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Factors Related to Malnutrition in Children Under Five Years with Congenital Heart Disease Augiani, Amani Sakinah; Rahayuningsih, Sri Endah; Herawati, Dewi Marhaeni Diah
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Background: Congenital heart disease (CHD) is the most frequent type of heart disease that occurs in children. Children with CHD are more vulnerable to suffer impaired nutritional status related to morbidity and mortality. The nutritional status, however, may not be influenced only by CHD, but also by other factors.. The study was conducted to identify factors related to malnutrition in children with CHDMethods: This cross-sectional study involved 86 children with CHD recruited from Dr. Hasan Sadikin General Hospital Bandung from October to November 2015. Data collected in this study were obtained by conducting anthropometric measurements, interviewed the parents (obstetric history, patientâs medical history and socioeonomic status) and from medical records (the type and time of CHD diagnosis, other diseases that accompanied the CHD). The collected data were presented by frequency distribution. Results: There were 46.5%Â patients who had nutritional disturbance. Malnutrition in males and patients with Tetralogy of Fallot were higher than other groups. Almost half patients with maternal history of passive smoking during pregnancy had nutritional disturbance. The most common disease found was diarrhea followed by lower respiratory infection. Percentage of normal children in low-income parents group was lower than the high-income group. Conclusions: Nearly half of patients have nutritional disturbance. Percentage of nutritional disturbance in male was higher compared to female. Active and passive smokers, Tetralogi Fallot, diarrhea, lower respiratory infection and lower incomeÂ were factors contributed to malnutrition. [AMJ.2017;4(1):111â7]DOI:Â 10.15850/amj.v4n1.1031

Familial Analysis of Patients with Hypertension in Jatinangor, West Java, Indonesia Hayati, Keumala; Sofiatin, Yulia; Rahayuningsih, Sri Endah; Roesli, Rully M.A.
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Background: Hypertension is a disease that is influenced by genetic factors, although the single gene affecting the occurrence of the disease has not been yet discovered. Genetic analysis and familial analysis on hypertension are needed to be done but genetic analysis needs substantial fund, and familial analysis on hypertension has been never done in community. Besides sharing the genetic factors, family also shares similar environment and life style. Latest study showed that the association between genetic and environmental factors can affect the phenotype of chronic disease suchas hypertension. The study was aimed to explore the family history contribution of patients with hypertension in Jatinangor.Methods: This was a descriptive-quantitave study. The subjects were 283 hypertensive patients in Jatinangor with complete data of family history. The data was retrospectively obtained from secondary data of a previous study conducted in Community Health and Well-ness Study Center, Faculty of Medicine, Universitas Padjadjaran titled Epidemiology of Hypertension and Albuminuria in Jatinangor 2014. Familial analysis conducted in this study was modified trios analysis.Results: In this modified trios analysis, there was only 20% of total patients with hypertension who have history of hypertension in two generations of their family. The proportion of patients with hypertension who have history of hypertension in one generation of their family was greater. More than 45% from the total 283 patients with hypertension analyzed in this study have family history of hypertension.Conclusions: Familial analysis using modified trios analysis showed similar results with the study conducted using other genetical analysis.

