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HUBUNGAN ANTARA PENYAKIT JANTUNG BAWAAN DENGAN KECUKUPAN ASUPAN MAKANAN Mardiati, Mardiati; Sembiring, Tiangsa; Ali_Faranita_Pratita, Muhammad_Tri_Winra
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol. 3: No. 1 (Mei, 2017)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Gizi merupakan hal penting untuk memastikan energi yang adekuat untuk metabolisme basal, pertumbuhan, dan aktivitas fisik. Bayi dan anak dengan penyakit jantung bawaan (PJB) memiliki risiko yang signifikan mengalami kekurangan energi karena meningkatnya pengeluaran energi dan asupan makanan yang tidak memadai. Tujuan penelitian ini adalah untuk mengetahui hubungan antara penyakit jantung bawaan dengan kecukupan asupan makanan terutama energi dan protein. Penelitian ini menggunakan desain cross-sectional yang dilakukan pada bulan Mei sampai Juni 2015 di Rumah Sakit Umum Adam Malik, Medan. Subjek dibagi menjadi PJB dan tanpa PJB. Asupan makanan dihitung berdasarkan makanan yang dikonsumsi selama tiga hari dan kecukupan energi dan protein dihitung menggunakan program Nutrisurvey. Data dianalisis dengan chi square untuk melihat hubungan PJB dengan asupan makanan. Untuk menilai faktor-faktor yang mempengaruhi asupan makanan pada PJB digunakan uji bivariat yang selanjutnya dilakukan analisis multivariat. Hasilnya adalah dari 80 anak yang memenuhi kriteria, 40 anak dengan PJB dan 40 anak tanpa PJB. Terdapat hubungan yang signifikan antara PJB dengan asupan energi dengan risiko terjadinya asupan energi tidak cukup pada PJB adalah 1.824 kali dengan 95% IK 1.226 - 2.713 dibandingkan tanpa PJB. Terdapat hubungan yang signifikan antara PJB dan asupan protein dengan risiko terjadinya asupan protein tidak cukup pada PJB adalah 3.5 kali dengan 95% IK 1.823-6.719 dibandingkan tanpa PJB. Tidak terdapat pengaruh usia, jenis PJB, lama sakit dan status gizi terhadap asupan energi dan protein pada anak PJB. Kesimpulannya terdapat hubungan yang signifikan antara penyakit jantung bawaan dengan kecukupan asupan makanan terutama energi dan protein.

Education regarding relationship of nutritional status to short stature and level of intelligence to parents of elementary school students Rohmawati, Lili; Pratita, Winra; Tanjung, Ika Citra; Arto, Nindia Sugih
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Short stature is a health problem with long-term implications to the future of the children. Short stature condition in children below five years old, known as stunting, may cause cognitive, psychomotor impairment and interfere with productivity on adult period. Main concern in short stature is due to insufficient of dietary intake in long-term period. Parentsâ€™ role in the prevention of short stature is important, therefore, performing education to parents is a crucial task to the government, universities and communities to be done continuously. The objective of this educational counseling was to educate the parents so they would be able to comprehend the relationship of nutritional status to short stature, especially in children below five years old, and level of intelligence in order to prevent the condition of short stature in the future. This activity was held in conjunction with community service program Pengabdian Kepada Masyarakat Dosen Wajib Mengabdi Universitas Sumatera Utara (USU) 2019, by the lecturer team of Faculty of Medicine USU in elementary school Yayasan Pendidikan Al-Washliyah Tanjung Rejo, Medan. Educational counseling materials were modules and leaflets distributed to the parents. To evaluate the educational counseling, questionnaires were disposed prior to and after the lecture. The target audience was the parents of elementary school students, amount of 48 people. The results showed mean difference questionnairesâ€™ score of 0.97 (SD 1.76) with 95%CI=0.46-1.49 and p value=0.001 (p<0.05). There was significant difference of parental knowledge to educational counseling material prior to and after the counseling. Concluded, parental knowledge regarding relationship of nutritional status to short stature and level of intelligence is significantly increased through the educational counseling.

