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All Journal Journal of Agromedicine and Medical Sciences Berita Kedokteran Masyarakat
Ekaputra, Anthony
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Health Professions Nursing Public Health

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Surgery with Cross-Speciality Approach to Pediatric Gastric Trichobezoar Obstruction In Indonesia: A Case Report Hariono, Hariono; Fardiansyah, Mochamad Syahroni; Ekaputra, Anthony
Journal of Agromedicine and Medical Sciences Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v11i1.51960

Abstract

Trichobezoar, a rare conditions in pediatric patients affecting less than 1%, often associated with trichotillomania, can lead to obstructive symptoms in severe cases. However, none of the published cases have documented surgical intervention alongside interdisciplinary collaboration in Indonesia that comply SCARE 2023. This case report aims to enhance pediatric trichobezoar literature, by sharing tailored approaches for limited-resource settings and the role of multidisciplinary strategies with surgical intervention. We represent a case of an 8-year-old girl from a low resource setting with a recent episode of vomiting after consuming her own hair for the past six months. Esophagogastroduodenoscopy revealed hair bezoar completely occluding the gastric pylorus. The patient underwent laparotomy with gastrotomy to extract the bezoar. She was then treated by the psychiatrist for trichotillomania, by the pediatrics for catch-up growth, and by the dermato-venereologist for alopecia. No complications or adverse events were observed. Keywords: trichobezoar, gastric obstruction, pediatrics, Indonesia, pediatric surgery
Strengthening social media utilization among primary health center Santi, Bryany Titi; Hadiyanto; Refi, Yasinta; Ekaputra, Anthony; Fitriah, Nur
BKM Public Health and Community Medicine Vol 40 No 06 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i06.12376

Abstract

Purpose: The COVID-19 pandemic changed health services in primary care settings. Puskesmas continued to provide information, education, and health promotions by utilizing social media, but how do they do it, and what do they need? Data still needs to be provided. This study will provide an overview of social media utilization and its organizational factors within Puskesmas in Jakarta. Method: This qualitative descriptive study was obtained through focus group discussions (FGD) and secondary data. Puskesmas was selected by sampling and analyzing social media (Instagram, Facebook, Youtube, and Twitter) at 42 centers and selecting four centers with the highest and 2 with the lowest utilization. Results: Instagram is a frequently used social media (95.2%). For organizational factors, in terms of planning, the social media officer has a monthly-annual plan for uploading materials. For organizations, there are divisions of tasks. The Head of the Health Center provides guidelines for direction, and the Head of Puskesmas directs the content. For control, the Head of the Health Center and Puskesmas evaluate the report monthly. Conclusion: Instagram is the most widely used, and the organizational factors are the availability of infrastructure, budget, team officers, and evaluation from the Head of the Health Center and Puskesmas. Only four Puskesmas were involved in this study, and selecting criteria based on four types of social media are limitations in this study to represent all Puskesmas that may be active in other social media such as WhatsApp and TikTok.
Co-Authors Fardiansyah, Mochamad Syahroni Hadiyanto Hariono Hariono Nur Fitriah, Nur Refi, Yasinta Santi, Bryany Titi