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All Journal Jurnal Berkala Epidemiologi Folia Medica Indonesiana Jurnal Media Gizi Indonesia (MGI) Sari Pediatri Paediatrica Indonesiana Health Notions Jurnal Medik Veteriner Amerta Nutrition Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Media Gizi Kesmas Indian Journal of Forensic Medicine & Toxicology MEDICINUS
Roedi Irawan
Child Health Department, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Maternal Parity and Onset of Lactation on Postpartum Mothers Piesesha, Frieska; Purnomo, Windhu; Irawan, Roedi
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.346 KB)

Abstract

Onset of lactation is one of indicators of lactogenesis stage II which is the important phase in infants breastfeeding. Breastfeeding is important as it gives many health benefits for both mother and babies. The early initiation of breastfeeding is not always going smooth as sometimes mothers or babies experience various difficulties that complicate the lactation process, especially in primipara women with less knowledge of lactation. Those obstacles and difficulties will influence the practice of breastfeeding which may lead to delay onset of lactation. Thus, this study was conducted to identify the onset of lactation and analyze parity factor on postpartum mothers in DKT hospital in Gubeng Pojok, Surabaya, East Java. It was an observational analytic study with prospective cohort design. 50 respondents were randomly selected using systematic random sampling. Regression logistic showed a correlation between parity and onset of lactation (p = 0.024; RR = 7.277), in which primipara mothers were 7.277 times more likely to have delay onset of laction than multipara mothers. It was concluded that maternal parity associated with onset of lactation on postpartum mothers.  
Comparison of the Serum Concentrations of Micronutrients Zinc and Iron in Epileptic Children before and after Administration of Valproic ACID Ratih Dwi Andini1 , Darto Saharso2 , Roedi Irawan2 , Prastiya Indra Gunawan2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13421

Abstract

Introduction: The mortality rate of epileptic patients has increased despite advances in the treatment ofepilepsy. Several studies have indicated that changes of micronutrient homeostasis led to seizures. Theanticonvulsant valproic acid affects the intracellular concentration of micronutrients.Objective: To compare the serum concentrations of micronutrients zinc and iron in paediatric patients withepilepsy before and after administration of valproic acid.Method: A prospective cohort design study was conducted in children with epilepsy from July to December2019 in the outpatient department of paediatric neurology, Dr. Soetomo Regional Public Hospital, Surabaya,Indonesia. Serum concentrations of micronutrients zinc and iron were measured using the colorimetricmethod. Statistical analysis used paired t-test with p<0.05 being considered significant.Results: The study sample comprised 20 children with epilepsy. There were 13 (65%) males. Eight (40%)children were in the 1-5 year age group. Seizure type was generalised in 18 (90%) patients. The mean serumiron concentrations before and after valproic acid treatment were 23.9±16.8 µmol/L and 25.8±16.4 µmol/Lrespectively (p=0.700). The mean serum zinc concentrations before and after valproic acid treatment were13±16.8 µmol/L and 26.8±15.4 µmol/L respectively (p=0.004).Conclusions: There was a statistically significant increase in the mean serum zinc concentration aftervalproic acid treatment in children with epilepsy. There was however no statistically significant increase inthe mean serum iron concentration after valproic acid treatment in children with epilepsy.
The Association of Adiponectin Serum Level and Body Mass Index among Javanese Obese Adolescents Christine Florens; Nur Aisiyah Widjaja; Roedi Irawan; Meta Herdiana Hanindita
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16831

Abstract

Association of Adipoq +45 T>G Gene Polymorphism with Insulin Resistance and Icam-1 Value in Obese Adolescents Alexander Leonard Caesar Josediputra; Nur Aisiyah Widjaja; Roedi Irawan
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17444

Abstract

Alteration of Iron, Zinc, Vitamin A Breast Milk Levels During Lactation Period Among Mothers of Low Birth Weight Infant Born at Preterm and Term Rizky Arisanti Maharani; Roedi Irawan; Risa Etika
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17625

Abstract

Background: Duration of lactation and preterm delivery were noticed as dominant factors affecting breast milk composition, including its micronutrient particularly iron, zinc and vitamin A. This study was to analyze the alteration of iron, zinc, vitamin A levels within colostrum and mature breast milk among mothers of low birth weight (LBW) preterm and term infants.Methods: This cross-sectional study was conducted between July 2019 and April 2020 among mothers of LBW infant delivered at preterm and term at Dr. Soetomo hospital. Seventeen samples of breast milk were enrolled on each group. Respectively, colostrum and mature milk were collected between day 2 and 4, between day 15 and 20 after delivery.Results: The iron levels on both groups did not change significantly during lactation period (respectively p=0,266 and p=0,845). Zinc levels were found significantly higher in colostrum of both groups, as well as vitamin A levels within colostrum in LBW preterm group (p<0,05).Conclusions: Higher levels were found in zinc within colostrum of both groups, similar to vitamin A in LBW preterm group. In contrast, iron did not differ significantly during lactation period.
Risk Factor of Hospital Malnutrition After Pediatric Nutrition Care Management Miriawati Miriawati; Roedi Irawan; Boerhan Hidayat; Nur Aisiyah Widjaya; Meta Herdiana Hanindita
Health Notions Vol 5, No 01 (2021): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50105

