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All Journal JURNAL WIDYA MEDIKA Folia Medica Indonesiana Sari Pediatri Paediatrica Indonesiana Jurnal Ilmiah Universitas Batanghari Jambi Biomolecular and Health Science Journal MEDICINUS

Nur Rochmah

Airlangga University/Dr. Soetomo General Hospital, Surabaya

Author-ID : 2409217

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Public Health Other

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Articles

CORRELATION BETWEEN BREASTFEEDING AND 3 – 24 MONTHS OLD CHILDREN DEVELOPMENT IN KEPUTIH HEALTH CENTER SURABAYA Chatrine Evania Palangan Sangka; Sri Umijati; Nur Rochmah
JURNAL WIDYA MEDIKA Vol 7, No 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.2879

Children's developmental disorders were increased in Indonesia. One of the factors affecting 3 – 24 months old children development is breastfeeding. However, in several studies, the correlation between the two was still uncertain. This study aimed to determine the correlation between breastfeeding and 3 – 24 months old children development with a cross-sectional study design. Randomly selected 78 mothers who had 3 – 24 months old children at the Keputih Health Center Surabaya. Researchers interviewed mothers about breastfeeding duration and breastfeeding method, as well as their children's development based on Prescreening Developmental Questionnaire (PDQ). Researchers also assessed children's development to answer PDQ. The correlation between breastfeeding and children’s development was then analyzed using the Chi-Square test. Exclusive breastfeeding was widely obtained in children with overall development (83.3%) and fine motor aspects (85.7%) at the appropriate age. Direct breastfeeding was widely obtained in children with speech and language development at the appropriate age (81.9%). Breastfeeding duration was related to overall children’s development (p=0.014) and fine motor aspect (p=0.025). The breastfeeding method was related to children's speech and language aspects (p=0.018). Breastfeeding duration was related to overall children’s development, particularly in the fine motor aspect. The breastfeeding method was related to children's speech and language aspects.

Hubungan Antara Lama Sakit dengan Kualitas Hidup Anak Penderita DMT1 Saat Pandemi Covid-19 di RSUD Soetomo Surabaya Kevin Almas Maromi; Nur Rochmah; Bambang Hermanto
Jurnal Ilmiah Universitas Batanghari Jambi Vol 21, No 3 (2021): Oktober
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v21i3.1694

This study aims to determine the relationship between length of illness and quality of life of people with Type 1 Diabetes Mellitus during the COVID-19 pandemic. This research is an analytical description study with a cross-sectional research approach using a questionnaire with telephone interview techniques. The questionnaire in this study was based on several guidelines and previous research. Measurements using PedsQl 3.2 Diabetes Module. Data were collected using a validated questionnaire consisting of 33 question items. The data was collected during October 2020. A total of 33 questionnaires were successfully distributed to patients at the Children's Clinic of Dr. RSUD Dr. Soetomo Surabaya who participated in this research. The data were then analyzed by non-parametric test using the Spearman correlation test method using IBM SPSS Statistics 25. Based on the quality of life assessment using the PedsQL questionnaire, 17 respondents (51.6%) had a near-poor quality of life, and 16 respondents had a near-good quality of life. The most disturbed domain is related to worry, which is as many as 20 respondents (60.7%). Meanwhile, the proportion of respondents with the highest quality approaching good was found in treatment I as many as 19 respondents (57.6%). There was also a positive and significant correlation between related to the disease, P Value 0.007 < 0.05, related to treatment I, P Value 0.011 <0.05, related to anxiety, P value 0.009 < 0.05, and related to communication, P Value of 0.016 < 0.05. In addition, there was also a significant negative relationship with regard to treatment II, P Value 0.000 < 0.05.

