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All Journal Medicina E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana Health Notions Molecular and Cellular Biomedical Sciences (MCBS) ISM (Intisari Sains Medis) : Jurnal Kedokteran Journal of Global Pharma Technology
I Gusti Ayu Putu Eka Pratiwi
Department Of Child Health, Medical Faculty, Udayana University
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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EVENTRATION OF DIAPHRAGM Eka Pratiwi, I G A P; Purniti, P Siadi; Subanada, IB; Putu Yasa, Ketut
Medicina Vol 39 No 1 (2008): Januari 2008
Publisher : Medicina

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Abstract

Eventration of diaphragm (ED) refers to an abnormally high position of part or all of the diaphragm, but intact diaphragm, usually associated with a marked decrease in muscle fibers and a membranous appearance of the abnormal area with only the peripheral thoracic attachments showing normal muscle. Etiologically ED is congenital or acquired. Congenital diaphragmatic abnormalities occur in 1 per 2000 to 4000 birth, which 7% is diaphragmatic eventration. Most children with ED are asymptomatic when incidentally first seen, will not need theraphy. Those with symptoms develop acute respiratory distress, feeding difficulties, and recurrent pneumonitis. If the patient need assissted ventilation or cannot be weaned off the ventilator, she or he should be plicated. Failure to achieve extubation within a week of plication is an ominous prognostic sign. We reported a case of one month and four days old girl who was dispnea, feeding difficulty and bronchopneumonia caused by right ED with acquired etiology. Plication was done to repaired the symptom. But unfortunately this was not succeded because there was complication of postoperative treatment.
The Correlation Between Weight Increment and Stunting in Children 0-24 Months Hanna Dyahferi Anomsari; I Gusti Eka Ayu Pratiwi; Irwanto Irwanto
Health Notions Vol 4, No 8 (2020): August
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn40804

Abstract

Globally in 2016, 22.9% or 154.8 million children under 5 years of age suffered from child stunting. The prevalence of stunting in Indonesia is 19.3% and in east java it reaches almost 30%. Negative effect of stunting cannot be repair or irreversibel, especially brain damage and the management of stunting is complex, so preventing and reducing child become stunting is more important. Analysis of growth patterns and the detection of aberrant growth patterns provide critical information for the detection of pathologic conditions. Weight-for-age is the most commonly used index of nutritional status. Weight loss, or failure to gain normally, is often the first sign of pathology. If routine weight measurements could be used to detect the risk of linear growth faltering, the role of posyandu in stunting prevention could be enhanced. Purpose of this study is to find a relationship of weight increment in 2, 3, 4, and 6 month and stunting in children aged 0-24 months. There was a significant correlation weight increment for 6 months with stunting (r= -0.432, p=0.004) Keywords: weight increment; stunting; growth interpretation
HUBUNGAN JUNK FOOD TERHADAP OBESITAS PADA ANAK USIA SEKOLAH DASAR DI SD SANTO YOSEPH 2 DENPASAR I Gde Ketut Fendy Indrapermana; I Gusti Ayu Putu Eka Pratiwi
E-Jurnal Medika Udayana Vol 8 No 11 (2019): Vol 8 No 11 (2019): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Angka kejadian obesitas pada anak secara global semakin meningkat. Obesitas disebabkan oleh berbagai faktor, salah satunya adalah konsumsi junk food. Penelitian yang menilai hubungan antara pemberian junk food dengan kejadian obesitas di Denpasar sampai saat ini masih terbatas, oleh karena itu penelitian ini dilakukan dengan tujuan untuk mengetahui prevalensi obesitas dan hubungan antara konsumsi junk food dengan terjadinya obesitas pada anak usia sekolah dasar. Penelitian ini menggunakan rancangan cross-sectional, yang dilakukan di SD Santo Yoseph 2 Denpasar pada bulan April-Mei 2016. Sampel penelitian diambil dari siswa kelas I, II, III, IV, V dan VI di SD Santo Yoseph 2 Denpasar tahun ajaran 2016/2017. Responden mengisi data pada kuesioner dan peneliti melakukan pemeriksaan antropometri berupa pengukuran tinggi badan dan berat badan terhadap responden. Ditemukan prevalensi obesitas sebanyak 44 dari 130 anak yang diteliti (33,8%). Anak yang sering mengonsumsi junk food memiliki risiko 6,8 kali lebih tinggi untuk menderita obesitas dibandingkan dengan yang jarang mengonsumsi junk food (OR= 6,8; nilai P = 0,004). Simpulan dari penelitian ini adalah kebiasaan mengonsumsi junk food merupakan faktor risiko terjadinya obesitas pada anak usia sekolah dasar di SD Santo Yoseph 2 Denpasar. Kata kunci : Obesitas, konsumsi junk food, anak
HUBUNGAN ANTARA SARAPAN DENGAN OBESITAS PADA ANAK USIA 6 – 12 TAHUN I Gusti Ayu Dian Noviyani Sidiartha; I Gusti Ayu Putu Eka Pratiwi
E-Jurnal Medika Udayana Vol 9 No 5 (2020): Vol 9 No 05(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.713 KB) | DOI: 10.24843/MU.2020.V09.i5.P03