Abstract

Increased prevalence of Hospital Malnutrition (HM) caused by Pediatric Nutrition Care (PNC) has not been implemented and influenced by several risk factors. The aim was to determine the prevalence and risk factors for gender, age, initial nutritional status, admission diagnosis, and length of stay (LOS) of HM after PNC. A cross sectional study was conducted from May 1, 2017 to May 1, 2018 by reviewing the medical record of children who were treated in the pediatric ward Dr. Soetomo Surabaya. The sampling method is total sampling. Hospital malnutrition was defined as weight loss ≥ 2% for LOS
Correlation Between Protein, Calcium and Zinc Intake with Stunting in Children Age 3-5 Years Old in Gubeng, Mojo, Surabaya Ayuning Tetirah Ramadhani; Widati Fatmaningrum; Roedi Irawan
Health Notions Vol 3, No 12 (2019): December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn31205

Abstract

Stunting is a condition that occurs as the result of the disruption in the growth of height due to poor nutrition intake and nutrition status, repeated incidence of infection and inadequate psychosocial stimulation. In year 2017, the prevalence status for stunting incindence in Indonesia is categorized as high, reaching at 29,6%. This study was conducted to determine the correlation between nutritional intake of protein, calcium and zinc with the incidence of stunting. This study was an observational analytic research with a case control method, conducted to determine the correlation between exposure of risk factors and disease by comparing stunting groups with non-stunting groups. This study obtained a relation between depleted calcium intake and stunting incidence using the Fisher’s Exact test with a p value of 0.001 and odd ratio 0.056. A significant correlation of insufficient calcium intake with the incidence of stunting was found, yet there were no correlation between insufficient protein and zinc intake with the incidence of stunting. Keywords: stunting; protein; calcium; zinc
Influence of n-3 Fish Oil-Enriched Intravenous Lipid Emulsion on Length of Stay and Mortality in Infants Post Intestinal Surgery Meta Herdiana Hanindita; Khadijah Rizky Sumitro; Nur Aisiyah Widjaja; Roedi Irawan; Boerhan Hidayat
Health Notions Vol 3, No 3 (2019): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn.v3i3.314

Abstract

Background: Parenteral nutrition plays an important role in the infants post intestinal surgery. Currently, n-6 soybean oil-based intravenous lipid emulsion (IVLE) is used as a standard. n-6 have been shown increases biomarkers of inflammation while n-3 have shown positively influence clinical outcomes due to their immunomodulatory action. The aim of this study is to investigate the influence of n-3 fish oil-enriched IVLE on mortality and length of stay in infants post intestinal surgery. Methods: A medical record retrospective study was undertaken in infants post intestinal surgery at Dr. Soetomo Hospital in 2016-2017. Infants with intestinal atresia who had PN for at least three days were included. The n-6 soybean oil-based and n-3 fish oil-enriched IVLE were used. Incomplete data was excluded. Results: There were 19 infants (12/19 boys) included in this study. 10/19 infants received the n-6 soybean oil-based IVLE. The duration and dose of IVLE used were 16.52±11.34 days and 1.80±0.44 g/kg/day. Mortality rate was significantly lower in n-3 fish oil-enriched IVLE group (P=0.02) while there was no difference on length of stay (P=0.484).Conclusion: Infants who received the n-3 fish oil-enriched IVLE have a lower mortality rate but there is no difference on length of stay. Keywords: Infants, Intestinal surgery, Intravenous lipid emulsion, Length of stay, Mortality
The Influence of Maternal Nutrition Consumption Level During Breastfeeding on Breast Milk Macronutrient Component and Infant’s Weight Nina Hidayatunnikmah; Roedi Irawan; Budi Prasety
Health Notions Vol 2, No 1 (2018): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.638 KB) | DOI: 10.33846/hn.v2i1.108

