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Motherâs Knowledge, Attitude, Practice toward Safe Water Usage and Incidence of Diarrhea in Children at Baleendah Bandung Mutyara, Kuswandewi; Ermaya, Yudith Setiati; Setiawati, Elsa Pudji; Fattima, Eliza Techa
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Background: Poor environmental conditions contribute to the high incidence of diarrhea, most of those caused by unsecure water and poor health knowledge. This study was conducted to evaluate the motherâs knowledge, attitude, and practice toward safe water usage in Baleendah, Bandung.Methods: A cross sectional descriptive study was conducted in Baleendah during SeptemberâOctober 2012, participated by 210 mothers with 12â59 months children, and using rapid survey method. This study used a questionnaire to measure the three domains, which consists of 8 questions of knowledge, 10 questions of attitudes, 16 questions of practice, and 7 questions of diarrhea. The collected data were analyzed and presented in table.Results: As much as 168 (80%) of mothers were in moderate knowledge status, 126 (60%) of mothers were in moderate attitude status. Practically, 127 (54.7%) of mothers used water from borehole/tube well. Most of the mothers (54.6%) use drinking water from refillable water store.Conclusions: Most mothers who participated have varied moderate knowledge and attitude status, and practice toward safe water usage.Â DOI:Â 10.15850/amj.v2n3.503

Association of Ascariasis with Nutritional and Anemic Status in Early School-Age Students Eidwina, Chin Annrie; Faridah, Lia; Ermaya, Yudith Setiati; Akhmad Gurnida, Dida
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Background: Ascariasis is one of the most frequent helminthias is that occurred in school-age children. Commonly, severe intensity of infection will seriously affect the nutritional and anemic status of the students. The aim of this study was to determine the association of ascariasis with nutritional and anemic status in early school-age students. Methods: An analytical cross-sectional study was conducted based on the secondary data from Jatinangor Cohort. The secondary data of 74 students who met the criteria were included in this study. Data collection was conducted in the Department of Epidemiology and Biostatistics from August to September 2014. The data obtained was analyzed based on the characteristics of the students regarding gender, age, class, parentsâ education, ascariasis, nutritional and anemic status. Then, the data were further analyzed to determine the association of ascariasis with nutritional and anemic status of the students using the chi square test or Fisher test if the requirement was not fulfilled.Results: Sixteen (22%) students were having Ascaris lumbricoides infection, six (8.1%) students were thin and seventeen (23%) students were anemic. There was no statistically significant association found of Ascaris lumbricoides infection with nutritional and anemic status in early school-age students (P value <0.05) in this study.Conclusions: There is no statistically significant association of Ascaris lumbricoides infection with nutritional and anemic status of the early school-age students. [AMJ.2016;3(1):93â8]Â DOI:Â 10.15850/amj.v3n1.710

Characteristics of Functional Constipation among Kindergarten Students in Kecamatan Jatinangor, West Java, Indonesia Giovanni, Livia; Ermaya, Yudith Setiati; Hafsah, Tisnasari
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Background: Functional constipation can occur in children and affect their quality of life, but there is still lack of awareness and inability to provide proper management. Therefore, early detection is important. The aim of this study was to identify the prevalence of functional constipation among kindergarten students and its risks.Methods: A quantitative descriptive study was conducted from April to May 2017 on kindergarten students in Kecamatan Jatinangor, West Java, Indonesia by using questionnaires for their parents. In total, 149 parents joined the study.Â The questionnaire was made based on the Rome IV Criteria with additional questions for the studentâs characteristics comprised of sex, prematurity, allergy, family history of constipation, dietary fiber consumption, and parentsâ education level. Descriptive analyses were conducted.Results: The prevalence of functional constipation among the students was 8.7% with the most frequent complaints were retentive posturing (76.9%), hard stool consistency (38.5%), and history of obstructing toilet by stool (38.5%). Characteristics of children with functional constipation were prematurity (15.4%), history of allergy (15.4%), low dietary fiber intake (from fruits, 69.2%, vegetables 84.6%, seeds 100%), and non-university educated parents (father 76.9%, mother 84.6%).Conclusions: Constipation among kindergarten students in Jatinangor is 8.7%, while the most apparent characteristics in constipated children is low dietary fiber intake.Â

