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All Journal Nexus Kedokteran Komunitas Nexus Kedokteran Klinik Journal of Maternal and Child Health Jurnal Medika Malahayati Proceedings of the International Conference on Nursing and Health Sciences Asian Journal of Science, Technology, Engineering, and Art Plexus Medical Journal
Ismiranti Andarini
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Arts Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Faktor Risiko ISPA pada Balita di Wilayah KerjaPuskesmas Sibela Surakarta Sufianasari, Fitrian; Andarini, Ismiranti; ., Widardo
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.111 KB)

Abstract

Background: Acute respiratory infection (ARIs) continue to be leading cause of acute illnesses and remain the most main cause of infant and young children mortality worldwide, accounting for about two million deaths each year and ranking first among cause of disability-adjusted life-years lost in developing countries. This research aims to get information of risk factors ARIs in children under 5 years old at puskesmas Sibela Surakarta. Methods: This study was a descriptive analytical research using cross sectional approach implemented in April 2012 at puskesmas Sibela Surakarta. Total respondents were 60 people (30 case and 30 controls). Sample was taken by fixed disease sampling whereas children are taken randomly based on inclusion and exclusion criteria that are defined previously. Analysis of data was multivariate with logistic regression, using SPSS program version 17 for windows. Results: Factor proven as risk factor of ARIs were smokers family member (p = 0,047 ;OR 3,728; 95% CI 1,015 – 13,696) and infected family member  (p = 0,001; OR 12,728; 95% CI 2,912 – 55,626). Factor unproven as risk factors of ARIs were nutritional status (it could not be analyzed) and immunization status (p = 0,902; OR 1,233; 95% CI 0,044 – 34,285). Conclusions: Factor proven as risk factor of ARIs in children under 5 years were smoker family member and infected family member. Factor unproven as risk factors were nutritional and immunization status. Keywords: ARI, children, risk factor 
Hubungan Ibu Perokok Pasif Selama Kehamilan Dengan Kejadian Infeksi Respiratori Akut Bagian Bawah Windriya, BRA I Ratu; Andarini, Ismiranti; Sahir, Endang
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Acute Respiratory Infection (ARI) has been the main cause of child morbidity and mortality, includes upper ARI and lower ARI. Lower respiratory infection is the infection under of larynx, includes epiglotitis, croup (laryngotracheobronchitis), bronchitis, bronchiolitis, and pneumonia. The one risk factor of lower ARI is air pollution (if in the house use firewood to cook and/or cohabit with active smoker). Prenatal exposure to cigarette smoke will affect the morphogenesis of fetus lung so it will increase respiratory infection risk after the fetus is born. This research aims to find out how big the relationship between maternal passive smoking during pregnancy with lower acute respiratory infection. Methods: The research was an analytical survey with case control approach implemented in March-April 2013 in RSUD Dr. Moewardi Surakarta. The samples was taken using purposive sampling and the number of samples based on rule of thumb. Dependent variable in this research was lower acute respiratory infection and independent variable was maternal passive smoking during pregnancy. The parents of the sample signed informed consent as the consent form and filled the questionnaire. Medical records was required for obtained the data about diagnose and nutrition status of the samples. This research were obtained 60 samples and analyzed use bivariate analysis continued multivariate analysis with logistic regression test. Results: The research with bivariate analysis showed that maternal passive smoking during pregnancy and low birth weight infant were significant with p < 0.05. Crude OR maternal passive smoking during pregnancy was 5.688. By multivariate analysis with logistic regression test obtained adjusted OR = 4.000, p = 0.043 (p < 0.05), and 95% CI = 1.043-15.343 for independent variable maternal passive smoking during pregnancy. Conclusions: There was significant relationship between maternal passive smoking during pregnancy with lower acute respiratory infection of child (p = 0.043), at the risk of 4.000 times more likely to suffer lower ARI. Keywords: Pregnant Maternal, Passive Smoking, Lower Acute Respiratory Infection 
Hubungan Tingkat Pengetahuan Orangtua tentang Pencetus Asma dengan Frekuensi Serangan pada Pasien Asma Anak Rahmawati, Puji; Andarini, Ismiranti; Sumardiyono, .
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Asthma is a chronic inflammatory airway disease characterized by episodic wheeze, coughe, and tightness in chest due to airway obstruction. Asthma attack is usually preceded by various kinds of triggers and different in each person. Asthma management is very complex and requires collaboration between patient with their families, especially parent. In order to properly manage asthma, patient and parent should have specific knowledge about asthma. This study aimed to determine the association between parent knowledge about asthma triggers and asthma attack frequency in children. Methods: This analytic study was observational using cross sectional approach. The population of this study was child patient with asthma at RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat. A sample of 33 study subjects was selected by purposive sampling from outpatient and inpatient with asthma who visited Pediatric Clinics, RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat and suitable with the inclusion criteria. The data was collected by interview using a set of questionnaire from Asthma General Knowledge Questionnaire (AGKQ) and International Study of Asthma and Allergies in Childhood (ISAAC) filled by the parent of patients. The data was analyzed using Chi Square test (χ2) on SPSS 17.0 for Windows program. Results: From the analysis of relationship of parent knowledge about asthma triggers and asthma attack frequency on children obtained χ2 count rate of 5.629,  p = 0.026, and C = 0,382. The C value indicates level of relationship of parent knowledge about asthma triggers and asthma attack frequency on children is 38,2%. Conclusions: There is a statistically significant relationship of parent knowledge about asthma triggers and asthma attack frequency on children. Keywords: parent knowledge, asthma attack frequency 
Faktor Risiko ISPA pada Balita di Wilayah KerjaPuskesmas Sibela Surakarta Fitrian Sufianasari; Ismiranti Andarini; Widardo .
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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

