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A choledochal cyst type IVa in a child treated with Roux-en-Y hepaticojejunostomy Yusuf, Sulaiman; Nuriyanto, Alivia R.; Nadia, Nurul; Muntadhar, Muntadhar; Muzakkir, Yumna; Susanti, Nurhayani D.; Al-shather, Zain; Harrika, Fenny
Narra J Vol. 3 No. 2 (2023): August 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i2.201

A choledochal cyst is a bile duct anomaly that disrupts the transportation of bile from the liver to the gallbladder and small intestine. Choledochal cysts are rare, occurring in approximately one out of every 100,000 to 150,000 children in Western countries, with a girls-to-boys ratio of 4:1. Immediate surgery to excise the cyst and construct a biliary-enteric continuity is necessary to treat this condition. This case-report aimed to present a child with choledochal cyst type IVa who underwent a Roux-en-Y hepaticojejunostomy. A 3-year-11-month-old girl with an abdominal mass experienced jaundice, nausea, and vomiting over the past two years, which worsened in the last month. Abdominal ultrasonography indicated intrahepatic biliary dilatation. Abdominal computed tomography (CT) scan results confirmed a choledochal cyst type IVa, characterized by fusiform cyst dilatation at the bilateral intrahepatic bile duct, common hepatic duct, cystic duct, and common bile duct. The cyst exerted pressure on the pancreas and small intestine. Before the surgery, the patient was treated with ceftriaxone 100 mg/kg/day and gentamicin 5 mg/kg/day. Roux-en-Y hepaticojejunostomy was performed, involving the complete excision of the extrahepatic bile duct to reconstruct the biliary system. During the surgery, a retroperitoneal cyst measuring 20 cm x 10 cm with a volume of 200 cc was discovered. Following the surgery, the patient showed clinical improvement. Patient follow-ups indicated that no complications such as wound infection, acute pancreatitis, and the formation of pancreatic or biliary fistula occurred. This case highlights that Roux-en-Y hepaticojejunostomy proves to be an effective surgical approach for managing choledochal cyst type IVa in children, helping to prevent further complications.

PENGUATAN PROFIL PELAJAR PANCASILA MELALUI KEGIATAN EKSTRAKULIKULER DI SMPIT DARUL MUTAQIN PARUNG BOGOR JAWA BARAT Lisyawati, Elis; Magfiroh, Ita; Olivia, Samantha; Nadia, Nurul; Marwah, Malika; Wardani, Dea Putri
PRAXIS: Jurnal Pengabdian kepada Masyarakat Vol. 3 No. 2 (2024): PRAXIS
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47776/praxis.v3i2.1388

The independent curriculum is one of the efforts or tools of the national education system to improve the quality of education in Indonesia. This encourages formal schools, both primary and secondary education, to participate in implementing the P5 programme. SMPIT Darul Mutaqin, which is located in Parung, Bogor Regency, has implemented the Merdeka curriculum since 2021.The purpose of this research is to find out how to optimise extracurricular activities in realising the P5 Pancasila Student Profile. Case study at SMPIT Darul Mutaqin Parung, Bogor Regency. This research uses a qualitative approach and uses an analytical descriptive method. Data collection was carried out through observation, in-depth interviews, and documentation. The informants of this research are the Principal, Head of Curriculum, Curriculum Coordinator, PAI Teacher, and Students. After that, the data was analysed with the stages of data reduction, then data presentation and conclusion drawing. Furthermore, the data were tested for validity through triangulation of sources and techniques.The results showed that the optimisation of extracurricular activities in strengthening the Pancasila student profile (P5) at SMPIT Darul Mutaqin Bogor Regency has been running well. This is evidenced by the implementation of the mustaqili programme and workshops running smoothly, and it is proven that the Pancasila Learner Profile indicators can be well familiarised through assessments carried out formatively and summatively to measure students' attitudes, knowledge, and skills, as well as evaluations by schools and government facilitators to improve the implementation of the Merdeka Curriculum in order to strengthen the Pancasila learner profile through extracurricular activities.

Central obesity and its association with metabolic syndrome in adolescent students of Aceh Sport High School: A cross-sectional study Nadia, Nurul; Dimiati, Herlina; Amna, Eka Yunita; Andid, Rusdi; Sovira, Nora; Thaib, T.M.
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i2.2485

Obesity remains a significant nutritional issue in the pediatric population and is closely linked to metabolic disorders. According to the World Health Organization (2022), 160 million individuals aged 5–19 years are classified as obese. This study aimed to evaluate the association between central obesity and metabolic syndrome (MetS) in sports students. This cross-sectional study was conducted at Aceh Sports High School from May to August 2024, involving 43 students selected through simple random sampling. Although the sample size was relatively small, these findings offer valuable preliminary insights. The data collected included demographics, anthropometric measurements, blood pressure, and blood tests (glucose, HDL cholesterol, and triglycerides). Central obesity was assessed using waist circumference and MS was evaluated based on the NCEP ATP III criteria. Data were analyzed descriptively, followed by the chi-square test. The majority of the participants were not at risk of MS (51,2%). However, chi-square analysis revealed a statistically significant association between waist circumference and MetS (p<0,001, OR = 3,75 95% CI = 2,072– 6,788). In conclusion, while most participants were not at risk of MetS, central obesity emerged as a strong predictor. These findings underscore the need for early screening and intervention, even in physically active adolescents.

PENGUATAN PROFIL PELAJAR PANCASILA MELALUI KEGIATAN EKSTRAKULIKULER DI SMPIT DARUL MUTAQIN PARUNG BOGOR JAWA BARAT Lisyawati, Elis; Magfiroh, Ita; Olivia, Samantha; Nadia, Nurul; Marwah, Malika; Wardani, Dea Putri
PRAXIS: Jurnal Pengabdian kepada Masyarakat Vol. 3 No. 2 (2024): PRAXIS
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47776/praxis.v3i2.1388

The independent curriculum is one of the efforts or tools of the national education system to improve the quality of education in Indonesia. This encourages formal schools, both primary and secondary education, to participate in implementing the P5 programme. SMPIT Darul Mutaqin, which is located in Parung, Bogor Regency, has implemented the Merdeka curriculum since 2021.The purpose of this research is to find out how to optimise extracurricular activities in realising the P5 Pancasila Student Profile. Case study at SMPIT Darul Mutaqin Parung, Bogor Regency. This research uses a qualitative approach and uses an analytical descriptive method. Data collection was carried out through observation, in-depth interviews, and documentation. The informants of this research are the Principal, Head of Curriculum, Curriculum Coordinator, PAI Teacher, and Students. After that, the data was analysed with the stages of data reduction, then data presentation and conclusion drawing. Furthermore, the data were tested for validity through triangulation of sources and techniques.The results showed that the optimisation of extracurricular activities in strengthening the Pancasila student profile (P5) at SMPIT Darul Mutaqin Bogor Regency has been running well. This is evidenced by the implementation of the mustaqili programme and workshops running smoothly, and it is proven that the Pancasila Learner Profile indicators can be well familiarised through assessments carried out formatively and summatively to measure students' attitudes, knowledge, and skills, as well as evaluations by schools and government facilitators to improve the implementation of the Merdeka Curriculum in order to strengthen the Pancasila learner profile through extracurricular activities.

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