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Otoacoustic emission examination results on down syndrome students Fasya, Haidar Haikal; Lestari, Rahmi; Hafiz, Al; Asyari, Ade; Masnadi, Nice Rachmawati; Ilmiawati, Cimi
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 1 (2023): VOLUME 53, NO. 1 JANUARY - JUNE 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i1.592

Background: Down syndrome (DS) is a genetic disorder that occurs due to an excess of genetic material on chromosome 21. Down syndrome was associated with various congenital abnormalities and dysfunction of several organs, one of which was hearing. DS patients often experience sensorineural hearing loss. Evaluation of sensorineural hearing loss in DS patients could be done in several ways, one of which is the Otoacoustic Emission (OAE) examination. Purpose: This study aimed to describe the results of the OAE examination in elementary school children at special need schools in Padang City in 2022. Methods: This research was a descriptive study, using a cross sectional study design. Data were collected and processed using consecutive sampling technique. The research subjects who met the criteria were 31 samples. Results: The results showed that the majority of DS subjects received “refer” results 25/31 on OAE examination, OAE “refer” results occurred both in one ear or both ears. The “refer” results of the OAE were greater in male DS patients 20/24 than female 5/7 and more common in the 18-21 year old age group. Conclusion: Conclusions based on this study, people with DS are more at risk of having sensorineural hearing loss.

Gambaran Faktor Risiko Hiperbilirubinemia Pada Neonatus yang Dirawat di Ruang Perinatologi RSUP Dr. M. Djamil Padang Fadhillah, Ilham Arief; Afdal, Afdal; Pertiwi, Dian; Masnadi, Nice Rachmawati; Rofinda, Zelly Dia; Handayani, Tuti
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 2 (2024): Juni 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i2.1208

Abstrak Latar Belakang: Hiperbilirubinemia ditandai dengan adanya ikterus. Hiperbilirubinemia dibedakan menjadi dua jenis, yaitu hiperbilirubinemia fisiologis dan patologis. Hiperbilirubinemia pada neonatus perlu mendapat perhatian karena dapat menyebabkan neonatus mengalami bilirubin ensefalopati akut atau pada fase lanjut akan menyebabkan kernikterus Objektif: Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko hiperbilirubinemia pada neonatus yang dirawat di perinatologi RSUP Dr. M. Djamil Padang Metode: Penelitian ini merupakan penelitian deskriptif retrospektif yang menggunakan data rekam medis neonatus dengan hiperbilirubinemia pada bulan Januari 2021 hingga Desember 2022 Hasil: Hasil penelitian ini didapatkan 58,6% neonatus dengan hiperbilirubinemia berjenis kelamin laki-laki, dan 35,7% masuk dalam kategori high risk. Kejadian faktor risiko hiperbilrubinemia pada neonatus adalah 35,6% dengan berat lahir rendah, 32,8% dengan inkompatibilitas darah, 32,8% dengan preterm, 21,4% dengan infeksi, 7,1% dengan breastfeeding jaundice, dan 1,4% dengan ibu diabetes melitus. Tidak ditemukan faktor risiko polisitemia pada neonatus yang hiperbilirubinemia. Kesimpulan. Pada penelitian ini didapatkan faktor risiko hiperbilirubinemia pada neonatus terbanyak adalah BBLR, diikuti oleh faktor risiko lainnya seperti inkompatibilitas darah, usia gestasi, infeksi, breastfeeding jaundice, dan ibu diabetes melitus Abstract Background: Hyperbilirubinemia is an increased level of bilirubin in the blood which is clinically characterized by icterus. There are various risk factors for hyperbilirubinemia in neonates so attention needs to be paid because it can cause neonates to experience acute bilirubin encephalopathy or in the advanced phase it can cause kernicterus. Objective: This study aims to describe the risk factors for hyperbilirubinemia in neonates treated at the neonatology department of RSUP Dr. M. Djamil Padang. Method: This research is a retrospective descriptive study using medical records of neonates with hyperbilirubinemia. This research was conducted at RSUP Dr. M. Djamil Padang in January 2021 – December 2022. In this study, 70 samples were obtained from neonates with a diagnosis of hyperbilirubinemia who met the inclusion criteria. Result: The results of this study founded that 35,7% of neonates with hyperbilirubinemia were included in the high risk category. 41% of neonates with hyperbilirubinemia are male. The risk factors for hyperbilirubinemia in neonates were 35.6% with low birth weight neonates, 32.8% with blood incompatibility, 32.8% with preterm, 21.4% with infections, 7.1% with breastfeeding jaundice, and 1.4% with diabetes mellitus. No risk factors for polycythemia were found in neonates with hyperbilirubinemia. Conclusion: The conclusion of this study is the most common risk factor for hyperbilirubinemia in neonates is LBW, followed by other risk factors such as blood incompatibility, gestational age, infection, breastfeeding jaundice, cholestasis, and maternal diabetes mellitus. Keyword: Neonates, hyperbilirubinemia, risk factors.