Education regarding relationship of nutritional status to short stature and level of intelligence to parents of elementary school students Rohmawati, Lili; Pratita, Winra; Tanjung, Ika Citra; Arto, Nindia Sugih
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Short stature is a health problem with long-term implications to the future of the children. Short stature condition in children below five years old, known as stunting, may cause cognitive, psychomotor impairment and interfere with productivity on adult period. Main concern in short stature is due to insufficient of dietary intake in long-term period. Parentsâ€™ role in the prevention of short stature is important, therefore, performing education to parents is a crucial task to the government, universities and communities to be done continuously. The objective of this educational counseling was to educate the parents so they would be able to comprehend the relationship of nutritional status to short stature, especially in children below five years old, and level of intelligence in order to prevent the condition of short stature in the future. This activity was held in conjunction with community service program Pengabdian Kepada Masyarakat Dosen Wajib Mengabdi Universitas Sumatera Utara (USU) 2019, by the lecturer team of Faculty of Medicine USU in elementary school Yayasan Pendidikan Al-Washliyah Tanjung Rejo, Medan. Educational counseling materials were modules and leaflets distributed to the parents. To evaluate the educational counseling, questionnaires were disposed prior to and after the lecture. The target audience was the parents of elementary school students, amount of 48 people. The results showed mean difference questionnairesâ€™ score of 0.97 (SD 1.76) with 95%CI=0.46-1.49 and p value=0.001 (p<0.05). There was significant difference of parental knowledge to educational counseling material prior to and after the counseling. Concluded, parental knowledge regarding relationship of nutritional status to short stature and level of intelligence is significantly increased through the educational counseling.

Manfaat Penambahan Laktoferin pada Susu Formula Lanjutan: Tinjauan Sistematik Pratita, Winra; R. Sjarif, Damayanti
Cermin Dunia Kedokteran Vol 45, No 8 (2018): Alopesia
Publisher : PT. Kalbe Farma Tbk.

Salah satu zat dalam ASI adalah laktoferin yang bermanfaat mencegah infeksi. Banyak penelitian dan beberapa tinjauan sistematik menunjukkan manfaat laktoferin pada bayi, namun sedikit penelitian mengenai manfaat laktoferin pada anak berumur di atas 12 bulan. Dari tinjauan ini, tidak didapatkan manfaat bermakna laktoferin pada anak berumur di atas 12 bulan dalam menurunkan insiden diare. Diperlukan penelitian lebih lanjut tentang keamanan serta kadar laktoferin yang ditambahkan pada susu formula lanjutan untuk anak berumur di atas 12 bulan agar bermanfaat.One of the ingredient in breast milk is lactoferrin which is useful to prevent infection. Many studies showed the benefits of lactoferrin in infants, but only few studies in children aged over 12 months. This review showed no significant efficacy of lactoferrin supplementation in lowering the incidence of diarrhea in children over 12 months of age. The efficacy of lactoferrin supplementation in follow-up formula for children aged over 12 months needs further research.

Screening for nutritional risk in hospitalized children: comparison of two instruments Dwi Novianti; Tiangsa Sembiring; Sri Sofyani; Tri Faranita; Winra Pratita
Paediatrica Indonesiana Vol 57 No 3 (2017): May 2017
Publisher : Indonesian Pediatric Society

