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All Journal E-Jurnal Medika Udayana Paediatrica Indonesiana Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Eduvest - Journal of Universal Studies
Suparyatha, Ida Bagus Gede
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Aerospace Engineering Computer Science & IT Health Professions Medicine & Pharmacology Neuroscience Public Health Social Sciences

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HUBUNGAN POLA KONSUMSI ANAK DI KANTIN SEKOLAH DENGAN OBESITAS DI SD NEGERI 17 DANGIN PURIi Jumantini, Ni Komang Pasek Nurhyang; Wati, Dyah Kanya; Subanada, Ida Bagus; Suparyatha, Ida Bagus Gede
E-Jurnal Medika Udayana Vol 11 No 4 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i04.P06

Abstract

ABSTRAK Obesitas kini telah menjadi tantangan kesehatan. Kasus obesitas pada anak menjadi salah satu permasalahan yang perlu diperhatikan. Pada tahun 2016, obesitas terjadi pada lebih dari 650 juta orang dengan melampaui angka 340 juta anak dan remaja usia 5-19 tahun mengalami obesitas. Obesitas terjadi akibat ketidakseimbangan antara intake energi dan energi yang digunakan tubuh. Obesitas merupakan penyakit multifakatorial. Pada anak usia sekolah dasar, pola konsumsi di kantin sekolah berkontribusi besar terhadap kasus obesitas. Anak usia sekolah dasar cenderung memiliki kebiasaan jajan di kantin sekolah. Makanan tinggi karbohidrat dan lemak mendominasi jajanan di kantin sekolah, seperti gorengan, makanan ringan (snack), sosis, aneka kue, cokelat, dan makanan cepat saji lainnya serta berbagai jenis minuman. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan pola konsumsi anak di kantin sekolah dengan kejadian obesitas anak. Penelitian ini merupakan penelitian observasional dengan metode pengambilan data cross-sectional dan pengumpulan data dilakukan dengan wawancara dan pengukuran antropometri. Penelitian ini dilakukan di SD Negeri 17 Dangin Puri, dengan besar sampel sebanyak 66 responden. Berdasarkan hasil penelitian, ditemukan adanya hubungan bermakna antara pola konsumsi tidak seimbang di kantin sekolah anak dengan status gizi obesitas (OR=5,400; IK 95% 1,185-24,597; p=0,029), dan adanya hubungan bermakna antara aktifitas fisis dengan status gizi anak (OR=0,165; IK 95% 0,036-0,749; p=0,020). Kesimpulan dari penelitian ini bahwa terdapat hubungan pola konsumsi anak di kantin sekolah dengan kejadian obesitas. Kata kunci : obesitas, anak sekolah dasar, pola konsumsi di kantin sekolah
Validation of PIM 3, Prism III, and Pelod 2 Scores As Predictors of Mortality in Acute Respiratory Distress Syndrome in Pediatric Intensive Care Unit Sihombing, Rina Margareth; Suparyatha, Ida Bagus Gede; Putra, I Gusti Ngurah Sanjaya
Eduvest - Journal of Universal Studies Vol. 5 No. 4 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i4.49949

Abstract

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition in pediatric patients characterized by alveolar fluid accumulation that disrupts gas exchange. Various scoring systems—Pediatric Index of Mortality 3 (PIM 3), Pediatric Risk of Mortality III (PRISM III), and Pediatric Logistic Organ Dysfunction 2 (PELOD 2)—are utilized to estimate mortality, disease severity, and organ dysfunction. However, their validation specifically in pediatric ARDS remains limited. This prospective cohort study aims to evaluate the predictive validity of PIM 3, PRISM III, and PELOD 2 in children aged 1 month to 18 years diagnosed with ARDS and admitted to the Pediatric Intensive Care Unit (PICU). A total of 60 patients were enrolled, with 16 observed for a full 28-day period and 44 reaching clinical outcomes earlier (19 deaths, 25 survivals). Each scoring system was assessed using Receiver Operating Characteristic (ROC) analysis to determine optimal cut-off values for mortality prediction. The PIM 3 score with a cut-off of ≥6.8 yielded a sensitivity of 90.0% and specificity of 95.0%. PRISM III with a cut-off of ≥26 showed 85.0% sensitivity and 100% specificity, while PELOD 2 with a cut-off of ≥9 demonstrated similar performance (85.0% sensitivity, 100% specificity). Among the three, PIM 3 exhibited superior sensitivity for mortality prediction. These findings support the clinical utility of PIM 3 as a more responsive tool for early risk stratification in pediatric ARDS, aiding in timely and targeted interventions.
Neurological manifestations in patients with multisystem inflammatory syndrome in children (MIS-C) in the post-COVID-19 era Wati, Dyah Kanya; Suparyatha, Ida Bagus Gede; Hartawan, I Nyoman Budi; Manggala, Arya Krisna; Artini, Ni Wayan Noni; Aurelya, Anira Rema
Paediatrica Indonesiana Vol. 65 No. 3 (2025): May 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.3.2025.239-44