Abstract

Background: Acute respiratory infection (ARIs) continue to be leading cause of acute illnesses and remain the most main cause of infant and young children mortality worldwide, accounting for about two million deaths each year and ranking first among cause of disability-adjusted life-years lost in developing countries. This research aims to get information of risk factors ARIs in children under 5 years old at puskesmas Sibela Surakarta. Methods: This study was a descriptive analytical research using cross sectional approach implemented in April 2012 at puskesmas Sibela Surakarta. Total respondents were 60 people (30 case and 30 controls). Sample was taken by fixed disease sampling whereas children are taken randomly based on inclusion and exclusion criteria that are defined previously. Analysis of data was multivariate with logistic regression, using SPSS program version 17 for windows. Results: Factor proven as risk factor of ARIs were smokers family member (p = 0,047 ;OR 3,728; 95% CI 1,015 13,696) and infected family member (p = 0,001; OR 12,728; 95% CI 2,912 55,626). Factor unproven as risk factors of ARIs were nutritional status (it could not be analyzed) and immunization status (p = 0,902; OR 1,233; 95% CI 0,044 34,285). Conclusions: Factor proven as risk factor of ARIs in children under 5 years were smoker family member and infected family member. Factor unproven as risk factors were nutritional and immunization status. Keywords: ARI, children, risk factor
Hubungan Ibu Perokok Pasif Selama Kehamilan Dengan Kejadian Infeksi Respiratori Akut Bagian Bawah BRA I Ratu Windriya; Ismiranti Andarini; Endang Sahir
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Acute Respiratory Infection (ARI) has been the main cause of child morbidity and mortality, includes upper ARI and lower ARI. Lower respiratory infection is the infection under of larynx, includes epiglotitis, croup (laryngotracheobronchitis), bronchitis, bronchiolitis, and pneumonia. The one risk factor of lower ARI is air pollution (if in the house use firewood to cook and/or cohabit with active smoker). Prenatal exposure to cigarette smoke will affect the morphogenesis of fetus lung so it will increase respiratory infection risk after the fetus is born. This research aims to find out how big the relationship between maternal passive smoking during pregnancy with lower acute respiratory infection. Methods: The research was an analytical survey with case control approach implemented in March-April 2013 in RSUD Dr. Moewardi Surakarta. The samples was taken using purposive sampling and the number of samples based on rule of thumb. Dependent variable in this research was lower acute respiratory infection and independent variable was maternal passive smoking during pregnancy. The parents of the sample signed informed consent as the consent form and filled the questionnaire. Medical records was required for obtained the data about diagnose and nutrition status of the samples. This research were obtained 60 samples and analyzed use bivariate analysis continued multivariate analysis with logistic regression test. Results: The research with bivariate analysis showed that maternal passive smoking during pregnancy and low birth weight infant were significant with p < 0.05. Crude OR maternal passive smoking during pregnancy was 5.688. By multivariate analysis with logistic regression test obtained adjusted OR = 4.000, p = 0.043 (p < 0.05), and 95% CI = 1.043-15.343 for independent variable maternal passive smoking during pregnancy. Conclusions: There was significant relationship between maternal passive smoking during pregnancy with lower acute respiratory infection of child (p = 0.043), at the risk of 4.000 times more likely to suffer lower ARI. Keywords: Pregnant Maternal, Passive Smoking, Lower Acute Respiratory Infection
Hubungan Tingkat Pengetahuan Orangtua tentang Pencetus Asma dengan Frekuensi Serangan pada Pasien Asma Anak Puji Rahmawati; Ismiranti Andarini; . Sumardiyono
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Asthma is a chronic inflammatory airway disease characterized by episodic wheeze, coughe, and tightness in chest due to airway obstruction. Asthma attack is usually preceded by various kinds of triggers and different in each person. Asthma management is very complex and requires collaboration between patient with their families, especially parent. In order to properly manage asthma, patient and parent should have specific knowledge about asthma. This study aimed to determine the association between parent knowledge about asthma triggers and asthma attack frequency in children. Methods: This analytic study was observational using cross sectional approach. The population of this study was child patient with asthma at RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat. A sample of 33 study subjects was selected by purposive sampling from outpatient and inpatient with asthma who visited Pediatric Clinics, RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat and suitable with the inclusion criteria. The data was collected by interview using a set of questionnaire from Asthma General Knowledge Questionnaire (AGKQ) and International Study of Asthma and Allergies in Childhood (ISAAC) filled by the parent of patients. The data was analyzed using Chi Square test (?2) on SPSS 17.0 for Windows program. Results: From the analysis of relationship of parent knowledge about asthma triggers and asthma attack frequency on children obtained ?2 count rate of 5.629, p = 0.026, and C = 0,382. The C value indicates level of relationship of parent knowledge about asthma triggers and asthma attack frequency on children is 38,2%. Conclusions: There is a statistically significant relationship of parent knowledge about asthma triggers and asthma attack frequency on children. Keywords: parent knowledge, asthma attack frequency
Predictors of Mortality of Pediatric Patients with COVID-19 in Dr Moewardi General Hospital Surakarta Aprilizia, Dwi Suryaning Ayu; Andarini, Ismiranti; Hafidh, Yulidar
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.232 KB) | DOI: 10.26911/thejmch.2022.07.05.11