Kesehatan Reproduksi Remaja Putri di Pondok Pesantren Sidoarjo Jawa Timur Nisa Mairo, Queen Khoirun; Rahayuningsih, Sri Endah; Purwara, Benny Hasan
Majalah Kedokteran Bandung Vol 47, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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terkait kesehatan reproduksinya. Remaja lebih banyak menghabiskan waktunya di sekolah. Pondok pesantren merupakan model pendidikan yang bercirikan asrama dengan pola interaksi 24 jam dengan teman sebaya. Penelitian ini bertujuan menganalisis faktor yang berhubungan dengan kesehatan reproduksi remaja putri di pondok pesantren. Penelitian ini dilakukan pada 100 remaja putri Pondok Pesantren Darul Falah Pusat pada kurun waktu Septemberâˆ’Oktober 2012 dengan menggunakan kuesioner yang telah teruji validitas dan reliabilitasnya. Variabel pengetahuan, sikap, komunikasi orangtua, komunikasi guru, komunikasi teman sebaya, dan sumber informasi sebagai independen, sedangkan kesehatan reproduksi sebagai dependen. Data dianalisis secara univariabel, bivariabel, dan multivariabel. Hasil penelitian menunjukkan remaja yang bermasalah dalam kesehatan reproduksi sebanyak 68%. Kesehatan reproduksi remaja terdapat hubungan bermakna dengan faktor pengetahuanÂ (p=0,022),Â sikap (p=0,002) dan komunikasi teman sebaya (p<0,001), tetapi tidak terdapat hubungan bermakna terhadap kesehatan reproduksi remaja pada komunikasi orangtua (p=0,655), komunikasi guru (p=0,833), dan sumber informasi (p=0,532). Faktor yang paling berhubungan dengan kesehatan reproduksi remaja putri di pondok pesantren adalah komunikasi teman sebaya (p=0,001). Simpulan, masalah kesehatan reproduksi di pondok pesantren masih tinggi dengan pengetahuan mengenai kesehatan reproduksi masih rendah, sikap terhadap kesehatan reproduksi kurang, dan faktor yang paling berhubungan adalah komunikasi teman sebaya. [MKB. 2015;47(2):77â€“83]Kata kunci: Kesehatan reproduksi remaja, lingkungan, pengetahuan, pondok pesantren, sikapReproductive Health of Adolescent Girls in Islamic Boarding School Sidoarjo East JavaAbstractReproductive organ maturation process in adolescence is often prone to health issues. Adolescents spend more time in school, especially when they study in an islamic boarding school. Islamic boarding school is an educational model which is characterized by a dorm with 24 hour interaction pattern among peers. This study aimedÂ to analyze factors associated with adolescent reproductive health in Islamic boarding school female students. This study was conducted on 100 adolescent girls in Darul Falah Center Islamic boarding school during September to October 2012 using questionnaires with proven validity and reliability. Knowledge, attitudes, parent communication, teacher communication, peer communication, source of information were used as the independent variables and reproductive health was used as the dependent variable. All variables were analyzed ini univariabel, bivariable, and multivariable manners. The results of this study show that 68% adolescents had reproductive health problems. There was a significant relationship between knowledge (p=0.022), attitude (p=0.002) and peers communication (p<0.001) factors andÂ adolescent reproductive health withno significant relationship discovered between the reproductive health of adolescents and parent communication (p=0.655), teacher communication (p=0.833), and sources of information (p=0.532). The most influencing factor associated with reproductive health in adolescent girls Islamic boarding school was peer communications (p=0.001). In conclusions, reproductive health problem in Islamic boarding school remains high with inadequate knowledge of reproductive health andÂ low attitude towards reproductive health with peer communication as the most influencing factor. [MKB. 2015;47(2):77â€“83]Key words: Adolescent reproductive health, attitudes, environment knowledge, Islamic boarding schoolÂ DOI: 10.15395/mkb.v47n2.457

Luaran Penutupan Duktus Arteriosus Persisten Transkateter di Rumah Sakit Dr. Hasan Sadikin Bandung Kuswiyanto, Rahmat Budi; Firman, Armijn; Rayani, Putria; Rahayuningsih, Sri Endah
Majalah Kedokteran Bandung Vol 48, No 4 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Saat ini penutupan duktus arteriosus persisten (DAP) transkateter merupakan terapi pilihan karena memiliki efikasi yang baik, masa rawat yang singkat, risiko yang lebih rendah, dan bebas dari parut dada. Tujuan penelitian ini adalah mengevaluasi luaran jangka pendek dan menengah penutupan DAP transkateter. Penelitian merupakan laporan deskriptif analitik pasien yang menjalani penutupan DAP transkateter secara konsekutif di RS Dr. Hasan Sadikin Bandung selama periode Mei 2011 sampai dengan Juni 2014 dengan melakukan evaluasi pemeriksaan klinis dan ekokardiografi saat 24 jam, 1, 3, 6, dan 12 bulan setelah prosedur. Selama periode penelitian terdapat 132 pasien DAP yang menjalani penutupan transkateter, terdiri atas 42 laki-laki dan 90 perempuan, dengan median usia 3,9 tahun, berat badan 11,25 kg, tekanan sistol arteri pulmonalis 56 mmHg, ukuran defek 3,4 mm, flow ratio 2,8, fluoroscopy time 16 menit, dan procedure time 67 menit. Segera setelah prosedur 54% memperlihatkan penutupan lengkap, smoky residual 41%, dan residual ringan 6%. Sebagian besar pasien dipulangkan sehari setelah prosedur, tidak ada yang meninggal dan komplikasi hanya 3,8%. Semua pasien memperlihatkan penutupan lengkap pada follow-up. Penutupan DAP transkateter merupakan terapi yang aman dan efektif dengan masa rawat yang singkat dan komplikasi yang minimal. [MKB. 2016;48(4):234â€“40]Kata kunci: Duktus arteriosus persisten, penutupan transkateterÂ Outcome of Transcatheter Occlusion of Patent Ductus Arteriosus in Dr. Hasan Sadikin General Hospital Bandung: a Preliminary ReportAbstractTranscatheter closure of patent ductus arteriosus (PDA) is a treatment of choice with good efficacy, shorter hospitalization, less risks, and chest scar free. The objective of this study was to evaluate the immediate and mid-term outcomes of transcatheter closure of PDA. An analytic descriptive study was peformed on patients underwent transcatheter PDA occlusion in Dr. Hasan Sadikin General Hospital Bandung between May 2011 and June 2014. Evaluation was conducted through clinical examination and echocardiography 24 hours, 1, 3, 6 and 12 months after the procedure. The procedure was successful in 132 PDA patients (42 males and 90 females). The median age, body weight, systolic pulmonary artery pressure, PDA size, flow ratio, fluoroscopy time, and procedure time were 3.9 years, 11.25 kg, 56 mmHg, 3.4 mm, 2.8, 16 minutes, and 67 minutes, respectively. Immediately after the procedure, 54% patients had complete closure, 41% experienced smoky residual shunt and only 5% experienced small residual shunt. The mortality and complication rate was 3.8%. Most of the patients were discharged the next day after the procedure. All patients showed complete closure during followed-up. Transcatheter closure of PDA is safe and effective with shorter hospitalization and minimum complications. [MKB. 2016;48(4):234â€“40]Key words: Patent ductus arteriosus transcatheter closure

