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Occult Infection pada Anak Setelah 10 Tahun Mendapat Imunisasi Hepatitis B Asrawati Asrawati; Yusri Dianne Jurnalis; Yanwirasti Yanwirasti
Sari Pediatri Vol 17, No 5 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Occult hepatitis B infection (OBI) adalah suatu keadaan ditemukannya deoxyribose-nucleic acid (DNA) virus Hepatitis B (VHB) pada pemeriksaan HBsAg negatif. Mutasi pada preS2/S menyebabkan sekresi HBsAg menurun sehingga kadar HBsAg dalam serum terlalu rendah yang menyebabkan HBsAg tidak terdeteksi. Virus hepatitis B cenderung mengalami mutasi sebab tidak memiliki sistem koreksi selama replikasi karena tidak adanya 3â€™,5â€™exonuclease untuk mengkoreksi kesalahan insersi nukleotida saat transkripsi balik.Tujuan. Mengetahui insiden occult infection setelah 10 tahun mendapat imunisasi hepatitis B.Metode. Penelitian observasional dengan menggunakan desain cross sectional study pada anak sekolah dasar di Kota Padang dengan jumlah subjek penelitian 40 anak.Hasil. Jenis kelamin perempuan lebih banyak daripada laki-laki dan status gizi baik lebih banyak dari status gizi kurang. Insiden occult infection ditemukan 10% pada anak setelah 10 tahun mendapat imunisasi hepatitis B. Tidak terdapat hubungan antara antiHBs dengan occult infection.Kesimpulan. Occult infection pada anak setelah 10 tahun mendapat imunisasi hepatitis B adalah 10 %.

Metabolic Control Status Related to Quality of Life in Children with Type 1 Diabetes Mellitus at Dr. M. Djamil General Hospital Padang Ivanny Khosasih; Asrawati Nurdin; Eka Agustia Rini
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 6 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i6.529

Background. Type 1 Diabetes Mellitus (T1DM) is a chronic autoimmune disease requiring lifelong treatment. Good metabolic control could maintain an optimal quality of life. HbA1C is a reliable parameter of metabolic control. Poor metabolic control results in decreased quality of life for T1DM. This study aims to evaluate the relationship between metabolic control status and quality of life in children with T1DM at Dr. M. Djamil General Hospital Padang. Methods. This cross-sectional study on 52 T1DM children aged 8–16 years using consecutive sampling methods at the pediatric endocrinology outpatient clinic, Dr. M. Djamil General Hospital Padang, from April-September 2021. HbA1C was calculated using the High-Performance Liquid Chromatography (HPLC) method and classified into good and poor control. Quality of life was assessed using PedsQl 4.0 and classified as impaired and unimpaired. The Chi-square test was used for data analysis. The P-value of <0.05 was considered statistically significant. Results. The majority of respondents were girls (57.7%), and most of them had good nutritional status (73.1%). The mean age at diagnosis was 11.21±2.57 years, and they had suffered from T1DM for 2.21±1.28 years. A family history of diabetes was found in 57.7% of respondents. Complications found were hypoglycemia (19.2%) and diabetic ketoacidosis (50%). Poor metabolic control was found in 78.8% of respondents. Quality of life was impaired in 40.4% of respondents, especially in school functions. This study found that respondents with impaired quality of life had poor metabolic status (p<0.034). Conclusion. T1DM patients with poor metabolic control status have impaired quality of life.

PEMANFAATAN MAKANAN TAMBAHAN BERBASIS DIVERSIFIKASI DADIAH PADA IBU HAMIL DAN PELATIHAN PEMANTAUAN STATUS GIZI PADA PETUGAS KESEHATAN Susmiati Susmiati; Helmizar Helmizar; Asrawati Nurdin; Zifriyanti Minanda Putri; Esthika Ariany Maisa; Yuanita Ananda; Muthamainah Muthamainah; Sidaria Sidaria; Ilfa Khairina
Jurnal Hilirisasi IPTEKS Vol 2 No 4.a (2019)
Publisher : LPPM Universitas Andalas

