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All Journal Jurnal Kedokteran Brawijaya Damianus Journal of Medicine
Himawan, Gratianus Billy
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Health Professions Medicine & Pharmacology Public Health

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DERAJAT FUNGSI MOTORIK KASAR DENGAN EPILEPSI PADA ANAK DENGAN PALSI SEREBRAL Susanti, Yurika Elizabeth; Kristiono, Marcelina Pepita; Jap, Arvin Leonard Sumadi; Himawan, Gratianus Billy; Khairi, Muhammad Rifqi; Hidayah, Nurul
Bahasa Indonesia Vol 24 No 2 (2025): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v24i2.6041

Abstract

Introduction: Epilepsy is a common comorbidity of cerebral palsy (CP). Variations in gross motor function affect functional outcomes in CP children significantly. This study aims to analyze the association between gross motor function and epilepsy in children with CP. Methods: A cross-sectional study was performed at the Pediatric Inpatient Ward, Outpatient Clinic, and Medical Rehabilitation Installation at Ulin General Hospital in Banjarmasin from July to September 2024. The subjects of the study were children between the ages of 2 and 18 who had been diagnosed with CP. We evaluated gross motor function utilizing the Gross Motor Function Classification System (GMFCS), categorizing the results into two groups: mild-moderate (GMFCS I-III) and severe (GMFCS IV-V) motor dysfunction. Chi-Square test was used for statistical analysis. Results: The study involved a total of 42 subjects diagnosed with CP. Twenty-eight subjects (66.7%) had epilepsy as a comorbidity. Twenty-three subjects experienced generalized seizures (82.1%), and 18 subjects were quadriplegic (64.3%). There were 17 subjects (40.5%) with mild-moderate motor dysfunction and 25 subjects (59.5%) with severe motor dysfunction. Twenty subjects with epilepsy showed severe motor dysfunction (71.4%). A significant association was identified between severe gross motor function and epilepsy in children with CP (p=0.026). Conclusion: Epilepsy was found to be significantly associated with cerebral palsy in children with severe gross motor dysfunction.
Neonatal Sepsis Caused by Pseudomonas putida in NICU at Tertiary Hospital in South Kalimantan Andayani, Pudji; Hartoyo, Edi; Pasaribu, Munawaroh; Marhaeni, Wulandewi; Yunanto, Ari; Putra, Nataniel Hadi; Himawan, Gratianus Billy; Salim, Monica Anggriana; Halim, Pricilia Gunawan
Jurnal Kedokteran Brawijaya Vol. 34 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Pseudomonas putida is a Gram-negative bacterium that can cause nosocomial infections, particularly in neonates. This study aimed to identify the characteristics of neonates with P. putida infection, the antibiotics administered, and the treatment outcomes during a P. putida outbreak. This descriptive study collected data from the medical records of neonates diagnosed with neonatal sepsis admitted to Ulin Hospital, Banjarmasin, between August and October 2022. Data collected included patient characteristics, clinical profiles, laboratory results, antibiotic therapy, P. putida antibiotic sensitivity results, and bacterial culture results from samples taken in the NICU during the outbreak period. Fourteen neonates (6.5%) had positive P. putida during the outbreak of blood cultures, including 13 neonates born at Ulin Hospital and one referred from another health facility. Neonates with P. putida infection exhibited leukopenia, thrombocytopenia, and elevated CRP levels. After obtaining the culture results and antibiotic sensitivity tests, the choice of antibiotics was adjusted based on the bacteria's sensitivity. The antibiotics found compelling during treatment included ciprofloxacin, cefepime, tazobactam, gentamicin, a combination of ciprofloxacin and amikacin, and a combination of piperacillin. Most of the clinical and laboratory characteristics improved following treatment, but three neonates unfortunately died during hospitalization. Overall, there were clinical and laboratory improvements after administering antibiotics according to the culture-based antibiotic resistance results.
Co-Authors ary yunanto Edi Hartoyo Halim, Pricilia Gunawan Jap, Arvin Leonard Sumadi Khairi, Muhammad Rifqi Kristiono, Marcelina Pepita Marhaeni, Wulandewi NURUL HIDAYAH Pasaribu, Munawaroh Pudji Andayani, Pudji Putra, Nataniel Hadi Salim, Monica Anggriana Susanti, Yurika Elizabeth