Wega Upendra Sindhughosa
Department Of Pediatrics, Faculty Of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia

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Association between parents’ body height with stunting in children ages 1-5 years old in Nagi Primary Health Care Working Area Larantuka City, East Flores, Indonesia Wega Upendra Sindhughosa; I Made Arimbawa
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.328 KB) | DOI: 10.15562/ism.v11i1.567

Abstract

Background: Parents' body height is one factor associated with stunting incidence in the child. In under-five years old children, the body height is influenced by genetic factors and the environment during development periods. Short mothers are one of the factor that related to the incidence of stunting. This study aims to determine the associations of parents' body height with stunting in children age 1-5 years old in Nagi Primary Health Care working area, Larantuka City.  Methods: A cross-sectional study was conducted among 123 children age 1-5 years old who met the inclusion criteria were included in this study at Nagi Primary Health Care, Larantuka City. Data was taken from primary data and questionnaire distributed that consist of 3 main parts contains research sample characteristics, father's body height, and mother's body height. Chi-square is used to analyze the relationship between the father's body height and mother's body height with stunting. All of the data were analyzed using SPSS version 17 for Windows.Results: Most of the respondents were female (53.7%), followed by having a normal body height (67.5%), normal body weight (97.6%), >155 cm of mother's body height (65.0%), and >165 cm of father's body height (62.6%). In bivariate analysis, there is no relationship between father's body height with stunting (p>0.01), but statistically significant between mother's body height with stunting (p<0.01). In addition, a moderate positive correlation was found between Mid-Parental Height (MPH) with the children body weight (r=0.41; p=0.01).Conclusion: Mother's body height had a significant association with stunting incidence. In addition, the MPH also had a moderate positive correlation to the children body height.
Hubungan Rasio Neutrofil Limfosit (RNL) terhadap kejadian relaps pada anak dengan sindrom nefrotik di RSUP Sanglah, Bali, Indonesia Wega Upendra Sindhughosa; Gusti Ayu Putu Nilawati; Ni Putu Siadi Purniti; Bagus Ngurah Putu Arhana; Ketut Ariawati; Putu Junara Putra
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (463.48 KB) | DOI: 10.15562/ism.v11i2.652

Abstract

Background: Nephrotic Syndrome is a disease whose cause is not fully known and has a high relapse rate. The lymphocyte neutrophil ratio is a marker of inflammation in patients with malignancy, infection, and coronary heart disease. This study aims to determine the relationship between Neutrophil Lymphocyte Ratio (NLR) and the occurrence of relapse nephrotic syndrome.Methods: This study was a retrospective analytic observational study with a cross-sectional approach to finding the relationship between increased NLR and the incidence of relapse in patients with nephrotic syndrome at SMF Children's Health Sciences Faculty of Medicine Universitas Udayana/Sanglah General Hospital. Data were taken from medical records of 45 respondents with episodes of relapse or remission from January 2018-January 2019. Data were analyzed using SPSS version 20 for Windows.Results: The results showed that most of the subjects were male (71.1%), aged 1-5 years (51.2%), and aged 4.00 ± 8.50 years in both the relapse and remission groups. However, the infection rate (66.7%) and medication adherence (75.0%) tended to be higher in the relapse group. The analysis of the ROC curve shows the cut-off point of NLR was 2.36 (AUC: 0.521), with a sensitivity of 71.1% and a specificity of 73.3%. There was a significant relationship between the NLR value and the incidence of relapsed nephrotic syndrome in multivariate analysis (adjusted OR: 4.53; 95% CI: 1.68 - 12.22; p = 0.003).Conclusion: This study shows that there is a relationship between an increase in RNL and the incidence of relapse in pediatric nephrotic syndrome patients at Sanglah General Hospital, Bali, Indonesia. Latar belakang: Sindrom Nefrotik merupakan salah satu penyakit yang penyebabnya belum sepenuhnya diketahui dan memiliki angka relaps yang tinggi. rasio neutrofil limfosit merupakan suatu pertanda inflamasi pada pasien yang mengalami keganasan, infeksi dan penyakit jantung koroner. Penelitian ini bertujuan untuk mengetahui hubungan Rasio Neutrofil Limfosit (RNL) dengan terjadinya sindrom nefrotik relaps.Metode: Penelitian ini merupakan penelitian retrospektig observasional analitik dengan pendekatan potong lintang untuk mencari hubungan peningkatan RNL terhadap kejadian relaps pada pasien sindrom nefrotik di SMF Ilmu Kesehatan Anak FK UNUD/Rumah Sakit Umum Pusat Sanglah. Data diambil dari rekam medik terhadap 45 responden dengan episode relaps maupun remisi dari Januari 2018-Januari 2019. Data dianalisis dengan SPSS versi 20 untuk Windows.Hasil: Hasil penelitian menunjukkan bahwa sebagian besar subyek adalah laki-laki (71,1%), berusia 1-5 tahun (51,2%), maupun berusia 4,00±8,50 tahun baik pada kelompok relaps maupun remisi. Akan tetapi angka infeksi (66,7%) maupun ketidak patuhan pengobatan (75,0%) cenderung lebih tinggi pada kelompok relaps. Analisa kurva ROC menunjukkan titik potong RNL sebesar 2,36 (AUC: 0,521) dengan sensitivitas 71,1% dan spesifisitas 73,3%. Terdapat hubungan bermakna antara nilai RNL dengan kejadian sindrom nefrotik relaps pada analisis multivariat (adjusted OR: 4,53; 95%IK: 1,68 – 12,22; p=0,003).Simpulan: Penelitian ini menunjukkan bahwa terdapat hubungan antara peningkatan RNL terhadap kejadian relaps pada penderita sindrom nefrotik anak di RSUP Sanglah, Bali, Indonesia
PENGABDIAN MASYARAKAT HARI ANAK NASIONAL DI RUMAH SAKIT UNIVERSITAS UDAYANA, BADUNG, BALI ”ANAK TERLINDUNGI, INDONESIA MAJU” I Made Karma Setiyawan; Ayu Setyorini Mestika Mayang Sari; Wega Upendra Sindhughosa; Ni Luh Sri Apsari; Siska Permanasari Sinardja; I Made Yullyantara; Komang Ayu Witarini; I Gusti Ayu Indah Ardani; Endang Sri Wijayanti; Pande Made Wisnu Tirtayasa
Abdi Widya: Jurnal Pengabdian Masyarakat Vol 2 No 2 (2023): Abdi Widya: Jurnal Pengabdian Masyarakat
Publisher : UPT Pusat Penerbitan LP2MPP ISI Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59997/awjpm.v2i2.2362