Background Malnutrition in hospitalized children has negative impact on morbidity, mortality, length of stay, and health-care cost. A simple screening tool is needed to detect hospital malnutrition risk in children.Objective To compare the level of agreement of the Screening Tool for Malnutrition in Pediatrics (STAMP) and Pediatric Nutritional Risk Score (PNRS) with anthropometric measurements, as screening tools for hospital malnutrition in children.Methods A cross-sectional study was conducted from February to July 2014 in the Pediatric and Surgery Wards at H. Adam Malik Hospital, Medan, North Sumatera. Inclusion criteria were children aged 2 to 18 years who were hospitalized for more than 72 hours. Subjects were screened using STAMP and PNRS, and underwent anthropometric measurement on admission. The weight measurements were repeated on the 3rd and 7th days, and just before discharge. The STAMP and PNRS results were compared in terms of level of agreement with anthropometric measurements. Data were analyzed by Kappa value and Spearmanâ€™s correlation test.Results A total of 127 children were screened with both instruments. The PNRS had slight agreement with hospital malnutrition prevalence (Îº=0.175; P=0.028), while STAMP had notÂ (Îº=0.080; P=0.193). Both screening tools had weak positive correlations with length of stay, but the correlation was stronger for PNRS than for STAMP (r=0.218; P=0.014 vs. r=0.188; P=0.034, respectively). The prevalence of hospital malnutrition was 40.9%.Â Conclusions The PNRS screening tool has slight agreement with anthropometric measurement for identifying hospital malnutrition risk in children.

Phototherapy for neonatal jaundice at distances of 20 cm vs 40 cm Winra Pratita; Supriatmo Supriatmo; Guslihan Dasa Tjipta
Paediatrica Indonesiana Vol 53 No 5 (2013): September 2013
Publisher : Indonesian Pediatric Society

Background Neonatal jaundice is one of the most common problems in newborns. Phototherapy is the most widespread treatment for lowering bilirubin concentration in neonates. Phototherapy may be more effective if the light source is placed closer to the neonate.Objective To compare the effectiveness of phototherapy with a 20 cm distance between the light source and the neonate vs a 40 cm distance for decreasing serum bilirubin concentrationMethods An open, randomized, controlled trial was conducted at H. Adam Malik and Pirngadi Hospitals in Medan from August 2009 to March 2010. Subjects were divided into two groups. One group (n=30) received phototherapy at a distance of 20 cm between the light source and the neonate, while the other group (n=30) received phototherapy at a distance of 40 cm. The inclusion criteria in the study were newborns presenting with neonatal jaundice in their first week of life. Serum bilirubin levels were measured at baseline, as well as after 12 hours and 24 hours of phototherapy.Results The mean total bilirubin levels of the 20 cm and 40 cm groups at baseline were 18.8 (SD 1.73) mg/dL and 17.7 (SD 1.46) mg/dL, respectively, not significantly different. After 24 hours of phototherapy, the mean decreases in total serum bilirubin levels of the 20 cm and 40 cm groups were significantly different with 7.6 (SD 1.01) mg/dL and 2.0 (SD 0.83) mg/dL, respectively, (P<0.05).Conclusion Phototherapy with a 20 cm distance between the light source and the neonate is more effective than a 40 cm distance for decreasing bilirubin levels at 24 hours in newborns with hyperbilirubinemia.

HUBUNGAN ANTARA PENYAKIT JANTUNG BAWAAN DENGAN KECUKUPAN ASUPAN MAKANAN Mardiati Mardiati; Tiangsa Sembiring; Muhammad_Tri_Winra Ali_Faranita_Pratita
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol. 3: No. 1 (Mei, 2017)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v3i1.446

