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All Journal JURNAL TEKNOLOGI INFORMASI Journal of Indonesia Vascular Access
Septyandra, Ezi
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Immunology & microbiology Medicine & Pharmacology

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A case series of paediatric atrial myxoma: Clinical challenges and surgical management: Atrial Myxoma Septyandra, Ezi; Bermansyah; Nugraha, Aswin; Nova, Ria
Journal of Indonesia Vascular Access Vol. 4 No. 2 (2024): Available online : 1 December 2024
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v4i2.55

Abstract

Introduction : Cardiac myxomas are rare, benign tumors of the heart, most commonly found in the left atrium, though they can occur in any heart chamber. These tumors can embolize, causing organ infarction, and may present with symptoms such as dyspnea, orthopnea, cough, peripheral edema, palpitations, and fatigue. The clinical presentation varies widely and may mimic other diseases, making early detection and diagnosis critical. The reported incidence of cardiac myxoma at RS Mohammad Hoesin is 5 cases over 2023-2024, consisting of 3 pediatric cases and 2 adult cases. This report emphasizes the significance of thorough history taking, detailed physical examination, echocardiography, and surgical resection in managing atrial myxoma in two paediatric patients. Case Presentation : We reported three cases: a 16-year-old male, an 11-year-old female, and 12-year-old male, They were presenting with shortness of breath as the chief complaint. The male patient was diagnosed with decompensated heart failure due to a large left atrial myxoma, accompanied by tricuspid and pulmonary regurgitation, and underwent successful surgical removal of the myxoma. The female patient, with a history of contact with tuberculosis, was found to have a mass in the right atrium with a differential diagnosis of myxoma or tuberculoma. She was treated for clinical pulmonary tuberculosis and is currently under medical management. The last patient, male was diagnosed with a large left atrial myxoma, tricuspid regurgitation, and severe mitral regurgitation. The myxoma had removed from the left atrium in this patient. Conclusion : Paediatric atrial myxoma is a rare condition with a wide range of clinical manifestations, from asymptomatic cases to intracardiac obstruction, embolization, and constitutional symptoms. This often results in misdiagnosis as other more common heart diseases. Transthoracic echocardiography is useful as an initial diagnostic tool, as it effectively determines the tumor's location, size, shape, and connections, aiding in the selection of the optimal management strategy. Surgical excision is the primary treatment, with regular echocardiographic follow-up essential for the early detection of recurrence and long-term patient health.
Faktor-Faktor Yang Berpengaruh Pada Penggunaan Pendaftaran Online Pada Pasien Rawat Jalan Di Rumah Sakit Bhayangkara Mohammad Hasan Palembang Septyandra, Ezi; Satar, Yuli Prapanca; Nugroho, Dedy
JURNAL TEKNOLOGI INFORMASI Vol 11, No 2 (2025): Jurnal Teknologi Informasi
Publisher : Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jti.v11i2.6714

Abstract

Pendaftaran online adalah pendaftaran dengan memanfaatkan fasiltas teknologi, misalnya pasien mendaftar dengan memanfaatkan fasilitas telephone, SMS (Short Message Service), fasiltas WhatsApp, fasiltas web, dan lain-lain untuk mendapatkan pemeriksaan dari pelayanan kesehatan. Aplikasi pendaftaran online mendukung proses pelayanan publik menjadi efektif dan efisien. Pelayanan pendaftaran online diharapkan dapat memberikan kemudahan informasi pasien yang merupakan poin penting dalam membangun kepercayaan masyarakat. Penelitian ini bertujuan untuk mengetahui faktor-faktor apa saja yang menjadi pengaruh terhadap penggunaan pendaftaran berbasis online pada pasien rawat jalan di Rumah Sakit Bhayangkara Mohammad Hasan Palembang. Metode penelitian ini menggunakan studi kuantitatif dengan design cross sectional. Populasi dalam penelitian ini adalah pasien rawat jalan yang berkunjung pada bulan desember 2024 sebanyak 73 pasien, dengan menggunakan purposive sampling. Analisis data univariat, bivariat (chi-square) dan multivariat (regresi logistic berganda) dianalisis menggunakan SPPSS. Hasil penelitian menunjukkan usia memiliki pengaruh terhadap penggunaan pendaftaran online (p sama dengan 0,016, OR 0,286, 95% CI 0,050–1,643). Persepsi pendaftaran online berpengaruh terhadap penggunaan pendaftaran online (p sama dengan 0,002, OR 0,369, 95% CI 0,121–1,124). Ketersediaan fasilitas Kesehatan berpengaruh terhadap pendaftaran online (psama dengan 0,009, OR 0,453, 95% CI 0,140–1,464). Kemudahan informasi berpengaruh terhadap pendaftaran online (p sama dengan 0,001, OR 0,194, 95% CI 0,046–0,818). Nilai Nagelkerke RSquare adalah sebesar 0.368. Penelitian ini menyimpulkan bahwa terdapat pengaruh antara usia, persepsi pendaftaraan online, ketersediaan fasilitas Kesehatan dan lemudahan informasi terhadap penggunaan pendaftaran online. Faktor yang paling berpengaruh terhadap penggunaan pendaftaran online adalah kemudahan informasi sebesar 36,8%. Kata Kunci: Rawat jalan, Pendaftaran online
Co-Authors Bermansyah Nugraha, Aswin Nugroho, Dedy Ria Nova, Ria Satar, Yuli Prapanca