Abstract

Obesitas menjadi permasalahan kesehatan global yang insidennya terus meningkat. Obesitas pada anak dikaitkan dengan komplikasi serius masalah kesehatan. Obesitas merupakan masalah kesehatan yang kompleks, dan karena prevalensinya yang terus meningkat, pencegahan merupakan fokus utama dari penyakit ini. Salah satu pencegahannya adalah dengan kebiasaan sarapan. Beberapa studi menyebutkan, melewatkan sarapan berkaitan erat dengan meningkatnya risiko obesitas dikaitkan dengan faktor pola makan. Berdasarkan latar belakang tersebut maka perlu dilakukan penelitian yang bertujuan untuk membuktikan anak dengan kebiasaan sarapan memiliki prevalensi obesitas lebih rendah dibandingkan dengan yang tidak memiliki kebiasaan sarapan. Rancangan analitik potong-lintang dengan sampel penelitian adalah anak usia 6-12 tahun di SDK Santo Yoseph 2 Denpasar. Sampel dipilih dengan stratified random sampling yang memenuhi kriteria inklusi dan data disajikan dalam bentuk tabel. Dari hasil penelitian didapat 178 anak umur 6-12 tahun dengan berbagai gambaran usia, jenis kelamin, status gizi, kebiasaan sarapan, kebiasaan snacking, frekuensi aktivitas fisik, dan kebiasaan menonton TV/komputer. Prevalensi obesitas pada subjek yang tidak memiliki kebiasaan sarapan 51,3% dan yang memiliki kebiasaan sarapan adalah sebesar 26,6% dengan rasio prevalensi 1,9 (1,3;2,9). Setelah diuji hubungan dengan variabel bebas lainnya, diperoleh risiko obesitas 2,8 kali lebih tinggi pada individu yang tidak memiliki kebiasaan sarapan. Berdasarkan penelitian yang telah dilakukan, ditemukan angka prevalensi obesitas di SDK Santo Yoseph 2 Denpasar pada anak umur 6-12 tahun sebanyak 32%. Prevalensi anak-anak dengan kebiasaan sarapan pada populasi tersebut sebanyak 78,1%. Risiko kejadian obesitas 2,8 kali lebih besar pada anak yang tidak memiliki kebiasaan sarapan dibandingkan dengan yang memiliki kebiasaan tersebut. Kata kunci: Obesitas, usia 6-12 tahun, kebiasaan sarapan, prevalensi
Trakeomalasia pada Anak I G. A. P. Eka Pratiwi; Putu Siadi Purniti; I. B. Subanada
Sari Pediatri Vol 9, No 4 (2007)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (112.704 KB) | DOI: 10.14238/sp9.4.2007.233-8

