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All Journal MEDIA MEDIKA INDONESIANA Folia Medica Indonesiana Indonesian Journal of Tropical and Infectious Disease The Indonesian Journal of Public Health Health Notions JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Journal of Telenursing (JOTING) INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL STRADA Jurnal Ilmiah Kesehatan JKKI : Jurnal Kedokteran dan Kesehatan Indonesia

Irwanto, Irwanto

Departemen Ilmu Kesehatan Anak RSUD Dr. Soetomo Universitas Airlangga, Jl. Mayjen. Prof. Dr. Mustopo 47 Surabaya

Author-ID : 656194

Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

Published : 15 Documents Claim Missing Document

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The Correlation Between Weight Increment and Stunting in Children 0-24 Months Hanna Dyahferi Anomsari; I Gusti Eka Ayu Pratiwi; Irwanto Irwanto
Health Notions Vol 4, No 8 (2020): August
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn40804

Globally in 2016, 22.9% or 154.8 million children under 5 years of age suffered from child stunting. The prevalence of stunting in Indonesia is 19.3% and in east java it reaches almost 30%. Negative effect of stunting cannot be repair or irreversibel, especially brain damage and the management of stunting is complex, so preventing and reducing child become stunting is more important. Analysis of growth patterns and the detection of aberrant growth patterns provide critical information for the detection of pathologic conditions. Weight-for-age is the most commonly used index of nutritional status. Weight loss, or failure to gain normally, is often the first sign of pathology. If routine weight measurements could be used to detect the risk of linear growth faltering, the role of posyandu in stunting prevention could be enhanced. Purpose of this study is to find a relationship of weight increment in 2, 3, 4, and 6 month and stunting in children aged 0-24 months. There was a significant correlation weight increment for 6 months with stunting (r= -0.432, p=0.004) Keywords: weight increment; stunting; growth interpretation

The Effect of Health Facility and Ease of Accessibility on Satisfaction of BPJS PBPU Participant Anggi Sepfana Zizilia; Bagus Setyoboedi; Rachmat Hargono; Kuntoro Kuntoro; Irwanto Irwanto; Nur Mukarromah
Health Notions Vol 2, No 1 (2018): January
Publisher : Humanistic Network for Science and Technology (HNST)

BPJS is one of the Indonesian government, which maintains the social health insurance and is expected to guarantee the public health quality in Indonesia. This research was conducted to analyze the effect of the health facility and easier accessibility through the BPJS PBPU participant satisfaction. This research used observation method through cross sectional approach. The sampling method in this research was taken under the purposive sampling method with 245 respondents. The sample data was analyzed using the Chi Square statistical analysis to observe the effect of health facility offered and the easier accessibility given through the public satisfactory, who had been listed as BPJS participants. The result showed that the health facility did not give a significant difference with the p value of 0.197, while easier access was significantly different with the p value 0.000 < 0.005 through the BPJS PBPU participant satisfaction. The conclusion of this research was easier access had a significant effect through the BPJS PBPU satisfaction. It is also suggested to the government and BPJS Health Care for disuccsing further about the program along with the policy, as well as the quality service to increase the BPJS participant satisfaction, especially the BPJS PBPU satisfaction. Keywords: BPJS, PBPU, Health facility, Ease of Accessibility, Satisfaction

Influence of Additional Feeding Recovery on The Intellectual Intelligence of Children Mei Lestari Ika Widyyati; Irwanto Irwanto; Annis Catur Adi
Health Notions Vol 2, No 3 (2018): March
Publisher : Humanistic Network for Science and Technology (HNST)

Nutrition is the main requirement for a toddler, if not obtained food according to needs its nutrition value, it will interfere with the growing swell of current or next time. The purpose of this research was to analyze the effect of Additional Feeding Program Recovery on the intellectual intelligence children aged 4-5 years. Design of this research was observational cohort retrospective. The sample size was 70, were divided into two groups, group with a history of getting Additional Feeding Recovery and the Group didn't get Additional Feeding Recovery. Independent variable was Additional Feeding Recovery and the dependent variable was intellectual intelligence. Data was analyzed using Independent Sample t-test. There was no difference in the level of intelligence on the two group with p-value = 0.129. Kewords: Additional feeding recovery, Intellectual intelligence

