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Journal : Folia Medica Indonesiana

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.354 KB) | DOI: 10.20473/fmi.v57i1.13664

Abstract

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
Effectiveness of The Newborn Behavioral Observation (NBO) System in Improving Mother and Infant Interaction Siti Wahyu Windarti; Ahmad Suryawan
Folia Medica Indonesiana Vol. 57 No. 2 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.448 KB) | DOI: 10.20473/fmi.v57i2.21558

Abstract

The interaction of mother and infant is a fundamental basis for the development of the infant. It can also determine the success of the baby in the future. About 4 out of 10 infants experience problems interacting with their parents. The NBO system was created to sensitize parents on their infant’s competencies to help them understand their infant’s behavior, and promote positive interactions between parents and their new infant. This study aimed to evaluate the effectiveness of the NBO system to improve mother-infant interactions and find out the mothers’ knowledge about their infant’s behavior when participating in this observation. This study was a cross-sectional study consisting of all the newborns and their mothers admitted to the Dr. Soetomo General Academic Hospital Surabaya from May 2019 to January 2020 who met the inclusion criteria. Mothers and infants participated in the NBO within 1-3 days after delivering their infants and one month postpartum for the second NBO. The NBO was carried out with 35 mothers and infants. The mothers’ age was on average 28.5±5.98 years old, multiparous mothers accounted for 71.4%, most infants were male (65.7%), the median gestational age was 38 weeks with the median birth weight 2900 grams. The median score of mothers’ knowledge about their infants before the NBO session was 2 (1-6). After the session, these median scores increased to 7 (5–10) significantly (p<0.001). The NBO system was significant to strengthen mother-infant interaction and increased the mothers’ knowledge about their infants’ behavior.
Differences in the Development of Language and Social Independence in Children with Speech Delay and Sensorineural Hearing Loss based on the Age for Early Intervention and the Duration of Auditory-Verbal Therapy Zamrotu Iva Purwanti; Achmad Chusnu Romdhoni; Ahmad Suryawan; Nyilo Purnami; Ninuk Dwi Ariningtyas
Folia Medica Indonesiana Vol. 59 No. 4 (2023): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v59i4.51495

Abstract

Highlights : This study explored the significance of auditory-verbal therapy as an early intervention for children with speech delay and sensorineural hearing loss, a topic that deserves further research in developing countries such as Indonesia. The findings highlight the significance of age and therapy duration on the language development of children with speech delay and sensorineural hearing loss. AbstractSpeech delay is primarily attributed to sensorineural hearing loss, which may significantly impact a child's language development and social independence. Consistent and periodic auditory-verbal therapy as an early intervention has the potential to positively influence language development, thereby fostering independence in children. The objective of the research was to examine the differences in the development of language and social independence among children who have speech delay and sensorineural hearing loss at the children's age for early intervention and with the duration of auditory-verbal therapy taken into consideration. The research employed an analytical-observational design with a cross-sectional approach and total sampling. The sample comprised 29 children who were undergoing the weekly routine of auditory-verbal therapy at Yayasan Aurica, Surabaya, Indonesia. The tool utilized in this study was the Pre-Screening Developmental Questionnaire. The data underwent bivariate analysis, specifically using the Chi-squared test with a significance level set at a p-value of <0.05. The language development analysis resulted in a p-value of 0.013 for the age variable and a p-value of 0.019 for the therapy duration variable. Meanwhile, the social independence analysis yielded a p-value of 0.229 for the age variable and a p-value of 0.111 for the therapy duration variable. In conclusion, the influence of age on early intervention had a significant difference from that of the duration of auditory-verbal therapy on the language development of children with speech delay and sensorineural hearing loss. Conversely, age and therapy duration did not exert any meaningful difference in terms of their influence on the children's social independence development.
Structural Model of Maternal Behavior in Community Setting to Prevent Low Birth Weight in East Nusa Tenggara, Indonesia Anggrahini, Simplicia Maria; Notobroto, Hari Basuki; Irwanto, Irwanto; Suryawan, Ahmad
Folia Medica Indonesiana Vol. 56 No. 1 (2020): March
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (404.796 KB) | DOI: 10.20473/fmi.v56i1.24610

Abstract

Low birth weight (LBW) is still a magnitude problem in Indonesia with a multifactorial causes. Studies revealed that one of cause of LBW-infants birth is mother's behavior in treating her pregnancy, including traditional pregnancy care practices. The purpose was to develop the structural model on community setting that might describe the LBW infants-birth. A case-control study on 50 post-partum mothers with LBW and 50 with normal birthweight infants was held in Kupang, East Nusa Tenggara, Indonesia, November 2016 - May 2017. Mother who have spontaneous birth, singleton, and received integrated ANC were inlcuded. Several data such as maternal characteristics, pregnancy knowledge, perceived behavioral control (PBC), maternal health status, obedience to traditional pregnancy care, were collected using questionnaire and medical records tracing. Statistical analysis was performed using path analysis from SmartPLS 3.2.7 and considered significant path when the coefficients were not zero with P value <0.05. Outer and inner model analysis showed two significant paths, both are come from maternal characteristic that influence the LBW infants-birth through pregnancy knowledge (0.489, P=0.000) and PBC (0,425, P=0,000). In the first path, PBC affect maternal health status (0.217, P=0.021) which in turn will cause LBW (0.201, P=0.001). The second path, PBC affect the obedience to traditional pregnancy care (0.474, P=0.000) and then influence to LBW (0.316, P=0.000). As conclusion, maternal characteristics, pregnancy knowledge, PBC, maternal health status, and obedience to traditional pregnancy care are key points that might be used as a significant variables in preventing LBW-infants birth.
The Effect of Massage Stimulation on the General Movements Quality in Breastfed Preterm Infant Jonathan, Elizabeth Beatrice; Suryawan, Ahmad; Irmawati, Mira
Folia Medica Indonesiana Vol. 56 No. 4 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (308.468 KB) | DOI: 10.20473/fmi.v56i4.24644