FACTORS RELATED TO THE RISK OF HOSPITAL MALNUTRITION ON PEDIATRIC PATIENTS AT RSUP DR. M. DJAMIL PADANG IN 2020 Jasman, Putri Elica; Masnadi, Nice Rachmawati; Pertiwi, Dian; Semiarty, Rima; Anggrainy, Fenty; Mariko, Rinang
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 3 (2025): SINERGI : Jurnal Riset Ilmiah, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i3.1064

Hospital malnutrition (HM) is malnutrition happened during hospitalization and has an impact on patient complications and mortality. This study aims to determine the factors associated with the risk of HM in pediatric patients at RSUP Dr. M. Djamil Padang in 2020. This study was an analytical research with the cross-sectional approach. The research was conducted at RSUP Dr. M. Djamil Padang Medical Records Section between February 2020 and December 2022. The data used is secondary data from the medical records. Bivariate analysis was conducted using the Chi- square test and Fisher's exact test. Logistic regression test was used for multivariate analysis. Statistical significance is determined if the p value <0.05. This research result showed that most of the patients were found in the age group <5 years and the main disease are lung disease. The risk factors for HM are STRONGkids scores, nutritional status, and length of stay. The prevalence of HM is 21.2%. The results of bivariate analysis showed multiple diagnoses (p=0.328), STRONGkids score (p=0.001), nutritional status (p=0.012), type of nutritional therapy (p=0.123), length of stay (p=0.001), and history of critical illness (p=0.607). The results of the multivariate analysis test showed a STRONGkids score (OR=0.143) and length of stay (OR=0.222). According to the study’s findings, STRONGkids score and length of stay are the dominant factors associated with HM in children.

PROFIL ANTROPOMETRI ANAK DENGAN PENYAKIT JANTUNG BAWAAN DI RSUP. DR. M. DJAMIL PADANG PERIODE JANUARI 2020 – DESEMBER 2021 yandika, kevin rayhan; Masnadi, Nice Rachmawati; Rahman, Sukri
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 4 (2025): SINERGI : Jurnal Riset Ilmiah, April 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i4.1108

Congenital Heart Disease is an abnormality of the heart that is present from birth caused by failure or structural disturbances in the development of the heart in the early phases of fetal development. Congenital heart disease is divided into two types, namely, acyanotic and cyanotic. Children with congenital heart disease can fall into a state of malnutrition. Anthropometric examination is carried out to determine the nutritional status and stature of children with congenital heart disease. This study aims to determine the anthropometric profile of children with congenital heart disease at Dr. M. Djamil Padang. This research is a retrospective descriptive study using medical record data in 2020 - 2021. There were 36 samples of children with a diagnosis of CHD as a sample. The sampling method used the Total Sampling technique. The indicators taken in this study were the type of congenital heart disease, age, gender, nutritional status, and congenital disease. The results showed that most of the pediatric patients with CHD suffered from DSV (61.1%), with an age range of 29 days - 1 year (44.4%), were male (52.8%), suffered from malnutrition (69, 4%), and had short stature (63.9%). The conclusion from this study is that children with CHD are at high risk of suffering from malnutrition and have short hospital stays, so it is necessary to pay attention to nutritional intake in children with CHD

Hubungan Asupan Protein dengan Kadar Zink Rambut terhadap Stunting pada Anak Usia 24-59 Bulan di Kota Padang As Siddiqi, Abdurrahman Arsyad; Masnadi, Nice Rachmawati; Jurnalis, Yusri Dianne; Izzah, Amirah Zatil; Mayetti, Mayetti; Yantri, Eny
Sari Pediatri Vol 27, No 1 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.1.2025.1-8

Latar belakang. Stunting menggambarkan gangguan pertumbuhan yang disebabkan oleh masalah nutrisi. Defisiensi zink dapat menghentikan proses pertumbuhan. Asupan zink memiliki korelasi positif terhadap asupan protein dari makanan. Kadar zink tubuh dapat diukur melalui kadar zink rambut, yang lebih akurat menggambarkan kadar zink kronis dan sesuai untuk kondisi stunting.Tujuan. Mengetahui hubungan antara asupan protein dengan kadar zink rambut pada anak stunting usia 24-59 bulan di Puskesmas Anak Air, Ikur Koto, dan Seberang Padang.Metode. Penelitian cross-sectional dilakukan di tiga Puskesmas di Kota Padang dan Laboratorium Kesehatan Sumatera Barat dari Februari 2023 hingga Maret 2024. Subjek adalah anak dengan stunting berusia 24-59 bulan. Data asupan protein diukur dengan wawancara food recall 2x24 jam, sedangkan kadar zink rambut dianalisis menggunakan teknik flame atomic absorption spectrometry (FAAS).Hasil. Sebanyak 97 subjek yang diteliti, 67% memiliki asupan protein kurang dengan median 13,92 gram, dan 67% memiliki kadar zink rambut kurang dengan median 123,80 ppm. Selain itu, 64,6% anak dengan asupan protein kurang juga memiliki kadar zink rambut yang rendah. Hasil penelitian diuji dengan uji statistik chi-square dan diperoleh nilai p-value adalah 0,627 (p>0,05) maka Ho diterima yang menyatakan bahwa tidak ada hubungan signifikan antara asupan protein total harian dengan kadar zink rambut pada anak stunting usia 24-59 bulan.Kesimpulan. Tidak terdapat hubungan yang bermakna secara statistik antara asupan protein dengan kadar zink rambut pada anak stunting usia 24-59 bulan.

