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Pemberdayaan Guru dan Staff Day Care dalam Pencegahan Penyakit Infeksi Saluran Pernafasan di TPA Shaffana Kecamatan Buah Batu Kota Bandung Purbaningsih, Wida; Nilapsari, Rika; Purbaningsih, Purbaningsih; Suryani, Yani Dewi; Triyani, Yani
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 8 No 2 (2024): Volume 8 Nomor 2 Tahun 2024
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v8i2.19444

Abstract

Daycare (TPA) provides an alternative for baby and toddler care while parents work by providing standardized educational guidance according to the child's age development with an Islamic approach. However, the positive potential of TPA must be supported by creating a good health environment because toddlers are vulnerable to disease transmission. Based on interviews with school principals and teacher representatives, problems with the transmission of respiratory infection and diarrhea occur quickly in children, especially during the transition period. The purpose of this community service program is to increase the knowledge of teachers and teaching staff about respiratory tract infections which can be highly contagious, as well as how to minimize the occurrence of diseases from outside and increase parenting knowledge in sick children. The implementation method used is counseling, modeling the flow of infection prevention and playing isolation facilities, mentoring teachers and staff regarding implementing infection prevention procedures, and preparing an infection prevention game model. The result of PKM is the dissemination of knowledge to teachers and teaching staff about respiratory tract infections which can be highly contagious, as well as how to minimize the occurrence of diseases from outside, as measured by pre and post-test assessments for each activity.
Hematology scoring model to predict sepsis in preterm neonates Suryani, Yani Dewi; Yuniati, Tetty; Kadi, Fiva Aprilia; Primadi, Aris
Paediatrica Indonesiana Vol. 64 No. 5 (2024): September 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.5.2024.389-97

Abstract

Background Neonatal sepsis is a major cause of neonatal morbidity and mortality, especially in developing countries. Atypical clinical symptoms lead to delays in diagnosis and treatment. Scoring a combination of routine hematology parameters may be able to predict the occurrence of sepsis in preterm neonates. Objective To formulate a new model for neonatal sepsis scoring from various complete blood count parameters to predict sepsis in preterm neonates. Methods This analytical cross sectional study using secondary data from the Registry of the Neonatology Division was conducted at the RSUP Dr. Hasan Sadikin, Bandung, West Java. Subjects were neonates diagnosed with sepsis, of gestational age 28–36 weeks, who were born at the RSUP Dr. Hasan Sadikin from January to December 2021. Laboratory results of patients who met the inclusion criteria were recorded. Subjects were divided into either proven sepsis and probable sepsis groups, based on blood culture results. Results Of 112 subjects, 35.7% had proven sepsis and 64.3% probable sepsis. In the proven sepsis group, 52.5% of subjects were male, median birth weight was 1,490 grams, median gestational age was 32 weeks, 90% were small for gestational age, and 60% were delivered normally. Multivariable analysis by multiple logistic regression revealed that the parameters associated with the incidence of neonatal sepsis were c-reactive protein (CRP) > 0.18 mg/dL (score 6), hematocrit <40% (score 4), platelet-to-lymphocyte ratio (PLR) < 19.623 (score 4); monocyte-lymphocyte ratio (MLR) < 0.461 (score 2); and mean platelet volume (MPV) value >10 (score 2). Score >8 had a sensitivity of 85% and specificity of 70.8%, with area under the ROC curve of 0.865 (P<0.001). Scoring accuracy was 75.8%, with a positive predictive value of 61.8%, a negative predictive value of 89.5%, and Kappa index of 51.5% with moderate agreement. Conclusion A hematological score >8 can be used as a predictor of sepsis in preterm neonates.
Hubungan Status Gizi dengan Kejadian ISPA pada Pasien Balita Destiyani, Trya; Suryani, Yani Dewi; Putri, Mirasari
Jurnal Riset Kedokteran Volume 5, No.1, Juli 2025, Jurnal Riset Kedokteran (JRK)
Publisher : UPT Publikasi Ilmiah Unisba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jrk.v5i1.6301

Abstract

Abstract. ISPA is still the cause of the highest number of illnesses and deaths in children. According to WHO, worldwide ISPA has a mortality rate in toddlers of around ±13 million per year in developing countries. According to the Ministry of Health in 2021, the number of ISPA cases in Indonesia in toddlers was 278,261. Nutritional status can affect the occurrence of ISPA, children with poor nutritional status tend to have decreased cellular immunity and a poor immune system, making them more susceptible to infection. The purpose of this study was to determine the Relationship between Nutritional Status and the incidence of ISPA in Toddler Patients. This type of research is quantitative using observational analytic with a case control research method. The research sampling technique used a nonprobability sampling technique with a consecutive sampling type. Data analysis was carried out univariately and bivariately, the results of the chi square test obtained a probability value (p = 0.065> 0.05). In children with ISPA, 15.5% had poor nutritional status, 61.9% normal nutrition and 22.6% had excess nutritional status. In children who did not have ARI, there were 4.8% malnutrition, 72.6% good nutrition and 22.6% overnutrition. This concludes that there is no significant relationship between nutritional status and the incidence of ARI in toddler patients at the Purwaharja 1 Health Center, Banjar City in 2024. Abstrak. ISPA masih menjadi penyebab angka penyakit dan kematian tertinggi yang terjadi pada anak. Berdasarkan WHO, di seluruh dunia ISPA menempati angka kematian pada anak balita sekitar ±13 juta pertahun terjadi di negara berkembang. Menurut Kemenkes tahun 2021 jumlah kasus ISPA di Indonesia pada balita sebanyak 278.261. Status gizi dapat mempengaruhi terjadinya ISPA, anak-anak dengan status gizi buruk cenderung memiliki imunitas seluler yang menurun dan sistem kekebalan yang buruk, sehingga lebih rentan terkena infeksi. Tujuan dalam penelitian ini adalah untuk mengetahui Hubungan Status Gizi dengan kejadian ISPA pada Pasien Balita. Jenis penelitian ini kuantitatif menggunakan observasional analitik dengan metode penelitian case control. Teknik pengambilan sampel penelitian menggunakan teknik non probability sampling dengan jenis consecutive sampling. Analisis data dilakukan secara univariat dan bivariat, hasil uji chi square diperoleh nilai probabilitas (p=0,065>0,05). Pada anak dengan ISPA, sebanyak 15,5% memiliki status gizi kurang-buruk, 61.9% gizi normal dan 22.6% memiliki status gizi lebih. Pada anak yang tidak ISPA, terdapat 4,8% dengan gizi kurang-buruk, 72,6% gizi baik dan 22.6% gizi lebih. Hal ini menyimpulkan bahwa tidak terdapat hubungan yang signifikan antara status gizi dengan kejadian ISPA pada pasien balita di Puskesmas Purwaharja 1 Kota Banjar 2024.