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All Journal Jurnal Kedokteran KESANS : International Journal of Health and Science
Lalu Wahyu Alfian Muharzami
Universitas Mataram
Chemistry Health Professions Medicine & Pharmacology Physics Public Health

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Pediatric Acute Respiratory Distress Syndrome (PARDS) On Pediatric COVID-19 Patients Siti Rahmah; Lalu Wahyu Alfian Muharzami; Lastri Akhdani Almaesy; Putri Nurhayati; Ridha Sasmitha A
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 2 (2021): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.704 KB) | DOI: 10.54543/kesans.v1i2.8

Abstract

At the end of 2019, there was a pandemic happening in the world, called the novel Coronavirus disease-19 (COVID-19). Various spectrums of disease from COVID-19, one of which is ARDS. The incidence of COVID-19 in children is not as much as in adults. However, in children under one year of age it can get worse. The main characteristic of worsening infection is the occurrence of ARDS. Objective: To find out the best treatment for PARDS in COVID-19 patients. Method: The writing of this article uses various sources from scientific journals to government guidelines and related institutions. Search articles using the keywords “Acute Respiratory Distress Syndrome”, “ARDS”, “Pediatric Respiratory Distress Syndrome”, “PARDS”, and “PARDS on COVID-19” Result and Discussion: PARDS was defined based on PALICC in 2015. Pathophysiology of PARDS in COVID-19 patients is still unclear. However, there is a theory that explains the way SARS-Cov-2 enters cells, namely through membrane fusion, giving rise to ARDS. The difference in handling PARDS for COVID-19 patients is that the handling technique is more alert to the risk of aerosols. Conclusions: There are differences in the handling of PARDS for COVID-19 patients in the technique by reducing the risk of virus transmission by preventing leakage when using a ventilator and using a bacterial/virus filter, as well as rescuers and staff using complete PPE during the procedure.
Manajemen Terkini Amnesia Pasca Cedera Otak Lalu Wahyu Alfian Muharzami
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.596

Abstract

Cedera otak merupakan kerusakan jaringan otak mendadak yang disebabkan oleh proses traumatik dan tidak terdapat proses degeneratif maupun kongenital. Gangguan memori sering terjadi pasca cedera otak akibat adanya kerusakan struktur otak. Pada kondisi akut, pasien cedera otak sering mengalami amnesia pasca trauma. Amnesia pasca trauma merupakan kesulitan dalam mempelajari atau mengingat informasi baru maupun mengingat kejadian masa lalu yang terjadi setelah adanya cedera. Studi dilakukan dengan metode telaah literatur ilmiah dari berbagai situs seperti NCBI, Google Scholar, Google Search, Sciencedirect, dan researchgate dengan menggunakan kata kunci yang relevan seperti “post-traumatic amnesia”, “management of post-traumatic amnesia”, “therapy of post-traumatic amnesia”, “treatment of post-traumatic amnesia”. Setelah membaca judul dan abstrak, terdapat sebanyak 7 artikel penelitian yang sesuai dengan tujuan studi review ini. Berdasarkan 7 penelitian yang dianalisis, terdapat 4 terapi yang dapat diberikan kepada pasien cedera otak yang sedang dalam fase amnesia pasca trauma. Sebanyak 2 penelitian membahas tentang terapi latihan berdasarkan aktivitas sehari-hari, 2 penelitian membahas tentang terapi okupasi, terapi kognitif perilaku 1 penelitian, dan 2 penelitian membahas tentang pemberian terapi musik. Pada tahap akut perawatan terfokus pada kondisi vital pasien dan pencegahan terjadinya cedera sekunder. Perawatan pasien cedera otak yang mengalami amnesia pasca trauma diantaranya yaitu terapi okupasi dengan metode Activities of Daily Living (ADL), terapi okupasi dengan metode Perceive, Recall, Plan, and Perform (PRPP), terapi kognitif perilaku, dan terapi musik. Metode perawatan dapat dipilih berdasarkan kondisi pasien saat terapi, memungkinkan untuk diterapkan kepada pasien, dan terdapat sumber daya yang sesuai.
Karakteristik Pasien Amnesia Pasca Cedera Otak di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat Lalu Wahyu Alfian Muharzami; Rohadi Muhammad Rosyidi; Ilsa Hunaifi; Bambang Priyanto
Unram Medical Journal Vol 11 No 3 (2022): volume 11 no 3
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i3.653

Abstract

Background: Traumatic Brain Injury (TBI) is a brain disorder caused by a traumatic process such as an impact, blow, or stab to the head, causing impaired brain function. Several external causes of TBI, such as falls, road traffic accidents, and beatings/assaults. Impaired memory function is one form of the neuropsychological disorder that can occur after injury. Post-Traumatic Amnesia (PTA) is a post-injury condition characterized by difficulty remembering things that were happened before or retaining information that has just happened. Methods: This research was conducted at West Nusa Tenggara Province General Hospital using a cross-sectional design and has passed the review of the research ethics team (ethical clearance). The number of research samples was 40 people with brain injury. We collected head CT scan results and interviews using the Galveston Orientation and Amnesia Test (TOAG) questionnaire. Sampling using a consecutive sampling method. Data are presented descriptively. Results: Of the 40 TBI patients, 33 patients had PTA (82.5%). Most patients with PTA are between 18 and 30 years of age (45.46%), most of them were male (81.8%), and most patients had high school educational levels (42.43%). Based on the severity of brain injury, most PTA patients had a mild brain injury (57.58%). Based on the head ct scan, most PTA patients had diffuse lesions (51.52%). Conclusion: TBI patients who experienced PTA were dominated by men aged 18 to 30 years and had a high school education level. In addition, the location of diffuse lesions is often seen in TBI patients with PTA.
Co-Authors Bambang Priyanto Ilsa Hunaifi Lastri Akhdani Almaesy Putri Nurhayati Ridha Sasmitha A Rohadi Siti Rahmah