Correlation between Endoscopy Finding with Clinical Manifestations of Recurrent Abdominal Pain and Helicobacter pylori Infection Ermaya, Yudith Setiati; Prasetyo, Dwi
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

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Recurrent Abdominal Pain (RAP) is abdominal pain that occurs three times or more within 3 months that can interfere with daily activities for children. Prevalence of RAP 10%–30%, with functional or organic causes. Organic causes include infection with Helicobacter pylori (H. pylori). Globally >50% of the world’s population is infected with H. pylori, especially in developing countries, as the gold standard histological examination using an endoscope with anesthesia. This research to found the correlation between the endoscopic finding with clinical manifestations RAP and H. pylori infection. A cross-sectional study was conducted on 20 patients with complaints RAP children who come to the Hospital Dr. Hasan Sadikin, the period April–November 2015. Analysis using Pearson Chi-square, Spearman rho, Fisher’s exact and Mann-Whitney test. Subject as 20 children, consisting of 10 boys and 10 girls, median age 12 years, most clinical manifestations are RAP 60% and 80% erosion endoscopic finding. There were no significant correlation between the endoscopic finding with clinical manifestations, but have tendency endoscopic finding worse with severe clinical manifestations. Infection of H. pylori found positive in 90% subjects, boys 55%, there is no significant correlation between the endoscopic finding with H. pylori infection (p=0.133). Conclusions not found a significant correlation between endoscopy finding with clinical manifestations and H. pylori infection.

Perbedaan Manifestasi Klinis dan Laboratorium Kolestasis Intrahepatal dengan Ekstrahepatal pada Bayi Prasetyo, Dwi; Ermaya, Yudith Setiati; Martiza, Iesje
Majalah Kedokteran Bandung Vol 48, No 1 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Ikterus fisiologisÂ sering didapatkan pada bayi dan kebanyakan gejalanya ringan. Gejala ikterik biasanya akan menghilang dalam 2 minggu setelah lahir. Pada ikterus yang terkonjugasi terjadi defek produksi intrahepatal, transpor transmembran dari empedu, yaitu kolestasis intrahepatal (IH) atau obstruksi kolestasis ekstrahepatal (EH) yang mengakibatkan hambatan empedu. Penelitian ini dilakukan untuk melihat perbedaan manifestasi klinis dan laboratorium kolestasis IH dengan EH pada bayi. Studi potong lintang dilakukan pada 72 bayi dengan kolestasis yang datang ke Rumah Sakit Dr. Hasan Sadikin Bandung, periode Januari 2014â€“Desember 2015. Analisis data dilakukan dengan uji Pearson Chi-kuadrat dan Mann-Whitney. Subjek terdiri atas 43 (60%) laki-laki dan 29 (40%) perempuan, kolestasis IH sebanyak 61 orang (85%), dan EH sebanyak 11 (15%). Pada penelitian ini didapatkan perbedaan bermakna manifestasi klinis asites antara kolestasis IH dan EH (p=0,047), sedangkan venektasi, hepatomegali, dan splenomegali tidak didapatkan perbedaan bermakna. Pada pemeriksaan warna feses tidak didapatkan perbedaan bermakna (p=0,936), demikian juga hasil laboratorium bilirubin total, bilirubin direk, glutamat oksaloasetat transaminase, glutamat piruvat transaminase, alkali fosfatase, dan gama glutamil transferase serum tidak berbeda bermakna. Simpulan, didapatkan perbedaan manifestasi klinis asites, sedangkan manifestasi klinis yang lain dan hasil laboratorium tidak didapatkan perbedaan antara kolestasis IH dan EH. [MKB. 2016;48(1)45â€“50]Kata kunci: Kolestasis ekstrahepatal, kolestasis intrahepatal, laboratorium, manifestasi klinisDifferences of Clinical Manifestation and Laboratory Findings in Intra-Hepatic and Extra-Hepatic Cholestasis in InfantsAbstractPhysiological jaundice found in infants and most symptoms are often mild. Jaundice symptoms usually disappear within 2 weeks after birth. In conjugated jaundice defects in intra-hepatic production, transmembran transport from bile, i.e. cholestasis intra hepatic (IH), or extra-hepatic (EH) obstruction/cholestasis occur, resulting in bile barriers. This study was conducted to look at the differences in the clinical and laboratory manifestations of IH and EH cholestasis in infants. A cross-sectional study was performed on 72 infants with cholestasis who came to Dr. Hasan Sadikin General Hospital Bandung, during the period of January 2014â€“December 2015. Data analysis was performed with Pearson Chi-square test and Mann-Whitney. Subjects consisted of 43 (60%) infant boys and 29 (40%) infant girls, IH cholestasis were 61 (85%) and EH cholestasis were 11 (15.3%). Significant differences in the clinical manifestations of acites with IH and EH cholestasis were found (p=0.047), whereas insignificant differences in venectation, hepatomegaly and splenomegaly were observed. On examination of stool color, no significant difference was found (p=0.936). The same was true for laboratory results of total bilirubin, direct bilirubin, serum glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, alkaline phosphatase and gamma glutamyl transferase. In conclusion, we found differences in clinical manifestation of acites, while for other clinical manifestations and laboratory results no differences were found between IH and EH cholestasis. [MKB. 2016;48(1)45â€“50]Key words: Clinical manifestation, extra-hepatic cholestasis, intra-hepatic colestasis, laboratory