Profiles of Early Childhood Education Program and Children Attending Them Lisa Pangemanan; Mira Irmawati; Irwanto Irwanto; Ahmad Suryawan
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Early childhood education (ECE) in Indonesia is growing with many variations in programs among the ECE. Children’s profile in those places were varied in terms of growth and development.This research aims to study the profiles in ECE in terms of program’s variation, growth and development of children attend it. This research uses a cross-sectional study was done in 3 ECE centers in Surabaya, which are varied in total effective hours, the use of language, and teacher-student ratio. The growth outcome was assessed by anthropometric measurement. The developmental outcome was assessed using Denver II. Statistical analysis was done by Kruskal-Wallis test. A total of 52 children from three ECE centers were enrolled. Program variations among 3 ECE were as follow: total effective hours per day (3, 2.5 and 3.5), the use of language (1, 1, and 2); and teacher-student ratio (1:7, 1:19, 1:15) respectively. Anthropometric measurements of those ECE were as follow: body weight in kg (16.9 (SD 5.10); 17 (SD 2.46); 17.9 (SD 4.62) (p ≥ 0.05)); body height in cm (100.7 (SD 5.72); 105 (SD 5.89); 104.7 (SD 6.31) (p ≥ 0.05)); head circumference in cm (49.5 (SD 1.75); 50.5 (SD 1.74); 50.6 (SD 1.59) (p ≥ 0.05)) respectively. Suspected developmental delays were 11, 9, 11 children (p ≥ 0.05) respectively. Development problem found was mainly in language and personal social. There are program’s variation among ECE but the growth and development profiles of children attend it were similar. Keywords: Variation, ECE program, Growth, Development

Pemberian Stimulasi Selama Satu Jam pada Perkembangan Anak Usia 12-24 Bulan Mira Irmawati; I Gusti Ayu Indah Ardani Ayu Indah Ardani; Dewi Astasari; Irwanto Irwanto; Ahmad Suryawan; Moersintowarti B Narendra
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 3 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.448 KB)

The influence of one hour stimulation in children aged 12-24 monthsIntroduction: Early stimulation plays an important role to reach optimal growth and development in children, especially cognitive, affective, and psychomotor developments. Stimulation has to be done continuously because this is important to maintain the connection between brain cells (synapse). Lack of stimulation can influence loss of brain cells functions. The aim of this study is to determine the influence of one hour stimulation on the development of children aged 12-24 months.Methods: An experimental analytic study with cohort prospective was conducted on children aged 12-24 months in Gubeng district, Surabaya, from September 2008-February 2009. Seventy healthy children were randomly divided into two groups, stimulation group and control group. Denver II was used to evaluate children’s developmental status, conducted before and after stimulation. Data analysis using McNemar and Chi Square test.Result: There were improvement on development in both groups, from 85.7% become to 94.3% in the stimulation group and 68.6% to 77.1% in the control group. There was a significant influence on children development, only 10% children did not have any development delay anymore in the stimulation group, but in the control group still 30% (p=0.042). After 3 months, there was an improvement of development in the stimulation group from suspect to normal in 80%, and 63.6% in the control group, but notsignificant (p=0.375 vs p=0.549).Conclusion: Early stimulation improves the development of children aged 12-24 months.Keywords: Children, aged 12-24 months, early stimulation, Denver II ABSTRAKPendahuluan: Stimulasi mempunyai peran penting untuk meningkatkan pertumbuhan dan perkembangan anak, terutama fungsi kognitif, afektif dan psikomotor. Stimulasi yang terus menerus mengakibatkan hubungan antar sel otak (sinapsis) bisa berjalan dengan baik. Kurangnya stimulasi akan mengakibatkan hilangnya fungsi sel-sel otak ini. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian stimulasi selama 1 jam pada perkembangan anak usia 12-24 bulan.Metode: Penelitian dilakukan secara analitik prospektif kohort pada anak usia 12-24 bulan di Kecamatan Gubeng, Surabaya, mulai bulan September 2008 hingga Februari 2009. Tujuh puluh anak sehat secara acak dibagi dalam 2 kelompok, kelompok stimulasi dan kelompok kontrol. Denver II digunakan untuk menilai status perkembangan anak, sebelum dan sesudah perlakuan. Analisis data menggunakan uji McNemar dan Chi Square.Hasil: Didapatkan perbaikan perkembangan pada kedua kelompok, dari 85,7% menjadi 94,3% pada kelompok stimulasi, dan 68,6% menjadi 77,1% pada kelompok kontrol. Terdapat perbedaan bermakna pada kemampuan perkembangan, hanya 10% tidak mengalami keterlambatan pada kelompok stimulasi, sedangkan kelompok kontrol 30% (p=0,042). Setelah 3 bulan, terjadi peningkatan perkembangan pada kelompok stimulasi dari subyek yang suspek menjadi normal sebesar 80%, dan kelompok kontrolsebesar 63,6%, tetapi tidak bermakna (p=0,375 vs p=0,549).Simpulan: Pemberian stimulasi satu jam meningkatkan kemampuan perkembangan anak usia 12-24 bulan.

