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p-Index From 2020 - 2025
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All Journal Aesculapius Medical Journal The International Journal of Medical Science and Health Research
Komang Yasmika Utami
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Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Gambaran Kejadian Diare pada Balita di Rumah Sakit Umum Daerah Wangaya Denpasar Komang Yasmika Utami; Ni Wayan Armerinayanti; Anak Agung Oka Lely
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract [Overview of the Diarrhea Incidence in Toddlers at the Wangaya Regional General Hospital, Denpasar] Diarrhea is a bowel disease with a frequency of 3 or more times per day which is soft, liquid and can be accompanied by blood, mucus, fat, or undigested food particles. Diarrhea is the main cause of death for children under the age of 5 years in Indonesia, due to malnutrition. The severity of diarrheal disease is determined by nutritional status, duration of diarrhea, degree of dehydration, comorbidities and length of stay in hospital. In the province of Bali, the incidence of diarrhea in children under five years includes 1,275 cases and the highest case finding of diarrhea in children under five years is in the city of Denpasar. This study aims to determine the description of diarrheal disease in children under five years at Wangaya General Hospital Denpasar from January 2020 - July 2021. This study is a descriptive study with a cross sectional design. The research subjects were toddlers aged 12-60 months who were selected based on the purposive sampling method. Collecting data using secondary data from the medical records of the Wangaya Regional General Hospital Denpasar, then analyzed using a univariate test through the SPSS computer program. The results showed that all children under five years with diarrhea in Wangaya General Hospital Denpasar experienced acute diarrhea. The majority of toddlers with diarrhea at the Wangaya General Hospital Denpasar experienced mild or moderate dehydration, received less than 5 days of treatment, experienced symptoms of watery bowel movements, vomiting and fever when they entered the hospital and improved when they were brought home. Keywords : diarrhea, duration of diarrhea, degree of dehydration, length of stay in hospital
When Psychosis Meets Chorea: Multidisciplinary Diagnosis of Suspected Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections in a Pre-adolescent Girl Ayu Putri Satyawati; Komang Yasmika Utami; I Made Ananta Wijaya
The International Journal of Medical Science and Health Research Vol. 18 No. 9 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/1vner836

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Background Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) are characterized by the abrupt onset of neuropsychiatric symptoms temporally linked to Group A β-hemolytic Streptococcus infection. The condition remains diagnostically challenging due to overlapping features with other autoimmune and psychiatric disorders, absence of definitive biomarkers, and variable infectious histories. Objective To describe a diagnostically complex case of PANDAS in a preadolescent girl presenting with concurrent choreiform movements, acute psychosis, and subclinical valvular changes. Case A 12-year-6-month-old previously healthy girl developed sudden-onset involuntary dance-like movements and acute psychiatric symptoms, including auditory hallucinations and bizarre delusions. Neurological examination revealed chorea without focal deficits. Echocardiography showed mild mitral and tricuspid regurgitation. Anti Streptolysin O (ASTO) test was positive, but other Laboratory markers of inflammation were normal. The temporal clustering of symptoms, subtle cardiac findings, positive ASTO test and exclusion of alternative diagnoses supported a working diagnosis of PANDAS. Management included antipsychotic, benzodiazepine, and anticonvulsant therapy, with referral for tertiary evaluation and potential immunomodulation. Conclusion This case emphasizes the importance of early recognition of PANDAS in children with abrupt neuropsychiatric and motor symptom onset, the necessity of thorough differential diagnosis, and the value of multidisciplinary care in optimizing outcomes.
Co-Authors Anak Agung Oka Lely Ayu Putri Satyawati I Made Ananta Wijaya Ni Wayan Armerinayanti