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Rini Sekartini
Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology

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Academic achievement of junior high school students with sleep disorders Fijri Auliyanti; Rini Sekartini; Irawan Mangunatmadja
Paediatrica Indonesiana Vol 55 No 1 (2015): January 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.706 KB) | DOI: 10.14238/pi55.1.2015.50-8

Abstract

Background Sleep disorders are prevalent in adolescents and may influence their academic achievement. To date, no study has been done in Indonesia on academic achievement in students with sleep disorders and its related factors. Objective To assess for relationships between academic achievement and related factors, including gender, motivation and learning strategies, IQ level, maternal educational level, socioeconomic status, family structure, after-hours education program, presence of TV/computer in the bedroom, sleep duration during school days, as well as bedtime and wakeup time difference in junior high school students with sleep disorders. Methods This cross-sectional study was performed from January to March 2013. Subjects were students from five junior high schools in Jakarta who fulfilled the criteria for sleep disorders based on the Sleep Disturbance Scale for Children questionnaire. Results There were 111 study subjects. The prevalence of sleep disorders was 39.7%, mostly in difficulties initiating and maintaining sleep (70.2%). Below-average academic achievement was seen in 47.6% of subjects. Factors significantly related to below-average academic achievement were after-hours education program (prevalence ratio 5.6; 95%CI 1.36 to 23.18; P = 0.017), average IQ level (prevalence ratio 3.26; 95%CI 1.38 to 7.71; P = 0.007), and male gender (prevalence ratio 2.68; 95%CI 1.06 to 6.78; P = 0.037). Conclusion Among junior high school students with sleep disorders, factors related to below-average academic achievement are afterhours education program (more than 2 types), the average IQ level, and male gender.
Diet and estradiol level in adolescent girls Ririn Hariani; Saptawati Bardosono; Ratna Djuwita; Noorwati Sutandyo; Melani Kumala; Ali Sungkar; Rini Sekartini
Paediatrica Indonesiana Vol 56 No 3 (2016): May 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.882 KB) | DOI: 10.14238/pi56.3.2016.134-8

Abstract

AbstractBackground Nutritional intake in adolescent girls in Indonesia has been well studied, but there has been little study on its influence on serum estradiol levels. A high estradiol level has been associated with higher risk of breast carcinogenesis.Objective To evaluate the influence of dietary factors on serum estradiol concentration in adolescent girls.Methods A community-based survey was conducted in female junior high school students in Jakarta from January 2014 to January 2015. Nutritional intake was assessed by semi-quantitative food frequency questionnaires (FFQ), which included the intake of total energy (kcal), carbohydrate (g), protein (g), fat (g), fiber (g), and phytoestrogen (g). Based on the Indonesian recommended daily allowance (RDA), energy and nutrient intakes were categorized as minimal (<70%), low (70-99.9%), normal (100-129.9%), and high (≥130%). Serum estradiol levels were measured during the follicular phase using an enzyme-linked immunosorbent assay (ELISA).Results A total of 189 girls aged 13-15 years were enrolled from 8 junior high schools across the municipalities of Jakarta. Twenty-eight (14.8%) subjects were overweight or obese. Median estradiol level was 41.83 (range 13.14-136.5) pg/mL. Serum estradiol level was significantly correlated with energy, protein, and fat intake. Estradiol level was also significantly associated with carbohydrate (P=0.030) and fat (P=0.036) intake status. Multivariate analysis revealed that intake of energy, protein, and fat, as well as body mass index (BMI) were independent predictors of estradiol levels. However, due to its importance as energy source, we included carbohydrate intake in the final equation to predict estradiol level as follows: E2 = 60.723 – 0.053 (energy) + 0.185 (carbohydrate) + 0.483 (protein) + 0.491 (fat) – 1.081 (BMI).Conclusion Serum estradiol levels in adolescent girls aged 13-15 years are influenced by diet, especially fat intake. Estradiol levels can be predicted from energy, carbohydrate, protein, and fat intake, as well as BMI. [Paediatr Indones. 2016;56:134-8.].
Efficacy of salbutamol-ipratropium bromide nebulization compared to salbutamol alone in children with mild to moderate asthma attacks Matahari Harumdini; Bambang Supriyatno; Rini Sekartini
Paediatrica Indonesiana Vol 52 No 4 (2012): July 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (135.443 KB) | DOI: 10.14238/pi52.4.2012.200-8

