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All Journal Jurnal Kedokteran Diponegoro Jurnal Biomedika dan Kesehatan Jurnal Akta Trimedika
Firda Fairuza
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Trisakti, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Hematokolpos dan Hematometra Sekunder Akibat Himen Imperforata: Diagnosis dan Tata Laksana Firda Fairuza
Jurnal Biomedika dan Kesehatan Vol 5 No 3 (2022)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2022.v5.228-235

Abstract

BackgroundImperforate hymen is an uncommon congenital anomaly of the female genital tract and is rarely diagnosed in newborns. An imperforate hymen is a cause of primary amenorrhea. Case DescriptionA 12-year-old girl was admitted to the pediatric outpatient clinic with cyclic abdominal pain for eight days. She had lower abdominal pain with dysuria and constipation for the previous six weeks. There is a bulging mass on the perineal that appears when straining. Fever, nausea, vomitus, abdominal enlargement, and leucorrhea were denied; breast enlargement since 12 years old with no history of menarche. The patient vital signs were normal. On physical examination obtained, lower abdominal pain and tender suprapubic mass were palpable. The pubertal status was normally secondary sexual characteristics. An interlabial mass was found protruding from the introitus vagina and the hymen intact on inspection of the external genitalia. Laboratory and urinalyses revealed normal. Hematometra and hematocolpos were found on abdominal ultrasonography, which led to the diagnosis of imperforate hymen. Therefore, a hymenectomy was performed and evacuated 520 ml of dark red blood. The patient’s condition was good, and she had regular menstruation. ConclusionsImperforate hymen is an easy diagnosis, but sometimes clinicians are oblivious to including this in the differential diagnosis of lower abdominal pain in pubescent girls with primary amenorrhea. Also, a lack of awareness about the importance of external genitalia examination as part of routine physical examination in children and adolescents makes this diagnosis easily missed or delayed.
The Efficacy of 0.5 Gram NaCl Capsule in the Treatment of Umbilical Granuloma in Neonates: A Case Report Tubagus Ferdi Fadilah; Nafisa Salma Wulandari; Nia Nurul Aziza; Dita Setiati; Firda Fairuza; Nathalia Ningrum; Meiriani Sari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 2 (2025): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v14i2.47649

Abstract

Background: An umbilical granuloma is a common benign condition in neonates characterized by the overgrowth of granulation tissue at the base of the umbilicus following umbilical cord detachment. While the standard treatment involves the use of silver nitrate, with its associated risks and need for clinical visits, alternative treatments such as the application of sodium chloride (NaCl) capsules have gained attention for their efficacy, safety, and cost-effectiveness in home settings. Case Presentation: Herein, we present the case of a 3-week-old female infant diagnosed with an umbilical granuloma post umbilical cord detachment. The management involved the application of a 0.5 gram NaCl capsule directly to the granuloma, covered with sterile gauze, and repeated over several days. This approach resulted in a significant reduction in granuloma size and total resolution within two days, without the complications or irritation sometimes associated with silver nitrate. Parents reported ease of administration at home and high satisfaction levels due to the treatment's effectiveness and minimal need for healthcare visits. Conclusion: The use of a 0.5-gram NaCl capsule offers a valid and effective home-based treatment alternative for umbilical granuloma. It provides a practical option, especially where access to silver nitrate is limited, with the added benefits of ease of use and reduced medical costs. With proper parental education and adherence to the treatment protocol, NaCl can serve as a first-line or alternative therapy. Further large-scale studies are recommended to verify long-term effects and potential complications. 
KEJADIAN LUAR BIASA POLIOMIELITIS DI INDONESIA PADA TAHUN 2022-2023: SUATU TINJAUAN Meiriani Sari; Firda Fairuza; Nia Nurul Aziza; Dita Setiati
Jurnal Akta Trimedika Vol. 1 No. 1 (2024): Januari 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i1.19210

