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Lucia Pudyastuti Retnaningtyas
Faculty of Medicine, Petra Christian University, Surabaya, Jawa Timur, Indonesia
Medicine & Pharmacology Public Health

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Anticholinergic Syndrome Following Datura metel Ingestion in an Adolescent: A Case Report Lucia Pudyastuti Retnaningtyas; Nur Flora Nita Taruli Basa Sinaga
International Journal of Biomedical Science and Travel Medicine 24-28
Publisher : Publication Department, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/ijbstm.3.1.2026.24-28

Abstract

Background: Datura metel, locally known as kecubung, contains tropane alkaloids that may induce anticholinergic toxicity. Adolescents may intentionally ingest the plant due to curiosity about its psychoactive effects. Case presentation: A 13-year-old boy presented with agitation, delirium, palpitations, and incoherent speech three hours after ingesting approximately one glass of a decoction made from Datura metel flowers. Examination revealed altered mental status (Glasgow Coma Scale E3V4M6), bilateral mydriasis with sluggish light reflex, and dry mucous membranes. Vital signs were stable. Laboratory investigations, including blood glucose and serum electrolytes, were within normal limits. Electrocardiography showed sinus arrhythmia. The patient received supportive management including oxygen therapy, intravenous fluids, activated charcoal, and oral neostigmine. He was admitted to the Pediatric Intensive Care Unit and showed clinical improvement within eight hours, with complete recovery after three days. At one-week follow-up, the patient remained asymptomatic. Conclusion: Early recognition of anticholinergic toxidrome based on clinical features and exposure history is essential. Supportive management can result in favorable outcomes even when specific antidotes are unavailable.
Impact of Increased Gadget Use on Kindergarten Children’s Behavior During the COVID-19 Pandemic Sarah Kirana Ridwan; Lucia Pudyastuti Retnaningtyas; Ervin Dyah Ayu Masita Dewi
International Journal of Biomedical Science and Travel Medicine 17-23
Publisher : Publication Department, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/ijbstm.3.1.2026.17-23

Abstract

Background: The COVID-19 pandemic caused major disruptions in educational systems worldwide, including early childhood education. Kindergarten learning shifted from face-to-face instruction to online learning, increasing children’s exposure to digital devices. Increased screen exposure may influence children’s behavioural development, particularly emotional regulation, discipline, and social interaction. Objective: This study aimed to explore behavioural changes associated with increased gadget use among kindergarten children during the COVID-19 pandemic. Methods: This qualitative study employed an interpretative descriptive approach. Data were collected through semi-structured interviews with six parents of kindergarten students and one teacher as a triangulation source at Dharma Wanita Persatuan Pepelegi Kindergarten, Waru, Sidoarjo, Indonesia. Participants were selected using purposive sampling. Interview recordings were transcribed verbatim and analysed using inductive thematic analysis. Results: Children’s gadget use increased during the pandemic due to online learning demands and environmental factors such as limited supervision and restricted outdoor activities. Although social interaction with peers remained relatively maintained in some contexts, increased gadget exposure was associated with emotional responses including irritability and frustration when use was restricted, as well as reduced behavioural discipline such as delaying tasks and decreased responsiveness to parental instructions. Conclusion: Increased gadget use during the pandemic was associated with behavioural changes among kindergarten children, particularly in emotional responses and discipline. Environmental conditions and parental supervision played important roles in moderating these effects. Structured guidance and balanced digital media use are therefore essential to support healthy behavioural development in early childhood.
Co-Authors Ervin Dyah Ayu Masita Dewi Nur Flora Nita Taruli Basa Sinaga Sarah Kirana Ridwan