Tricuspid Annular Plane Systolic Excursion pada Bayi Kurang Bulan dan Cukup Bulan Rahayuningsih, Sri Endah; Garna, Herry
Majalah Kedokteran Bandung Vol 43, No 4
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Bayi kurang bulan adalah bayi yang lahir dengan usia kehamilan kurang dari 37 minggu. Dibandingkan denganÂ bayi yang lahir normal, bayi kurang bulan memang cenderung bermasalah. Dengan prematurnya masa gestasi,Â maka dapat menyebabkan ketidakmatangan pada semua sistem organ, termasuk organ kardiovaskular. TujuanÂ penelitian ini untuk mengetahui fungsi ventrikel kanan yang diukur dengan metode tricuspid annular plane systolicÂ excursion (TAPSE) serta fungsi ventrikel kiri dengan metode fraksi ejeksi dan fraksi pemendekan yang dilakukanÂ dengan ekokardiografi pada bayi kurang bulan. Subjek penelitian ini bayi cukup bulan dan kurang bulan yangÂ memenuhi kriteria inklusi, yaitu bayi sesuai masa kehamilan berusia 3â€“30 hari. Penelitian merupakan penelitianÂ deskriptif analitik dengan rancangan potong lintang yang dilakukan di Departemen Ilmu Kesehatan Anak RSÂ Dr. Hasan Sadikin Bandung, selama Juliâ€“Oktober 2010 dengan analisis statistik menggunakan perhitungan ujiÂ t, korelasi rank Spearman. Hasil penelitian menunjukkan perbedaan antara fungsi ventrikel kanan yang diukurÂ dengan metode TAPSE bayi kurang bulan dan bayi cukup bulan (p=0,006). Tidak terdapat perbedaan yangÂ bermakna antara fraksi ejeksi bayi kurang bulan dan cukup bulan (p=0,22) dan fraksi pemendekan rata-rata padaÂ bayi kurang bulan dan bayi cukup (p=0,20). Simpulan penelitian ini, ditemukan perbedaan fungsi ventrikel kananÂ yang diukur dengan TAPSE pada bayi kurang bulan lebih rendah dibandingkan dengan bayi cukup bulan. [MKB.2011;43(4):178â€“82].Kata kunci: Bayi cukup bulan, bayi kurang bulan, ekokardiografi, fungsi ventrikel kanan, TAPSETricuspidAnnular Plane Systolic Excursion in Preterm and Term BabiesA preterm infant is a baby born with gestational age less than 37 weeks. Preterm babies tend to have problemsÂ compared to normal ones. Premature gestational age might result in immaturity of all organ systems of the bodyÂ including cardiovascular organs. The aim of this study was to find out the right ventricle function by tricuspid annular plane systolic excursion (TAPSE) and left ventricle by ejection fraction and shortening fraction usingÂ echocardiography on preterm babies. The subject of this study were term and preterm babies who fulfilled theÂ inclusion criteria: appropiate gestational age babies 3â€“30 days old. This was an analytic descriptive study with cross-sectional method held in Department of Child Health Dr. Hasan Sadikin Hospital Bandung during Julyâ€“October 2010, and statistical analysis using tâ€“test Spearman rank correlation test. The result of the study showedÂ that the right ventricle function examined by TAPSE method was different on preterm compared to term babies(p=0.006). No significant difference was found in the ejection fraction between preterm and term babies (p=0.22)Â and so did the shortening fraction (p=0.20). It was concluded that there is a difference in the right ventricle functionÂ by TAPSE method between preterm (lower) and term babies. [MKB. 2011;43(4):178â€“82].Key words: Echocardiography, preterm baby, right ventricle function, TAPSE, term babyÂ DOI:Â http://dx.doi.org/10.15395/mkb.v43n4.66

