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Management of Surgery to Cranioplasty Reconstruction in Meningioma Patients with Hyperostosis: Case Series Thohari, Khamim; Florensia, Rifka; Choiriyah, Nikmatul; Jamil, Ahmad Mochtar; Hardiansyah, Erwin; Abshor, Ulil
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 12, No 1 (2025): FEBRUARY
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.12.1.2025.17-30

Abstract

Background: Meningiomas, common primary brain neoplasms, become more frequent with age. They can affect osseous structures, manifesting as hyperostosis and significantly diminishing the well-being of patients. Although meningiomas' precise etiology and pathogenesis remain ambiguous, hormonal influences and other factors have been implicated in their development. This study seeks to explain surgical management and cranioplasty reconstruction to reduce recurrence and improve the well-being of patients.Objective: This case series encompasses a retrospective analysis of medical records from six patients diagnosed with meningiomas with hyperostosis, treated between December 2022 and January 2024, at Dr. Soegiri General Hospital, Lamongan. The analysis focuses on surgical interventions and cranioplasty reconstruction.Cases Presentation: Six patients had chronic cephalgia and cranial masses persisting for 3-6 years. Computed tomography imaging revealed hyperostotic changes contiguous with the neoplastic lesions, prompting craniotomy. Subsequent acrylic cranioplasty was undertaken to ensure encephalic protection and to achieve cosmetic restoration.Conclusion: For patients presenting with meningiomas and hyperostosis, symptomatic management through surgical excision and resection of the hyperostotic bone is recommended. Early implementation of cranioplasty, preferably acrylic materials, is recommended to shield cerebral structures and restore cranial morphology, given its economic feasibility and reduced infection risk compared to autologous bone grafts
Failed Trial of Normal Delivery in Uterus Didelphys Basoeki, Rijanto Agoeng; Florensia, Rifka; Anas, Muhammad
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 13, No 1 (2026): FEBRUARY
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.13.1.2026.%p

Abstract

Background: Uterus didelphys is one of the rarest anomalies from Mullery duct fusion failure. Generally, the condition is asymptomatic or can be manifest clinically as dyspareunia and/or menstrual pain, making early diagnosis challenging. Although this condition can affect fertility and risk of complications in pregnancy, in practice, the diagnosis is infrequent with the minimum awareness about the conditions.Objective: This case report aims to outline the diagnostic methods and intervention actions carried out in a patient who diagnosed uterus didelphys after failed normal delivery.Case Presentation: This paper presents a case of a 21-year-old woman who came with a complaint of tightness in the womb in two days before entering the hospital. The results of the anamnesis and physical examination show the needed of Cito LSCS surgery. During Cito LSCS, a uterus, an ovary, and a fallopian tube were found as a pair, with a fetus in the right uterus weighing 2100 g. Rehydration, antibiotic, analgetic, and laxative was given post-operative. After 3 days, patient was discharged.Conclusion: Examinations and new diagnostic methods need to be developed to identify the presence of uterus didelphys and to prevent its potential complications. 
Efektivitas Kombinasi SSRI, Antipsikotik Generasi Kedua, dan CBT Berbasis Religi dalam Tujuh Bulan Penanganan Depresi Berat dengan Fitur Psikotik: Studi Kasus: Studi Kasus Florensia, Rifka; Prasetya, Era Catur
VIRTUOUS JOURNAL Vol 2 No 01 (2025): Mei
Publisher : STAI Al-Mujtama Pamekasan

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Abstract

Kasus ini mendeskripsikan seorang pria berusia 18 tahun dengan depresi berat dan fitur psikotik yang ditandai perasaan sedih, bersalah, dan halusinasi auditorik suara yang mengatakan "lebih baik mati". Depresi merupakan gangguan mental yang memengaruhi kehidupan emosional, fisik, dan sosial penderitanya. Pasien dalam studi ini mengalami gejala setelah mengalami perundungan di lingkungan pondok pesantren. Selama tujuh bulan pengobatan intensif dengan kombinasi SSRI, antipsikotik generasi kedua, dan psikoterapi CBT berbasis religi, pasien menunjukkan perbaikan signifikan pada gejala depresi dan psikotik. Program CBT berbasis religi yang terdiri dari 10 sesi terstruktur mengintegrasikan nilai-nilai Islam dalam proses restrukturisasi kognitif, dengan menggunakan ayat Al-Qur'an dan Hadits sebagai dasar intervensi. Pemahaman agama yang baik serta kepatuhan pengobatan terbukti menjadi faktor penting dalam pemulihan. Studi kasus ini menyoroti efektivitas pendekatan holistik yang mengintegrasikan farmakoterapi dan psikoterapi yang sesuai dengan nilai-nilai budaya dan spiritual pasien.