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All Journal AcTion: Aceh Nutrition Journal MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Tasrif, Ari Bandana
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Primary healthcare physicians’ readiness in addressing child stunting: a review of knowledge, attitudes, and practices in Aceh Province Liansyah, Tita Menawati; Widoseno, Abiarso; Naufal, Iflan; Zahratulaini, Zahratulaini; Waraztuty, Ika; Ibrahim, Tilaili; Mulia, Vera Dewi; Yulia, Winda; Yunanda, Visa; Moulina, Derevie Hendryan; Fitra, Fitra; Tasrif, Ari Bandana; Farizca, Ariza
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i2.2670

Abstract

Stunting remains a significant chronic nutritional problem in Indonesia, including the province of Aceh. The lack of data on the knowledge, attitudes, and practices (KAP) of primary healthcare physicians regarding stunting prevention represents a critical gap that warrants investigation. This study aimed to evaluate the levels of knowledge, attitudes, and practices of public health center (PHC) physicians in addressing childhood stunting in Aceh Province. A descriptive-quantitative design was employed involving 143 physicians from 39 PHC located in Banda Aceh and Aceh Besar. This study was conducted between April 2022 and January 2023. Data were collected using a validated and reliable questionnaire and analyzed using univariate statistics. The majority of the respondents were female (89.5%). A total of 67.8% of respondents demonstrated good knowledge, 86% exhibited positive attitudes, and 82% reported engaging in stunting prevention practices aligned with standard guidelines. In conclusion, PHC physicians in the study area displayed strong readiness to support stunting prevention efforts. Continued capacity-building interventions and sustainable support systems are essential for reinforcing their strategic role in primary healthcare services. 
VASOGENIC EDEMA AND HYDROCEPHALUS AS COMPLICATIONS OF GLIOBLASTOMA Tasrif, Ari Bandana
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 4 (2025): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i4.223

Abstract

Glioblastoma is the most aggressive and common primary brain tumor in adults, characterized by rapid growth, infiltrative behavior, and poor prognosis despite multimodal treatment. Among its most significant complications are vasogenic edema and hydrocephalus, which exacerbate intracranial hypertension and contribute substantially to morbidity and mortality. We report the case of a 59-year-old male who presented with progressive decreased consciousness, severe headaches, right-sided weakness, and visual disturbances. Neuroimaging revealed a left temporoparietal mass with cystic, solid, and necrotic components, accompanied by extensive vasogenic edema, midline shift, and obstructive hydrocephalus. Histopathological examination confirmed glioblastoma, WHO grade IV. The patient was treated with intravenous dexamethasone and acetazolamide, resulting in improved consciousness and partial symptomatic relief. This case illustrates the pathophysiological role of blood–brain barrier disruption in vasogenic edema and cerebrospinal fluid flow obstruction in hydrocephalus. Dexamethasone remains the cornerstone of symptomatic management for edema, while acetazolamide may provide temporary benefit in hydrocephalus, although its long-term efficacy is limited. The coexistence of these complications significantly worsens prognosis, and treatment primarily focuses on symptom control and quality of life. Prompt recognition and appropriate management are essential to stabilize patients, even though overall survival in glioblastoma remains limited.
Co-Authors Farizca, Ariza Fitra Fitra, Fitra Ibrahim, Tilaili Moulina, Derevie Hendryan Mulia, Vera Dewi Naufal, Iflan Tita Menawati Liansyah Waraztuty, Ika Widoseno, Abiarso Winda Yulia Yunanda, Visa Zahratulaini, Zahratulaini