Metode Pemeriksaan Kualitas General moveÂ ments Meningkatkan Nilai Prediksi UltrasonoÂ grafi Kepala untuk Memprediksi Perkembangan Bayi Kurang Bulan dari Ibu Preeklamsia Berat Nur Rochmah; Ahmad Suryawan; Moersintowarti BN; Darto Saharso; Fatimah Indarso
Sari Pediatri Vol 14, No 1 (2012)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Kelahiran kurang bulan dan preeklamsia berat merupakan faktor risiko penyimpangan perkembangan. Deteksi dini perkembangan sangat penting. Hal tersebut memberi peluang intervensi awal dengan hasil optimal. Pemeriksaan ultrasonografi kepala mempunyai keterbatasan dalam memprediksi outcome perkembangan bayi kurang bulan. Pemeriksaan general movementslebih murah dan dapat digunakan di negara berkembang dengan sarana diagnostik yang terbatas. Penambahan pemeriksaan kualitas general movementsdapat meningkatkan nilai prediksi dibandingkan dengan pemeriksaan ultrasonografi kepala saja. Tujuan. Melakukan analisis nilai prediksi ultrasonografi kepala, pemeriksaan general movements,dan kombinasi keduanya untuk memprediksi status perkembangan bayi kurang bulan.Metode. Studi longitudinal diagnostik, dilakukan di RS Dr Soetomo Surabaya pada bulan Desember 2009 sampai Juni 2010. Pemeriksaan ultrasonografi kepala dilakukan pada usia 2 minggu pertama, general movementspada usia 52 minggu gestasi, dan status perkembangan dievaluasi dengan Denver II pada usia 4 bulan usia koreksi. Data dianalisis menggunakan SPSS 12.0. Persetujuan kelaikan etik dikeluarkan oleh RS Dr Soetomo, Surabaya. Hasil.Delapan belas bayi kurang bulan (<37 minggu gestasi) mengikuti penelitian.mempunyai nilai sensitivitas (SN), spesivisitas (SP), nilai prediksi positif (NPP), nilai prediksi negatif (NPN), dan likelyhood ratio(LR) ultrasonografi kepala (0,2;1,0;1,0;1;0,50;5,0), sedangkan general movements (0,90;0,75;0,82;0,86;3,60). Kombinasi kedua pemeriksaan tersebut mempunyai nilai prediksi (0,80;0,50;0,67;0,67;1,60). Kesimpulan.Penambahan pemeriksaan kualitas general movementsdapat meningkatkan sensitivitas outcomeperkembangan bayi kurang bulan dibandingkan hanya pemeriksaan ultrasonografi kepala saja.

Case Report: Medical Aspect, Growth, and Quality of Life in Children with 46,XX Testicular Disorder of Sex Development (DSD) Nur Rochmah; Muhammad Faizi; Irwina Rahma Andriani; Soraya Salle Pasulu
Folia Medica Indonesiana Vol. 54 No. 3 (2018): September
Publisher : Faculty of Medicine, Universitas Airlangga

46,XX testicular disorder of sexual development (DSD) is characterized by male phenotype with 46,XX karyotype. The incidence rate is 1:25,000 in male newborn. Infants with ambiguous external genitals will be confronted with issue of gender assigment and may result in a stressful condition in the parents. Since gender assignment is inevitable, several factors should be considered in DSD management. The management approach for children born with DSD is individualized and multidisciplinary. Gender assignment aims to facilitate the patient to obtain the best quality of life. Adaptation of children with 46,XX testicular DSD as a determinant of quality of life is also influenced by psychological and family conditions. The purpose of this report was to observe medical growth and development aspects of the child with 46,XX terticular DSD as indicated by the aspects of growth and development, and health related quality of life, as well as the influential aspects. PA, 18 months, was diagnosed with 46,XX testicular DSD. The patient routinely visited to endocrinology clinic, urologic surgery, and child psychiatry clinic from the age of 6 months. The parents decided to raise patient as male. The patient had undergone surgery for hypospadias correction, hormone injections, child growth monitoring, and psychological monitoring (medical records of Dr. Soetomo Hospital, Surabaya in 2015). Management should consider individual and multidiciplinary accompaniment of the patient and parents, the importance of group support, and follow-up to adulthood, as well as possible longterm outcomes that will occur in the future so that the patients and the parents need to be prepared.

The Comparison of Breast milk from Mother with Preterm Infant at 4o C Temperature in 0, 24 and 48 Hours on Bacterial Growth Pandit Bagus Tri Saputra; Nur Rochmah; Nurul Wiqoyah
Biomolecular and Health Science Journal Vol. 2 No. 2 (2019): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Introduction: Preterm and fullterm breast milk has different leukocyte and bioactive concentration, which affect it’s bactericidal activity and storage duration. The preterm breast milk potentially has longer storage duration than fullterm breast milk The research and guideline about the acceptable of storage duration of preterm breast milk at 4o C was limited. The objective of this study was to assess the correlation of storage duration of preterm breast milk preterm baby at 4o C temperature on bacterial growth.Methods: The study design was experimental using pre-post control groups design. We used 9 samples of breast milk which met the inclusion criteria divided into 3 groups. The first, second and third groups was storage in 4o C for 0, 24 and 48 hours respectively before the inoculation to the culture media.Results: After the samples were kept at 4o C temperature for 0, 24 and 48 hours, the mean bacterial colony forming unit for each group were 92 (±SD 112), 79 (±SD 97) and 63 (±SD 73) CFU respectively. Compared to the first group, the second and third group has lower bacterial colony forming unit but no significant differences statistically (P= 0.214 and P=1.39 respectively). Likewise there was no significant bacterial colony forming unit between second and third group (P=0.086).Conclusion: Storage of preterm breast milk in 4o C for 24 and 48 hours show no change in total bacterial colony count (TBCC)..