Abstract

Trakeomalasia merupakan suatu keadaan kelemahan trakea yang disebabkan karena kurang dan atau atrofiserat elastis longitudinal pars membranasea, atau gangguan integritas kartilago sehingga jalan napas menjadilebih lemah dan mudah kolaps. Trakeomalasia pada anak dapat diklasifikasikan menjadi dua yaitutrakeomalasia primer (penyakit kongenital) dan sekunder (penyakit didapat). Untuk menegakkan diagnosistrakeomalasia dapat dilakukan dengan anamnesis, pemeriksaan fisik, dan pemeriksaan pencitraan.Manifestasi klinis trakeomalasia antara lain riwayat stridor ekspirasi, kesulitan minum, suara parau, afonia,riwayat breath holding, riwayat intubasi berkepanjangan, trakeostomi, trauma dada, trakeobronkitisberulang, penyakit kartilago (polikondritis relaps), dan reseksi paru. Sebagian besar anak dengantrakeomalasia tidak memerlukan intervensi. Terapi bedah diperlukan jika terapi konservatif tidak mencukupiatau jika terjadi refleks apne, mengalami kesulitan peningkatan berat badan dan perkembangan, mengalamipneumonia atau apne berulang, menunjukkan obstruksi jalan napas yang memerlukan dukungan jalannapas kronik. Gejala kinis akan menghilang secara spontan pada usia 18-24 bulan.
Profil Sepsis Anak di Pediatric Intensive Care Unit Rumah Sakit Umum Pusat Sanglah Denpasar - Bali Dyah Kanya Wati; I Nyoman Budi Hartawan; Ida Bagus Gede Suparyatha; Dewi Sutriani Mahalini; I Gusti Ayu Putu Eka Pratiwi; I Made Gede Dwi Lingga Utama
Sari Pediatri Vol 21, No 3 (2019)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp21.3.2019.152-8

Abstract

Latar belakang. Sepsis dan klasifikasinya merupakan kondisi yang mengancam nyawa dengan angka kematian mendekati 10% dari seluruh pasien dengan sepsis dan syok septik Angka kematian ini akan meningkat pada anak dengan minimal satu penyakit komorbid yang menyertai dan mendekati angka 76% berdasarkan jumlah organ yang mengalami disfungsi. Sampai saat ini belum ada data pasti yang menunjukan prevalensi dan karakteristik pasien dengan sepsis di Unit Perawatan Intensif (UPIA) Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar.Tujuan. Mengetahu prevalensi serta karakteristik pasien dengan sepsis pada pasien anak berusia 0-18 tahun di Unit Perawatan Intensif (UPIA) Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar tahun 2018.Metode. Penelitian ini merupakan penelitian deskriptif retrospektif dengan menggunakan data rekam medis RSUP Sanglah yang dikumpulkan meggunakan metode purposive sampling dengan kriteria inklusi dan eksklusi.Hasil. Penelitian ini sudah berjalan selama 1 tahun dari bulan Januari 2018 sampai dengan Desember 2018. Sampel yang dikumpulkan sebanyak 28 sampel. Kategori usia bayi tertinggi merupakan sampel yang digunakan, yaitu sebesar 57,1%. Diagnosis terbanyak adalah syok sepsis sebesar 60,7%. Skor pediatric sequential failure assesment (pSOFA) didapatkan dengan rerata sebesar 5,94.Kesimpulan. Prevalensi sepsis di UPIA Rumah Sakit Umum Pusat Sanglah Denpasar pada tahun 2018 didominasi oleh pasien dengan kategori usia bayi (<2 tahun).
Effect of kangaroo method on the risk of hypothermia and duration of birth weight regain in low birth weight infants: A randomized controlled trial I G. A. P. Eka Pratiwi; Soetjiningsih Soetjiningsih; I Made Kardana
Paediatrica Indonesiana Vol 49 No 5 (2009): September 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.801 KB) | DOI: 10.14238/pi49.5.2009.253-8

