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All Journal Paediatrica Indonesiana Medical Technology and Public Health Journal
Mulya Safri
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Elimination and provocation test in cow's milk hypersensitive children Mulya Safri; Nia Kurniati; Zakiudin Munasir
Paediatrica Indonesiana Vol 48 No 4 (2008): July 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi48.4.2008.253-6

Abstract

Background Allergic disease in infancy mostly related to cow'smilk allergy. The prevalence of cow's milk hypersenstivity in chil-dren has increased steadily in the past years; therefore diagnosticaccuracy is important and every symptomatic child with positivespecific lgE should be followed by elimination and provocation.Objective To diagnose cow's milk hypersensitivity on children un-der three years old using elimination and provocation methods.Methods This was a clinical diagnosis study, in which childrenwith allergy symptoms were examined for cow's milk sensitivityusing prick test or lgE Radioallergosorbent test (RAST). Thosewith positive results underwent an elimination for minimal of 2weeks and were challenged aterwards. The study was a qualitativediagnostic test with the gold standard of recurrence of symptomsafter challenge test.Results There were forty subjects included in the challenge pro-cess with mean age of 17 months old. Boys and girls were equallydistributed. There were 6 7% subjects with positive results onchallenge with positive prick test and 64% positive challenge withhistory of positive lgE RAST. Sixty-five percents of subjects withpositive results on challenge had more than 2 weeks eliminationperiod. There was no statistical significance found in childrenwith positive results on challenge, using neither prick test orlgE RAST.Conclusions Cow's milk protein allergy can be diagnosed on chil-dren less than 3 years old by applying elimination and challengeprocedure. lgE sensitivity alone can not determine hypersensitivity
RELATIONSHIP OF RISK FACTORS FOR STUNTING IN BADUTA AGES 6-24 MONTHS IN BAITUSSALAM DISTRICT ACEH BESAR DISTRICT Sofia Sofia; Irma Agustina; Nora Sovira; Mulya Safri; Iflan Nouval
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 2 (2021): Medical Technology and Public Health Journal September 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i2.3002

Abstract

The problem of stunting in Aceh Besar exceeds the standard set of WHO, which is 38.7% caused by many risk factors. This study aims to determine the risk factors of stunting in children aged 6-24 months in Baitussalam, Aceh Besar. The type of this research is observational analytic with a cross-sectional method that involves 189 children under two years old. Data were collected by filling out questionnaires, maternal and child health books, and measuring body length. The results showed that children who are stunted were 24.3% and those who were not stunted were 75.7%. There were stunting children with a history of non-exclusive breastfeeding (93.5%), pre-term gestational age (82.6%), a history of low birth weight (10.9%), mothers with junior high school education levels (60.9%), fathers with junior high school education level (45.7%) and low family income (68.8%). Statistical test analysis found that the risk factors of stunting have a relationship with history of exclusive breastfeeding (p-value = 0.00), gestational age (p-value = 0.00), history of low birth weight (p-value = 0.022), mother’s education level (p-value = 0.00), father's education level (p-value 0.002) and family income (p-value = 0.00). This study concluded that risk factors which include the history of exclusive breastfeeding, gestational age, history of LBW, education level of mother and father, and family income have a relationship with the incidence of stunting in Baitussalam District, Aceh Besar District.
Co-Authors Iflan Nouval Irma Agustina Nia Kurniati Nora Sovira Sofia, Sofia Zakiudin Munasir