Diabetic ketoacidosis in children: an 11-year retrospective in Surabaya, Indonesia Nur Rochmah; Muhammad Faizi; Netty Harjantien
Paediatrica Indonesiana Vol 55 No 1 (2015): January 2015
Publisher : Indonesian Pediatric Society

Background Diabetic ketoacidosis (DKA) is a complication of type I diabetic mellitus (TIDM). Early recognition and prompt treatment can reduce mortality. Objective To evaluate the profiles of patients with diabetic ketoasidosis in Dr. Soetomo Hospital, Surabaya, Indonesia. Methods Retrospective medical records of patients admitted to the pediatric intensive care unit with DKA in Dr. Soetomo Hospital, Surabaya, Indonesia from January 2002 to June 2013 were reviewed. The data collected included clinical parameters, laboratory and imaging results, predisposing factors, complications and outcomes. Results During an 11 years period, there were 58 cases of DKA in children with T1DM. Eighteen subjects (31%) were boys. The severity of DKA was classified as follows: mild 13 (22.4%), moderate 23 (39.7%), and severe DKA 22 (37.9%). Recurrent DKA was diagnosed in 24 (41.4%) patients. Common clinical profiles recorded were dehydration 46 (79.3%), malaise 37 (63.8%), decreased consciousness 35 (60.3%), dyspnea 27 (46.6%), vomiting 26 (44.8%), fever 25 (43.1%), seizure 13 (22.4%), and decreased body weight 9 (15.5%). Laboratory results observed were as folllows: hyponatremia 19 (32.8%), hyperkalemia 12 (20.7%) and acute renal failure 3 (5.2%). Head CT scans showed that 2 (3.4%) patients suffered from cerebral edema. Infections, as triggers of DKA, were found in 12 (20.6%) patients: 4 caries and periodontitis, 3 urinary tract infections, 2 acute diarrhea, 2 acute pharyngitis, and 1 otitis externa. Four out of 24 patients with recurrent DKA failed to take their insulin dose prior to DKA. The average of length of patient stay in the PICU was 3.26 (SD 3.50) days. No patients died during the study. Conclusion Dehydration is the most common clinical profile of DKA in our study. More than half of the patients suffer from moderate to severe DKA.

Impact of growth hormone treatment on childrenâ€™s height Nur Rochmah; Muhammad Faizi
Paediatrica Indonesiana Vol 54 No 6 (2014): November 2014
Publisher : Indonesian Pediatric Society

Background The use of growth hormone (GH) is a routine treatment for growth hormone deficiency (GHD), small for gestational age (SGA), and Turner syndrome (TS). During the treatment, height measurement at regular intervals is a vital step to assess success. To date, there have been no previous studies on GH treatment in Dr. Soetomo Hospital, Surabaya, the referral hospital in East Indonesia. Objective To compare body height between pre- and post-growth hormone treatment in pediatric patients. Method This study was a non-randomized, pre-post clinical trial performed at Dr. Soetomo Hospital, Surabaya. The prospective cohort was accessed during January 2008-June 2013. The inclusion criteria was GH treatment for more than 3 months.Clinical data on GH treatment, including diagnosis, age, height pre-and post-treatment, height gain, duration of treatment, and parental satisfaction were collected. Two-tailed, paired T-test and Pearsonâ€™s test were used for statistical analyses. Result Nineteen patients underwent GH treatment during the study period, but only twelve patients had complete data and were included in the study. Eight subjects were female. Subjectsâ€™ meanage was 11 (range 8-15) years. Nine patients had GHD, 2 had TS, and 1 had SGA. Mean pre-treatment height was 121.05 cm, while mean post-treatment height was 130.5 cm. Mean duration of treatment was 10.5 (range 3-30) months. Mean height gain was 0.8 cm/month in GHD and SGA cases, and 0.78 cm/month for the TS cases. Eleven parents reported satisfaction with the results of GH treatment in their children. There is significant diffrent between pre- and post-treatment (P=0.001). Pearsonâ€™s correlation test (r=0.90) revealed a strong correlation between growth hormone treatment and height gain. Conclusion Growth hormone treatment has impact on heights in GH defficiency, Turner syndrome, and small for gestational age.

