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All Journal Paediatrica Indonesiana Jurnal EduHealth
Fenia, Irene
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Health Professions Medicine & Pharmacology Public Health Veterinary

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Challenges in the management of pediatric ruptured brain arteriovenous malformation: a case report Celia, Celia; Susilawati, Susilawati; Cahyo, Johanes Ari; Shen, Robert; Fenia, Irene
Paediatrica Indonesiana Vol. 64 No. 1 (2024): January 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.1.2024.90-6

Abstract

Brain arteriovenous malformations (bAVMs) are intracranial vascular lesions characterized by abnormal connections between the arterial and venous systems without an interposed capillary bed. Pediatric bAVMs constitute merely 12–18% of all diagnosed bAVMs, but an initial finding of bAVM rupture occurs more frequently in the pediatric population than in adults, accounting for 58–77% of all pediatric bAVM admissions.1,2 Although spontaneous pediatric intracerebral hemorrhage has an annual incidence of 1.4 per 100,000 people per year, it carries a risk of severe permanent neurological deficits, occurring in 20–40% of patients and significant mortality in up to 25% of affected individuals.3,4,5 Ruptured bAVMs are the cause of 30-50% of intracranial hemorrhages in the pediatric population and the most common cause of hemorrhagic stroke in children.1 Current therapeutic approaches for ruptured bAVMs in children include open microsurgery, endovascular embolization, as well as stereotactic radiosurgery (SRS), be it isolated or as a multimodal treatment strategy. Herein, we present the case of a 6-year-old boy with a ruptured bAVM successively managed with hemicraniectomy decompression and intracranial bleeding evacuation, followed by stereotactic radiosurgery (SRS) using gamma knife for the small AVM which was inaccessible during open surgery.
Breakfast Habits Relationship With Blood Sugar Levels And School Performance In Healthy Children In Yayasan Bali Kuna Santi, Karangasem, Bali Sidiartha, I Gusti Ayu Diah Febriyani; Indriyani, Desak Putu Rendang; Natalia, Vica; Fenia, Irene; Gozali, Ferry Suganda
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Background: These days, an increasing number of young people skip breakfast for a variety of reasons. Skipping breakfast is a behavior that raises the risk of metabolic disorders such as diabetes and cardiovascular disease, decreased sleep quality, as well as reduced concentration and creativity.  This behavior is said to be increased glycemic responses that associated with increased blood sugar levels. Skipping breakfast also associated with decreased of concentration, creativity, and school performance. This research was conducted to examine whether there is a significant relationship between breakfast habits and blood sugar levels as well as school performance in healthy children. Methods: A cross-sectional design with 43 healthy children aged 8 months to 15 years as research participants. Participants were assessed for weight, height, body mass index (BMI), breakfast habits, school performance, and blood sugar levels. The SPSS software’s One-Way ANOVA test were used to examine the exam outcomes. Results: A One-Way ANOVA analysis produced p value of 0.353 (>0.05) for blood sugar levels and p value of 0.003 (<0.05) for school performance. Conclusion: While there is no statistically significant relationship between breakfast habits and blood sugar levels in healthy children, there is statistically significant relationship between breakfast habits and school performance. These results may be attributed to several factors that can be considered for further research.
Co-Authors Cahyo, Johanes Ari Celia, Celia Gozali, Ferry Suganda Indriyani, Desak Putu Rendang Natalia, Vica Shen, Robert Sidiartha, I Gusti Ayu Diah Febriyani Susilawati, Susilawati