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All Journal MEDIA MEDIKA INDONESIANA Folia Medica Indonesiana Jurnal NERS Health Notions Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Personifikasi: Jurnal Ilmu Psikologi

Mira Irmawati

Departemen Ilmu Kesehatan Anak RSUD Dr. Soetomo Universitas Airlangga Jl. Mayjen Prof. Dr. Moestopo 6–8 Surabaya

Author-ID : 288611

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Profiles of Early Childhood Education Program Pangemanan, Lisa; Irmawati, Mira; Irwanto, Irwanto; Suryawan, Ahmad
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 (197.866 KB)

Early childhood education (ECE) in Indonesia is growing with many variations in programs among the ECE. Childrenâs profile in those places were varied in terms of growth and development.This research aims to study the profiles in ECE in terms of programâs variation, growth and development of children attend it.â¨This research uses a cross-sectional study was done in 3 ECE centers in Surabaya, which are varied in total effective hours, the use of language, and teacher-student ratio. The growth outcome was assessed by anthropometric measurement. The developmental outcome was assessed using Denver II. Statistical analysis was done by Kruskal-Wallis test.â¨A total of 52 children from three ECE centers were enrolled. Program variations among 3 ECE were as follow: total effective hours per day (3, 2.5 and 3.5), the use of language (1, 1, and 2); and teacher-student ratio (1:7, 1:19, 1:15) respectively. Anthropometric measurements of those ECE were as follow: body weight in kg (16.9 (SD 5.10); 17 (SD 2.46); 17.9 (SD 4.62) (p â¥ 0.05)); body height in cm (100.7 (SD 5.72); 105 (SD 5.89); 104.7 (SD 6.31) (p â¥ 0.05)); head circumference in cm (49.5 (SD 1.75); 50.5 (SD 1.74); 50.6 (SD 1.59) (p â¥ 0.05)) respectively. Suspected developmental delays were 11, 9, 11 children (p â¥ 0.05) respectively. Development problem found was mainly in language and personal social. There are programâs variation among ECE but the growth and development profiles of children attend it were similar. Keywords: Variation, ECE program, Growth, Development

Profiles of Early Childhood Education Program and Children Attending Them Lisa Pangemanan; Mira Irmawati; Irwanto Irwanto; Ahmad Suryawan
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Early childhood education (ECE) in Indonesia is growing with many variations in programs among the ECE. Children’s profile in those places were varied in terms of growth and development.This research aims to study the profiles in ECE in terms of program’s variation, growth and development of children attend it. This research uses a cross-sectional study was done in 3 ECE centers in Surabaya, which are varied in total effective hours, the use of language, and teacher-student ratio. The growth outcome was assessed by anthropometric measurement. The developmental outcome was assessed using Denver II. Statistical analysis was done by Kruskal-Wallis test. A total of 52 children from three ECE centers were enrolled. Program variations among 3 ECE were as follow: total effective hours per day (3, 2.5 and 3.5), the use of language (1, 1, and 2); and teacher-student ratio (1:7, 1:19, 1:15) respectively. Anthropometric measurements of those ECE were as follow: body weight in kg (16.9 (SD 5.10); 17 (SD 2.46); 17.9 (SD 4.62) (p ≥ 0.05)); body height in cm (100.7 (SD 5.72); 105 (SD 5.89); 104.7 (SD 6.31) (p ≥ 0.05)); head circumference in cm (49.5 (SD 1.75); 50.5 (SD 1.74); 50.6 (SD 1.59) (p ≥ 0.05)) respectively. Suspected developmental delays were 11, 9, 11 children (p ≥ 0.05) respectively. Development problem found was mainly in language and personal social. There are program’s variation among ECE but the growth and development profiles of children attend it were similar. Keywords: Variation, ECE program, Growth, Development

Parental first concern according to age and type in children with Autism Spectrum Disorder Dian Dwi Sari; Irwanto Irwanto; Ahmad Suryawan; Mira Irmawati; Budi Utomo
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 5, No 2 (2021)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v5i2.5738