Abstract

Background Multisystem inflammatory syndrome in children (MIS-C) is an emerging condition associated with the COVID-19 pandemic. It occurs in approximately 2-8% cases of COVID-19, sometimes leading to shock, multiorgan failure, and the need for intensive care. Neurological manifestations are uncommon and sometimes overlap with previous comorbidities. Objective To explore the neurological manifestations in critically ill children with MIS-C. Methods This cross-sectional study included children aged <18 years, diagnosed with MIS-C according to World Health Organization (WHO) criteria and admitted to the pediatric intensive care unit (PICU) at a tertiary hospital in Bali, Indonesia. Retrospective data were extracted from electronic medical records covering January 2022 to December 2023. Demographic characteristics, clinical manifestations, treatments, and outcomes were collected and analyzed using SPSS. Patient were grouped based on the presence or absence of neurological symptoms for comparison. Results There were 47 children diagnosed with MIS-C; 78.7% of them were critically ill and treated in our intensive care unit. Thirty-seven subjects were included in the study. The most common symptom was fever (83.8%). Neurological manifestations were found in 12 children (32.4%), most commonly decreased consciousness (58.3%), followed by seizures (25.0%), hemiparesis (8.3%), and behavioral changes (8.3%). When comparing subjects with vs. without neurological symptoms, those with neurological manifestations had higher proportions of invasive mechanical ventilation (58.3% vs. 36.0%, respectively), combined use of intravenous immunoglobulin and methylprednisolone (83.3% vs. 64.0%, respectively), and mortality (58.3% vs. 28.0%, respectively). Conclusion Neurological  manifestations, particularly decreased consciousness, were common in critically ill MIS-C patients. These patients exhibited higher rates of invasive ventilation and mortality, emphasizing the need for early recognition and targeted management.
EVALUASI DETERMINAN KEMATIAN PASIEN UNIT INTENSIF ANAK: STUDI RETROSPEKTIF RUMAH SAKIT TERSIER INDONESIA TIMUR Sukmapermata, Bunga; Hartawan, I Nyoman Budi; Suparyatha, Ida Bagus Gede; Kanya Wati, Dyah
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.21465

Abstract

Background: Understanding the characteristics of pediatric mortality is essential for improving and evaluating the quality of care in Pediatric Intensice Care Unit (PICU). Such insights allow for more effective prioritization and allocation of limited resources, Objective: To identify the determinant factors contributing to mortality in PICU. Methods: This study was a descriptive study using medical record data from a tertiary referral hospital in Denpasar, Bali. Results: A total of 51 patients who died in the Pediatric Intensive Care Unit (PICU) were included. The median age of deceased patients was 3.33 years (IQR 0.5–9.92), with a higher proportion of female patients and those suffering from malnutrition. Most of the deceased patients were categorized as priority level 4 for PICU care. The most common diagnosis at admission was pneumonia, and the most patients were referred from other inpatient wards within the same hospital. A total of 35 cases progressed to sepsis, with a median procalcitonin level of 5.19 ng/mL (IQR 0.98–19.77), and sepsis accounted for 64.7% of the deaths in the PICU. The PELOD-2 score, calculated without lactate, had a median value of 6 (IQR 4–9), which may represent a threshold for mortality risk in our PICU. The mortality rate in our PICU during the study period was 22.27%. Conclusion: Infection remains the primary cause of death among pediatric patients in the PICU, particularly in those with severe comorbidities commonly referred to tertiary care centers. These findings emphasize the need to strengthen infection control measures in general wards and optimize fluid management within the PICU. Given the frequent mismatch between demand and capacity, stricter patient admission criteria are essential to ensure that intensive care resources are allocated to those with the highest clinical need and greatest potential for benefit.
Co-Authors Artini, Ni Wayan Noni Aurelya, Anira Rema Dyah Kanya Wati I Gusti Ngurah Sanjaya Putra I Nyoman Budi Hartawan Ida Bagus Subanada Jumantini, Ni Komang Pasek Nurhyang Manggala, Arya Krisna Sihombing, Rina Margareth Sukmapermata, Bunga