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All Journal Medicina E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia World Nutrition Journal Pediatric Sciences Journal Public Health and Preventive Medicine Archive Folia Medica Indonesiana
Ketut Dewi Kumara Wati
Department Of Pediatrics Faculty Of Medicine Udayana University
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Journal : Medicina

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HENOCH SCHONLEIN PURPURA ASSOCIATED WITH ACUTE POSTSTREPTOCOCCAL GLOMERULONEPHRITIS: A CASE REPORT Melati, Deborah; Kumara Wati, Ketut Dewi; Putu Nilawati, Gusti Ayu
Medicina Vol 45 No 2 (2014): Mei 2014
Publisher : Medicina

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Acute post-streptococcal glomerulonephritis (APSGN) is one of the most common renal disease resulting from a prior infection with group A â-hemolytic streptococcus (GAS). Henoch Schonlein Purpura (HSP) is a systemic disease with frequent renal involvement, its etiology is still unknown but several infections have been described as trigger includingGAS infection. A 4 year 10 month old Balinese boy presented with full blown acute nephritic syndrome, an elevation in serum creatinine and four fold increase of anti streptolysin-O, also low serum levels of complement C3 with normal C4 confirmed the diagnosis of APSGN. During hospitalization he developed palpable purpura, gastrointestinal symptoms as well as leucytoclastic vasculitis in skin biopsy conclude HSP diagnosis.He was treated with anti-hypertensions and metylprednisolone intravenous. The prognosis of the patient was excellent, he showed normal physical examination with normal complete blood count and urinalysis after 3 months follow up. We conclude that both APSGN and HSP could appear concurrently after GAS infection. [MEDICINA 2014;45:102-7]  
JUVENILE RHEUMATOID ARTHRITIS Sartika, I N; Santoso, Hendra; Kumara Wati, Dewi
Medicina Vol 39 No 1 (2008): Januari 2008
Publisher : Medicina

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Juvenile rheumatoid arthritis (JRA) is the most common rheumatic condition in children. JRA is defined as persistent arthritis in 1 or more joints for at least 6 weeks, with the onset before age 16 years. The etiology of JRA is unknown. Antigen activated CD4+ T cell stimulate monocytes, macrophages, and synovial fibroblasts to produce the cytokines Interleukin-1 (IL-1), IL-6, and tumor necrosis factor ? (TNF-?) and to secrete matrix metalloproteinases, which lead to chronic inflammation due to infiltration of inflammatory cell, angiogenesis, destruction of cartilage and bone with pannus formation. The 3 major subtypes of JRA are based on the symptoms at disease onset and are designated systemic onset, pauciarticular onset, and polyarticular onset. For all patients, the goals of therapy are to decrease chronic joint pain and suppress the inflammatory process. Poor prognostic have been observed in patients with polyarticular onset, rheumatoid factor, persistent morning stiffness, tenosynovitis, involvement of the small joints, rapid appearance of erosions, active late onset childhood, subcutaneous nodules, or antinuclear antibody.
Faktor-faktor yang memengaruhi status imunisasi pada anak dengan infeksi human immunodeficiency virus Jayanti, Kadek Surya; Wati, Ketut Dewi Kumara; Adnyana, IGAN Sugitha; Suarta, I Ketut
Medicina Vol 47 No 2 (2016): Mei 2016
Publisher : Medicina