Developmental problems concerned by parents are a further diagnostic step for children with Autism Spectrum Disorder (ASD). Research is needed to find a picture of the child's behavior complained of by parents. Investigations about first concerns among parents of children with ASD and comparisons of the same with children diagnosed with other developmental disorders are rare. We want to examine the type and age of parents ‘concern in children with ASD and other developmental disorders. A cross-sectional study was conducted in Child Developmental Centre in Surabaya Indonesia from August 1 to December 30, 2019. T-test and chi-square tests were used to analyze differences in subject variables and types of concern. Most parents of both children diagnosed with ASD and non-ASD indicated first concern were in communication, social skill, and behavior problem. The average age of parents’ first concern of ASD children is 30,14 months. Significant differences were found between ASD and non-ASD groups in communications, behavior, and sensory problem concerns. There is no specific difference between parental concerns of children with ASD and non-ASD children. The average age of first concern was significantly younger for children with an ASD diagnosis than other developmental disorders.Keywords :parent concern, autism, communication.Correspondence :dian_dwisary@yahoo,com

Pemberian Stimulasi Selama Satu Jam pada Perkembangan Anak Usia 12-24 Bulan Mira Irmawati; I Gusti Ayu Indah Ardani Ayu Indah Ardani; Dewi Astasari; Irwanto Irwanto; Ahmad Suryawan; Moersintowarti B Narendra
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 3 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.448 KB)

The influence of one hour stimulation in children aged 12-24 monthsIntroduction: Early stimulation plays an important role to reach optimal growth and development in children, especially cognitive, affective, and psychomotor developments. Stimulation has to be done continuously because this is important to maintain the connection between brain cells (synapse). Lack of stimulation can influence loss of brain cells functions. The aim of this study is to determine the influence of one hour stimulation on the development of children aged 12-24 months.Methods: An experimental analytic study with cohort prospective was conducted on children aged 12-24 months in Gubeng district, Surabaya, from September 2008-February 2009. Seventy healthy children were randomly divided into two groups, stimulation group and control group. Denver II was used to evaluate children’s developmental status, conducted before and after stimulation. Data analysis using McNemar and Chi Square test.Result: There were improvement on development in both groups, from 85.7% become to 94.3% in the stimulation group and 68.6% to 77.1% in the control group. There was a significant influence on children development, only 10% children did not have any development delay anymore in the stimulation group, but in the control group still 30% (p=0.042). After 3 months, there was an improvement of development in the stimulation group from suspect to normal in 80%, and 63.6% in the control group, but notsignificant (p=0.375 vs p=0.549).Conclusion: Early stimulation improves the development of children aged 12-24 months.Keywords: Children, aged 12-24 months, early stimulation, Denver II ABSTRAKPendahuluan: Stimulasi mempunyai peran penting untuk meningkatkan pertumbuhan dan perkembangan anak, terutama fungsi kognitif, afektif dan psikomotor. Stimulasi yang terus menerus mengakibatkan hubungan antar sel otak (sinapsis) bisa berjalan dengan baik. Kurangnya stimulasi akan mengakibatkan hilangnya fungsi sel-sel otak ini. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian stimulasi selama 1 jam pada perkembangan anak usia 12-24 bulan.Metode: Penelitian dilakukan secara analitik prospektif kohort pada anak usia 12-24 bulan di Kecamatan Gubeng, Surabaya, mulai bulan September 2008 hingga Februari 2009. Tujuh puluh anak sehat secara acak dibagi dalam 2 kelompok, kelompok stimulasi dan kelompok kontrol. Denver II digunakan untuk menilai status perkembangan anak, sebelum dan sesudah perlakuan. Analisis data menggunakan uji McNemar dan Chi Square.Hasil: Didapatkan perbaikan perkembangan pada kedua kelompok, dari 85,7% menjadi 94,3% pada kelompok stimulasi, dan 68,6% menjadi 77,1% pada kelompok kontrol. Terdapat perbedaan bermakna pada kemampuan perkembangan, hanya 10% tidak mengalami keterlambatan pada kelompok stimulasi, sedangkan kelompok kontrol 30% (p=0,042). Setelah 3 bulan, terjadi peningkatan perkembangan pada kelompok stimulasi dari subyek yang suspek menjadi normal sebesar 80%, dan kelompok kontrolsebesar 63,6%, tetapi tidak bermakna (p=0,375 vs p=0,549).Simpulan: Pemberian stimulasi satu jam meningkatkan kemampuan perkembangan anak usia 12-24 bulan.

