Garuda - Garba Rujukan Digital

p-Index From 2019 - 2024

1.8

P-Index

This Author published in this journals

All Journal Medicina E-Jurnal Medika Udayana Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH

Ni Nyoman Metriani Nesa

Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Udayana/RS Universitas Udayana

Author-ID : 518794

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

Published : 14 Documents Claim Missing Document

Claim Missing Document

Articles

1 2

TYPE IC CHOLEDOCHAL CYST PRESENTING AN EXTRAHEPATAL CHOLESTASIS IN A 3 YEAR OLD BOY Reza, Muhammad; Nesa, Nyoman Metriani; Putra, I Gusti Ngurah Sanjaya; Karyana, I Putu Gede; Darmajaya, Made
Medicina Vol 46 No 1 (2015): Januari 2015
Publisher : Medicina

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.928 KB)

Choledochal cyst is a rare congenital dilatation of the bile ducts, mostly diagnosed in childhood. Whenappropriate resection is not performed, cholangiocarcinoma may occur in a high incidence within thesecond decade of life. This report aims to present a rare case in experience of diagnosis and managementtype IC choledochal cyst in children. We present case of a 3-year-old boy who came with jaundice anditchy skin, abdominal pain, brownish urine, pales colored of stool. Abdominal ultrasonography andcomputed tomography scan revealed type IC choledochal cyst. Patient underwent complete cyst removalsurgery and bilioenteric anastomosis through Roux-en-y hepaticojejunostomy. Excision biopsy confirmedthe diagnosis of type IC choledochal cyst. Post surgical follow up shown good physical and laboratorycondition and there was no recurrence of symptoms. Early surgical procedure through Roux-en-yhepatojejunostomy, has been performed. Long term follow up also facilities good prognostic to thepatient. [MEDICINA 2015;46:56-60].Kista koledokus adalah merupakan penyakit saluran empedu bawaan yang jarang dijumpai danbanyak terdiagnosis pada saat usia anak-anak. Tindakan berupa reseksi kista adalah yang terpentingdilakukan, jika tidak segera dilakukan maka dapat meningkatkan resiko terjadinyacholangiocarcinoma dalam usia dekade kedua penderita dalam kehidupan. Tujuan kasus ini dilaporkanuntuk menggambarkan pengalaman dalam mendiagnosis dan tata laksana kista koledokal tipe ICyang jarang pada anak-anak. Laporan kasus ini pada anak laki-laki berumur 3 tahun dengan keluhankulit tampak kuning dan gatal, nyeri perut, urin berwarna kecoklatan, tinja yang pucat. Ultrasonografidan CT scan abdomen memperlihatkan adanya kista koledokus. Tindakan bedah eksisi kista dananastomosis bilioenterik dengan menggunakan tehnik hepatojejunostomi Roux-en-y. Diagnosa kistakoledokus tipe IC terkonfirmasi saat tindakan eksisi biopsi. Evaluasi setelah dilakukan tindakanbedah memperlihatkan hasil yang bagus, baik dari pemeriksaan fisik maupun pemeriksaan penunjangdan hilangnya keluhan yang ada sebelumnya. Walaupun prosedur tindakan hepatojejunustomi Roux-en-y secara dini telah dilakukan, penderita masih membutuhkan evaluasi dalam jangka waktu yanglama. [MEDICINA 2015;46:56-60].

PREVALENSI KONSTIPASI DAN GAMBARAN ASUPAN SERAT MAKANAN DAN CAIRAN PADA ANAK REMAJA I Made Pramana Dharmatika; Ni Nyoman Metriani Nesa; I Nyoman Budi Hartawan; I Gusti Ngurah Sanjaya Putra; I Putu Gede Karyana
E-Jurnal Medika Udayana Vol 8 No 7 (2019): Vol 8 No 7 (2019): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.322 KB)

Penelitian ini dilakukan untuk mengetahui prevalensi konstipasi serta mempelajari asupan serat makanan dan cairan pada anak remaja. Penelitian ini menggunakan metode potong lintang yangdilakukan pada Mei hingga September 2017. Jumlah sampel sebesar 63 anak remaja di SMP Negeri 1Denpasar yang berusia 13-15 tahun. Penelitian ini menggunakan kuisioner yang diisi secara langsungoleh sampel. Konstipasi ditegakkan berdasarkan kriteria Rome III. Asupan serat makanan diketahuimelalui food record yang telah diisi selama tiga hari.Prevalensi konstipasi pada anak remajaditemukan sebesar 11,1%. Rerata asupan serat makanan pada anak remaja ditemukan sebesar 8,75 ±3,01 gram. Kelompok konstipasi memiliki rerata asupan serat makanan sebesar 5,7 gram (SB ± 2,2)dan kelompok tanpa konstipasi sebesar 9,1 gram (SB ± 2,1). Asupan cairan sebanyak ?7 gelasditemukan pada 66,7% anak remaja. Penelitian ini menunjukkan bahwa konstipasi masih ditemukanpada beberapa anak remaja. Mayoritas anak remaja memiliki asupan serat makanan yang rendah.Asupan serat makanan pada anak remaja perlu ditingkatkan sesuai dengan rekomendasi harian untukmenjaga kesehatan anak remaja.Kata kunci: Konstipasi, serat makanan, cairan, food record, anak remaja