Abstract

Peringatan Hari Anak Nasional (HAN) tahun 2022 memiliki tema Anak Terlindungi, Indonesia Maju dan sub tema yakni Peduli Pasca Pandemi COVID-19, Anak Tangguh Pasca Pandemi COVID-19, dan Anak Tangguh Indonesia Lestari. Peringatan HAN  dimaknai sebagai kepedulian seluruh bangsa Indonesia terhadap perlindungan anak Indonesia agar tumbuh dan berkembang secara optimal, dengan mendorong keluarga Indonesia sebagai lembaga pertama dan utama dalam memberikan perlindungan kepada anak, sehingga akan menghasilkan generasi penerus bangsa yang sehat, cerdas, ceria, berakhlak mulia dan cinta tanah air. Berdasarkan hal tersebut dan sesuai dengan Tri Dharma Peguruan Tinggi, maka Rumah Sakit Universitas Udayana mengadakan kegiatan Pengabdian Masyarakat yang berupa pelayanan, penelitian dan penyuluhan kesehatan anak. Selain guna mengabdi kepada masyarakat, kegiatan ini juga berkontribusi dalam Program Indonesia Sehat dengan cara memberikan pelayanan kesehatan kepada masyarakat.
The QUALITY OF LIFE IN ADOLESCENT DURING COVID 19 PANDEMIC I Made Karma Setiyawan; Ni Luh Sri Apsari; I Made Yullyantara Saputra; Wega Upendra Sindhughosa; Siska Permanasari Sinardja; Ayu Setyorini Mestika Mayangsari; Komang Ayu Witarini; Ida Ayu Made Ratna Dewi
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Background : Assessment of quality of life in children is a useful indicator of overall health because it encompasses information about children's physical and mental health. Managing the existing environment and adhering to current constraints due to Covid-19 can be especially difficult for children and adolescents because these conditions can be regarded as incompatible with their developmental tasks. The Pediatric Quality of Life Inventory (PedsQL) is a tool designed to assess children's quality of life based on age, maturity, and cognitive development. While self-report is the gold standard for measuring perceived PedsQL, there may be occasions when the kid is too young, too sick, or too tired to complete PedsQL instrument, in which case a parent-proxy report may be required. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The research was conducted at Udayana University Hospital in July 2022. Detailed explanations about the context and how to fill out the PedsQL form were given to students and their parents. The students and parents fill out PedsQL forms in separate rooms. The PedsQL questionnaire used was the Indonesian version. Concordance between self-report and parent-proxy was evaluated using the Wilcoxon paired sign rank test. Intraclass correlation coefficients (ICC) to assess parent and child agreement. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was no difference in PedsQL between self-report and parent-proxy in overall and subscales functioning domain. Physical, emotional, social, and school functioning all had intraclass correlation coefficients of 0.85, 0.83, 0.79, and 0.88, respectively. Low energy (physical functioning), feel afraid or scared and feel angry (emotional functioning), and can’t do things that children his age do (social functioning) were found different among factor loadings. School functioning factor loadings were found similar. Conclusion : This study shows a good agreement and no significant difference in overall and subscale scores between children's self-report and parent-proxy reports. Although significant differences were found when examining each factor loadings in each component.