Enhanced Efficacy of Sublingual Immunotherapy in Childhood Allergic Asthma by Probiotics Anang Endaryanto; Mira Irmawati
Folia Medica Indonesiana Vol. 54 No. 1 (2018): March
Publisher : Faculty of Medicine, Universitas Airlangga

It is expected that probiotics may act synergistically to improve the clinical efficacy of sublingual immunotherapy (SLIT). The aim of this study was to investigate the role of probiotics in enhancing efficacy of sublingual immunotherapy in childhood allergic asthma. This was a randomized single blind clinical trial conducted on 6-17 year-old asthmatic children sensitive to house dust mite allergens. Subjects were allocated to Group A receiving SLIT, Group B receiving probiotics and SLIT, Group C receiving probiotics only. Clinical parameters (FEV1 reversibility, medication score, and symptom score) and immunological parameters (total IgE, eosinophil count, IFN-γ, IL-2, IL-4, IL5, IL10, and TGF-b were evaluated in week 0 until 14. Statistical analysis revealed that the difference of clinical parameters (FEV1 reversibility, medication score, and symptom score) between groups were not significant. The difference of the immunological parameters of total IgE, IFN-γ, IL-2, IL-4, IL5, IL10, and TGF-ß were also not significant. Eosinophil count decreased in subjects who received combination SLIT with probiotics. In conclusion, probiotics enhanced the efficacy of sublingual immunotherapy in childhood allergic asthma by decreasing the eosinophil count.

The Effect of Massage Stimulation on the General Movements Quality in Breastfed Preterm Infant Elizabeth Beatrice Jonathan; Ahmad Suryawan; Mira Irmawati
Folia Medica Indonesiana Vol. 56 No. 4 (2020): December
Publisher : Universitas Airlangga

General Movements (GMs) assessment is one of the modalities to detect abnormal infant development early, the examination of preterm infant development is very important. Preterm infant has a long-term health impact and the risk of neonatal morbidity and mortality, need breast milk as the best nutritionand also need stimulation, one of which is massage. This study aimto analyze massage stimulation effect on the general movements in breastfed preterm infant in Dr. Soetomo Hospital Surabaya.A randomize control group pre test post test design was conducted on preterm infant, 39 babies were enrolled. Massage stimulation was done for 10 consecutive days 3 times in the neonatal ward while observing the condition.The quality assessment of GMs is according to the standardization of the Prechtl method, through two stages, taking video recording and editing GMs, and analysis the video recordings of GMs.Statistical by comparison test.The quality of preterm GMs in massage group (85.7%) and control group(69.6%) with p=0.287. The quality of GMs writhing in the massage group was dominated by abnormal GMs (65%), in control group were dominated by normal (63.2%) with p=0,150. In the fidgety GMs, the massage group (75%) and not massage (78.9%) were dominated by normal GMs, with p=1,000.There were no differences in the quality of preterm GMs, writhingGMs and fidgetyGMs for preterm infants in both group.

Assessment of Quality of Life in Cancer Children Mira Irmawati; Irwanto Irwanto; Andy Cahyadi
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: The survival rate of cancer children has increased over the past decade. The assessment of quality of life in childhood cancer survivors is required for understanding children's psychosocial functioning, perception of illness and its effect on daily life. The objective of this study was to assess the quality of life of cancer children.Method: This study was a cross sectional study done to both parents and cancer children 5–18 years old in January-February 2012. Subject and their parents were given the PedsQL 3.0 Cancer Module that was translated in to Indonesia Language. Cronbach's alpha and Pair-t tests were used for analysis.Result: Forty-four cancer children participated, mean age 6.4 years old, 30 (56.6%) were female, 24 (45.3%) suffered from leukemia. No signiﬁcant gender differences were found for all subscales. All subscales showed satisfactory reliability (Cronbach's alpha = 0.615–0.929). The scores from children-report was higher than parents-report for treatment anxiety, cognitive problem and total scale (p<0.05), the overall scores of 61–81. The subscale procedure anxiety, worry, and pain-hurt had low-scores for both children and parent.Disscussion: PedsQL 3.0 Cancer Module is an objective instrument for measuring quality of life in cancer children and their family.

Association between the Use of Touchscreen Device and Child Development Husada Tsalitsa Mardiansyah; Mira Irmawati; Dwi Susanti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 1 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V12I12021.45-47

Introduction: Early childhood development is related to sensitive period, a spesific period when a child is more easily stimulated by certain environmental stimulation. The right stimulation is needed to achieve good development. The intense use of touchscreen device is thought to potentially be a new form of stimulation that could affect child development. The aim of this study was to determine whether there is an association between the use of touchscreen device and child development. Methods: The design of this study was observational analytic with cross-sectional approach. The sampling technique used in this study was cluster-sampling. Data collection was finished in October 2018 by interviewing the respondents and assessing child development using development pre-screening questionnaire (KPSP). Results: Among 91 samples of this study, the majority (78.0%) had actively operated touchscreen devices by themselves. The result of the Kruskal Wallis test gave a value of p = 0.398 (p > 0.05) with the mean rank of not at all 29.50; only watching 48,53; and operating 46.09. Conclusion: The use of touchscreen device is not significantly associated with children development. Further research needs to be conducted to uncover the effect of touchscreen device on child development.

