Garuda - Garba Rujukan Digital

The rationalization of personal protective equipment usage and the solution of its limitation during COVID-19 era Irene Ratridewi; Saptadi Yuliarto
Pediatric Sciences Journal Vol. 1 No. 1 (2020): (Supplementary)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Covid-19 pandemic is a global burden health problem caused by Coronavirus. The disease can be transmitted swiftly by droplets after sneezing, coughing, or holding stuff (droplet contaminated). The contagion is eased by bad habit like does not wash hand after touching others or stuff. To date, data says that The Covid-19 morbidity rate is still highest in a densely populated place. Even though several mechanisms in the community have been done to prevent the spreading of this disease, but the spread is still relatively high and needs medical treatment intervention in the health care system especially in the hospital.1 Moreover, the daily hospital treatment of Covid-19 patientsâ€™ needs appropriate personal protective equipment (PPE) to protect and to minimalize the risk of infection to health workers.

The Strategy to Encounter Limited Capacity of Critical Care for COVID-19 Children Saptadi Yuliarto
Pediatric Sciences Journal Vol. 1 No. 1 (2020): (Supplementary)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Coronavirus disease (COVID) â€“ 19 morbidity rates in Indonesia have exponentially increased since its first case in March 2020. To date, 15,438 (0.004%) Indonesian population have been confirmed with Covid-19. Although it is only 0.004% from all of Indonesian, the patient's enhancement is high, also, the patients who recover just only 21.3%, It would endanger the healthcare capacity in Indonesia.1 Recent data from the Indonesian Health Ministry revealed 1,065 (6.9%) confirmed COVID-19 are at young ages. Considering confirmed to suspected/ probable case ratio was 1:2.1, it is estimated that 2,236 children in Indonesia require treatment with COVID-19 protocols. According to the China dataâ€™s, the prevalence of moderate to critical illness in children was 44.5%.2Â If applied in Indonesia, to date, about 995 children need intensive care treatment, which it will rise around 10-40 patients in each day

Mechanical ventilation practice of pediatric patients with Covid-19 in Indonesian tertiary hospital Kurniawan Taufiq Kadafi; Erviani Maulidya; William Prayogo Susanto; Saptadi Yuliarto
Pediatric Sciences Journal Vol. 2 No. 1 (2021): (Available online 1 June 2021)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Background: Coronavirus Disease-2019 (COVID-19) in children tend to have milder clinical manifestation. However, some develop critical conditions and require mechanical ventilation in the Pediatric Intensive Care Unit (PICU). Various modalities are recommended for mechanical ventilation, such as High Flow Nasal Cannula (HFNC), Continuous Positive Airway Pressure (CPAP), or invasive ventilation with intubation. This study aims to describe the clinical feature, ventilation modalities usage, and the outcome of children with critical COVID-19. Methods: This is a retrospective study in COVID-19 children with respiratory distress who were treated in the COVID-19 isolation PICU room of Saiful Anwar General Hospital for one year. The data was gained from the medical record and analyzed descriptively. Data were analyzed using Ms. Excel for Windows. Results: A total of 51 children with COVID-19 were admitted to Saiful Anwar general Hospital in one year period, with 12 of them in critical condition and 6 children require mechanical ventilation. The main signs developed were fever and dyspnea. Invasive mechanical ventilation applicated in 5 patients, and only 1 patient received Non-Invasive Ventilation (NIV). The mean of PEEP used in invasive ventilation is 7-9 cmH2O, lower than ESPNIC’s recommendation of 8-10 cmH2O. Length of ventilator usage is 2-21 days, with 2 patients passed away, both with a comorbid and organ system injury. Conclusion: The mechanical ventilation setting must be determined individually based on the patients’ condition, despite several guidelines providing the recommendation.

Comorbidities as risk factors for clinical outcomes in pediatric patients with COVID-19: a comprehensive literature review Saptadi Yuliarto; Kurniawan Taufiq Kadafi; Rakhman Tyas Perdana; Takhta Khalasha
Pediatric Sciences Journal Vol. 3 No. 2 (2022): Available online : 1 December 2022
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v3i2.40

Background: The population that in a high risk to have a svere COVID-19 infection is children. The difficulties can influence the risk of controlling their hygiene and be worsened by the immaturity immune system, especially in children with comorbidities. Moreover, this problem needs to be prioritized in children. Despite in worldwide spread of severe COVID-19 infection, there are limited data regarding severe COVID-19 disease in children. Thus, we investigated the effects of comorbidities as risk factors for clinical outcomes in paediatric patients with COVID-19. Methods: This comprehensive literature review was from the PubMed, Google Scholar, and Science Direct databases through January 2021. The keywords used to obtain the literature include “COVID-19”, “coronavirus”, ” pediatric”, ”children”, ”severity”, ”comorbidity”, ”mortality”, ”death,” and “intensive”. The article with the inclusion criteria was involved. The information about the COVID-19 severity and underlying comorbidities in children were the main criteria that were enrolled. Results: The severe clinical risk factors in paediatric patients with COVID-19 that are reported most often are chronic lung disease (including asthma) (4312 critical patients), obesity (1007 critical patients), diabetes mellitus (815 patients), cardiovascular disorders (677 patients) and neurological disorders (542), prematurity (183 patients) and immunosuppression conditions including malignancy (143 patients). Other conditions in the form of hematological disorders, airway abnormalities, malnutrition and gastrointestinal disorders can also contribute to the clinical severity of paediatric COVID-19 patients. Conclusion: Children with underlying diseases such as obesity, chronic lung disease, cardiovascular disease, and neurologic disease had a higher risk of severe COVID-19 than children without comorbidities.

