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All Journal Archives of Pediatric Gastroenterology, Hepatology, and Nutrition NETIZEN: JOURNAL OF SOCIETY AND BUSSINESS
Juwita Pratiwi
Unknown Affiliation
Medicine & Pharmacology Social Sciences

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DEKADENSI MORAL: Integrasi Psikologi dan Teologi dalam Konseling Pastoral Vebrianti Sari Patandean; Eka Grace Septiani; Jelyarvi Gusni; Estin Asri Kadang; Juwita Pratiwi
NETIZEN: JOURNAL OF SOCIETY AND BUSSINESS Vol. 1 No. 10 (2024): September
Publisher : Pondok Pesantren Baitul Qur`an Sambas

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Abstract

This study will analyze the effectiveness of an integrative approach in pastoral counseling for addressing moral issues. This approach combines psychological, theological, and spiritual aspects, providing a comprehensive framework for understanding and addressing individual moral conflicts. The research finds that this integrative method allows counselors to offer more holistic support by identifying the root causes of problems and providing deep, integrated solutions. Additionally, the study highlights the importance of integrity and honesty, as emphasized in Biblical teachings, in shaping individual moral and ethical character. These values help individuals remain steadfast in truth and make correct decisions despite temptations, while also supporting the creation of a just society consistent with moral principles upheld.
Multiple Thrombi in Portal Vein with Protein C and Protein S Deficiency: A Case Report Rose Diana Kusumawati, Ninung; Juwita Pratiwi
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 4 No. 1 (2025): APGHN Vol. 4 No. 1 February 2025
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.4.1.2025.8-22

Abstract

Background: Portal vein thrombosis (PVT) is a rare but significant cause of the gastrointestinal bleeding, often leading to delayed diagnosis due to its subtle presentation. PVT can result in portal hypertension, which cause the formation of portosystemic collaterals as a compensatory mechanism. Deficiencies in protein C and protein S are recognized as risk factor for PVT. This study aims to describe a rare underlying condition of PVT in children. Case: A 14-year-old boy presented with recurrent hematemesis and melena over the past eight years. Physical examination revealed no epigastric pain but showed splenomegaly. Laboratory findings showed pancytopenia, mildly elevated AST, prolonged plasma prothrombin time and partial thromboplastin time, increased INR, and low protein C and S. Endoscopic evaluation revealed esophageal and fundal varices, with portal hypertensive gastropathy. Multi-slice CT (MSCT) confirmed thrombosis in the main, right, and left portal veins, supporting the diagnosis of PVT. The patient was also diagnosed with an underlying myeloproliferative disorder, further contributing to his condition. Discussion: Protein C and S deficiency is a prominent risk factor of PVT. Identification of risk factors is essential to accurately treat the condition and prevent worse outcomes. Imaging modalities remain essential for diagnosing PVT. Management focuses on treating complication, particularly those related to portal hypertension, with endoscopic variceal ligation as the preferred treatment. Conclusion: Comprehensive investigation on etiology and risk factors, close monitoring and individualized treatment are essential in PVT management, especially in pediatric patients.
Co-Authors Eka Grace Septiani Estin Asri Kadang Jelyarvi Gusni Rose Diana Kusumawati, Ninung Vebrianti Sari Patandean