Association of Ascariasis with Nutritional and Anemic Status in Early School-Age Students Chin Annrie Eidwina; Lia Faridah; Yudith Setiati Ermaya; Dida Akhmad Gurnida
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.852 KB)

Background: Ascariasis is one of the most frequent helminthias is that occurred in school-age children. Commonly, severe intensity of infection will seriously affect the nutritional and anemic status of the students. The aim of this study was to determine the association of ascariasis with nutritional and anemic status in early school-age students. Methods: An analytical cross-sectional study was conducted based on the secondary data from Jatinangor Cohort. The secondary data of 74 students who met the criteria were included in this study. Data collection was conducted in the Department of Epidemiology and Biostatistics from August to September 2014. The data obtained was analyzed based on the characteristics of the students regarding gender, age, class, parents’ education, ascariasis, nutritional and anemic status. Then, the data were further analyzed to determine the association of ascariasis with nutritional and anemic status of the students using the chi square test or Fisher test if the requirement was not fulfilled.Results: Sixteen (22%) students were having Ascaris lumbricoides infection, six (8.1%) students were thin and seventeen (23%) students were anemic. There was no statistically significant association found of Ascaris lumbricoides infection with nutritional and anemic status in early school-age students (P value <0.05) in this study.Conclusions: There is no statistically significant association of Ascaris lumbricoides infection with nutritional and anemic status of the early school-age students. [AMJ.2016;3(1):93–8] DOI: 10.15850/amj.v3n1.710

Characteristics of Functional Constipation among Kindergarten Students in Kecamatan Jatinangor, West Java, Indonesia Livia Giovanni; Yudith Setiati Ermaya; Tisnasari Hafsah
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Functional constipation can occur in children and affect their quality of life, but there is still lack of awareness and inability to provide proper management. Therefore, early detection is important. The aim of this study was to identify the prevalence of functional constipation among kindergarten students and its risks.Methods: A quantitative descriptive study was conducted from April to May 2017 on kindergarten students in Kecamatan Jatinangor, West Java, Indonesia by using questionnaires for their parents. In total, 149 parents joined the study. The questionnaire was made based on the Rome IV Criteria with additional questions for the student’s characteristics comprised of sex, prematurity, allergy, family history of constipation, dietary fiber consumption, and parents’ education level. Descriptive analyses were conducted.Results: The prevalence of functional constipation among the students was 8.7% with the most frequent complaints were retentive posturing (76.9%), hard stool consistency (38.5%), and history of obstructing toilet by stool (38.5%). Characteristics of children with functional constipation were prematurity (15.4%), history of allergy (15.4%), low dietary fiber intake (from fruits, 69.2%, vegetables 84.6%, seeds 100%), and non-university educated parents (father 76.9%, mother 84.6%).Conclusions: Constipation among kindergarten students in Jatinangor is 8.7%, while the most apparent characteristics in constipated children is low dietary fiber intake.