Abstract

Background In Indonesia, the infant mortality rate in 2001 was 50 per 1000 live births, with 34.7% due to perinatal death. This perinatal death was associated with low birth weight (LBW) newborn, which was caused by prematurity, infection, birth asphyxia, hypothermia, and inadequate breast feeding. In developing countries, lack of facilities of LBW infant care leads to the utilization of kangaroo method as care to prevent hypothermia in LBW newborn.Objective To evaluate the differences of hypothermia event andduration of birth weight regain in LBW newborns between earlykangaroo care (EKC) and conventional care (CC).Methods This was an open label randomized controlled trial. The1500-2250 g LBW newborns who were born in Sanglah Hospitalwere randomized to EKC and CC groups.Results Hypothermia events were found more often in CC groupthan EKC group (RR=0.645, 90% CI 0.45 to 0.92, P=0.05). Thisdifference was influenced by breast feeding frequency. Duration of birth weight regain in EKC group (median 5 days (SE=0.31, 90% CI 4.49 to 5.51) was shorter than CC group (median 6 days (SE=0.52, 90% CI 5.15 to 6.85), but this difference wasn't statistically significant (P=0.40). Percentage of birth weight decrease, breastfeeding frequency, and hyperbilirubinemia events that needed phototheraphy were associated with the duration of birth weight increase.Conclusion EKC helps to decrease the incidence of hypothermiaevents, but fails to shorten duration of birth weight increase.Percentage of birth weight decrease, breast-feeding frequency, and hyperbilirunemia events that need phototheraphy are associated with the duration of birth weight increase in LBW newborn.
Age and HIV stage at initiation of highly active antiretroviral therapy determine non-reversal of stunting at 3 years of treatment Putu Diah Vedaswari; Ketut Dewi Kumara Wati; I Gusti Lanang Sidiartha; I Gusti Ayu Putu Eka Pratiwi; Hendra Santoso; Komang Ayu Witarini
Paediatrica Indonesiana Vol 58 No 4 (2018): July 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.653 KB) | DOI: 10.14238/pi58.4.2018.180-5

Abstract

Background Highly active antiretroviral therapy (HAART) has been reported to improve growth, especially in the first 2 years of treatment. It is not clear whether catch up growth is maintained after 2 years of HAART. Objective To assess growth in stunted children with HIV after 3 years of HAART and analyze possible risk factors for non-reversal of stunting. Methods This study was done from May 2016 to April 2017 to follow children with HIV who started HAART between January 2009 and April 2014, and continued for 3 years. Inclusion criteria were children with HIV, aged < 18 years, compliance to the regimen, and stunting. Exclusion criteria were patients lost to follow up or who died prior to 3 years of HAART. Non-reversal of stunting was defined as HAZ ≤ -2SD after 3 years of HAART. Possible risk factors for non-reversal were analyzed using Chi-square test with P<0.05, as well as risk ratio (RR) and 95% confidence intervals (CI). Results Of 150 HIV-infected pediatric patients, 115 were on HAART and 55 (47.8%) were stunted at HAART initiation. Of the 55 stunted and HAART-treated children, 31 (56.4%) were male. Baseline median age was 3.6 years (interquartile range 0.37-8.48). Non-reversal occurred in 32 (58.2%) subjects. Multivariate Cox regression model analysis showed predictors of non-reversal after 3 years of HAART to be age >2 years (RR 16.05; 95%CI 2.89 to 89.02; P=0.002) and HIV stage III-IV (RR 8.93; 95%CI 1.47 to 54.37; P=0.017). Conclusion HAART initiation at age >2 years and HIV clinical stage III-IV at diagnosis are risk factors for non-reversal of stunting after 3 years of HAART.
Vitamin D, insulin-like growth factor-1, and stunting in children with transfusion-dependent thalassemia I Gusti Ayu Putu Eka Pratiwi; Roedi Irawan; I Dewa Gede Ugrasena; Muhammad Faizi
Paediatrica Indonesiana Vol 62 No 2 (2022): March 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.2.2022.98-103