Hubungan Vaksinasi Rotavirus dengan Kejadian Diare pada Anak Usia 6-24 Bulan di Kota Denpasar Ni Made Widiantari; Putu Mas Vina Paramitha Cempaka; Ni Nyoman Metriani Nesa; I Putu Gede Karyana; Ketut Dewi Kumara Wati
E-Jurnal Medika Udayana Vol 11 No 2 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.v11.i02.p18

Diarrhea constantly becomes an issue of health because of its high mortality and morbidity. Rotavirus infection is known as the predominant cause of acute diarrhea with severe dehydration and hospitalized diarrhea among children less than five years of age. Therefore, rotavirus vaccination is supposed to provide protective effect against the diarrhea cases. The study was implemented to prove the association between rotavirus vaccination and the diarrhea cases among children 6-24 months of age in Denpasar City. The study used an observation cross-sectional analytic design located at private pediatric clinic in Denpasar City and Puskesmas III Denpasar Utara from January to June 2020. The subjects selected by consecutive sampling technique were 104 children 24-36 months of age who divided into vaccinated and unvaccinated groups. The diarrhea cases were measured retrospectively from 6-24 months of age. The study data were derived through questionnaires, processed and analyzed through chi-square and logistic regression test on SPSS. In this study, the percentage of diarrhea cases in the vaccinated group (15,4%) was smaller than the unvaccinated group (36,5%). The statistical test showed PR = 0,42, 95% CI = 0,271-0,654, and p value = 0,001 (p<0,05) which means that rotavirus vaccination was significantly associated with the diarrhea cases and acts as a protective factor. Keywords : Children, Diarrhea, Rotavirus, Vaccination

PROPORSI IBU DENGAN PERSEPSI BENAR TENTANG STATUS NUTRISI ANAK Luh Wayan Puspa Ningsih; Ni Nyoman Metriani Nesa; Nyoman Budi Hartawan
E-Jurnal Medika Udayana Vol 9 No 4 (2020): Vol 9 No 04(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Malnutrition is a global problem which contributes to children’s mortality and morbidity. One simple effort to reduce malnutrition is involving mothers to help their children to afford optimal nutritional status. The first step is determining the mother’s perception about their children’s nutritional status. The aim of this study was to determine the correct proportion of mother perception about children’s nutritional status. This was a cross sectional study and conducted on August 2016. Subjects and the respondences were 95 children by ages 4 until 5 years old, from TK Kemala Bhayangkari 04, Gianyar with their mother. Nutritional status components were measured objectively. Meanwhile, the mother’s perceptions were measured by body image sillhouette chart in the questionaire. Feel minus ideal discrepancy (FID) and feel minus actual status inconsistency (FAI) indexes were also measured. The proportion of correct mother’s perception about children nutritional status was 41.10%. Whereas, the highest FID proportion was 50.50% with negative value, which mean the mother wanted their children to be chubbier. The proportion of underestimated perception was 30.50% which mean the mother see their children as thinner than they were. Proportion of correct mothers perception about children nutritional status was still low, mothers wanted their children to be chubbier and consider their children were thinner than they were. Based on the study, the general mother’s perception about children nutritional status should be corrected to prevent malnutrition. Keywords: Nutritional status, mother’s perception, Body image sillhouette chart

Accuracy of modified simple pediatric nutritional risk score to detect in-hospital malnutrition Ni Nyoman Metriani Nesal; Gusti Lanang Sidiartha; Endy Paryanto Prawirohartono; Kompiang Gede Suandi
Paediatrica Indonesiana Vol 50 No 5 (2010): September 2010
Publisher : Indonesian Pediatric Society

Background In-hospital malnutrition is malnutrition that occurs during hospitalization. Approximately 70% patients with in-hospital malnutrition are not identified. Only few nutritional screening tools are widely used among children , one of those is the modified risk score.Objective To determine cutoff point and accuracy of risk scores using the modified simple nutritional risk score to detect in-hospital malnutrition.Methods A diagnostic study on 1 month-12 year old children hospitalized at Sanglah Hospital Denpasar was conducted between September-December 2008. The subjects were collected using consecutive sampling method and were assessed using the modified simple pediatric nutritional risk score. Inô€€¿hospital malnutrition was defined days), 5% (length of stay 8-30 days), or 10% (length of stay >30 days). The statistical analyses done were sensitivity, specificity, positive/negative predictive value (PPV /NPV), positive/negative likelihood ratio (PLR/NLR), and post-test probability.Results This study recruited 310 children. Based on ROC curve, the cutoff point \\lith combination of the highest sensitivity and spesificity the sensitivity was 79%, spesificity was 92%, positive likelihood ratios was 2.71, negative likelihood ratio was 0.29 , and post test probality was 47%.Conclusion The modified simple pediatric nutritional risk score can be used as a screening tool to detect inô€€¿hospital malnutrition.