Difference in outcomes of pediatric septic shock after fluid resuscitation according to the Ultrasound-guided Fluid Resuscitation (USFR) and American College of Critical Care Medicine (ACCM) protocols: A randomized clinical trial Saptadi Yuliarto; Kurniawan Taufiq Kadafi; Nelly Pramita Septiani; Irene Ratridewi; Savitri Laksmi Winaputri
Paediatrica Indonesiana Vol 63 No 1sup (2023): Supplementary Issue March 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.1sup.2023.49-56

Background Sepsis is a major cause of morbidity and mortality in children. The American College of Critical Care Medicine (ACCM) protocol currently in use in the management of septic shock carries a risk of fluid overload. With the use of ultrasonographic monitoring, the Ultrasound-guided Fluid Resuscitation (USFR) protocol may reduce the incidence of fluid overload and mortality. Objective To assess the difference in outcomes of fluid resuscitation in pediatric septic shock using the USFR vs. ACCM protocols. Methods This randomized clinical trial involved 36 subjects randomized equally into the USFR and ACCM groups. After randomization, each subject was given fluid resuscitation starting at 20 mL/kg and repeated every 5-10 minutes as needed, according to the ACCM protocol. After fluid resuscitation was given, patients in the ACCM group were evaluated for clinical signs, liver span, and rhonchi, whereas those in the USFR group underwent USCOM examination for cardiac index (CI), stroke volume index (SVI), and systemic vascular resistance index (SVRI). After 60 minutes, subjects in both groups were re-assessed for clinical signs, USCOM, pulmonary edema using lung ultrasound score (LUS), and liver span. Subjects were blinded as to the protocol they received. We compared 24-hour and 72-hour mortality rates, clinical improvement of shock at 60 minutes, cardiac index (CI), stroke volume index (SVI), and systemic vascular resistance index (SVRI), as well as pulmonary edema and hepatomegaly, between the two groups. Results At 60 minutes after resuscitation, there were significant differences between the ACCM and USFR groups in the proportion of clinical improvement (0/18 vs. 5/18, P=0.016), pulmonary edema (15/18 vs. 4/18, P<0.001), and hepatomegaly (16/18 vs. 5/18, P<0.001). Mortality rates at 24 hours and 72 hours in the ACCM vs. USFR groups were 17% vs. 12% (P=0.199) and 78% vs. 39% (P=0.009), respectively. Conclusion The USFR protocol reduces the occurrence of fluid overload and leads to a lower mortality rate at 72 hours compared to the ACCM fluid resuscitation protocol.

Procalcitonin level, neutrophil to lymphocyte count ratio, and mean platelet volume as predictors of organ dysfunction and mortality in children with sepsis Saptadi Yuliarto; Kurniawan Taufiq Kadafi; Dian Maharani; Irene Ratridewi; Savitri Laksmi Winaputri
Paediatrica Indonesiana Vol 63 No 1sup (2023): Supplementary Issue March 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.1sup.2023.14-20