PENGARUH KADAR Hb TERHADAP PRESTASI BELAJAR ANAK USIA SEKOLAH KELAS II-VI DI SDN SONOAGENG 6 PRAMBON NGANJUK Dwi Yanti; Irwanto Irwanto; Arief Wibowo
The Indonesian Journal of Public Health Vol. 12 No. 1 (2017): The Indonesian Journal Of Public Health
Publisher : Universitas Airlangga

Low hemoglobin (Hb) level said as anemia, would reduce the ability to learn and endurance. Students who suffer from anemia will not have a hight enthusiasm for learning because it is difficult to concentrate. Consequently, anemia indirectly affect the value of courses and learning achievement. The aim of research was to analysis hemoglobin (Hb) level which influents to study achievement school-age- children. Statistic test of the research was linier regression with α 0.05 by applying cross sectional approach. The sample taken by simple random sampling, and I got 67 respondents school – age – children class II–VI. The result of the research showed that Hb had significantly influent to study achievement school – age – children by analysed regresilinier on grade p = 0.002.Keywords: hemoglobin level, anemia, study achievement

Determinant Factors of Depression in Beta Major Thalassemia Children Ahmad Suryawan; Hapsari Widya Ningtiar; Irwanto Irwanto; I Dewa Gede Ugrasena
Folia Medica Indonesiana Vol. 57 No. 1 (2021): March
Publisher : Universitas Airlangga

Thalassemia is a chronic disease with long-term treatment that increases the potential for impact on physical, cognitive, and psychological conditions. About 80% of patients with major thalassemia have at least one psychiatric disorder, depression is one of the most frequently reported, especially in prepubertal and puberty periods. The aim of this study is to evaluate determinant factors of depression in beta mayor thalassemia children. This was a cross-sectional study on patients aged 9 to 17 years at hematology outpatient clinic in Dr. Soetomo General Hospital from September to Desember 2018. Level of depression determinded by Children Depression Inventory (CDI) questionnaire. The data were collected and analyzed using using the IBM SPSS Statistics version 21. It is statistically significant with p<0.05. Forty-five participants were included in this study, 15 participants with mild depression and 30 participants without depression. Gender (p=0.462), age of diagnosis (p=0.385), frequency of tranfussion (p=0.065), family history of depression (p=0,350), physical change (p=0.711), duration of illness (p=0.674) have no significant value as a determinant factor while complication (p=0.049) and serum cortisol level (p=0.037) had significant value as determinant factors of depression in Beta Major Thalassemia children. Mild depression is more common in thalassemia patients who experience complications and had high serum cortisol levels

MICROBIAL PATTERN AND ANTIBIOTIC SUSCEPTIBILITY IN PEDIATRIC INTENSIVE CARE UNIT DR. SOETOMO HOSPITAL, SURABAYA I Wayan Putra A.A.W.; Irwanto Irwanto; ira Dharmawati; Arina Setyaningtyas; Dwiyanti Puspitasari; Agung Dwi Wahyu; Kuntaman Kuntaman
Indonesian Journal of Tropical and Infectious Disease Vol. 7 No. 5 (2019)
Publisher : Institute of Topical Disease Universitas Airlangga

Gram-negative bacterial are known as common pathogen caused infection in Pediatric Intensive Care Unit (PICU). Microbial Pattern and Antibiotic Susceptibility are needed as clinical data for selected appropriate antibiotic therapy. In PICU Dr. Soetomo hospital until now still lacking of Microbial Pattern and Antibiotic Susceptibility data. This descriptive study is to recognized Microbial Pattern and Antibiotic Susceptibility in PICU patients from blood, urine, sputum, stool, cerebrospinal fluid, endotracheal tube, pus swab and pleural fluid culture specimens. Patients whose admitted into PICU without signs of infections were excluded from the study. The inclusion criteria are patients with sign infection as follows: fever < 36,5°C or > 37.5°C, leukocyte < 4000/mm3 or > 10000/mm3, marker infections CRP >10 mg/L or PCT >0,3 ng/mL, bradycardia or tachycardia, tachypnea, infiltrates on chest X-ray, turbid urine, dysuria, thrombophlebitis, abdominal pain or tenderness, and mucous or skin lesion. Medical record data from 2011 to 2016, revealed 1138 patients had positive microbial culture result, wherein positive result came from blood 44.46%, urine 19.15%, sputum 11.59%, stool 8.96%, cerebrospinal fluid 7.50%, endotracheal tube 4.04%, pus swab 2.89%, and pleural fluid 1.41%. The microorganisms found in PICU Dr. Soetomo was dominated with gram negative bacteria. Commonest bacterial that recognized from blood was B. cepacea, urine was E. coli, sputum was P. aeruginosa, Stool was E. coli, Cerebrospinal fluid was S. cohnii, endotracheal tube was K. pneumoniae ESBL, pus swab was S. aureus, and pleural fluid was S. maltophilia. Both gram-negative bacteria and gram-positive bacteria isolates revealed multiple drug resistance to commonly used antibiotic, but still had good susceptibility for antibiotic such as; amikacin, cefoperazone-sulbactam, linezolid, vancomycin and carbapenem group.