STATUS SOSIAL EKONOMI DENGAN LAMA MENYUSUI Islami, Islami; Susanto, Herman; Rahayuningsih, Sri Endah
Jurnal Ilmu Keperawatan dan Kebidanan Vol 4, No 1 (2013): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : STIKES Muhammadiyah Kudus

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Status sosial ekonomi merupakan salah satu faktor yang berkontribusi pada status kesehatan seseorang. Masyarakat dengan pendidikan dan sosial ekonomi yang rendah cenderung tidak memprioritaskan perilaku sehat seperti perilaku pencegahan penyakit, perilaku pemeliharaan kesehatan dan perilaku mencari pengobatan, termasuk perilaku pemberian ASI. Penelitia ini bertujuan untuk mengetahui korelasi status sosial ekonomi dengan lama menyusui. Metode penelitian ini adalah penelitian analitik dengan pendekatan observasionalÂ cross sectional. Populasi dalam penelitian ini adalah ibu menyusui di kecamatan Kaliwungu, Kota, Dawe, Jekulo dan Undaan Kabupaten Kudus yang memenuhi kriteria inklusi dengan teknik pengambilan sampel gugus bertahap dan diperoleh 140 responden. Penelitian ini dilaksanakan pada bulan Juli sampai September 2012. Data yang telah dikumpulkan dianalisis statistik univariabel, bivariabel dengan uji korelasi Lambda. Penghasilan dinilai berdasarakan jumlah biaya pengeluaran per bulan. Hasil yang diperoleh dalam penelitian ini adalah terdapat korelasi antara penghasilan dengan lama menyusui (r =0.393Â p= <0.001), tidak terdapat korelasi antara pendidikanÂ dengan lama menyusui (r = 0.075 p= 0.180) dan tidak terdapat korelasi antara pekerjaan dengan lama menyusui ( r = 0.047 p= 0.249). Simpulan dalam penelitian ini adalahÂ tingkat pendidikan dan pekerjaan tidak memengaruhi lama menyusui, sedangkan penghasilan yang tinggi membuat ibu tidak mempunyai waktu yang cukup untuk menyusui.

Factors Related to Malnutrition in Children Under Five Years with Congenital Heart Disease Amani Sakinah Augiani; Sri Endah Rahayuningsih; Dewi Marhaeni Diah Herawati
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Congenital heart disease (CHD) is the most frequent type of heart disease that occurs in children. Children with CHD are more vulnerable to suffer impaired nutritional status related to morbidity and mortality. The nutritional status, however, may not be influenced only by CHD, but also by other factors.. The study was conducted to identify factors related to malnutrition in children with CHDMethods: This cross-sectional study involved 86 children with CHD recruited from Dr. Hasan Sadikin General Hospital Bandung from October to November 2015. Data collected in this study were obtained by conducting anthropometric measurements, interviewed the parents (obstetric history, patient’s medical history and socioeonomic status) and from medical records (the type and time of CHD diagnosis, other diseases that accompanied the CHD). The collected data were presented by frequency distribution. Results: There were 46.5% patients who had nutritional disturbance. Malnutrition in males and patients with Tetralogy of Fallot were higher than other groups. Almost half patients with maternal history of passive smoking during pregnancy had nutritional disturbance. The most common disease found was diarrhea followed by lower respiratory infection. Percentage of normal children in low-income parents group was lower than the high-income group. Conclusions: Nearly half of patients have nutritional disturbance. Percentage of nutritional disturbance in male was higher compared to female. Active and passive smokers, Tetralogi Fallot, diarrhea, lower respiratory infection and lower income were factors contributed to malnutrition. [AMJ.2017;4(1):111–7]DOI: 10.15850/amj.v4n1.1031