Background Procalcitonin (PCT) level is one of known biomarker in septic diagnosis, but limited studies report its benefit in predicting the outcomes of children with sepsis. Neutrophil to lymphocyte (NLR) and mean platelet volume (MPV) are simple biomarkers of inflammation that can be measured in routine hematological examination which role in predicting organ dysfunction remain unclear. Objective To understand the correlations between PCT level, NLR, and MPV, tested in the first day of admission with outcomes of septic children in intensive care unit. Methods This retrospective cohort study obtained the data from medical record of pediatric patients admitted in PICU and HCU since January 2019. The inclusion criteria were children aged 1 months to 18 years with sepsis; whie exclusion criteria were patients with congenital heart disease, hematologic disease, malignancy, and length of care in intensive care unit less than 3 days or more than 28 days. The PCT, NLR, and MPV levels were assessed in the first day of admission. Organ dysfunction was identified using qSOFA score more than 2 points. Results Sixty-nine septic children were reviewed. Procalcitonin level in the first day of admission correlated significantly with qSOFA score in the third day of admission (R= 0.639; P=0.000); as well as with mortality (R=0.747; P=0.000). Receiver operating characteristic (ROC) curve of PCT level in the first day of admission had area under curve (AUC) of 0.922 to predict organ dysfunction (cut off 3.425; sensitivity 95.8%; specificity 52.4%) and AUC of 0.952 to predict mortality (cut off 21.165; sensitivity 96.4%; specificity 78%). Moreover, NLR in the first day of admission correlated significantly with qSOFA in the third day of admission (R=0.407; P=0.001), but did not correlate with mortality. The ROC of NLR to predict organ dysfunction was 0.829 (cut off 3.52; sensitivity 87.5%; specificity 66.7%). There was no correlation between MPV in the first day of admission with qSOFA score in the third day of admission neither with mortality. Linear regression test showed that PCT level and NLR in the first day of admission simultaneously had correlated with qSOFA score in the third day of admission (R=0.696; P= 0.000) and mortality (R=0.748; P=0.000). Meanwhile, PCT and MPV simultaneously had correlation with qSOFA score in the third day of admission (R=0.688; P=0.000) and mortality (R=0.733; P=0.000). Moreover, NLR and MPV simultaneously had correlation with qSOFA score in the third day of admission (R=0.453; P=0.002). All three independent variables (PCT level, NLR, and MPV) simultaneously correlated with qSOFA score in the third day of admission (R= 0.744; P=0.000) and mortality (R=0.739; P=0.000). Conclusion There are significant correlations between each, PCT level and NLR in the first day of admission with qSOFA score in the third day of admission as well as with mortality. There is no correlation between MPV in the first day of admission with qSOFA score in the third day of admission, neither with mortality. There are significant correlations between PCV level and NLR with or without MPV with qSOFA score in the third day of admission as well as with mortality.

Hubungan Antara Pola Asuh Ibu Bekerja dengan Kemampuan Penyesuaian Sosial dan Perkembangan Kognitif Anak Usia Prasekolah (4-5 Tahun) Ayu Andani; Saptadi Yuliarto; Dian Kusumaningtyas
Journal of Issues in Midwifery Vol. 7 No. 1 (2023): Volume 7 No 1
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.01.3

ABSTRAK Latar Belakang: Pola asuh adalah gaya pengasuhan yang dipilih untuk mendidik anak supaya memiliki pola pikir serta perilaku yang sesuai dengan standar masyarakat. Ibu memiliki peran penting dalam mendidik dan mengasuh sesuai dengan tahap perkembangan usia anak. Saat ini, banyak ibu yang memiliki peran ganda, sebagai pengasuh dan pekerja. Hal ini tentu akan mempengaruhi perkembangan karena terbatasnya interaksi antara ibu dan anak. Tujuan: untuk membuktikan apakah kemampuan penyesuaian sosial dan perkembangan kognitif anak mempunyai hubungan dengan pola asuh yang digunakan ibu bekerja pada anak berusia empat sampai lima tahun di Posyandu Desa Kaliboto. Metode: Desain studi analitik cross sectional digunakan dalam penelitian ini dengan sampel sebesar 76 responden dilakukan dengan memakai teknik total sampling. Hasil: sebanyak (82.9%) ibu bekerja menerapkan pola asuh demokratis dan penyesuaian sosial anak pada kategori tinggi yaitu 7.9% serta perkembangan kognitif anak menunjukkan hasil pada kategori baik 73.7%. Hasil uji Chi square menunjukkan pola asuh ibu bekerja mempunyai korelasi dengan kemampuan penyesuaian sosial dan perkembangan kognitif anak (p value=0.000). Kesimpulan: pola asuh yang diterapkan ibu bekerja menentukan kemampuan penyesuaian sosial dan perkembangan kognitf anak. Kata Kunci : Pola Asuh, Penyesuaian sosial, Perkembangan Kognitif

Age and Parental Education, As Well As Family Social Interactions, Have A Relationship With The Emotional Intelligence of Pre-School Children Pradita Tri Hapsari; Saptadi Yuliarto; Krisjentha Iffah A
Jurnal Kebidanan Midwiferia Vol 8 No 2 (2022): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v8i2.1639

During the Covid-19 outbreak, the Ministry of Women's Empowerment and Child Protection recorded SYMPHONY PPA data of 3,087 cases of child abuse, namely 852 cases of physical violence, 768 psychological cases, and 1,848 sexual cases as of January 1 - June 19 2020. Emotional intelligence should be developed and strengthened since age is closely related to the moral, social, personal, and further development of the child for the better. The research objective was to determine the relationship between age and parental education as well as family social interaction on the emotional intelligence of pre-school children. The study used a cross-sectional analytic observational design and used the Chi-Square method. Total sample 96 parents of students in five Kindergartens (TK) in Tanjungpadan, Belitung in September 2021. The results showed no significant relationship parents' age and emotional intelligence with the acquisition of a p value of 0.204 > 0.05 and the number chi square of 2.673, there is a significant relationship parental education and emotional intelligence with a p value of 0.000 <0.05 with a chi square number of 22.034, and family social interaction on emotional intelligence has a significant relationship p value of 0.000 <0.05 and chi value squares 36,670. There is a relationship age and parental education as well as family social interaction on the emotional intelligence of pre-school children.

Title

Found 8 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 8 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 8 Documents
Search