 No 6 (2022): November 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.6.2022.422-9

Abstract

Takayasu arteritis (TA) is defined as granulomatous inflammation of large arteries involving the aorta and its primary branches. Takayasu arteritis with renal artery stenosis (TARAS) is a common cause of pediatric renovascular hypertension. The main purposes of TARAS management are to improve high blood pressure and recover renal function. When general medication fails to improve symptoms, renal revascularization may be attempted. Implantation of a drug-eluting stent (DES) has been used as an alternative strategy for pediatric renal revascularization. Here, we report on a 10-year-old, female, Javanese patient with bilateral TARAS who underwent DES implantation. Her clinical presentation was hypertensive crisis and worsened renal function. Bilateral renal artery DES implantation was performed successfully without complications. The child’s blood pressure was controlled using two anti-hypertensive medications after DES implantation and her renal function recovered. Dual anti-platelet therapy was given to minimize the risk of stent thrombosis.
VAPE IS NOT A SAFE ALTERNATIVE: STRENGTHENING ADOLESCENTS’ AWARENESS THROUGH MEDICAL AND ISLAMIC-BASED EDUCATION AT SMK PGRI 13 SURABAYA Dewi Masithah; Mia Puspitasari; Muhammad Fifin Kombih; Sabrina Cantika Aura; Puspita Rahmatul Jinan; Ain Darojah Siddiq Ramadhana
Community Service Journal of Indonesia Vol. 7 No. 2 (2025): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v7i2.845

Abstract

In recent years, a worrying shift has occurred from conventional cigarettes to electronic cigarettes (vapes), which are often perceived as safer. However, evidence indicates that vape liquids contain nicotine, formaldehyde, and toxic chemicals capable of causing addiction, neurodevelopmental harm, and lung injury in adolescents. This community service project aimed to increase students' awareness regarding the dangers of conventional cigarettes and electronic cigarettes (vapes) through an integrated medical and Islamic-based educational approach. The program was conducted at SMK PGRI 13 Surabaya and included interactive lectures, video presentations, group discussions, leaflet distribution, personal reflection, selection of youth anti-smoking ambassadors, and basic health screening. Knowledge evaluation was conducted using pre and posttests. The results showed an increase in students' knowledge scores from 77 to 87 (a 12% improvement). Nutritional status assessment among 76 students showed 36.8% were in the normal BMI category, 26.3% underweight, 11.8% overweight, and 25% obese. Several active smokers expressed commitment to quitting smoking, and student anti-smoking ambassadors were appointed to promote a smoke-free environment. This program demonstrates that integrating health education with Islamic values effectively enhances adolescents’ awareness and motivation to avoid smoking and vaping. The sustainability of the initiative is supported by school involvement and the empowerment of peer ambassadors.