Stunting adalah kondisi gagal pertumbuhan pada anak balita akibat kekurangan gizi dalam waktu lama terutama pada 1.000 Hari Pertama Kehidupan (HPK), yang disebabkan oleh banyak faktor seperti kondisi sosial ekonomi, gizi ibu saat hamil, kesakitan pada bayi dan kurangnya asupan gizi bayi. Stunting akan mengakibatkan anak mengalami keterlambatan dalam pertumbuhan dan perkembangan otak, beresiko mengidap penyakit metabolik dan degeneratif dikemudian hari. Salah satu program lokal berbasis masyarakat yang mungkin dilakukan adalah pemberian makanan tambahan pada ibu hamil yang merupakan usaha peningkatan gizi pada 1000 hari pertama kehidupan. Salah satu makanan yang sangat tinggi nilai gizi baik protein, lemak dan probiotiknya yang mudah didapatkan di daerah Lintau Buo adalah dadiah. Pemberian makanan tambahan ini tidak efektif bila tidak diikuti dengan pemantauan tumbuh kembang oleh petugas kesehatan. Untuk itu perlu dilakukan peningkatan pengetahuan ibu hamil tentang PMT dan peningkatan pengetahuan petugas tentang pemantauan tumbuh kembang bayi dan anak. Pengabdian berupa penyuluhan tentang pemanfaatan pemberian makanan tambahan berbasis dadiah pada ibu hamil serta pelatihan pemantauan tumbuh kembang pada petugas kesehatan di Nagari tanjung bonai Lintau Buo Utara Kabupaten Tanah datar yang terkenal sebagai penghasil dadiah yang tinggi kandungan bakteri asam laktat. Sasaran Pengabdian masyarakat ini adalah ibu hamil dan petugas kesehatan di wilayah Lintau Buo Utara. Metode pelaksanaan program ini terdiri dari beberapa tahapan yaitu tahap persiapan berupa persiapan izin lokasi, pembuatan modul penyuluhan. Tahap kedua yaitu pelaksanaan penyuluhan atau desiminasi ilmu dan peragaan pemantauan tumbuh kembang bayi dan anak. Tahap ketiga adalah tahap evaluasi terhadap kegiatan yang dilakukan. Dari kegiatan ini memberi nilai tambah pengetahuan ibu hamil dan petugas kesehatan sehingga diharapkan angka kejadian stunting dapat ditekan.

PENANGGULANGAN GIZI BURUK PADA DOKTER DAN PETUGAS GIZI PUSKESMAS DI DINAS KESEHATAN KABUPATEN TANAH DATAR Helmizar Helmizar; Susmiati Susmiati; Asrawati Nurdin; Hafifatul Auliya Rahmy; Restu Sakinah; Rani Wahyuni; Serly Suryana; Monika Trijuli Astuti; Meicy Astuti
Jurnal Hilirisasi IPTEKS Vol 3 No 2 (2020)
Publisher : LPPM Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jhi.v3i2.425

Malnutrition is a nutritional problem determined based on anthropometric indicators of body weight according to height or body length (BW / TB) with a z-score of <-3 SD and the presence or absence of edema. There are many problems with malnutrition in poor and developing countries such as Indonesia. Based on the 2015 Indonesian Health Profile, as many as 26,518 toddlers suffer from malnutrition, with a prevalence of 3.8% malnutrition in Indonesia. The current management of nutrition problems cannot only be handled by the government but requires the involvement and support of other stakeholders, such as elements of higher education. This activity aims to increase the knowledge of doctors and officers who work in Puskesmas throughout Tanah Datar Regency in overcoming malnutrition. The method used is training (capacity building). The training was given to Puskesmas stakeholders on efforts to improve children's nutritional status through mothers under five classes, measuring the nutritional status of children attending posyandu, providing nutrition education for mothers under five through mothers under five classes, and monitoring nutritional and nutritional intake of children under five. The main targets in implementing this activity are doctors, nutrition officers, and MCH officers in all puskesmas in Tanah Datar District. This activity is expected to increase health workers' knowledge in overcoming stunting in the Tanah Datar district. There was an increase in health workers' knowledge with an average pre-test score of 8.9, increasing to 9.3 in the post-test. With this activity, it is hoped that it can reduce malnutrition and mortality in children starting from the Tanah Datar district's scope.

Stimulation and cognitive function in short-stature preschoolers Ika Citra Dewi; Rini Sekartini; Hartono Gunardi; Asrawati Nurdin
Paediatrica Indonesiana Vol 61 No 2 (2021): March 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.2.2021.74-81

Background Normal-height children generally have better cognitive function than growth-stunted, short-stature children. Childrenâ€™s cognitive function reportedly improves with stimulation. However, a correlation between stimulation and cognitive function in children with a history of short stature remains unclear. Objective To assess correlation between stimulation and cognitive function in normal-height vs. short-stature preschool children. Methods A cross-sectional study with consecutive sampling was performed in four sub-district areas in Jakarta. Preschool-aged children and their primary caregivers from previous studies on short stature were eligible for inclusion. An Indonesian version of a questionnaire was used to assess stimulation. A psychologist assessed verbal IQ (VIQ), performance IQ (PIQ), and full-scale IQ (FSIQ) with the Indonesian version of the Wechsler Preschool and Primary Scale of Intelligence (WPPSI). Data were analyzed using Pearsonâ€™s correlation and Chi-square tests, and P values <0.05 were considered to be significant. Results Of 62 subjects, 64.5% had normal height and 35.5% had short stature. Both normal-height and short-stature children had similar IQ outcome and history of stimulation. The stimulation was significantly correlated with FSIQ in normal-height children (r= 0.316; P=0.047), but not short-stature children (r=0.049; P=0.828). However, the percentage differences in VIQ, PIQ, and FSIQ between normal-height and short-stature children were not significant (P=0.409, 0.119 and 0.877, respectively). Conclusion There is a significant correlation between stimulation and IQ in normal-height children. Short-stature preschoolers were not worse in terms of IQ than normal-height preschoolers. Parents and caregivers should be encouraged to provide regular and adequate stimulation to their young children.

