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A Child with HIV (Human Immunodeficiency Virus) Infection Accompanied by Severe Acute Malnutrition: A Case Report Darma, Sidrah; Nawing, Herry D.; Meutia Pelupessy, Ninny; Albar, Husein
Green Medical Journal Vol 2 No 3 December (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v2i3.66

Abstract

Joint United Nations Programme in HIV/AIDS (UNAIDS) reported that 1.8 million children under 15 years old had HIV with 150,000 new pediatric cases in 2015, and only 49% had an antiretroviral (ARV) therapy. Mortality in HIV-infected children with severe acute malnutrition was 30.4% in Africa. A 1-year and 8-months-old girl was hospitalized due to diarrhea, vomiting, oral thrush, and recurrent fever before admission. She has been hospitalized for HIV infection one month ago and treated with ARV. Her mother was treated with ARV before. Physical examination showed a severely ill, poorly nourished, stunting, and conscious child with normal vital signs. There was oral thrush. The evidence of nutritional marasmus was old man face, piano sign, wasting, and baggy pants. Laboratory findings revealed anemia, positive antigen and antibody of HIV infection, and low Cluster of Differentiation 4 (CD4). She was treated with ARV, Cotrimoxazole, and management of malnutrition and diarrhea. The prognosis of the patient was poor. A 1-year and 8-months-old girl with HIV infection complicated with severe acute malnutrition, acute diarrhea, oral thrush, and anemia of chronic disease were reported. The diagnosis was based on clinical and laboratory findings. Management focused on the therapy of HIV and accompanying illness. The prognosis was poor.
The Relationship between Nutritional Status of Pregnant Women and Stunted Children Royani, Ida; Mappaware, Nasrudin Andi; Darma, Sidrah; Khalid, Nurfadhillah; Utami, Dian Fahmi
Green Medical Journal Vol 3 No 1 April (2021): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v3i1.80

Abstract

Introduction: The nutritional status of pregnant women has a significant impact on the fetus's health and development. Low birth weight can be caused by womb growth problems. Research in Nepal shows that babies with low birth weight have a higher risk of becoming stunted. West Sulawesi is the most populous province in Central Indonesia, with a population of 39.7%. In Mamuju District, West Sulawesi, the relationship between stunted babies and maternal nutritional status during pregnancy was investigated. Methods: Cross sectional analytic survey with a retrospective approach. Data processing using the chi square test. The population in this study was 20.039 people. Total sampling was used to collect nutritional status data of children under the age of five in West Sulawesi province from February to June 2020. In this study, 88 people were sampled, all of whom were mothers of stunted children aged 2 to 5 Years old and who had a KIA book during pregnancy. Results: The results of statistical tests showed that the p value of nutritional status with BMI and LILA 0.000 and the p value of HB levels 0.066. There was a link between pregnant women's nutritional status and LILA, but not between HB levels and stunting. Conclusion: The conclusion of this study is that there is a relationship between the nutritional status of pregnant women based on BMI and LILA and the incidence of stunting in Mamuju Regency, West Sulawesi Province.