ASSOCIATION BETWEEN SEPSIS RISK CALCULATOR AND INFECTION PARAMETERS FOR NEONATES WITH RISK OF EARLY ONSET SEPSIS Trias Kusuma Sari; Irwanto Irwanto; Risa Etika; Mahendra Tri Arif Sampurna; Ni Made Mertaniasih
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 2 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i2.10712

C-reactive protein (CRP) is an acute-phase reactant protein that is primarily induced by the IL-6 action during the acute phase of an inflammatory or infectious process. Bacterial infection is a potent stimulus, leading to a rapid elevation of CRP levels within hours while the CBC and symptom are often misleading and/or absent. American Academy of paediatrics (AAP) is recommended routine blood examination test Complete Blood Count (CBC), C-reactive protein (CRP), and blood culture along with empirical antibiotic in neonates with early onset sepsis risk (EOS) risk even asymptomatic. Previous study is showed there were no correlation of CRP and EOS risk. The aim of this study is to evaluate the CRP and CBC profile in neonate with risk of EOS. Methods of this study is using the sepsis risk calculator (SRC) to calculate the probability of neonatal early onset sepsis (EOS) based on maternal risk and infant’s clinical presentation. Neonates with ≥34 weeks of gestation who were started on antibiotic treatment after laboratory examination and blo odculture were taken. EOS risk estimation were compared including CRP, leukocyte, and thrombocyte count. ANOVA applied to distinguished laboratory examination between stratified risk groups. The result is showed using 82 subjects who met the inclusion and exclusion criterias, EOS risk level was stratified into green, yellow, and red group. The p value of CRP level, platelets, white blood cell were 0.35,0.54 and 0.48 where p value was considered as significant if < 0.5. The conclusion of this study is there were no correlation of CRP level and EOS riskASSOCIATION BETWEEN SEPSIS RISK CALCULATOR AND INFECTION PARAMETERS FOR NEONATES WITH RISK OF EARLY ONSET SEPSIS

Infant Development under 6 Months Old in a Family with Smoking Habit Rufina Adelia Widyatama; Irwanto Irwanto; Dwi Susanti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 2 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V12I22021.77-83

Introduction: Fastest developmental period of infants is on their first six months of life. However, smoking is a habit in Indonesia, done mostly by adult male (47.5%) on 30-34 years old group (33.4%) which can harm others, especially their family. Secondhand smoke, defined as environmental smoke that contains more than 4,000 dangerous chemicals, is the major cause of cigarette exposure, and home is the main place where children get exposed. Exposure of secondhand smoke can affect fetal brain, specifically on neurodevelopment stage, which can affect infant development.Methods: This study used analytic observational with cross sectional approach. Sampling method of the study was cluster sampling. This study involved 103 subjects who came to the selected primary health center. Data of smoking family was collected by interview, and infant’s development examination was done by the screening tool Pre-Screening Development Questionnaire (KPSP). Data were analyzed by chi-square correlation test between smoking habit and infant's development.Results: Number of infants in families with smoking habit were dominant which exposed by father is dominant (28.1%), followed by exposure by father and other family members (25.2%), and other family members (7.8%). Infants that were not exposed by secondhand smoke tend to pass the development test (67.5%). There was no significant relationship between infant’s development and smoking family habit (p = 0.128).Conclusion: Although the correlation is insignificant, parents should consider family smoking habit due to infants’ health and development.

Co-Authors Agung Dwi Wahyu Ahmad Suryawan Ana Rizqy Soliha Anggi Sepfana Zizilia Annis Catur Adi Arief Wibowo Arina Setyaningtyas Bagus Setyoboedi Devika Aulia Dewi Astasari Dwi Susanti Dwi Yanti Dwiyanti Puspitasari, Dwiyanti Fatma Tiara Sari Giwang Yayi Retnosari Hanna Dyahferi Anomsari Hapsari Widya Ningtiar HERAWATI, LILIK I Dewa Gede Ugrasena I Gusti Ayu Indah Ardani I Gusti Ayu Putu Eka Pratiwi I Wayan Putra A.A.W. Ira Dharmawati Ivon Diah Wittiarika Kamila Fadma Putri Sumarsono Kuntaman Kuntaman Kuntoro Kuntoro Lisa Pangemanan Mei Lestari Ika Widyyati Mira Irmawati Moersintowarti B Narendra Ni Made Mertaniasih Nur Mufida Wulan Sari Nur Mukarromah Rachmat Hargono Rakhmalia Imeldawati Risa Etika, Risa Rufina Adelia Widyatama Sampurna, Mahendra Tri Arif Trias Kusuma Sari Wahyu Agung Budi Alamsyah

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