Abstract

Background: COVID-19 has spread all over the world and became a global pandemic. In Indonesia, COVID-19 has officially defined the non-natural disaster of COVID-19 spread as national disaster in April 13th 2020. COVID-19 cases are predominant in adult population with higher severity particularly if accompanied with comorbidities resulting in a relatively high mortality rate. However, some recent studies showed that children are at a similar or higher risk to COVID-19 compared to adults. This study aims to evaluate the predictors of mortality in pediatric COVID-19 cases.Subjects and Method: This study used a cross-sectional design using data from medical records of pediatric patients with confirmed COVID-19 who were hospitalized in the isolation ward of Dr Moewardi General Hospital from March 2020 to August 2021. All variables with significant result in the bivariate analysis were analyzed using multivariate logistic regression. Data were analyzed using SPSS (IBM SPSS Statistics version 25) with significance of p value of < 0.05.Results: Results of this study showed that age 10-17 years (OR= 16.26; 95% CI= 1.47 to 179.56; p= 0.023), the use of oxygen mask (OR= 45.89; 95% CI = 5.39 to 390.58; p <0.001), and the use of continued oxygen therapy (OR= 181.48; 95% CI=11.25 to 2927.80; p <0.001) are predictors of mortality in pediatric patients with confirmed COVID-19.Conclusion: Age 10-17 years, use of oxygen mask and advanced oxygen therapy are predictors of mortality in pediatric patients with COVID-19 hospitalized in Dr Moewardi General Hospital Surakarta.Keywords: mortality, COVID-19, pediatric.Correspondence:
The Effect of Chest Physiotherapy on Children's Quality of Life with Acute Lymphoblastic Leukemia and Pneumonia at Dr. Moewardi Hospital, Surakarta Fikritama, Aisya; Andarini, Ismiranti; Widjaya, Sri Lilijanti
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.317 KB) | DOI: 10.26911/thejmch.2022.07.02.09