Diabetes duration and thyroid stimulating hormone levels in children with type 1 diabetes mellitus Nur Rochmah; Muhammad Faizi
Paediatrica Indonesiana Vol 58 No 2 (2018): March 2018
Publisher : Indonesian Pediatric Society

Background Children with type 1 diabetes mellitus (T1DM) are at risk of thyroid dysfunction. An association between diabetes duration and thyroid stimulating hormone level remains inconclusive. Objective To assess for a possible association between diabetes duration and thyroid stimulating hormone levels in children with T1DM. Methods We conducted a cross-sectional study from January to June 2017 in the Pediatric Endocrine Outpatient Clinic at Dr. Soetomo Hospital. Subjects were children with T1DM aged 7 to <18 years. Exclusion criteria were children with diabetic ketoacidosis, previously diagnosed thyroid problems, and hospitalization in the pediatric intensive care unit (PICU).Â Results From the 55 regular patients in our outpatient clinic, 34 patients were included in the study. Nineteen (54.3%) subjects were male, and the overall mean age was 11.3 years. Subjects' mean duration of diabetes was 3 years and their mean thyroid stimulating hormone concentration was 3.76mIU/L. Pearson's correlation test revealed no significant association between duration of diabetes and thyroid stimulating hormone level (rs=-0.068; P=0.703). Conclusion There is no significant association between duration of diabetes and thyroid stimulating hormone levels in children with T1DM.

Hyperglycemia in Childhood Acute Lymphoblastic Leukemia During Induction Chemotherapy Nengcy Erlina Tasik Rerung; Andi Cahyadi; Nur Rochmah; Maria Christina Shanty Larasati; Mia Ratwita Andarsini; Muhammad Faizi; IDG Ugrasena; Bambang Permono
MEDICINUS Vol 34 No 1 (2021): MEDICINUS
Publisher : PT Dexa Medica

Introduction: Hyperglycemia is a well-known adverse effect of the corticosteroids and asparaginase given during induction chemotherapy for pediatric acute lymphoblastic leukemia (ALL). ALL is a type of hematologic malignancy with high incidence in the childhood. The aim of this study is to investigate the impact of hyperglycemia during induction chemotherapy in childhood ALL. Methods: This prospective study was done in Dr. Soetomo hospital from January to April 2018. The subject was newly diagnosed as ALL under the age of 18 years, treated with Indonesian childhood ALL 2013 protocol (standard risk (SR) group and high risk (HR) group). Hyperglycemia was defined as at least two separate random plasma glucose levels >200 mg/dL, which was evaluated before and during induction chemotherapy. Statistical analysis using Paired T-test for parametric and Wilcoxon test for nonparametric. Results: Thirty-three children were enrolled, 18/33 boys with mean age 5.8 (SD 3.78) years, compromised as ALL-L1 30/33. They were treated with ALL-HR 19/33 and ALL-SR 14/33. In overall groups, the mean random blood glucose level significantly increased from 108 (SD 21.3) mg/dl to 147 (SD 48.1) mg/dl, (mean difference 38.67 mg/dl; 95% CI 18.08 to 59.26 mg/dl, p=0.008). In SR group, there was a significant increase of mean random blood glucose level from 102 (SD 13.5) mg/dl to 133 (SD 37.3) mg/dl, (mean difference 31.8 mg/dl; 95% CI 8.78 to 54.8 mg/dl; p=0.01). In HR group, the mean random blood glucose level increased from 113 (SD 51.9) mg/dl to 165 (SD 25.4) mg/dl, (mean difference 51.9 mg/dl; 95% CI 18.6 to 85.2 mg/dl, p=0.004). Conclusion: Blood glucose level is significantly increase during induction chemotherapy in both SR and HR Indonesian childhood ALL 2013 protocol.

Co-Authors Ahmad Suryawan Andi Cahyadi Bambang Hermanto Bambang Permono Chatrine Evania Palangan Sangka Darto Saharso Fatimah Indarso I Dewa Gede Ugrasena Irwina Rahma Andriani Kevin Almas Maromi Maria Christina Shanty Larasati Mia Ratwita Andarsini Moersintowarti BN Muhammad Faizi Muhammad Faizi Nengcy Erlina Tasik Rerung Netty Harjantien Nurul Wiqoyah, Nurul Pandit Bagus Tri Saputra Soraya Salle Pasulu Umijati, Sri

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