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All Journal Paediatrica Indonesiana Majalah Kedokteran Nusantara The Journal Of Medical School
Beatrix Siregar
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Health Professions Medicine & Pharmacology

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Skin prick test reactivity in atopic children and their number of siblings Beatrix Siregar; Lily Irsa; Supriatmo Supriatmo; Sjabaroeddin Loebis; Rita Evalina
Paediatrica Indonesiana Vol 55 No 4 (2015): July 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.083 KB) | DOI: 10.14238/pi55.4.2015.189-93

Abstract

Background Some studies have shown that low birth order is a risk factor for developing atopy, although these results remain inconclusive. Those studies put forth the hygiene hypothesis, which states that early childhood infections in siblings may protect against atopy. Hence, an inverse relationship between family numbers and atopy was found. Atopy may be diagnosed from a history of atopy in an individual or his family, and can be confirmed by specific IgE for allergens or positive skin prick tests.Objective To assess for an association between skin prick test reactivity in atopic children and their number of siblings.Methods A cross-sectional study was conducted in May to June 2010 in elementary school children at the Kampung Baru District, Medan Regency, North Sumatera. Subjects were divided into two groups. Group I had children with < 3 siblings and group II had children with ≥ 3 siblings. Skin prick tests were done in 7 to 10-year-old children with a history of asthma, allergic rhinitis and atopic dermatitis. Skin prick test reactivity results were analyzed by Chi-square test.Results A total of 192 subjects were enrolled in this study, with 96 subjects in each group. Positive skin prick tests were significantly higher in subjects with <3 siblings than in those with >3 siblings (75% and 53.1%, respectively; P=0.003).Conclusion Atopic children with <3 siblings had more positive skin prick tests than children with >3 siblings.
Noise exposure at school and blood pressure in adolescents Fadhilah Ihsani; Rafita Ramayati; Muhammad Ali; Rusdi Djas; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Paediatrica Indonesiana Vol 56 No 6 (2016): November 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (649.418 KB) | DOI: 10.14238/pi56.6.2016.330-7

Abstract

Background The increasing prevalence of primary hypertension has motivated researchers to identify influencing factors, one of which is noise. There have been few studies on a relationships between noise exposure and blood pressure in children, and none have dealt exclusively with adolescents.Objective To assess for an association between noise exposure at school and blood pressure in adolescents.  Methods To identify noisy and quiet schools, the mean noise levels of 192 senior high schools in Medan were measured using sound level meters. One noisy school and one quiet school were randomly selected for inclusion (mean noise levels of  68.2 and  53.8 dB, respectively). Students from both schools underwent blood pressure measurements by mercury sphygmomanometer. Their Body weights and heights were obtained for body mass index calculations. Subjects filled questionnaires and their parents were interviewed regarding history of illnesses.Results Of the 271 adolescents recruited, 136 (50.2%) were from the noisy school. Adolescents from the noisy school had higher mean systolic and diastolic blood pressures [121.6 (SD 13.87) mmHg and 71.1 (SD 8.15) mmHg, respectively], than those from the quiet school [111.8 (SD 12.61) mmHg and 63.8 (SD 8.05) mmHg, respectively]. After adjusting for other factors, noise had a significant, moderate, positive association with systolic and diastolic blood pressures [β = 0.452; B = 6.21 (95% CI 3.86-8.55) mmHg; and β = 0.473; B = 4.18 (95% CI 2.41 to 5.94) mmHg, respectively].Conclusion Adolescents from a noisy school have a greater risk of higher systolic and diastolic blood pressures than those from a quiet school.
Waist circumference, body mass index, and skinfold thickness as potential risk factors for high blood pressure in adolescents Roslina Dewi; rafita ramayati; Nelly Rosdiana; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.132 KB) | DOI: 10.14238/pi59.2.2019.79-86

Abstract

Background The prevalence of hypertension in children and adolescents has increased with the rising obesity epidemic. Recent studies have found that prevalence of hypertension was higher in obese children or adolescents than in the normal weight ones. Anthropometric measurements such as body mass index (BMI), waist circumference, and skinfold thickness have been used as criteria to determine obesity in children and adolescents. Increased waist circumference has been most closely related to increased blood pressure. Objective To compare waist circumference, BMI, and skinfold thickness as potential risk factors for hypertension in adolescents. Methods This cross-sectional study was conducted in May 2014 in three senior high schools in Medan, North Sumatera, and included 253 students with normal urinalysis test. All subjects underwent blood pressure, waist circumference, tricep- and subscapular-skinfold thickness (TST and SST), body weight, and body height measurements. The study population was categorized into underweight, normoweight, overweight, and obese, according to four different criteria: waist circumference, BMI, TST, and SST; all variables were analyzed for possible correlations with systolic and diastolic blood pressure. Results There were significant positive correlations between systolic blood pressure and waist circumference (OR 7.933; 95%CI 2.20 to 28.65; P=0.011) as well as BMI (OR 4.137; 95%CI 1.16 to 14.75; P=0.041). There were also significant correlations between diastolic blood pressure and waist circumference (OR 3.17; 95%CI 1.83 to 5.51; P=0.002), BMI (P=0.0001; OR=3.69), TST (OR 4.73; 95%CI 2.31 to 9.69; P=0.0001), and SST (OR 3.74; 95%CI 2.35 to 5.94; P=0.0001). Multivariate analysis showed that waist circumference was a predictive factor for systolic blood pressure (OR 9.667), but not for diastolic blood pressure. Conclusion Waist circumference is the strongest, significant, predictive factor for elevated systolic blood pressure; meanwhile BMI, SST, and TST could be predictive factors for elevated diastolic blood pressure.
Interleukin-6 urin sebagai pemeriksaan cepat pielonefritis pada neonatus Nezman Nuri; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti Syafriani Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Pyelonephritis is a common infection to all children in all age groups, including the newborn. The diagnosis of urinary tract infection is established certainly by urine culture. Additional investigations can be done to help confirm the diagnosis, such as urinary interleukin-6. Increased number of urinary interleukin-6 is helpful to quickly confirm the occurrence of pyelonephritis. Keyword : pyelonephritis; neonates; urine culture; interleukin-6
Kualitas tidur sebagai faktor risiko peningkatan tekanan darah pada remaja Arie Taufansyah Putra Nasution; Rafita Ramayanti; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Hypertension in adolescent must be awared, because adolescent with hypertension has higher risk of morbidity and mortality. Hypertension can be influenced by poor sleep quality, so early detection of hypertension and sleep quality in adolescent is needed.Keywords : adolescents; blood pressure; sleep quality
Infeksi nosokomial saluran kemih paska kateterisasi urin pada anak Lorinda R.P. Harahap; Rafita Ramayati; Rusdidjas dr; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Urinary catheters are often used in hospitalized patients and this could be potentially a infection. It is estimated that approximately 80% hospital-acquired urinary tract infection (UTI) associated with catheter use. aim of the study is to determine relationship between use of urinary catheter with nosocomial urinary tract infection in children.Keywords : urinary catheter; nosocomial urinary tract infection; children
Co-Authors Arie Taufansyah Putra Nasution Fadhilah Ihsani Lily Irsa Lorinda R.P. Harahap Muhammad Ali Nelly Rosdiana Nezman Nuri Oke Rina Ramayani, Oke Rina Rafita Ramayanti Rafita Ramayati Rafita Ramayati Rita Evalina Roslina Dewi Rosmayanti Siregar Rosmayanti Syafriani Siregar Rusdi Djas Rusdidjas dr Sjabaroeddin Loebis Supriatmo Supriatmo