Liver function in children with human immunodeficiency virus infection before and after 6 months of highly active antiretroviral therapy Eva Jacomina Jemima Sapulete; I Gusti Ngurah Sanjaya Putra; Ketut Dewi Kumara Wati; Hendra Santoso; I Putu Gede Karyana; Komang Ayu Witarini; Ni Nyoman Metriani Nesa
Paediatrica Indonesiana Vol 58 No 4 (2018): July 2018
Publisher : Indonesian Pediatric Society

Background Highly active antiretroviral therapy (HAART) has resulted in dramatic decreases in morbidity and improved survival rate in human immunodeficiency virus (HIV)-infected patients. Although the risk of morbidity has decreased, it has been replaced by other long-term complications, such as hepatotoxicity. Hepatotoxicity is often reflected in biochemical abnormalities of liver function, such as elevated levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and aspartate aminotransferase-to-platelet ratio index (APRI). Objective To compare liver function spectrum (AST, ALT, and APRI) in HIV-infected children before and after at least 6 months of HAART. Methods This observational study (before and after) was conducted in pediatric patients with HIV infection who received HAART for at least 6 months at Sanglah Hospital, Denpasar. Data were collected from medical records. Results Forty-nine patients were observed in this study. The mean AST, ALT, and APRI levels before HAART were higher than after at least 6 months of HAART. Anti-tuberculosis treatment and fluconazole therapy were not confounding factors for AST, ALT, and APRI. Conclusion Liver function spectrum enzyme levels of AST, ALT, and APRI are improved after at least 6 months of HAART.

Cystatin C level and amikacin use in neonatal sepsis Putu Diah Pratiwi; I Wayan Dharma Artana; Ni Putu Veny Kartika Yantie; Hendra Santoso; I Gusti Ngurah Sanjaya Putra; Gusti Ayu Putu Nilawati; Ni Nyoman Metriani Nesa
Paediatrica Indonesiana Vol 60 No 1 (2020): January 2020
Publisher : Indonesian Pediatric Society

Background Amikacin is the antibiotic of choice for eradicating bacteria in neonatal sepsis because of its effectiveness against Gram-negative bacteria. However, this drug has nephrotoxic effects. Monitoring kidney function in neonates is very important because amikacin can interfere with development of the kidney. Several studies have shown that serum cystatin C levels were closer to glomerular filtration rate (GFR) values â€‹â€‹compared to serum creatinine levels. Objective To evaluate cystatin C levels before and after administration of amikacin in neonates with sepsis. Methods This prospective cohort study was conducted in one group with a pretest and posttest design. Thirty neonatal sepsis patients who received amikacin therapy at Sanglah General Hospital, Denpasar, Bali, were included by consecutive sampling. Their cystatin C levels were measured before and after receiving amikacin therapy. Data were normally distributed and analyzed by paired T-test, with a value of P<0.05 considered to be significant. Results The mean difference was 0.23 [1.57 (SD 0.29) vs. 1.80 (SD 0.28)] mg/L with P value < 0.001. There was different value of cystatin c level before and after amikacin therapy with deviation standard 0.25 with P<0.001 (alfa 5%). Conclusion Cystatin C levels are significantly higher in neonates with sepsis after administration of amikacin.

Karakteristik diare pada anak di RSUP Sanglah Denpasar tahun 2017 I Dewa Made Satrianjaya; Ni Nyoman Metriani Nesa; Dewi Sutriani Mahalini
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Diarrhea is one of the most common diseases affecting children around the world. In Indonesia, the national rate of diarrhea prevalence is 9% where 16.7% of cases occur at 1-4 years old and 16.5% of cases at under one year old. In addition, dehydration causes most mortalities. Aim: This study aims to determine the characteristics of diarrhea in children in Sanglah General Hospital, Denpasar. Method: Thisstudyis a cross-sectional study design using secondary data from the register data in the Pediatric Division of Sanglah General Hospital Denpasar from January to November 2017. Of the 170 data, there were 165 survival samples. Characteristics of diarrhea in children are described using tables, pie charts, and graphs.Result: Most of the sample were males (56.5%), infants (40%), patients from Denpasar (55.3%) and those with good nutritional status (60%). The mean age of the patient was 26.6 months, the mean body weight was 10.6 kg, and the mean height was 79.8 cm. Most of them were diagnosed with acute diarrhea (98%), where the most common cause is a viral infection (75%). The most common comorbid diseases are congenital heart disease and neurological disease (10.6%). Most patients have only mild dehydration (57%). Long term treatment of diarrhea patient in child wards mostly for 2-3 days.Conclusion: Diarrheain children in Sanglah Denpasar Hospital period January-November 2017 most suffered by men and babies, mostly from Denpasar. Most of them have acute diarrhea that is mainly caused by a viral infection.