Latar Belakang: Stunting merupakan masalah kesehatan gizi yang banyak ditemukan di dunia, terutama di negara berkembang seperti Indonesia. Berdasarkan data dari WHO pada tahun 2020 terdapat 149,2 juta anak dibawah usia 5 tahun yang mengalami stunting. Stunting disebabkan oleh akumulasi berbagai macam faktor. Objektif: Mengetahui faktor-faktor yang berhubungan dengan kejadian stunting pada anak usia 24-59 bulan di wilayah kerja Puskesmas Anak Air Kota Padang. Metode: Penelitian ini merupakan pene Prameswary, Canticha Aulia; Masnadi, Nice Rachmawati; Adrial, Adrial; Yulistini, Yulistini; Nofita, Eka
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 3 (2025): September 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i3.1316

Latar Belakang: Stunting merupakan masalah kesehatan gizi yang banyak ditemukan di dunia, terutama di negara berkembang seperti Indonesia. Berdasarkan data dari WHO pada tahun 2020 terdapat 149,2 juta anak dibawah usia 5 tahun yang mengalami stunting. Stunting disebabkan oleh akumulasi berbagai macam faktor. Objektif: Mengetahui faktor-faktor yang berhubungan dengan kejadian stunting pada anak usia 24-59 bulan di wilayah kerja Puskesmas Anak Air Kota Padang. Metode: Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional. Sebanyak 67 sampel dipilih secara purposive sampling yaitu anak usia 24-59 bulan yang memenuhi kriteria inklusi dan eksklusi. Hasil: Hasil uji Chi-Square dan uji Fisher’s exact antara faktor berat badan lahir, riwayat penyakit infeksi, status imunisasi dasar, pemberian ASI Eksklusif, MPASI tepat waktu, tingkat pendidikan ibu dan tingkat pendapatan keluarga dengan kejadian stunting yaitu p < 0,05 sedangkan antara faktor pemberian IMD serta sanitasi dan air bersih didapatkan p > 0,05. Kesimpulan: Terdapat hubungan yang bermakna antara faktor berat badan lahir, riwayat penyakit infeksi, status imunisasi dasar, pemberian ASI Eksklusif, MPASI tepat waktu, tingkat pendidikan ibu dan tingkat pendapatan keluarga dengan stunting dan tidak terdapat hubungan yang bermakna antara faktor pemberian IMD serta sanitasi dan air bersih dengan stunting

Hubungan Status Imunisasi dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Andalas Kota Padang Riona, Vira Harisa; Masnadi, Nice Rachmawati; Firdawati, Firdawati; Harmen, Anggia Perdana; Elmatris, Elmatris; Fadila, Zurayya
Jurnal Kesehatan Andalas Vol. 14 No. 1 (2025): March 2025
Publisher : Faculty of Medicine, Universitas Andalas

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

Stunting is a linear growth failure caused by chronic malnutrition and recurrent infections that mainly occur in the first 1000 days of life. Infectious diseases can be prevented by providing immunizations. Immunization is one way to increase one's immunity against disease exposure actively. Objective: To determined the relation of immunization status with the incidence of stunting in children. Methods: Analytical research with a case-control design on 98 under-five children in the working area of Andalas Health Center was conducted from June to November 2024. Sampling was done by simple random sampling. Anthropometry was measured using body length or height measurements according to standards and data were collected by questionnaire. The data analysis used was Chi-square. Results: The incidence of stunting in the working area of Andalas Health Center was mainly (89.8%) experienced by children aged 24 - 59 months and more than half (59.2%) were female and most (81.6%) had an incomplete basic immunization status. The study also found that more than half (59.2%) of mothers' education in stunted children was high school and most (81.6%) occurred in mothers who did not work. There is a statistically significant relation between immunization status and the incidence of stunting in children, with p = 0.027 (p value <0.05) and OR value = 3.065. Conclusion: This means that under-five children who do not have complete basic immunization status have a 3.065 times higher chance of stunting than under-five children with complete basic immunization status. Keywords: immunization status, under-five children, stunting