Metabolic Control Status Related to Quality of Life in Children with Type 1 Diabetes Mellitus at Dr. M. Djamil General Hospital Padang Ivanny Khosasih; Asrawati Nurdin; Eka Agustia Rini
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 6 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i6.529

Background. Type 1 Diabetes Mellitus (T1DM) is a chronic autoimmune disease requiring lifelong treatment. Good metabolic control could maintain an optimal quality of life. HbA1C is a reliable parameter of metabolic control. Poor metabolic control results in decreased quality of life for T1DM. This study aims to evaluate the relationship between metabolic control status and quality of life in children with T1DM at Dr. M. Djamil General Hospital Padang. Methods. This cross-sectional study on 52 T1DM children aged 8–16 years using consecutive sampling methods at the pediatric endocrinology outpatient clinic, Dr. M. Djamil General Hospital Padang, from April-September 2021. HbA1C was calculated using the High-Performance Liquid Chromatography (HPLC) method and classified into good and poor control. Quality of life was assessed using PedsQl 4.0 and classified as impaired and unimpaired. The Chi-square test was used for data analysis. The P-value of <0.05 was considered statistically significant. Results. The majority of respondents were girls (57.7%), and most of them had good nutritional status (73.1%). The mean age at diagnosis was 11.21±2.57 years, and they had suffered from T1DM for 2.21±1.28 years. A family history of diabetes was found in 57.7% of respondents. Complications found were hypoglycemia (19.2%) and diabetic ketoacidosis (50%). Poor metabolic control was found in 78.8% of respondents. Quality of life was impaired in 40.4% of respondents, especially in school functions. This study found that respondents with impaired quality of life had poor metabolic status (p<0.034). Conclusion. T1DM patients with poor metabolic control status have impaired quality of life.

Analysis of the Characteristics of Stunting Toddler Mothers in the Working Area of the Anak Air Health Center in Padang City Yaumil Fauziah; Joserizal Serudji; Mayetti Mayetti; Nur Indrawaty Lipoeto; Asrawati Nurdin; Endrinaldi Endrinaldi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 1 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i1.14971

The incidence of stunting under five is still a major nutritional problem in Indonesia today. Stunting is a chronic nutritional problem caused by many factors such as age, mother's education and occupation, number of children and birth spacing. The purpose of this study was to analyze the characteristics of mothers who have stunted toddlers in the working area of the Anak Air Health Center in Padang City, West Sumatra Province. This research was conducted in the working area of the Anak Air Health Center in Padang City, West Sumatra Province. The time of the research started from November 2022 to January 2023. This research was an observational study with a descriptive approach. The population for this study was all mothers who had stunting toddlers in the Working Area of the Water Children's Health Center in 2022 as many as 337 people. The research sample was 54 stunting toddlers using a simple random sampling technique. Data collection was carried out using a questionnaire. Data analysis used is descriptive analysis. The results of the study are the characteristics of mothers who have stunted toddlers aged 21-35 years as many as 33 (61.1%), mother's work as housewives as many as 52 (96.3%), high school education as many as 37 (68.5%), the number of children >2 was 31 (57.4%), and the birth spacing was ≥3 years and the first child was 37 (68.5%). It is expected that optimal cross-sectoral cooperation in reducing the prevalence of stunting is according to the government's target, which starts from the first level health service center, namely the community health service center and it is suggested to health workers to provide health education to stunting toddlers about the importance of nutritional needs for toddlers in the process of growth and development. toddler development. Keyword: Characteristics, Education, Number and Spacing of Births, Occupation, Stunting Toddlers

Impact Of The Covid-19 Pandemic On Glycemic Control In Childhood Type 1 DM Patients Toni Kurniawan; Eka Agustia Rini; Asrawati Asrawati
Eduvest - Journal of Universal Studies Vol. 4 No. 3 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i3.1117

There has been an increase in cases of diabetic ketoacidosis in children aged 1-14 years from 73% in 2019 to 83% in 2020 during the COVID-19 pandemic. An increase in acute complications of type-1 DM can occur due to lack of compliance with glycemic control and activity restrictions which have the impact of reducing the level of glycemic control in children with type-1 DM. Based on these findings, researchers wanted to know the impact of restrictions on community activities during pandemic on the glycemic control of children with type 1 DM. The aims of this study is to determine the impact of the COVID-19 pandemic on glycemic control through HbA1c parameters in children with type 1 DM. Methods of this research is a cross sectional study with a sample size of 26 patients. Results are The average age of respondents was 15.58 years. More than half of respondents were female (73.1%). The average duration of suffering from type 1 DM was 4.77 years. More than half of the respondents had a history of diabetic ketoacidosis, 53.8%, and all respondents were Health Insurance (BPJS) participants (100%). There was a decrease in HbA1c levels during the pandemic compared to before the pandemic, namely 12.17 ± 2.60 to 10.32 ± 2.21. Statistically, this decrease means that there is an impact of the COVID-19 pandemic on glycemic control through the HbA1c parameter in children with type 1 DM (p<0.05). There was a decrease in HbA1c levels during the pandemic compared to before the pandemic.

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