Nutritional Status Based on Four Anthropometric Indices and Associated Factors in Children between the Ages 0-2 Years Old in a Slum of Surabaya Monica Tiara Arum Kinanthi; Mira Irmawati; Dwi Aprilawati
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 2 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V12I22021.90-93

Introduction: Bulak Banteng sub-district is one of the slums in Surabaya. In a study in Bulak Banteng sub-district in 2015, 6.6% of children experienced malnutrition and 3% of children with Lower Red Line status. The highest number of children with Lower Red Line status was in RW 08. This study aimed to determine the nutritional status of children aged 0-2 years old in RW 08 Bulak Banteng sub-district, Surabaya, in 2018.Methods: This study used a cross-sectional descriptive study from primary data conducted by anthropometric measurement directly on toddlers and interviews with caregivers. Assessment of four anthropometric indices includes weight-for-age, height-for-age, weight-for-height, and head circumference-for-age. A sample of 50 toddlers was taken by proportional random sampling technique.Results: 31 children (62%) aged 0-2 years old in RW 08 Bulak Banteng sub-district had normal growth status based on weight-for-age, height-for-age, weight-for-height, and head circumference-for-age. The remaining growth status of 27 children (54%) is as follows. Based on the weight-for-age index, a child (2%) was severely underweight, and 7 children (14%) were underweight. Based on the height-for-age index, 4 children (8%) were severely stunted, and 7 children (14%) were stunted. Based on the index of weight-for-height, a child (2%) was severely wasted, and 5 children (10%) were wasted. Based on the index of head circumference-for-age, there were 1 child (2%) microcephaly and 3 children (6%) macrocephaly.Conclusion: This study found that many children aged 0-2 years old in the slum area of RW 08 Bulak Banteng sub-district in Surabaya experienced growth delays.

Increased Insulin Like Growth Factor-1 and Antropometri in Premature Infants with Breast Milk I Dewa Ayu Agung Sridharaswari; Mira Irmawati; Ahmad Suryawan; Irwanto idris; Endang Retnowati
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 26, No 1 (2019)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i1.1399

Massage stimulation has consistently led to greater anthropometric in preterm infant by increasing IGF-1 in which plays an important role in promoting growth by stimulating cell growth, multiplication and inhibiting apoptosis. This research to analyze the effect of massage stimulation on IGF-1 and anthropometric in breastfeeding preterm infant. A randomized control trial was conducted on preterm infant with gestational age less than 37 weeks between February – May 2018 in nursery Dr. Soetomo Hospital. Fifty infants in nursery was randomly assigned to massage stimulation or control group. Massage stimulation consisted for three, 15 minutes periods per day for 10 days. Insulin Growth Factor -1 serum was examined on day 1 and 10. Data were analyzed by statistical software using t-test and spearman correlation. The average increase of IGF -1 in massage group was 4.8 (SD 4.41) and 3.1 (SD 3.57) in control group. The average increase of body weight was 252.2 (SD 208.55) in massage group, and 137.9 (SD 69.78) in control group. The average increase of body length was 2 (0.68) in massage group, and 1.1 (0.33) in control group. The average increase of head circumference was 1.5 (SD 0.82) in massage group, and 0.9 (0.28) in control group. The positive correlation between the mean increase of IGF-1 and body length was 0.347. The conclusion was IGF-1 and anthropometric increase in both groups, but the massage group has a significantly higher mean. An increase in IGF-1 correlates with increase in body length.

Co-Authors Ahmad Suryawan Ahmad Suryawan Anang Endaryanto Andy Cahyadi BUDI UTOMO Dewi Astasari Dian Dwi Sari Dwi Aprilawati Dwi Susanti Elizabeth Beatrice Jonathan Endang Retnowati Husada Tsalitsa Mardiansyah I Dewa Ayu Agung Sridharaswari I Gusti Ayu Indah Ardani Irwanto idris Irwanto Irwanto Irwanto Irwanto Irwanto Irwanto Irwanto, Irwanto Lisa Pangemanan Maulana Hanif Ibrahim Moersintowarti B Narendra Monica Tiara Arum Kinanthi Royke Tony Kalalo

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