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"ABSTRACTCongenital hypothyroidism is the most treatable cause of mental retardation. It is also the most prevalent congenital endocrine disorder in childhood. A dramatic improvement can be made by early detection, diagnosis, and adequate treatment of levothyroxine in patients with congenital hypothyroidism. Severe cognitive impairment is associated with persistent disease in patients who have delayed or no treatment at all. In a modern era with complete healthcare facilities in a big city like Jakarta, the prevalence late-diagnosed congenital hypothyroidism is supposed to be very low. Since many districts have their own public healthcare facilities to screen and diagnose congenital hypothyroidism in children at very young age, a delayed diagnosis in adulthood is actually a rare case.In this medical illustration, we report a case of 21 year-old woman who came to our hospital with abdominal pain. She had mental retardation with no capability to communicate well with other person. She had a short stature (her height was less than 1 meter). She also had mongoloid face with big lips and a very big tongue. There was no goiter or lump on her neck. Her motoric performance was very weak and frail. During abdominal examination, we could see an umbilical bulging on her abdominal wall and on palpation, we could feel an umbilical hernia. By abdominal ultrasound, we could see the umbilical hernia. Unfortunately, no diagnosis of congenital hypothyroidism had been made when she was a newborn, there was also no past or known history of thyroid disease of her and her family. She had a diagnosis of mental retardation with no specific etiology since she was 5-years old. Based on the results of her laboratory examination, we had a confirmed diagnosis of primary hypothyroidism with T4 10,56 nmol/L (normal 60-120 nmol/L) and TSH > 100 mIU/mL. We provided her treatment using levothyroxine based on her body weight (25 mg daily). We arranged her to have abdominal CT Scan and digestive surgery as further management for her umbilical herniation.Some defects are correlated with congenital hypothyroidism when the disease is not treated properly and adequately. Neurocognitive, neuromotoric, growth, and development are some areas which can be disrupted by long-term hypothyroidism condition for patients who had the disease since their early years of life. Congenital hypothyroidism appears to be associated with an increased risk of congenital malformations. Several congenital malformations associated with congenital hypothyrodism are umbilical hernia, congenital heart disease, neurologic abnormalities, genitourinary malformations, cleft palate, and Downs syndrome.Studies concluded that severity of the congenital hypothyroidism has more important role than timing of treatment initiation on long-term cognitive and motor outcomes. Detrimental effects on developmental outcomes in congenital hypothyroidism patients may persist over time; however, early treatment for patients at very early ages may bring the best cognitive outcomes and neuromotoric development.Regardless of the treatment options, we can say that it is a loss case and a very late diagnosis and treatment of congenital hypothyroidism. The unusual age of detection, delayed diagnosis and treatment are some reminders for primary care physicians in our society to pay greater attention to screening programs. 6 Early detection and prompt treatment is an essential part of measures to reduce burden of mental retardation in our society. Delayed diagnosis of congenital hypothyroidism case, which is diagnosed at adulthood, indicates failure in screening program. Early diagnosis and treatment are necessary to prevent long-term catastrophic effects. This a wake-up call of attention and awareness for general public and primary care physicians in our country."

"Kanker pada kelompok remaja dan dewasa muda umumnya berbeda dengan kanker yang biasa menyerang anak-anak atau orang dewasa yang lebih tua. Kelompok usia remaja dan dewasa muda ini memiliki masalah yang lebih rentan terhadap jenis kanker tertentu. Penelitian ini bertujuan untuk mengeksplorasi pengalaman kelompok remaja dan dewasa muda saat awal terdiagnosa kanker dan menjalani radiasi. Penelitian ini merupakan penelitian kualitatif   dimana metodologi yang digunakan adalah pendekatan fenomenologi deskriptif yang akan menginterpretasikan dan menganalisis informasi melalui wawancara secara mendalam semi terstruktur. Sebelas orang partisipan yang memenuhi kriteria inklusi menyatakan bersedia mengikuti wawancara.  Penelitian ini menghasilkan empat buah tema yaitu Perasaan ketakutan dan kekhawatiran saat awal terdiagnosa kanker; Perubahan fisik dan psikologis sebagai dampak terapi radiasi; Perubahan aktivitas setelah menjalani radiasi dan Kebutuhan spiritualitas dan dukungan keluarga serta nilai aktualisasi diri. Kesimpulan penelitian ini adalah kelompok remaja dan dewasa muda mengalami ketakutan dan kekhawatiran akan kanker dan efek samping terapi yang akan dijalaninya. 