Dapur Makanan Pendamping-Air Susu Ibu (MP-ASI) di Daerah Bencana Malampah, Pasaman Barat Amalfi, Hendra; Masnadi, Nice Rachmawati
Majalah Kedokteran Andalas Vol. 47 No. 2 (2024): MKA April 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v47.i2.p235-244.2024

Indonesia legislation number 24 of 2007 at 55 concerning disaster management states that children (babies and toddlers) are a vulnerable group when a disaster occurs.1 Children are a vulnerable population and have special health problems that must be considered when a disaster occurs. One of them is the very limited availability of complementary foods (MP-ASI) and this condition will worsen the nutritional status of children in disaster areas.2,3,4 The provision of food menus for toddlers in natural disaster conditions is limited because public kitchen do not prepare special menu for toddlers so that children consume food that is also consumed by adults, including instant food. The availability of MP-ASI ingredient can be achieved from public kitchens with the help and cooperation of various parties including volunteers by setting up MP-ASI kitchen so that nutritional intake for toddlers is fulfilled in disaster conditions.5 This was a activities report on establishing MP-ASI in the disaster area, Malampah, Pasaman. It has been expected to be a reference for establishing MP-ASI kitchen in disaster area, as consideration in creating operational standards for establishing MP-ASI kitchen in disaster area, and assist in managing public MP-ASI kitchen in natural disaster area.

Compliance in medication control of hypertension patients during the transition period of the COVID-19 pandemic Priscilla, Hilary; Semiarty, Rima; Masnadi, Nice Rachmawati; Abdiana; Fadrian
BKM Public Health and Community Medicine Vol 39 No 10 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i10.9850

Purpose: This study aims to determine the relationship between adherence to medication control and blood pressure in hypertensive patients at the Talawi Public Health Center, Sawahlunto, during the transition period of the COVID-19 pandemic. Methods: This observational analytic study with a cross-sectional design was conducted from May to June 2023 at the Talawi Public Health Center, Sawahlunto, with 83 research subjects. The research instrument used primary data from the MMAS-8 questionnaire with short interviews and secondary data in medical records of hypertension patients at the Talawi Public Health Center, Sawahlunto, in 2021–2023. The research results were analyzed by chi-square test. Results: The results of this study were that the majority of hypertensive patients were not compliant in controlling their medication (65.1%), and the majority of hypertensive patients had uncontrolled blood pressure (61.4%). Conclusion: This study concludes a significant relationship between adherence to medication control and blood pressure in hypertensive patients at the Talawi Public Health Center, Sawahlunto (p=0.041).

Analisis Dampak Suplementasi Oral Selenium terhadap Kadar Selenium Urin dan Durasi Diare Akut pada Anak Usia Balita Yugatama, Andyan; Jurnalis, Yusri Dianne; Rusdi, Rusdi; Nurdin, Asrawati; Masnadi, Nice Rachmawati; Lubis, Gustina
Sari Pediatri Vol 26, No 6 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.6.2025.343-9

Latar belakang. Diare akut pada anak-anak masih menjadi masalah kesehatan global, terutama di negara berkembang seperti Indonesia. Penelitian sebelumnya menunjukkan peran selenium dalam meningkatkan imunitas dan mengurangi stres oksidatif pada infeksi gastrointestinal, namun penelitian mengenai hubungan antara suplementasi selenium dan diare akut masih terbatas.Tujuan. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian suplementasi selenium terhadap kadar selenium urin dan durasi diare akut pada anak. Metode. Penelitian diakukan di Puskesmas dan Rumah Sakit di Kota Padang. Merupakan studi eksperimental dengan desain acak terkontrol. Sampel terdiri dari anak-anak yang mengalami diare akut, dibagi menjadi kelompok perlakuan yang menerima suplementasi selenium dan kelompok kontrol yang tidak menerima suplementasi. Pengukuran kadar selenium urin dan durasi diare dilakukan sebelum dan sesudah intervensi.Hasil. Penelitian melibatkan 54 anak, dengan 27 anak pada kelompok kasus dan 27 anak pada kelompok kontrol. Durasi diare menunjukkan perbedaan durasi diare yang signifikan sebanyak 2,48 ± 4 jam (p<0,05). Kadar selenium urin pada kelompok kasus meningkat signifikan dari 45,26 ± 8,61 µg/L menjadi 52,52±5,39 µg/L m (p < 0,05). Tidak terdapat perubahan signifikan pada durasi diare dan kadar selenium urin di kelompok kontrol. Kesimpulan. Suplementasi selenium signifikan dalam meningkatkan kadar selenium urin dan mengurangi durasi diare akut pada anak.

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