Congenital Heart Disease Characteristics in Low Birth Weight Infants at Dr. Hasan Sadikin General Hospital in 2010–2014 Villia Damayantie; Sri Endah Rahayuningsih; Irvan Afriandi
Althea Medical Journal Vol 6, No 3 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Congenital heart disease (CHD) is a multifactorial disease defined as an anomaly in the macroscopic structure of the heart that may cause functional disorders. The incidence of CHD is reported higher in infants with low birth weight (LBW) than the entire population of neonates. This study aimed to describe the characteristics of CHD in infants born with LBW.Methods: This was a retrospective descriptive study with a cross-sectional design, performed in October–November 2015. Data were obtained from medical records of inpatients infants at Dr. Hasan Sadikin General Hospital, Bandung in the period of 2010–2014. The data presented were the characteristics of CHD in LBW infants.Results: Of 364 LBW infants treated in the hospital within 5 years period, 21 infants (14 girls and 7 boys) were diagnosed as CHD, with birth weight group predominantly (n18; 85.7%) in the range of 1,500–2,499 gr. Non-cyanosis CHD was prevalent in 95.2% (n20),and patent ductus arteriosus (PDA)was found in 76.1% (n16). Comorbid conditions mostly found in this study were preterm birth (n17), sepsis (n10), and neonatal hyperbilirubinemia (n9).Conclusions: The most common type of CHD in low birth weight infants in Dr. Hasan Sadikin General Hospital is Patent Ductus Arteriosus. The presence of congenital heart disease should be considered in low birth weight infants, thus it is essential to perform screening for early recognition.

The Air Quality and Detection of Streptococcus pneumoniae in the Pediatric Ward of Dr. Hasan Sadikin Hospital Bandung Thiban Raj Manoraj; Yanti Mulyana; Sri Endah Rahayuningsih
Althea Medical Journal Vol 6, No 3 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Nosocomial infection can be acquired by inhalation of droplets from contaminated air. In children, nosocomial pneumonia is mainly caused by Streptococcus pneumoniae. This study aimed to explore the air quality level and to detect Streptococcus pneumonia in the air of the Pediatric Ward of Dr. Hasan Sadikin Hospital, Bandung. Methods: This was an observational descriptive study conducted in the Pediatric Ward of Dr. Hasan Sadikin Hospital in November 2012. The different number of modified tryptic soy agar (TSA) plates with 4% blood were exposed and placed in various rooms of the ward for 30 minutes between 12.00 pm to 1.00 pm at heights between 1.0m to 1.5m and according to the respectively room air volume. After exposure, these plates were then incubated for 48 hours at 35°C. The Colony Forming Units (CFU) on each plate was counted per Replicate Organism Detection and Counting (RODACTM). Detection of Streptococcus pneumonia was performed by detecting any round α-hemolytic colonies on the TSA plate, confirmed by Gram staining, optochin susceptibility test, and the bile solubility test. Result: The air quality in 13 rooms of the Pediatric Ward was generally poor ranging from 27.5 to 232.0 CFU/30 min, however, the concentration of microorganisms per cubic meter air was from 0.198 to 4.296 CFU/m3. Moreover, Streptococcus pneumoniae was not present in the air of the ward.Conclusions: Although Streptococcus pneumoniae has not been detected, the air quality in the Pediatric Ward of Dr. Hasan Sadikin Hospital, Bandung is generally poor. General precautions need to be enhanced to increase the air quality in the hospital.

Familial Analysis of Patients with Hypertension in Jatinangor, West Java, Indonesia Keumala Hayati; Yulia Sofiatin; Sri Endah Rahayuningsih; Rully M.A. Roesli
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (740.112 KB)

Background: Hypertension is a disease that is influenced by genetic factors, although the single gene affecting the occurrence of the disease has not been yet discovered. Genetic analysis and familial analysis on hypertension are needed to be done but genetic analysis needs substantial fund, and familial analysis on hypertension has been never done in community. Besides sharing the genetic factors, family also shares similar environment and life style. Latest study showed that the association between genetic and environmental factors can affect the phenotype of chronic disease suchas hypertension. The study was aimed to explore the family history contribution of patients with hypertension in Jatinangor.Methods: This was a descriptive-quantitave study. The subjects were 283 hypertensive patients in Jatinangor with complete data of family history. The data was retrospectively obtained from secondary data of a previous study conducted in Community Health and Well-ness Study Center, Faculty of Medicine, Universitas Padjadjaran titled Epidemiology of Hypertension and Albuminuria in Jatinangor 2014. Familial analysis conducted in this study was modified trios analysis.Results: In this modified trios analysis, there was only 20% of total patients with hypertension who have history of hypertension in two generations of their family. The proportion of patients with hypertension who have history of hypertension in one generation of their family was greater. More than 45% from the total 283 patients with hypertension analyzed in this study have family history of hypertension.Conclusions: Familial analysis using modified trios analysis showed similar results with the study conducted using other genetical analysis.

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