Abstract

General Movements (GMs) assessment is one of the modalities to detect abnormal infant development early, the examination of preterm infant development is very important. Preterm infant has a long-term health impact and the risk of neonatal morbidity and mortality, need breast milk as the best nutritionand also need stimulation, one of which is massage. This study aimto analyze massage stimulation effect on the general movements in breastfed preterm infant in Dr. Soetomo Hospital Surabaya.A randomize control group pre test post test design was conducted on preterm infant, 39 babies were enrolled. Massage stimulation was done for 10 consecutive days 3 times in the neonatal ward while observing the condition.The quality assessment of GMs is according to the standardization of the Prechtl method, through two stages, taking video recording and editing GMs, and analysis the video recordings of GMs.Statistical by comparison test.The quality of preterm GMs in massage group (85.7%) and control group(69.6%) with p=0.287. The quality of GMs writhing in the massage group was dominated by abnormal GMs (65%), in control group were dominated by normal (63.2%) with p=0,150. In the fidgety GMs, the massage group (75%) and not massage (78.9%) were dominated by normal GMs, with p=1,000.There were no differences in the quality of preterm GMs, writhingGMs and fidgetyGMs for preterm infants in both group.
Co-Authors Afiliany, Amelia Anang Endaryanto Andri Kurnia Wahyudhi Anggrahini, Simplicia Maria Arinaa Manasika Farida Ariyanto Harsono Atika Atika Aulia Septyani, Reta Azwin Mengindra Putera Badriul Hegar Bambang Permono Budi Utomo BUDI UTOMO Budi Utomo Darto Saharso Desi Fitriani Dewi Astasari Diah Retno Sari Dian Dwi Sari Dian Fitria Kurniawati Dinda Anes Tunjungsari Dinda Chandra Yuliantari Dominicus Husada Eka Marta Puspita Rini Elok Widjianingsih Endang Retnowati Erfi Prafiantini Fardana, Nur Ainy Fatimah Indarso Fatimah Indarso Fatimah lndarso Febriyana, Nining Felisita Maritza Abidanovanty Firinda, Seif Fitri Erna Erfiany Hapsari Widya Ningtiar Hari Basuki Notobroto Helen Lucky Maharani Hendy Hendarto I Dewa Ayu Agung Sridharaswari I Dewa Gede Ugrasena I Gusti Ayu Indah Ardani I gusti Lanang Sidhiarta Ichromy, Ulfi Rifki Irene Irene Irwadi, Irfiansyah IRWANTO Irwanto Irwanto Irwanto Irwanto Irwanto, Irwanto Isha Akastia Ivon Diah Wittiarika Jonathan, Elizabeth Beatrice Juniastuti Juniastuti Katharina Laurentia Monika Nago Adja Ketut Dewi Kumara Wati Komang Ayu Witarini Kurniasari, Anggun Febry Laili Nur Rosyidah Laili Primasari Lilik Djuari Linda Dewanti Linda Dewanti Lisa Pangemanan Lolita Lestari Maramis, Margarita M. Mira Irmawati Moersintowarti B Narendra Moersintowarti B. Narendra Moersintowarti BN Moersintowati B. Narendra Muhammad Faizi Neni Asmawati Putri Ningrum, Astika Gita Ninuk Dwi Ariningtyas Nur Rochmah Nyilo Purnami Pingkan Fredelia Lontoh Pudji Lestari Putri, Oky Arnanda Antonia Rahma Furi Sagita Rahmadhanti, Diah Caesaria Garindra Reta Aulia Septyani Retno Asih Setyoningrum Rika Hapsari Rini Sekartini Risa Etika, Risa Rize Budi Amalia Romdhoni Romdhoni Romdhoni, Achmad Chusnu Rusli, Vinia Sensusiati, Anggraini Dwi Setiawati, Yunias Shalma Alya Fadilla Shella Permata Sari Siti Nurul Fajariyah Siti Wahyu Windarti Sri Utami Sugeng, Santoso Sulistiawati Sulistiawati Sulistiawati, S Sylviati M. Damanik Tutfah Razzak Fitriari Wahyul Anis Widati Fatmaningrum Widya Tresna Kusuma Woro Setia Ningtyas Yusigania, Dinna Yvan Vandenplas Zahrah Hikmah, Zahrah Zakiudin Munasir Zamrotu Iva Purwanti Zamrotu Iva Purwanti