Hubungan ASI eksklusif terhadap terjadinya diare akut di Puskesmas III Denpasar Utara periode 2018 I Putu Gede Danika Adikarya; Ni Nyoman Metriani Nesa; Made Sukmawati
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Introduction: Diarrhea is still a public health problem in developing countries, including Indonesia, because of its high morbidity and mortality. Breast milk is one of the important factors to reduce mortality and morbidity due to diarrhea. The aim of this study was to determine the relationship of exclusive breastfeeding to the occurrence of acute diarrhea. This research is analytic research with cross sectional method.Method: The study was carried out in Community Health Centre III Subdistrict of North Denpasar from October to November 2018. The research subjects were taken by consecutive sampling. Data analysis used the prevalence ratio calculation and chi square test to determine the relationship between exclusive breastfeeding and the incidence of diarrhea.Result: In this study the results of acute diarrhea patients in the exclusive breastfeeding group were 17 children and non-exclusive breastfeeding as many as 31 children. Subjects who did not experience acute diarrhea in the excluded breastfeeding group were 28 children and in the non-exclusive breastfeeding group as many as 14 children. The results of statistical analysis showed the value of p=0.003 (p<0.05)Â PR=0.514 CI 95% (0.115-0.656).Conclusion: Exclusive breastfeeding has a significant relationship with the incidence of acute diarrhea and is a protective factor for the incidence of diarrhea.

Ascites permagna caused by large mesenteric cyst in 2 years old male: A case report I Made Yullyantara Saputra; Putu Gde Karyana; Sanjaya Putra; Metriani Nesa; Made Dharmajaya; Kadek Deddy Arianta
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Mesenteric cysts are documented as a rare entity in the pediatric population. They are considered as benign intraabdominal tumors with an unknown etiology and may occur anywhere in the mesentery of the gastrointestinal tract from the duodenum to the rectum. They are most commonly located in the mesentery of the ileum followed by localization in the sigmoid mesocolon. Approximately one-third of mesenteric cysts occur in children younger than 15 years of age and are slightly more common in males. The surgery is the common methods to remove the cyst.Case presentation: A 2-year-old boy was hospitalized with a history of the bloated abdomen and dull achy pain on the left side of the abdomen since I year before admitted. Physical examination revealed distended of abdomen and ascites. Laboratory investigation showed normal limit; ultrasonography investigation showed cystic lesion and fluid collection in the cavum abdomen. It was confirmed with a CT scan. We diagnosed the patient with ascites permagna et causa suspected mesenteric cyst. After the diagnosis, a laparoscopic exploration and drainage ascites and total resection of the cyst were performed. Seven days after surgery, the patient was in good condition and discharged from the hospital â€” no distention in the abdomen.Conclusion: The mesenteric cyst can be the cause of ascites and can be well treated with laparoscopic modalities; the outcome is excellent with no malignancy founded.

Co-Authors Alpha Fardah Athiyyah Andy Darma Ayu Setyorini Mestika Mayangsari Carissa Lidia Dewi Sutriani Mahalini Dwiyanti Puspitasari Endy Paryanto Prawirohartono Eva Jacomina Jemima Sapulete Gusti Ayu Putu Nilawati Hendra Santoso Hendra Santoso I Dewa Made Satrianjaya I Gusti Istri Agung Widnyani I Gusti Lanang Sidiartha I Gusti Ngurah Sanjaya Putra I Made Darmajaya I Made Pramana Dharmatika I Made Yullyantara Saputra I Nyoman Budi Hartawan I Putu Gede Danika Adikarya I Putu Gede Karyana I Wayan Dharma Artana Kadek Deddy Arianta Kadek Deddy Ariyanta Ketut Dewi Kumara Wati Khadijah Rizky Sumitro Komang Ayu Witarini Kompiang Gede Suandi Luh Wayan Puspa Ningsih Made Darmajaya Made Dharmajaya Made Refika Widya Apsari Tangkas Made Sukmawati Muhammad Faizi Muhammad Reza Ni Made Widiantari NP Veny Kartika Yantie Putu Diah Pratiwi Putu Mas Vina Paramitha Cempaka Reza Gunadi Ranuh Sanjaya Putra Steven Christian Susianto Subijanto Marto Sudarmo

Title

Found 14 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 14 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 14 Documents
Search