Abstract

Background The efficacy of salbutamol-ipratropiumbromidenebulization in children with moderate asthma attacks remainsunclear, and studies on patients with mild attacks have beenrelatively few, especially in Indonesia. However, it is commonpractice for this drug combination to be given to patients withmild􀁓moderate asthma attacks.Objective To compare the efficacy of salbutamol􀁓ipratropiumbromide nebulization to salbutamol alone in children v.ith mildto moderate asthma attacks.Methods This single-blind, randomized clinical trial was heldin the Department of Child Health at Cipto MangunkusumoHospital, the Tebet Community Health Center, and the MHThamrin Salemba Hospital on children aged 5􀁓18 years withmild to moderate asthma attack. We randomized subjectsto receive either 2.5 mg salbutamol plus 0.5 mg ipratropiumbromide (experimental group) or 2.5 mg salbutamol alone(control group). Nebulization was given twice, with a 20minute interval between treatments. We assessed clinicalscores, vital signs, oxygen saturations, and peak flow rates(PFRs) at baseline, and every 20 minutes up to 120 minutespost-nebulization .Results A total of 46 patients were randomized to either theexperimental or the control group. Subjects had similar baselinemeasurements. At 20 minutes post􀁓nebulization, the percentageincrease of PFR was 19% higher in the experimental group(p􀀽O.OI, 95% CI 1.8 to 47.2). The proportion of PFR reversibilitywas 27% higher in the experimental group, although this resultwas statistically insignificant (P=0.06, 95% CI 0.03 to 0.52).There were no significant differences in clinical scores, oxygensaturations, respiratory rates, or hospitalization rates between thetwo groups. Side effects also did not differ significantly.Concl usion Salbutamol􀁓ipratropium bromide nebulizationimproved PFR measurements better than salbutamol alone.However, other clinical parameters were not significantly differentbetween the two groups. [paediatr lndones. 2012;52:200,8].
Benefits of infant calendar action poster to improve the compliance of growth and development monitoring Sudiyanto Darmosubroto; Sudigdo Sastroasmoro; Rini Sekartini
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (775.326 KB) | DOI: 10.14238/pi39.1-2.1999.29-37

Abstract

A community based study was conducted among infants between 0-12 months old about the compliance of growth and development monitoring, with the provision of infant calendar action postern. The subjects of study residing at Cipinang Cempedak areas,Mere fonowed-up from March 1997 until March 1998. One hundred infants provided· with the action postern comprised the intervention group, and 100 infants not provided with the action posters comprised the non intervention or the control group. Twenty infants of the control group and 18 infants of the intervention group dropped out because they moved out areas or didn't show up at the subsequent visit. More than half of the parents has middle income with Rp 134,832.35 – Rp 1,664,733.75 per month, 75.3% the fathers were employees of private enterprises. Eighty two of the intervention group (36 male infants or 43.9% and 46 female infants or 56.1 %) and 80 of the non intervention group d (39 male infants or 48.8 % and 41 female infants or 51.2%) participated in this study. The results showed that the compliance of periodical visits of growth and development monitoring of the intervention group was significantly better than that of the control group. Other results show that the intervention group got proper feeding, had adequate nutritional status, and had complete immunizations as recommended. And sustained contraceptive practice by the mothers.
Maternal attitude and child interest in various play activities before and after mother-child play sessions Soedjatmiko Soedjatmiko; Hartono Gunardi; Rini Sekartini; Bernie Endyarni Medise; Ikhsan Johnson; Yulianti Wibowo; Ray Wagiu Basrowi
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.381 KB) | DOI: 10.14238/pi57.6.2017.316-22

Abstract

Background Play stimulates children's growth and development. When mothers and their children play, a positive attitude from the mother and adequate interest from the child is required. Little is known about the play activities that effectively stimulate such positive maternal attitude and child interest. Objective To assess for associations between various play activities with maternal attitude and child interest before and after mother-child play sessions. Methods Pre-post intervention questionnaires were distributed to mothers before and after playing with their children. Children were aged 1-5 years, from two play sites (in Surabaya and Makassar), and included using purposive sampling. Eight types of toys/play activities were provided. The allocated time for answering the 17-question survey was 15 minutes. Average scores before and after the mother-child play sessions were analyzed using paired T-test. Results We collected 264 valid questionnaires, 235 in Surabaya and 29 in Makassar. Improvement of maternal attitude after the mother-child play session was found in 132 mothers [mean diff. 0.07 (SD 0.42); 95%CI -0.117 to -0.015; P=0.011]. Play activities with significant improvements in maternal attitude were jigsaw puzzle [mean diff. 0.09 (SD 0.66); 95% CI 0.007 to 0.167;P= 0.033), Lego blocks (mean diff.-0.10 (SD 0.69); 95%CI -0.186 to -0.018; P=0.017), mini-gardening (mean diff. -0.15 (SD 0.75); 95%CI -0.238 to -0.057; P=0.002), sandbox [mean diff.-0.24 (SD 0.83); 95%CI -0.339 to – 0.138; P < 0.001], fishing [mean diff. -0.17 (SD 0.68); 95%CI -0.253 to -0.088; P < 0.001], and animal figurines [mean diff. -0.21 (SD 0.75); 95%CI -0.3 to -0.117;P <0.001]. Improvement of child interest was found in 161 children [mean diff. 0.20 (SD 0.52); 95%CI -0.264 to -0.116; P<0.001]. Play activities with significant improvements in child interest were jigsaw puzzle, Lego blocks, origami, mini-gardening, fishing, and animal figurines. Conclusion Some mother-child play activities, but not all, significantly improve both maternal attitude and child interest toward play.
Co-Authors Ali Sungkar Bambang Supriyatno Bernie Endyarni Medise Fijri Auliyanti Hartono Gunardi Ikhsan Johnson Irawan Mangunatmadja Matahari Harumdini Melani Kumala Noorwati Sutandyo Ratna Djuwita Ray Wagiu Basrowi Ririn Hariani Saptawati Bardosono Soedjatmiko Sudigdo Sastroasmoro Sudiyanto Darmosubroto Yulianti Wibowo