Nugroho, Yunanto Dwi
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Manifestasi oral pada pasien gagal ginjal kronis di Rumah Sakit Umum Daerah Prof. Dr. Margono Soekarjo, Banyumas Djati, Fanni Kusuma; Naim, Cantika Nadrotan; Ramadhanti, Dian Praba; Kinasih, Amelia Sekar; Berlianza, Activira; Nugroho, Yunanto Dwi
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 11, No 2 (2025)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.106128

Abstract

Gagal ginjal kronis (GGK) adalah suatu kondisi penurunan fungsi ginjal secara bertahap yang disebabkan karena terjadinya kerusakan pada ginjal. Gagal ginjal kronis biasanya terjadi dalam waktu lama (tahunan) yang ditandai dengan penurunan nilai glomerular filtration rate (GFR) <60 mL/menit per 1,73 m2. Prevalensi GGK di Indonesia mengalami peningkatan dari tahun 2013 yaitu 0,2% menjadi 0,38% pada tahun 2018. Etiologi GGK tergolong sangat bervariasi seperti diabetes, glomerulonefritis, hipertensi, dan penyakit ginjal kistik. Laporan ini bertujuan untuk mengidentifikasi berbagai manifestasi oral pada pasien GGK dengan mempertimbangkan keterkaitan klinisnya sebagai bahan refleksi diagnostik pada praktik kedokteran gigi. Laporan ini menunjukkan variasi manifestasi oral pada pasien GGK mencakup periodontitis uremik, hiperpigmentasi, oral hairy leukoplakia, cheilitis, stomatitis nekrotikan, coated tongue, dan kandidiasis kronis. Beberapa manifestasi oral pada kasus GGK kemungkinan berkaitan langsung dengan kondisi uremik, sementara manifestasi oral lainnya dipengaruhi oleh faktor xerostomia, gangguan imun, nutrisi, dan penggunaan obat-obatan. Kompleksitas sistemik pada GGK dapat memperburuk kesehatan rongga mulutsecara umum. Temuan pada laporan kasus ini menegaskan pentingnya peran dokter gigi untuk mengenali tanda sistemik yang tampak di rongga mulut serta perlunya pendekatan multidisipliner pada manajemen pasien GGK.
ORAL HYPERPIGMENTATION IN END-STAGE CKD PATIENTS UNDERGOING HEMODIALYSIS: A CASE REPORT Djati, Fanni Kusuma; Minullah, Nanda Asta; Octivany, Sherly; Febriharsari, Niken; Aditiawarman, Aditiawarman; Nugroho, Yunanto Dwi
Mandala Of Health Vol 18 No 2 (2025): Mandala of Health: A Scientific Journal
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2025.18.2.15743

Abstract

Chronic kidney disease (CKD) is a progressive disease characterized by gradual and irreversible loss of kidney function over several months or years. According to Riskesdas 2018, the incidence of CKD in Indonesia is 0.38% (713,783 people) with 19.33% (2,850 people) undergoing hemodialysis therapy. Many CKD patients have related oral lesions, but attention to oral healthcare remains insufficient, especially in developing countries with higher rates of CKD patients. Several oral manifestations of CKD described in the literature include mucosal inflammation, mucosal petechiae, ecchymosis, skin and mucosal hyperpigmentation, fissured tongue, and coated tongue. A 51-year-old male with CKD was hospitalized in Mawar ward, Prof. Dr. Margono Soekarjo Regional Public Hospital. The patient presented of brown patches on his lips and oral cavity. Intraoral examination revealed lesions presenting as irregularly shaped macules with smooth brown margins on the lips and buccal mucosa. The patient was diagnosed with oral hyperpigmentation. Another case involved a 48-year-old female with stage 5 CKD who routinely underwent hemodialysis, presenting with brown patches on the lips, indented lesions on the lateral and dorsal tongue, and yellowish coloration on the dorsal tongue, diagnosed as fissured tongue and coated tongue. The manifestations that appear may be influenced by the kidney disease itself, consumed medications, or the therapy provided. Oral hyperpigmentation, coated tongue, and fissured tongue are some of the oral manifestations commonly found in end-stage CKD patients undergoing hemodialysis, with therapy aimed at improving patients' quality of life.
The Analysis of the Use of PjBL in Mobile Application Development with Artificial Intelligence Library in XIF1 SMAN 3 Surakarta Nugroho, Yunanto Dwi; Hatta, Puspanda; Jumari
Journal of Global Hospitality and Tourism Technology Vol. 2 No. 1 (2025): Journal of Global Hospitality and Tourism Technology - June 2025
Publisher : Politeknik NEST

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.16924339

Abstract

Indonesia continues to improve the quality of education in order to compete regionally and globally. This research was conducted at SMA Negeri 3 Surakarta on students of class XI F1, consisting of 36 students. The focus of the research is to evaluate the effectiveness of Project Based Learning (PjBL) method in learning Mobile Application Development with Artificial Intelligence Library. Data were collected through classroom observation, interviews with Informatics teachers, and questionnaires to students. The results showed that the PjBL method was effective in improving students' understanding of the material taught. In addition, this method also helps students develop important skills, such as collaboration, problem solving, and project management. Students showed significant improvement in working in groups, sharing tasks, and solving problems. Thus, PjBL not only improves academic understanding, but also skills that are useful for students' future.