Abstract

Background Transfusion-dependent thalassemia (TDT) has a major impact on a child's growth and is associated with stunting, risk of vitamin D deficiency, and decreased insulin-like growth factor-1 (IGF-1). To date, the relationship between vitamin D levels and stunting in TDT remains unclear. Futhermore, the role of vitamin D and IGF-1 in mediating stunting in TDT patients is still unknown. Objective To investigate the relationship between stunting and vitamin D as well as IGF-1 levels in children with TDT. Methods This cross-sectional study involved 50 TDT children aged 5 to 18 years, included consecutively from the Pediatric Hemato-oncology Outpatient Clinic, Dr. Soetomo Hospital, Surabaya, East Java. Subjects were divided into two groups: stunted (S) and not stunted (NS). Vitamin D and IGF-1 were evaluated by antibody competitive immunoassay and sandwich-enzyme-linked immunosorbent assay (ELISA), respectively. Age, sex, and duration of repeated transfusion were analyzed as confounding factors. Results Median IGF-1 levels were 91.43 (13.67-192.86) ng/mL and 161.53 (17.99-363.01) ng/mL in the S and NS groups, respectively (P=0.011). Mean vitamin D levels were 20 (+ 5.71) ng/mL and 20.46 (5.25) ng/mL in the S and NS groups, respectively (P=0.765). The correlation coefficient (r) of vitamin D and IGF-I levels was not significant. Multivariate analysis showed that low IGF-1 levels, male, and longer duration of repeated transfusions were associated with stunting in children with TDT. Conclusion Low IGF-1 level is associated with stunting in children with TDT. Vitamin D is not significantly associated with either stunting or IGF-1 in children with TDT.
Low Total Lymphocyte Count as the Risk of Hospital Acquired Malnutrition in Children Dian Sulistya Ekaputri; I Gusti Lanang Sidiartha; I Gusti Ayu Putu Eka Pratiwi
Molecular and Cellular Biomedical Sciences Vol 5, No 2 (2021)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v5i2.191

Abstract

Background: Hospital Acquired Malnutrition (HAM) is characterized by inadequate nutritional therapy and the risk of developing malnutrition during the hospital stay. In clinical practice, there are many measurements to determine nutritional status. Total lymphocyte count (TLC) is associated with impaired function of immune system in malnutrition. The purpose of this study was to evaluate the prognostic value of TLC to the occurrence of HAM in pediatric patients.Materials and Methods: This an observational study with a prospective cohort design. Subjects were assessed for weight at the first day of hospitalization, then the subjects were followed until they were discharged. Body weight was re-measured on discharge to determine the presence or absence of HAM. This research was conducted at Sanglah Hospital from May-December 2019. Subjects who met the inclusion and exclusion criteria were enrolled in the study.Results: Among 120 subjects, 55 subjects or 45.8% were malnourished on admission. Subjects with a low TLC compared to a normal TLC had a 3.9-fold risk of experiencing hospital acquired malnutrition (95% Confidence Interval: 1.59 to 7.19, p=0.001). Subjects who had a low TLC had HAM of 61.8%, while subjects who had a normal TLC had HAM of 32.3%. In multivariate analysis, low TLC was the only risk factor for HAM in this research.Conclusion: This study proved that low TLC is the risk of HAM. Total lymphocyte count could be used as predictor of the risk of HAM in hospitalization children.Keywords: hospital malnutrition, total lymphocyte, children
Co-Authors Anak Agung Ratna Purnama Santhi Dewi Sutriani Mahalini Dian Sulistya Ekaputri Dyah Kanya Wati Hanna Dyahferi Anomsari Hanzelina Hanzelina Hendra Santoso I Dewa Gede Ugrasena I Gde Ketut Fendy Indrapermana I Gede Ngurah Harry Wijaya Surya I Gusti Agung Trisna Windiani I Gusti Ayu Fienna Novianthi Sidiartha I Gusti Lanang Sidiartha I Made Kardana I Nyoman Budi Hartawan I NYOMAN MANTIK ASTAWA I Wayan Dharma Artana Ida Bagus Gede Suparyatha Ida Bagus Subanada Irwanto, Irwanto Katharina Yosephin Lakonawa Ketut Dewi Kumara Wati Ketut Putu Yasa Komang Ayu Witarini Lakonawa, Katharina Yosephin Made Gede Dwi Lingga Utama Muhammad Faizi Ni Luh Gede Ari Indrayanti Ni Putu Siadi Purniti Putu Diah Vedaswari Roedi Irawan Soetjiningsih . Soetjiningsih Soetjiningsih