Abstract

Fine intake of maternal nutrient consumption was important for the health of mother and the baby. There were previous researches explained that the maternal nutrition consumption level during breastfeeding could influence breast milk macronutrient component. Breast milk macronutrient components can support infants growth process. Analyzing the influence of maternal nutrient consumption level during breastfeeding on breast milk macronutrient component and infant weight. The information regarding maternal nutrition consumption level during breastfeeding was obtained by using food recall for 24 hours in two days. Furthermore, infant birth weight was measured by using Z-score value, while macronutrient component of breast milk by using MIRIS tool with 60 breastfeeding mother as the sample. Statistic test used categorical regression (CATREG). Based on 60 samples, it was showed that average carbohydrate consumption level 384.3 ± 53.3 gram, protein consumption level 81.5 ± 11.9 gram, and fat consumption level 85.1 ± 15.5 gram. There carbohydrate components of milk of 4.7 ± 0.6 gr / dl, protein components of breast milk 2.4 ± 2.2 gr / dl, and fat component of breast milk 3.6 ± 1.4 gr / dl. Fat consumption levels negative influenced towards the carbohydrate components of breast milk (B = -0.356, p = 0.001) and the level of protein and fat consumption level took a positive effect on fat components of breast mik (B = 0218 and B = 0.576, p = 0.029 and p = 0.000). Meanwhile, protein and fat components of breast milk were positive effect on infant weight (B = 0.323 and B = 0.253; p = 0.037 and p = 0.045). Fine fat consumption could produce a good fat componen of breast milk. In addition, protein and fat component of breast milk give impact on infant weight. Keywords: Maternal nutrition, Consumption level, Breastmilk, Macronutrient, Infant’s weight        
Maternal Parity and Onset of Lactation on Postpartum Mothers Frieska Piesesha; Windhu Purnomo; Roedi Irawan
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.346 KB) | DOI: 10.33846/hn.v2i2.131

Abstract

Onset of lactation is one of indicators of lactogenesis stage II which is the important phase in infants breastfeeding. Breastfeeding is important as it gives many health benefits for both mother and babies. The early initiation of breastfeeding is not always going smooth as sometimes mothers or babies experience various difficulties that complicate the lactation process, especially in primipara women with less knowledge of lactation. Those obstacles and difficulties will influence the practice of breastfeeding which may lead to delay onset of lactation. Thus, this study was conducted to identify the onset of lactation and analyze parity factor on postpartum mothers in DKT hospital in Gubeng Pojok, Surabaya, East Java. It was an observational analytic study with prospective cohort design. 50 respondents were randomly selected using systematic random sampling. Regression logistic showed a correlation between parity and onset of lactation (p = 0.024; RR = 7.277), in which primipara mothers were 7.277 times more likely to have delay onset of laction than multipara mothers. It was concluded that maternal parity associated with onset of lactation on postpartum mothers. Keywords: Parity, Onset of lactation, Postpartum
Co-Authors Alexander Leonard Caesar Josediputra Alifah Fajriyyatul Izzah Ana Qonitatillah Ayuning Tetirah Ramadhani Boerhan Hidajat Boerhan Hidayat Boerhan Hidayat Budi Prasety Chasan Ismail Christine Florens Christine Florens Darto Saharso Dina Angelika Dwi Lestari Avianti Eddy Bagus Wasito Esthy Poespitaningtyas Frieska Piesesha Hanindita, Meta Herdiana Hanindita, Meta Herdiana Hardiani, Kartika Hardiyani, Kartika Hartojo Hartojo Hidayatunnikmah, Nina I Dewa Gede Ugrasena I Gusti Ayu Putu Eka Pratiwi Indri Safitri Mukono Jusak Nugraha Kartika Hardiyani Khadijah Rizky Sumitro Khadijah Rizky Sumitro Mahrus A. Rahman Masayu Ramadhani Polanunu Meity Ardiana Melvanda Gisela Putri Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Meta Herdiana Hanindita Miriawati Miriawati Muhammad Faizi Nanda Hudawarrahmah Ninik Asmaningsih Soemyarso Nur Aisiyah Widjaja Nur Aisiyah Widjaja Nur Aisiyah Widjaja Nur Aisiyah Widjaja Nur Aisiyah Widjaja Nur Aisiyah Widjaja, Nur Aisiyah Nur Aisiyah Widjaya Nur Aisiyah Wijaya Nur Aisyah Widjaja Nur Aisyah Widjaja Piesesha, Frieska Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rina Elizabeth Risa Etika, Risa Rizky Arisanti Maharani Siti Nurul Hidayati Siti Nurul Hidayati Taufiq Hidayat Widati Fatmaningrum Widati Fatmaningrum Widjaja, Nur Aisyah Wigati, Kristanti Wanito Windhu Purnomo Windhu Purnomo