4 research outputs found
OPTIMALISASI PELAYANAN BINA KOMUNIKASI MELALUI PROGRAM PERSEPSI BUNYI DAN IRAMA (BKPBI), UNTUK ANAK YANG BERKEBUTUHAN KUSUS TUNARUNGGU DI SDLB NEGERI JENANGAN PONOROGO
No full textChildren with special needs are children with different characteristics from normal children in general. Especially deaf children are children who have impaired hearing either totally or have residual hearing. Deaf communication requires services that can support their communication difficulties. In this case SDLB Negeri Jenang Ponorogo organized a communication development program with Communication Development through the Sound and Rhythm Perception Program (BKPBI). In this study the author is intended to discuss more about; Forms of service stages, learning implementation strategies and service results of sound and rhythm perception programs in SDLB Negeri Jenang Ponorogo. This research uses a qualitative approach methodology with the type of case study research. The data in this study are words and actions, while the source of the data are the Principal and teachers at SDLB Negeri Jenang. Data collection methods are interviews, observation, and documentation. Data analysis techniques using data reduction, data presentation, and drawing conclusions. After conducting the analysis, the writer can conclude that the form of communication service development stages through sound and rhythm perception programs in the Jenang Negeri Extraordinary Elementary School is sound detection, sound discrimination, sound identification, sound comprehension, learning implementation strategies using review, overview, presentation, exercise, and summary, also by using the classical and individual models, while the results of the service program of perception of sound and rhythm in the State Elementary School Extraordinary, namely deaf children are able to recognize sounds, easy to respond to sounds such as background noises, the nature of sounds, creating sounds up to recognize types of musical instruments, able to identify sounds and detect the direction of sound
Weber Syndrome Revisited: A Classic Midbrain Stroke Presentation Secondary to Severe Dyslipidemia
No full textBackground: Weber syndrome is a classic brainstem stroke syndrome resulting from an ischemic lesion in the ventral midbrain. While historically defined by its striking clinical features—ipsilateral oculomotor nerve palsy and contralateral hemiparesis—its modern relevance lies in its direct causation by common, modifiable vascular risk factors. This report uses a quintessential case of Weber syndrome as a didactic tool to illustrate the profound microvascular consequences of a specific, severe metabolic phenotype.
Case presentation: A 60-year-old female with a history of medication non-adherence for hypertension and hypercholesterolemia presented with acute left hemiparesis, right ptosis, and diplopia. Examination confirmed a right oculomotor palsy and left hemiparesis. Her Body Mass Index was 28.5 kg/m². Laboratory workup revealed a severe mixed dyslipidemia (LDL-C 168 mg/dL, Triglycerides 218 mg/dL). Brain MRI confirmed an acute infarct in the right ventral mesencephalon. Vascular imaging was unremarkable, pointing towards intrinsic small vessel disease. A comprehensive, multidisciplinary management plan was initiated, focusing on aggressive medical therapy, intensive rehabilitation, and strategies to overcome barriers to medication adherence.
Conclusion: This case highlights the elegant yet unforgiving precision of neuroanatomy and the powerful diagnostic utility of modern neuroimaging. More profoundly, it demonstrates the direct pathophysiological link between severe atherogenic dyslipidemia and the occlusion of a single, critical perforating brainstem artery. The patient’s significant functional recovery underscores that a holistic approach—combining evidence-based pharmacotherapy with a robust, patient-centered rehabilitation program and a dedicated strategy to ensure long-term adherence—is paramount to optimizing outcomes after a debilitating stroke
DYNAMIZATION OF ISLAMIC RELIGION EDUCATION: A Critical Study on Genealogy of Islamic Boarding School’s Scholarly Tradition in Lombok
No full textAbstract: This study departed from a reality about the pesantren’s scholarly tradition genealogy with unknown scholarly source. Considering such academic restlessness, the question to be answered by the author is “where does the pesantren’s scholarly tradition genealogy existing in Lombok come from? This study was a qualitative research with field research and used such approaches as historical philological, cultural and sociological. This study represents that the pesantren’s scholarly tradition genealogy in Lombok is affected by Javanese Pesantren’s scholarly tradition, Makassar Islam, and Middle East education. However, some dynamics occur in Pesantrens in Lombok, so that the reform of scholarship tradition is required, to keep the pesantren existing in the future.Keywords: genealogy, scholarly tradition, pesantren, islamization, Lombo
The prevalence, clinical characteristics, and brain MRI changes in intracranial artery hypoplasia: a retrospective single-center cross-sectional study
No full textreduced cerebral blood flow, increased atherosclerosis, and aneurysm formation. This study aimed to describe the profile of vertebral artery hypoplasia (VAH), anterior CAH (ACAH), and posterior CAH (PCAH) in symptomatic subjects.
Methods: This was a retrospective cross-sectional study using medical record in a secondary private hospital in Jakarta, Indonesia, in January-December 2022. The inclusion criteria were age ≥18 years with neurological symptoms, underwent brain MRI, and being diagnosed with CAH using DSA. The exclusion criteria were findings of other vascular pathologies including dissection and >50% intracranial vessel stenosis. Demographics of age, sex, body mass index (BMI), hypertension, diabetes, cardiac disorder, and previous stroke were analyzed among VAH, PCAH, and ACAH groups.
Results: Of 769 subjects with clinical symptoms undergoing DSA, there were 66 (8.6%) cases of intracranial artery hypoplasia, including VAH (4.6%), PCAH (1.2%), and ACAH (2.9%). Subjects were predominantly old (53.2±10.1 years), male (53.0%), with BMI of 24.9±3.9 kg/m2 and hypertension (69.7%). Previous stroke (69.7%) was more prevalent than in previous study (28.1%). Stroke and brain ischemic lesion were detected in 89.4% and 84.8% cases. No differences were found in all parameters among all groups, but posterior circulation symptoms tended to be found in VAH (28.1%) than general stroke (20.3%).
Conclusions: The high percentage of recurrent stroke and corresponding clinical symptoms associated with CAH supported that CAH may be a risk factor for clinical symptoms, including stroke, regardless of the involved artery