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Abstract

Imunisasi merupakan salah satu intervensi kesehatan masyarakat yang secara langsung mengurangi pembiayaan kesehatan. Anak dengan infeksi human immunodeficiency virus (HIV) merupakan populasi yang rentan terhadap penyakit yang dapat dicegah melalui imunisasi sehingga imunisasi sangat direkomendasikan. Kelengkapan status imunisasi pada anak dapat dipengaruhi oleh pendidikan ibu, usia ibu, berat badan lahir, penyakit yang diderita, dan persepsi orangtua. Tujuan penelitian ini adalah untuk mengetahui status imunisasi dasar pada anak dengan infeksi HIV dan faktor-faktor yang berpengaruh. Penelitian ini menggunakan desain potong-lintang. Data didapat dari rekam medis. Analisis data menggunakan metode bivariat dan multivariat dengan tingkat kemaknaan P<0,05. Dari analisis multivariat didapatkan bahwa usia saat diagnosis kurang dari 12 bulan berhubungan dengan status imunisasi pada anak dengan infeksi HIV [RP=0,07 (IK95% 0,02 sampai 0,25), P<0,0001)]. Simpulan dari penelitian ini adalah usia pasien saat didiagnosis dengan infeksi HIV kurang dari 12 bulan merupakan salah satu faktor risiko untuk tidak mendapatkan imunisasi secara lengkap. Immunization is one of public health intervention which directly reduces health cost. Children with human immunodeficiency virus (HIV) infection are vulnerable for suffering preventable diseases which could be prevented through immunization. Thus makes immunization is strongly recommended. Factors that are determinants of childhood immunization are maternal education, maternal age, birth weight, accompanying disease, and parental perception on immunization. The aim of this study was to reveal immunization status on children with HIV infection and the determinant factors. This study used a cross-sectional design. Data was taken from medical record. We used bivariate and multivariate analysis with significant level of P<0.05. Multivariate analysis showed that age at diagnosis less than 12 months was associated with immunization status on children with HIV infection [PR=0.07 (95%CI 0.02 to 0.25), P<0.0001)]. The conclusion of the study was age at diagnosis less than 12 months was determinant factor for not receiving complete immunization.
Co-Authors Adnyana, I Gusti Agung Ngurah Sugitha Ahmad Suryawan Anak Agung Ngurah Ketut Putra Widnyana Anak Agung Tri Yuliantini Anang Endaryanto Apsari, Putu Indah Budi Arini Setiawati Ayu Setyorini Mestika Mayangsari Badriul Hegar Bagus Ngurah Putu Arhana BNP Arhana Budi Setiabudiawan Cempaka, Putu Mas Vina Paramitha Deborah Melati, Deborah Dewi, Ni Luh Putu Mulia Laksmi Dina Muktiarti, Dina Dyah Kanya Wati Eka Gunawijaya Endy P. Prawirohartono Erfi Prafiantini Eva Jacomina Jemima Sapulete Gusti Ayu Putu Nilawati Hamid H A Haryadi Haryadi - Hendra Santoso Hendra Santoso Hendra Santoso I Gusti Agung Ngurah Sugitha Adnyana I Gusti Ayu Putu Eka Pratiwi I gusti Lanang Sidhiarta I Gusti Lanang Sidiartha I Gusti Ngurah Sanjaya Putra I Ketut Suarta I Made Kardana I N Sartika I Nyoman Budi Hartawan I Nyoman Supadma I Nyoman Supadma I Putu Gede Karyana I Wayan Dharma Artana I Wayan Dharma Artana, I Wayan Dharma I Wayan Eka Satriawibawa I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Gustawan Ida Bagus Krisna Jaya Sutawan Ida Bagus Subanada Irene Irene Johannes Hudyono Juergens, Stefanie Kadek Surya Jayanti, Kadek Surya Ketut Suarta Ketut Tangking Ketut Tuti Parwati Merati Komang Ayu Witarini Luh Putu Ratna Sundari Made Ardinata Made Bandem Kenny Wijaya Nugraha Made lndah Nastiti Utami Budha Maria Priskila Melisa Anggraeni Melva Louisa Merati, Tuti Parwati Metriani Nesa, Ni Nyoman Mohammad Juffrie Nesa, Ni Nyoman Metriani Ni Made Ayu Agustini Ni Nyoman Metriani Nesa Ni Putu Siadi Purniti Ni Putu Veny Kartika Yantie, Ni Putu Veny Kartika NP Veny Kartika Yantie Pande Putu Yuli Anandasari Purwoko, Agus Putu Ayu Widyanti Putu Ayunda Trisnia Putu Diah Vedaswari Putu Indah Budi Apsari Ronaldi, Melissa Roni Naning Sawitri, Anak Agung Sagung Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Stefanie Juergens Suandi IKG Sumadiono Sumadiono supadma, I nyoman Susanto, Yohanes Widiantari, Ni Made Widiastari, A.A Ayu Widiastari, A.A Ayu Yvan Vandenplas Zakiudin Munasir