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All Journal JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH MEDICINUS
Muhammad Irawan
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Community Knowledge on Child Gastrointestinal Disease, Growth, and Development : A Cross Sectional Study in Mandangin Islan, Sampang, Indonesia ATHIYYAH, ALPHA FARDAH; Subijanto Marto Sudarmo; Reza Gunadi Ranuh; Andy Darma; Mira Irmawati; Khadijah Rizky Sumitro; Muhammad Irawan; Budiyanto; Novi Rahayu Arianti; Steven Christian Susianto; Sacharissa Zerlina Tsarwah Thirafi
Journal of Community Medicine and Public Health Research Vol. 5 No. 2 (2024): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v5i2.54969

Abstract

The prevalence of diarrhea in Madura is higher than in East Java. Mandangin island, an isolated island in Sampang, Madura has limited access to healthcare and knowledge. It will lead to disruptions in the children’s growth and development. This study aimed to evaluate the impact of health education on community knowledge about gastrointestinal disorders and children’s development. This cross-sectional study involved 48 subjects from Mandangin Island, Sampang by total sampling. The subjects received some presentations related to gastrointestinal disease, growth, and development in children using a handbook and audio-visual media. The subjects were required to complete pretest and posttest questionnaires. The pretest and post-test results were processed and analyzed using the statistical software “SPSS” and the Wilcoxon test. Most of the subjects were housewives with a mean age of 28.73 ± 6.22 years old. There was a significant difference between pre-and post-test in gastrointestinal disease, growth, and development in children (46.04 ± 21.71 vs 62.29 ± 13.25, p<0.001). This study found that health education through face-to-face, handbooks, and audiovisual media can enhance community knowledge.
Hepatitis B and Hepatocellular Carcinoma: A Case Report and Literature Review Rendi Aji Prihaningtyas; Muhammad Irawan; Qurrota Ayuni Novia Putri; Bagus Setyoboedi; Sjamsul Arief
MEDICINUS Vol. 38 No. 6 (2025): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/e6bqh839

Abstract

Introduction: Current data estimates that over 90% of primary liver tumors are hepatocellular carcinomas (HCC), a type of malignant hepatocyte tumor. Viral hepatitis B is particularly associated with HCC. Early detection of chronic hepatitis B is crucial to prevent complications. Case Presentation: A 17-year-old girl presented with a one-month history of abdominal enlargement, jaundice, dark urine, and pale-colored stool. She experienced weight loss and a lack of appetite. Anthropometric assessment indicated severe malnutrition. The abdomen appeared distended with ascites. There was a palpable liver, with a firm consistency and a lumpy surface up to the epigastrium, with a size of 8 x 7 x 6 cm, and accompanied by splenomegaly. Laboratory examination indicated anemia (hemoglobin 9.5 g/dl), white blood cells 12.38 x 10³/μl, platelets 859 x 10³/μl, AST 1,095 U/l, ALT 104 U/l, cholestasis (total bilirubin 66.5 mg/dl and direct bilirubin 4.14 mg/dl), hypoalbuminemia (albumin 2.81 g/dl), LDH 3146 U/l, reactive HBsAg >1,000, AFP >1,000 ng/ml. An abdominal ultrasound revealed hepatomegaly with multiple nodules distributed across nearly all liver segments, and some of which formed a mass measuring 7.9 x 6.4 x 5.8 cm in the right lobe. Additionally, splenomegaly and ascites were observed. CT scan of the abdomen showed masses distributed throughout the hepatic lobe with contrast enhancement in the arterial phase and feeding from hepatic artery, in the venous phase, contrast washout with ascites. These findings support the diagnosis of hepatocellular carcinoma. Conclusion: Children with HBV may have had prior medical visits without being accurately diagnosed, representing missed opportunities for timely HBV detection. There is a critical need for increased awareness and early screening for hepatitis B virus (HBV) infection in children, especially in regions where HBV prevalence is high.
Co-Authors Alpha Fardah Athiyyah Andy Darma Bagus Setyoboedi BUDIYANTO Khadijah Rizky Sumitro Mira Irmawati Novi Rahayu Arianti Qurrota Ayuni Novia Putri Rendi Aji Prihaningtyas Reza Gunadi Ranuh Sacharissa Zerlina Tsarwah Thirafi Sjamsul Arief Steven Christian Susianto Sudarmo, Subijanto Marto