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All Journal PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Ophthalmologica Indonesiana
Noviandi, Riza
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Pengembangan Tatalaksana Kejang pada Anak terhadap Tenaga Kesehatan di Kabupaten Kediri: Improvement on Childhood Seizure Management among Health Care Providers in Kediri Gunawan, Prastiya Indra; Noviandi, Riza; Samosir, Sunny Mariana; Setyaningtyas, Arina
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 11 (2024): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v9i11.7914

Abstract

Seizures that last more than five minutes are categorised as prolonged seizures and have the potential to become status epilepticus which can cause damage to brain neurons. Prompt and optimal seizure management is associated with better outcomes. Health workers in first-level health facilities are the spearhead of health services. Kediri district is a large area consisting of 37 primary health centers and 2 government hospitals (type B and C) with a distance to the provincial referral hospital of ± 120 km, so it is necessary to develop the knowledge of medical personnel, especially in the management of seizures in children. This activity aims to improve the knowledge and skills of medical personnel on the management of seizures in children, especially those who work in first and second level health facilities in the Kediri District area. The activity method includes two stages, namely online seminars and examination of pediatric seizure patients which is a follow-up to the presentation of material on pediatric seizure management. A total of 134 participants consisting of general practitioners, pediatricians, and midwives attended the online seminar. A total of 50 participants completed 10 pre-test and post-test questionnaires via Google Form. The results of this activity showed an increase in the knowledge of health workers in Kediri Regency on the management of childhood seizures with a pre-test score of 60.8 and post-test 87.0. An increase in score of 43.1% was obtained. The positive results of this evaluation indicate that participants increased their knowledge of pediatric seizure management.
Binocular Diplopia in Miller Fisher Syndrome Pediatric Patient: A Rare Case Report: Poster Presentation - Case Report - Resident Zhafira, Dinda; Prastyani, Reni; Gunawan, Prastiya Indra; Noviandi, Riza; Samosir, Sunny Mariana
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/36zz6w74

Abstract

Introduction : Miller Fisher Syndrome (MFS) is a rare variant of Guillain-Barré syndrome that usually presents with ataxia, areflexia and ophthalmoplegia. It is more common among patients in their 40s and number of cases in pediatric patients is significantly smaller. Our objective is to report a rare case of diplopia in Miller Fisher. Case Illustration : An 11 years old boy came with complaint of double vision and history of gaze restriction. Patient had history of inpatient admission due to acute progressive generalized limb weakness and walking difficulty followed by respiratory failure. Patient also had history of chewing and swallowing difficulty. Inpatient treatment included intravenous immunoglobulin (IVIG) for 5 days which resultedin clinical improvement. Electromyography examination done while hospitalization showed normal results. Orthoptic examination revealed 15 degrees exotropia of left eye with 30 prism dioptres (PD) at near and far distance. Worth four dot test resulted in cross diplopia with no abnormality in head CT scan. After 2 months follow-up with push-up pencil exercise, patient showed improvement of symptoms. Discussion : MFS is a clinical diagnosis that can be assessed by clinical triad of ataxia, areflexia and ophthalmoplegia. Diagnosis can be supported by ancillary test such as cerebrospinal fluid analysis, electrophysiologic studies or antibody anti-GQ1b . Treatment of MFS are mainly for supportive care with respiratory support and immunotherapy if needed in severe cases. Conclusion : The outcome of MFS is usually good with a complete recovery. The improvements generally begin within two to four weeks after the onset of neurological symptoms and complete within six months.
Co-Authors Arina Setyaningtyas Prastiya Indra Gunawan Prastyani, Reni Samosir, Sunny Mariana Zhafira, Dinda