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Journal : Journal of Maternal and Child Health

Lung Ultrasonography for the Diagnosis of Pleural Effusion in Children Ayuningtyas, Dewi Sitoresmi; Martuti, Sri; Riza, Muhammad
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background:Chest radiograph was currently the standard imaging for diagnosing pleural effusion. However, there were many limitations, namely radiation, varying interpretation, and long time to get results. Lung ultrasonography is an alternative procedure that is easy to learn and offers many benefits, including noninvasive, ra­diation free, fast, valid, and reliable. The objec­tive of this study was to determine sensiti­vity, specificity, and positive likelihood ratio (LR+)of lung ultrasonography performed by pediatric resident for diagnosing pleural effusionSubjects and Method: This was a cross sectio­nal study at pediatric intensive care unit (PICU) Dr. Moewardi Hospital, Surakarta, Indonesia. We included pediatric patients aged 1 month-18 years from November 2018 to December 2019. A sam­ple of 44 patients with suspected pleural effusion was selected by consecutive sampling. The independents variable was lung ulrasono­graphy. The dependent va­riable were pleural effusion. All subjects under­went lung ultrasono­graphy and chest radiograph. Sensitivity, speci­ficity, and positive likelihood ratio were calculated.Results:There were 44 samples with 59.1% under 1 year old and 54.5% were female. All patients came to the emergency room with complaints of shortness of breath, accom­pa­nied by fever (77.3%) or cough (63.6%). Eleven (25.0%) patients had pleural effusion based on the results of lung ultrasonography. Based on chest radiograph, seven (15.9%) patients had pleural effusion. Lung ultrasonography has sensitivity of 14.3%, specificity of 73%, and LR+ of 0.5 for diagnosing pleural effusion.Conclusion:Lung ultrasonography can be used as a tool to diagnose pleural effusion with good specificity.Keywords: lung ultrasonography; pleural effu­si­onCorrespondence: Dewi Sitoresmi Ayuningtyas. Department of Child Health, Faculty of Medicine, Sebelas Maret University/ Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. Jalan Kolonel Sutarto No. 132, Surakarta, Indonesia. Email: rr.dewi­si­to­resmi@gmail.com.Journal of Maternal and Child Health (2021), 06(02): 176-182https://doi.org/10.26911/thejmch.2021.06.02.05
The Profile of Physical Activity in Children Surviving Acute Lymphoblastic Leukemia based on the Global Physical Activity Questionnaire in Surakarta Zahara, Dini Safitri; Riza, Muhammad; Nugroho, Hari Wahyu
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Acute lymphoblastic leukemia is one of the most common malignancies in children with the highest incidence aged 3-7 years. Management and treatments such as chemotherapy and radiotherapy have musculoskeletal and neuromuscular side effects which can significantly reduce the physical activity of leukemia patients and survivors. This study aims to determine the profile of the physical activity level of children with acute lymphoblastic leukemia as assessed by the Global Physical Activity Questionnaire (GPAQ) in Surakarta, Indonesia.Subjects and Method: This was a study with a cross-sectional design. Children who survived acute lymphoblastic leukemia who had completed chemotherapy at Dr. Moewardi Hospital and met the inclusion criteria were included in this study. A sample of 26 patients was selected through purposive sampling. Demographic data were obtained through interviews and the profile of the patient's physical activity level was assessed using the GPAQ questionnaire. Data analysis was performed using a Pearson Correlation test with SPSS 22.0.Results: The total sample in this study was 26 children with acute lymphoblastic leukemia. As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. There was a significant relationship between length of stay (p=0.001), age (p=0.004), gender (p=0.031), and the degree of risk of acute lymphoblastic leukemia (p=0.004) with the category of physical activity based on the GPAQ score.Conclusion: As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. The length of time being a survivor, the degree of risk of acute lymphoblastic leukemia, the age of the survivor, and gender are risk factors for decreased physical activity in children.Keywords: physical activity, acute lymphoblastic leukemia survivors, childrenCorrespondence: Dini Safitri Zahara. Department of Pediatrics, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Kolonel Sutarto Street No. 132, Surakarta, Indonesia. email: diniszahara@gmail.com Phone: 082227174192.Journal of Maternal and Child Health (2022), 07(02): 231-237https://doi.org/10.26911/thejmch.2022.07.02.12
Differences Levels of Sodium, Potassium, Calcium, and Magnesium Before and After Cisplatin Administration in Child with Osteosarcoma Wardhana, Hendra; Riza, Muhammad; Umma, Husnia Auliyatul
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cisplatin is one of the most commonly used cytostatic chemotherapy agents, especially in patients with solid tumors such as osteosarcoma. The exact mechanism of whether and how cisplatin causes electrolyte disturbances is still unclear. This study aims to determine the differences in levels of sodium, potassium, calcium, and magnesium with the administration of cisplatin in children with osteosarcoma.Subjects and Method: This was an analytical retrospective study using secondary data in the form of medical records. The sample size in this study was calculated by the single proportion for