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Cancers in the AYA (Adolescent and Young Adult) are generally different from cancers that usually affect children or older adults. Adolescents and young adults have problems that are more susceptible to certain types of cancer. This study aims to explore the experience of the AYA when they were initially diagnosed with cancer and under go radiation therapy. This is a qualitative research where the methodology used is a descriptive phenomenological approach that will interpret and analyze information through semi-structured in-depth interviews. Eleven participants who met the inclusion criteria stated that they were willing to take part in the interview. This study resulted in four themes, namely feelings of fear and worry when diagnosed with cancer; Physical and psychological changes as a result of radiation therapy; Changes in activity after undergoing radiation and Spirituality needs and family support and self-actualization values. The conclusion of this study is that the AYA experienced fear and concern about cancer and the side effects of the therapy they were going to undergo."

"Perundungan siber termasuk kejadian traumatis yang masih banyak ditemukan saat ini. Dampak yang ditimbulkan cukup serius, seperti gangguan kesejahteraan mental dan kesehatan fisik. Pengungkapan merupakan salah satu metode penanganan yang bisa membantu korban perundungan siber pulih hingga mengalami posttraumatic growth. Penelitian ini dilakukan untuk menguji peran pengungkapan terhadap posttraumatic growth. Penelitian ini melibatkan 77 dewasa muda berusia 18 – 29 tahun yang pernah mengalami perundungan siber. Metode yang digunakan analisis regresi linear. Penelitian ini menemukan adanya peran pengungkapan terhadap posttraumatic growth (F(1,76) = 4,228, p<,05, R2 = 0,053).

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Cyberbullying is one of the most common traumatic incidents to be found today. The impacts are quite serious, such as disruption to mental and physical health. Disclosure is a method of treatment that can help victims of cyberbullying recover until they experience posttraumatic growth. This study was conducted to examine the role of disclosure on posttraumatic growth. This research involved 77 young adults aged 18-29 who had experienced cyberbullying. The method used is linear regression analysis. This study found that disclosure had a role in posttraumatic growth (F(1.76) = 4.228, p<.05, R2 = 0.053)."

"The Catcher in the Rye, I Know Why the Caged Bird Sings, and the 2000 Printz Honor Book Speak by Laurie Halse Anderson?these are some of the most beloved, and most challenged, books. Leaving controversial titles such as these out of your collection or limiting their access is not the answer to challenges."

"Penelitian kali ini bertujuan untuk melihat perbedaan keeratan hubungan antara konsep diri ideal dan konsep diri aktual dengan citra majalah yang menjadi preferensi wanita dewasa muda. Citra majalah diperoleh dari citra pembaca majalah. Terdapat lima majalah wanita yang dilihat di dalam penelitian ini. Jumlah partisipan adalah 68 orang yang keseluruhannya adalah wanita karir berusia 21 sampai 40 tahun. Para responden diminta untuk mengisi skala semantic differential untuk memperoleh konsep diri ideal dan aktual responden. Skala semantic differential juga digunakan untuk memperoleh citra pembaca majalah yang dipersepsikan partisipan. Kemudian, para responden diminta untuk memberikan peringkat majalah yang dipreferensinya. Hasil penelitian memperlihatkan bahwa terdapat hubungan yang erat antara konsep diri ideal dengan citra pembaca majalah yang menjadi preferensi utama wanita dewasa muda. Terdapat juga hubungan yang erat antara konsep diri aktual dengan citra pembaca majalah yang menjadi preferensi utama wanita dewasa muda. Namun, hasil penelitian tidak menunjukkan perbedaan yang signifikan pada keeratan hubungan konsep diri ideal dan aktual dengan citra pembaca majalah yang menjadi preferensi utama wanita dewasa muda.

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The current study was conducted to explore the magnitude difference of the relationship of ideal and actual self concept with the magazine image of young adult female?s preference. The magazine image was derived from the image of the magazine readers. There were five different magazines selected for the study. Subjects consisted of 68 working women, with the age of 21 to 40 years old. Participants were asked to fill out a questionnaire, consisted of semantic differential scales to measure their ideal and actual self concept, and also their perception towards the magazine reader?s image. In addition, participants were asked to rank their preference of the five magazines. Findings of this study suggest that there were a significant relationship between both ideal and actual self concept with the magazine reader image of young adult female?s preference. However, the results did not show any significant difference between the degree of the relationship of ideal self concept and the magazine image of young adult female?s preference and the relationship between actual self concept and the magazine image of young adult female?s preference."

