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All Journal juremi: jurnal riset ekonomi Ophthalmologica Indonesiana
MADE KUSUMA WARDANI
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Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health

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DIAGNOSING OCULAR MALINGERING IN CHILDREN WITH SIMPLE TEST: IS IT POSSIBLE? Poster Presentation - Case Report - Resident KEVIN ANGGAKUSUMA HENDRAWAN; NI MADE AYU SURASMIATI; I WAYAN EKA SUTYAWAN; ANAK AGUNG DEWI ADNYA SWARI; MADE KUSUMA WARDANI
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/c3exwd43

Abstract

Introduction : Malingering is a condition in children which need a thorough and meticulous examination to diagnose the condition. According to several publication, simple test can be done to diagnose this condition without necessarily performing imaging and electrophysiologic tests. Case Illustration : An 8-year-old male patient, came to eye clinic with sudden visual loss on both eyes for the last 3 days, following pain on both eyes and headache which fluctuating over the last 3 weeks. Patient insisted on wearing black glasses during examinations. Preliminary examination revealed visual acuity no light perception on both eyes. Slit lamp examination and pupillary reflex were normal, fundus examination revealed normal fundus. We tried to do surprise test by suddenly swaying hand towards patient’s eyes and record a visual response. Afterwards we asked patient’s parent to wait outside while performing LEA test which revealed visual acuity 6/6 on both eyes. Further history taking revealed that patient got bullied on school that makes him try to avoid attending school. Discussion : Patient with malingering usually come with decreased vision but seldomly come with blindness. Though it was quite challenging, doing some simple test available in daily practice such as surprise test can help us to diagnose the suspicion. Handling such patient needs a cautious analysis towards patient’s condition and gentle approach towards the patient. It is crucial to rule out organic condition before diagnosing patient with malingering. Conclusion : Simple test such as surprise test can be done in assisting malingering diagnosis when carefully done with the support of thorough history taking and physical
Persistent Fetal Vasculature with Pediatric Cataract, Microcornea, Sensory Exotropia and Mental Retardation: A Case Report: Poster Presentation - Case Report - Resident MADE KUSUMA WARDANI; Dr. dr. Ni Made Ayu Surasmiati, M.Biomed, Sp.M(K); Dr. dr. I Wayan Eka Sutyawan, Sp.M(K); Kevin Anggakusuma Hendrawan; A. A. Dewi Adnya Swari
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/c208zx43

Abstract

Introduction : Persistent Fetal Vasculature (PFV) is a congenital, nonhereditary ocular malformation that frequently involves the lens. PFV is most frequently unilateral. The classical presentation is leukocoria, microphthalmia, and cataract. Case Illustration : A 16-year-old boy patient with mental retardation, came with chief complaint blurred vision and white appearance on the RE, noticed for 1 month ago. Visual acuity of the RE was LPBP and the LE was 6/120. There was microcornea on both eyes with diameter 8 mm. Lens opacity and exotropia with XT 30 0 on the RE. IOP on both eyes was normal. Funduscopic on the RE was negative and LE there was tigroid retina. Ultrasonography of the RE was echogenic with minimal after movement and low to moderate spikes. Planning for this patient were RE lens extraction with IOL. After that evaluate for the posterior segment. Discussion : Progressive cataract formation often occurs, sometimes leading to a complete cataract. Strabismus associated with a unilateral cataract. The most important was differentiating PFV from retinoblastoma. In patients with poor view of the fundus, ultrasonography should be performed. Retinal or optic nerve abnormalities cannot be definitively ruled out, however, until the posterior pole can be visualized directly. The opacity in the affected eye should be cleared to allow visual development and to save the eye from complications of untreated PFV. Conclusion : It is important to obtain a detailed history of the child’s growth, development, systemic disorders, family history, and need further comprehensive examination and multidiscipline consultation to establish the diagnose.
PERAN MANAJEMEN RISIKO MEMEDIASI PENGARUH GOOD CORPORATE GOVERNANCE TERHADAP KINERJA KEUANGAN (Studi Pada Perusahaan BUMN Di Indonesia) Made Kusuma Wardani
Juremi: Jurnal Riset Ekonomi Vol. 4 No. 4: Januari 2025 (In Press)
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/juremi.v4i4.9730

Abstract

Kinerja keuangan mencerminkan hasil yang dicapai oleh manajemen dalam mengelola sumber daya perusahaan untuk mencapai tujuan keuangan dan strategis. Good Corporate Governance (GCG) berperan penting dalam meningkatkan transparansi, akuntabilitas, dan efektivitas pengelolaan perusahaan, yang pada akhirnya dapat berkontribusi terhadap kinerja keuangan. Selain itu, manajemen risiko menjadi faktor kunci dalam mengelola ketidakpastian dan potensi risiko yang dapat memengaruhi stabilitas keuangan perusahaan. Penelitian ini bertujuan untuk menganalisis pengaruh GCG terhadap kinerja keuangan dengan manajemen risiko sebagai variabel mediasi. Penelitian ini menggunakan pendekatan kuantitatif dengan objek penelitian perusahaan BUMN di Indonesia. Penelitian dilakukan pada periode 2018–2023. Mengingat sebagian besar referensi dan penelitian terkait Good Corporate Governance (GCG), manajemen risiko, dan kinerja perusahaan di BUMN Indonesia mengacu pada data terbaru yang relevan dengan kondisi industri yang dinamis, khususnya di sektor BUMN yang sedang menjalani berbagai transformasi dalam pengelolaan dan peningkatan kinerja. Penelitian ini menggunakan pendekatan kuantitatif dengan objek penelitian perusahaan BUMN di Indonesia dengan analisis data dilakukan menggunakan path analysis berbasis regresi data panel dengan alat analisis Eviews versi 9.0. Hasil penelitian menunjukkan bahwa GCG tidak berpengaruh langsung terhadap kinerja keuangan, namun berpengaruh positif terhadap manajemen risiko. Manajemen risiko berpengaruh positif terhadap kinerja keuangan dan mampu memediasi hubungan antara GCG dan kinerja keuangan. Temuan ini mendukung Stakeholder Theory, yang menekankan pentingnya keterlibatan pemangku kepentingan dalam tata kelola perusahaan untuk mengelola risiko dan meningkatkan kinerja keuangan. Selain itu, penelitian ini juga memberikan kontribusi terhadap praktik manajerial dalam penerapan GCG dan manajemen risiko di lingkungan perusahaan BUMN di Indonesia
Co-Authors A. A. Dewi Adnya Swari ANAK AGUNG DEWI ADNYA SWARI Dr. dr. I Wayan Eka Sutyawan, Sp.M(K) Dr. dr. Ni Made Ayu Surasmiati, M.Biomed, Sp.M(K) I Wayan Eka Sutyawan KEVIN ANGGAKUSUMA HENDRAWAN Ni Made Ayu Surasmiati