Gizi merupakan hal penting untuk memastikan energi yang adekuat untuk metabolisme basal, pertumbuhan, dan aktivitas fisik. Bayi dan anak dengan penyakit jantung bawaan (PJB) memiliki risiko yang signifikan mengalami kekurangan energi karena meningkatnya pengeluaran energi dan asupan makanan yang tidak memadai. Tujuan penelitian ini adalah untuk mengetahui hubungan antara penyakit jantung bawaan dengan kecukupan asupan makanan terutama energi dan protein. Penelitian ini menggunakan desain cross-sectional yang dilakukan pada bulan Mei sampai Juni 2015 di Rumah Sakit Umum Adam Malik, Medan. Subjek dibagi menjadi PJB dan tanpa PJB. Asupan makanan dihitung berdasarkan makanan yang dikonsumsi selama tiga hari dan kecukupan energi dan protein dihitung menggunakan program Nutrisurvey. Data dianalisis dengan chi square untuk melihat hubungan PJB dengan asupan makanan. Untuk menilai faktor-faktor yang mempengaruhi asupan makanan pada PJB digunakan uji bivariat yang selanjutnya dilakukan analisis multivariat. Hasilnya adalah dari 80 anak yang memenuhi kriteria, 40 anak dengan PJB dan 40 anak tanpa PJB. Terdapat hubungan yang signifikan antara PJB dengan asupan energi dengan risiko terjadinya asupan energi tidak cukup pada PJB adalah 1.824 kali dengan 95% IK 1.226 - 2.713 dibandingkan tanpa PJB. Terdapat hubungan yang signifikan antara PJB dan asupan protein dengan risiko terjadinya asupan protein tidak cukup pada PJB adalah 3.5 kali dengan 95% IK 1.823-6.719 dibandingkan tanpa PJB. Tidak terdapat pengaruh usia, jenis PJB, lama sakit dan status gizi terhadap asupan energi dan protein pada anak PJB. Kesimpulannya terdapat hubungan yang signifikan antara penyakit jantung bawaan dengan kecukupan asupan makanan terutama energi dan protein.

Peranan asam lemak esensial terhadap perkembangan otak dan ketajaman penglihatan Nelly Simarmata; Tiangsa Sembiring; Tri Faranita; Winra Pratita
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 3 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

Show Abstract | Download Original | Original Source | Check in Google Scholar

Essential fatty acids play an important role in brain development and visual acuity. Essential fatty acids are needed for optimal health, but human can not synthesize and must be obtained from food. There are two types of essential fatty acids, omega-3 and omega-6. The balance between these essential fatty acids is very important. Deficiency of these essential fatty acids in the critical period may affect the development of children in the future. Several studies have proven the importance of essential fatty acids in the period of brain development and visual acuity in childrenKeywords: essential fatty acids; brain development; visual acuity

Dampak perkembangan keterampilan makan yang tidak baik pada anak Grace Riris Vintany Siahaan; Tiangsa Sembiring; Tri Faranita; Winra Pratita
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.563 KB)

Feeding skills are complex process that involves development of sensoric and motoric abilities. Feeding skills are influenced by anatomical, neurophysiological, and socio-cultural environment. Introduction of proper food that accordance with development of oromotor skills result in perfect development of feeding skill and also reinforce bonding between mother and child. Inappropiate feeding skills development will adverse bad impact on nutritional status, psychological development and the onset of feeding difficulties.Keywords : feeding skil; children

Manfaat Penambahan Laktoferin pada Susu Formula Lanjutan: Tinjauan Sistematik Winra Pratita; Damayanti R. Sjarif
Cermin Dunia Kedokteran Vol 45, No 8 (2018): Alopesia
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v45i8.633

Salah satu zat dalam ASI adalah laktoferin yang bermanfaat mencegah infeksi. Banyak penelitian dan beberapa tinjauan sistematik menunjukkan manfaat laktoferin pada bayi, namun sedikit penelitian mengenai manfaat laktoferin pada anak berumur di atas 12 bulan. Dari tinjauan ini, tidak didapatkan manfaat bermakna laktoferin pada anak berumur di atas 12 bulan dalam menurunkan insiden diare. Diperlukan penelitian lebih lanjut tentang keamanan serta kadar laktoferin yang ditambahkan pada susu formula lanjutan untuk anak berumur di atas 12 bulan agar bermanfaat.One of the ingredient in breast milk is lactoferrin which is useful to prevent infection. Many studies showed the benefits of lactoferrin in infants, but only few studies in children aged over 12 months. This review showed no significant efficacy of lactoferrin supplementation in lowering the incidence of diarrhea in children over 12 months of age. The efficacy of lactoferrin supplementation in follow-up formula for children aged over 12 months needs further research.

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