"Pola kelekatan memiliki peranan penting dalam hubungan cinta orang dewasa (Hazan & Shaver dalam Bird & Melville, 1994). Pola kelekatan yang dimiliki seseorang di masa dewasanya dianggap memiliki hubungan yang erat dengan pola kelekatan yang ia bangun dengan orangtua di masa kecilnya. Penelitian ini ingin mengetahui hubungan antara pola kelekatan dengan orangtua di masa kecil dan pola kelekatan dengan pasangan hidup pada dewasa muda. Pola kelekatan dengan orangtua di masa kecil akan dipisahkan antara pola kelekatan dengan Ayah dan pola kelekatan dengan Ibu untuk mendapatkan jawaban yang spesifik mengenai pola kelekatan yang dibangun responden pada kedua orangtuanya. Responden dalam penelitian ini adalah 122 dewasa muda berusia 25 ? 40 tahun yang telah menikah selama 5 ? 10 tahun. Penelitian ini menemukan bahwa tidak ada hubungan yang signifikan antara pola kelekatan dengan Ayah dan Ibu di masa kecil dan pola kelekatan dengan pasangan hidup pada dewasa muda. Beberapa faktor dalam teori dan metodologi yang menyebabkan tidak signifikannya hasil penelitian akan dibahas lebih lanjut.

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AbstractAttachment style has an important role in romatic relationship in adult (Hazan & Shaver in Bird & Melville, 1994). Attachment style in adulthood can be considered to be strongly correlated with attachment style that he/she has with their parents in childhood. This research intend to explore the relationship between attachment style with parents in childhood and attachment style with spouse in young adult. Attachment style with parents in childhood is distinguished between attachment style with Father and attachment style with Mother to get specific answer about attachment style that respondents have with both of their parents. There are 122 young adults respondents involved in this research which is between 25 ? 40 in age and have been married for 5 ? 10 years. This research found out that the relationship between attachment style with Father and Mother in childhood and attachment style with spouse in young adult is not significant. Some factors in the theory and methodologist which might be the cost of this insignificant result is discussed."

"It all begins with a fugitive billionaire and the promise of a cash reward. Turtles All the Way Down is about lifelong friendship, the intimacy of an unexpected reunion, Star Wars fan fiction, and tuatara. But at its heart is Aza Holmes, a young woman navigating daily existence within the ever-tightening spiral of her own thoughts.Sixteen-year-old Aza never intended to pursue the mystery fugitive billionaire Russell Pickett, but there's a hundred-thousand-dollar reward at stake and her Best and Most Fearless Friend, Daisy, is eager to investigate. So together they navigate the short distance and broad divides that separate them from Russel Pickett's son, Davis. Azra is trying. She is trying to be a good daughter, a good friend, a good student and maybe even a good detective, while also living within the ever-tightening spiral of her own thoughts."

"Pengalaman hidup berperan besar dalam membentuk kesehatan mental seseorang. Skripsi ini akan membahas tentang dewasa muda dengan perilaku gangguan mental dan menyebabkan mereka mendapatkan stigmatisasi oleh masyarakat. Kondisi ini diperburuk ketika mereka tidak dapat menangani masalah mereka dan akhirnya membuat mereka menggunakan strategi coping untuk menghindarinya. Penelitian ini menggunakan pendekatan etnografis dan metode kualitatif dengan beberapa instrumen seperti, observasi, wawancara mendalam, riwayat hidup dengan dua studi kasus dewasa muda yang menderita gangguan mental. Hasil penelitian ini menunjukkan bahwa mereka cenderung menggunakan zat adiktif untuk mengatasi strategi untuk mengurangi tekanan yang diberikan kepada mereka. Tetapi ketika zat adiktif menghancurkan hidup mereka, mereka mengubah strategi coping untuk menerima kenyataan bahwa mereka sebenarnya memiliki gangguan mental dan menggunakan spiritualitas untuk meningkatkan kehidupan mereka.

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Life experiences play a big role in forming a person’s mental health. This thesis will discuss about young adults with mental disorder behavior and caused them to get stigmatized by the society. This condition worsens when they can’t handle their problem and eventually leads them to use coping strategies to avoid it. This study uses ethnographical approach and qualitative method with several instruments such as, observation, in-depth interview, life history with two young adult case studies who suffer mental disorder. The result of this study showed that they tend to use drugs for coping strategies to reduce pressure exerted on them. But when they realize drugs destroy their lives, they change the coping strategies to accept the fact that they actually have a mental disorder and resorted to spirituality to improve their lives."