Parents’ Knowledge and Children’s Toilet Training Practices: Study in Kindergartens in Jatinangor Anne Shafira Purnama Claytonia Aziz; Yudith Setiati Ermaya; Nur Melani Sari
Althea Medical Journal Vol 6, No 2 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Constipation has serious threats for children, however, this condition can be treated by toilet training. The level of parents’ understanding of defecation affects the success of the training to reduce the symptom of constipation. This study aimed to assess the knowledge of the parents and their children’s practice in toilet training at kindergarten. Methods: This was an analytic study with a cross-sectional method which conducted at kindergartens in Jatinangor, selected by a total random sampling method. A self-made validated questionnaire was distributed to parents asking about knowledge and toilet training. Incomplete answer sheets and parents who did not come to school by the time of the study were excluded. Result: In total, 111 parents returned the questionnaire, and most of the parents (98.19%) had good knowledge regarding toilet training. Moreover, most of the children (96.39%) were also good at practicing the toilet training. There was a strong and significant correlation between parents’ knowledge and the children’s practice of toilet training with coefficient correlation 0.701 and p-value <0.05.Conclusions: Good knowledge of parents help the children practicing toilet training, therefore, education to new parents is necessary.

Mother’s Knowledge, Attitude, Practice toward Safe Water Usage and Incidence of Diarrhea in Children at Baleendah Bandung Eliza Techa Fattima; Kuswandewi Mutyara; Yudith Setiati Ermaya; Elsa Pudji Setiawati
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (526.394 KB)

Background: Poor environmental conditions contribute to the high incidence of diarrhea, most of those caused by unsecure water and poor health knowledge. This study was conducted to evaluate the mother’s knowledge, attitude, and practice toward safe water usage in Baleendah, Bandung.Methods: A cross sectional descriptive study was conducted in Baleendah during September−October 2012, participated by 210 mothers with 12−59 months children, and using rapid survey method. This study used a questionnaire to measure the three domains, which consists of 8 questions of knowledge, 10 questions of attitudes, 16 questions of practice, and 7 questions of diarrhea. The collected data were analyzed and presented in table.Results: As much as 168 (80%) of mothers were in moderate knowledge status, 126 (60%) of mothers were in moderate attitude status. Practically, 127 (54.7%) of mothers used water from borehole/tube well. Most of the mothers (54.6%) use drinking water from refillable water store.Conclusions: Most mothers who participated have varied moderate knowledge and attitude status, and practice toward safe water usage. DOI: 10.15850/amj.v2n3.503

Clinical Manifestation of Peutz-Jeghers Syndrome in Children with Gastrointestinal Bleeding: A Case Report Yudith Setiati Ermaya; Dyah Rahmawanti; Ina Rosalina; Dwi Prasetyo
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 1 No. 1 (2022): APGHN Vol. 1 No. 1 May 2022
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

The Peutz-Jeghers Syndrome (PJS) is a rare familial disorder with manifestation that varies from asymptomatic to a life-threatening emergency. The PJS is caused by mutations of the tumor suppressor gene STK11 in embryonic cells, which is traditionally characterized by the development of melanotic macules and intestinal polyps. This case is about a boy, five years old, admitted to the emergency unit with a chief complaint of dark-red blood stool, pale appearance, abdominal pain, and nausea. Upon physical examination, there were multiple black spots on the lips and buccal mucosa (melanotic macules). Laboratory findings showed hemoglobin levels of 5.9 g/dL and a hematocrit of 18.7%. Multiple polyps at the fundus, corpus, antral, ileocecal, terminal ileal, transverse colon, sigmoid colon, and rectum were identified from the endoscopy examination. There were signs of upper and lower gastrointestinal bleeding in the pylorus of the stomach and the middle part of the descendent colon from the scintigraphy, respectively.

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