Abstract

Indonesia achieved polio eradication along with several other members of the Southeast Asia Regional Organization (SEARO) in 2014 because it succeeded in overcoming the disease caused by the wild polio virus. Unfortunately since then Indonesia has experienced several reported outbreaks. This literature review aims to analyze the factors causing the re-emergence of poliomyelitis in Indonesia after being declared polio-free in 2014 and effective steps to stop outbreaks and prevent the re-emergence of poliomyelitis. Awareness of health workers and the public regarding polio must be increased so that Indonesia and the world can soon be polio-free. The last two outbreaks occurred in Indonesia in 2022 and 2023. The first outbreak in 2022 was in Pidie Regency, Aceh, Indonesia. In response to the poliomyelitis outbreak, the government immediately launched a simultaneous vaccination program. Since then no cases of poliomyelitis have been found until another case was found in December 2023 in Solo, Central Java, Indonesia. Once again, to respond to the poliomyelitis outbreak, the government held a simultaneous vaccination program in three districts, namely Pamekasan and Sampang, East Java and Klaten, Central Java. Followed after that by all regions in Central Java and East Java. It is expected that this quick response from the government can stop the outbreak again. The target of SubPIN (National Immunization Subweek) is to break the chain of transmission, so it must ensure that Outbreaks Response Immunization (ORI) coverage is high at least 95% and evenly distributed throughout the region. Apart from that, information to the public regarding the dangers of disease and the importance of complete vaccination to prevent disease must continue to be provided.
MENUJU ELIMINASI TUBERKULOSIS (PADA ANAK) DI INDONESIA PADA TAHUN 2030: SEBUAH TINJAUAN Meiriani Sari; Firda Fairuza; Dita Setiati; Nathalia Ningrum; Nia Nurul Aziza
Jurnal Akta Trimedika Vol. 1 No. 3 (2024): Juli 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i3.20653

Abstract

Based on WHO (World Health Organization) data in November 2023, Indonesia was still ranked in the top two cases of Tuberculosis (TB) in the world. The increase in patients with resistance to Anti Tuberculosis Drugs (ATD) available in Indonesia was increasing. TB infections not only happened in adults but children were also a group that was vulnerable to TB infection. The central and regional government had prepared various strategies to archive the elimination of TB in Indonesia by 2030.The strategies that had been prepared by the Indonesian government require support from the entire community, especially health workers. Exposed to TB elimination program had been carried out by both central and regional governments. Various trainings regarding the recognition of TB disease, therapy and programs to increase TB detection had been held by the government. How ever not all levels of society, even health worker, were exposed to this TB elimination program. Until 2024 the TB elimination program is still focused on increasing the number of TB cases detection. This shows that strong efforts from the government are still needed to achieve TB elimination. The government need to be more aggressive in disseminating information about TB elimination programs through mass media, conducting seminars or training for health workers and the community. It is hoped that this action can increase case findings and cure rate of TB by as much as 90 percent so the incidence of infection can decrease significantly in the next couple years.
MORBILI 2026 APAKAH SUATU ENDEMI? SEBUAH LITERATUR REVIEW Meiriani Sari; Firda Fairuza; Dita Setiati; Nathalia Ningrum; Nia Nurul Azizah
Jurnal Akta Trimedika Vol. 3 No. 3 (2026): Juli 2026
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v3i3.26808

Abstract

Morbili atau campak tetap menjadi salah satu penyakit yang dapat dicegah dengan vaksin dengan daya tular sangat tinggi dan masih menimbulkan morbiditas serta mortalitas bermakna, terutama pada anak yang belum atau tidak lengkap imunisasinya. Program imunisasi global telah menurunkan angka kesakitan dan kematian Morbili secara nyata, tetapi periode pascapandemi COVID-19 diikuti oleh penurunan cakupan imunisasi, meluasnya immunity gap, dan munculnya outbreak berulang di berbagai kawasan. Tinjauan pustaka naratif ini bertujuan menggambarkan tren epidemiologi Morbili hingga tahun 2026 dan menilai apakah penyakit ini dapat dianggap kembali bersifat endemik.. Hasil kajian menunjukkan bahwa penularan Morbili pada 2023–2026 meningkat kembali karena cakupan imunisasi dua dosis belum optimal, kekebalan populasi tidak merata, mobilitas internasional tinggi, dan hesitansi vaksin masih ditemukan di banyak tempat. Di beberapa negara, transmisi berkepanjangan muncul lagi setelah eliminasi tercapai. Di wilayah lain, penularan endemik memang belum pernah terputus sepenuhnya. Di Indonesia, Morbili masih relevan secara epidemiologis dan peningkatan kasus terbaru berkaitan dengan imunisasi yang tidak lengkap serta ketimpangan cakupan antarwilayah. Pada tahun 2026, campak lebih tepat dipahami sebagai penyakit yang meningkat kembali dengan risiko kuat membentuk transmisi menetap di sebagian wilayah, bukan sebagai penyakit yang secara seragam kembali endemik di seluruh dunia.
Co-Authors Dita Setiati Dita Setiati Dita Setiati Meiriani Sari Meiriani Sari Meiriani Sari Nafisa Salma Wulandari Nathalia Ningrum Nathalia Ningrum Nathalia Ningrum Nia Nurul Aziza Nia Nurul Azizah Tubagus Ferdi Fadilah