Abstract

Background: Acute lymphoblastic leukemia (ALL), a malignancy that is the most common form of leukemia found in children, accounting for about 30 percent of all pediatric cancer. The incidence of pneumonia is often found in children undergoing treatment for ALL. Complications of ALL and the side effects of its treatment can affect children’s quality of life. This study aimed to the effect of chest physiotherapy on  children's quality of life with acute lymphoblastic leukemia and pneumonia. Subjects and Method: This was a quasi-experiment study conducted at the pediatric ward of Dr. Moewardi Hospital Surakarta, from February to August 2021. A number of 60 children aged 2-18 years with lymphoblastic leukemia and pneumonia was selected for this study. These children were divided into two groups, (1) 30 children with chest physiotherapy (intervetion group) and (2) 30 children received standard care (control group). Patients and parents were asked to fill out a quality of life assessment using the PedsQLTM 4.0 generic module. Mean difference of quality of life before and after chest physiotherapy between intervention and control group was examined using independent t test. Results: After intervention of chest physio­therapy, quality of life score in the intervention group (Mean= 68.91; SD= 12.30) was higher than control group (Mean= 60.12; SD= 7.72), with p= 0.002. Conclusion: Chest physiotherapy improves the quality of life in children with acute lymphoblastic leukemia and pneumonia.
The Effect of Exclusive Breastfeeding on Stunting Toddlers: A Scoping Review Putri, Rokhiyatul Maila; Sumardiyono, Sumardiyono; Andarini, Ismiranti
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 1 (2024): January-June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.3888

Abstract

Toddlers, defined as children under five in the early stages of development, experience rapid growth but are vulnerable to nutritional problems such as stunting. Stunting is characterized by a child's height being shorter than the normal standard for their age, resulting from long-term undernutrition, recurrent infectious diseases, and inappropriate feeding practices. Exclusive breastfeeding is an important measure to prevent stunting, as breast milk provides the complete micronutrients and macronutrients necessary for optimal growth and development. Objective: The purpose of this study was to determine the effect of exclusive breastfeeding on stunting in toddlers. Method: The research design employed a scoping review approach, following the PRISMA-ScR flowchart. Articles were identified through searches on Google Scholar, PubMed, ScienceDirect, and the DOAJ database using keywords such as "effect" AND "giving" AND "exclusive breastfeeding" OR "stunted toddlers". The initial search yielded 821 articles, with six articles meeting the inclusion criteria for the final analysis. Result: The study found a significant relationship between exclusive breastfeeding (p-value=0.003) and the incidence of stunting in toddlers. Specifically, 75.9% of stunted toddlers and 67.2% of toddlers had not received exclusive breastfeeding. Conclusion: Exclusive breastfeeding affects the stunting in toddlers.
Newborn Calf Circumference to Identify Low Birth Weight Neonates Atriadewi, Hambrah Sri; Hafidh, Yulidar; Andarini, Ismiranti
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.09

Abstract

Background: The absence of birth weight records for infants remains a prevalent issue in developing countries, including Indonesia. The timely identification of low birth weight (LBW) and premature neonates, particularly those born outside well-equipped healthcare facilities is vital within the critical first 48 hours of life. This study aimed to ssess the potential utility of calf circumference in identifying low birth weight infants. Subjects and Method: A cross-sectional study was conducted on 100 neonates aged between 0 – 48 hours old who were treated at Dr. Moewardi General Hospital, Surakarta from May 2022 to August 2022. The dependent variable was neonates birth weight. The independent variables was calf circumference. Calf circumference was measured using non elastic but flexible measuring tape, with measure­ment precision up to the nearest 0.1 cm. The cut-off point of calf circumference was determined with the ROC curve. Results: Calf circumference significantly correlates with birth weight (p<0.001), with r=0.969. The calf circumference cut-off value of 10.35 cm in LBW had an AUC of 0.99, a sensitivity of 98.0%, a specificity of 98.0%, and a positive predictive value of 98.0%, a negative predictive value of 98.0%. The calf circumference cut-off value was 8.85 cm for LBW neonates, which had an AUC of 0.93, with a sensitivity of 83.9%. specificity 85.7%, positive predictive value 98.7%, negative predictive value 28.6%. Conclusion: Calf circumference in newborns can be used to identify neonates with low birth weight.
Co-Authors . Sumardiyono A.A. Ketut Agung Cahyawan W Aprilizia, Dwi Suryaning Ayu Atriadewi, Hambrah Sri BRA I Ratu Windriya Endang Sahir Endraputra, Navy Fikritama, Aisya Fitrian Sufianasari I Nyoman Adi Putra Pribadi, Eddy Teguh Pristiawan, Pristiawan Putra, David Anggara Putri, Rokhiyatul Maila Rabbani, Gefaritza Salsabila Fajaria, Dinda Septin Widiretnani, Septin Sumardiyono Sumardiyono Widardo . Widjaya, Sri Lilijanti Yulidar Hafidh