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STATUS MORBIDITAS ANAK PASCA GEMPA DI KECAMATAN SUNGAI LIMAU KABUPATEN PADANG PARIAMAN SUMATERA BARAT Yusri Dianne Jurnalis; Asviandri Asviandri; Eva Chundrayetti
Majalah Kedokteran Andalas Vol 33, No 2: Agustus 2009
Publisher : Faculty of Medicine, Universitas Andalas

AbstrakGempa bumi yang terjadi di Provinsi Sumatera Barat, tanggal 30 September 2009 telah memporak porandakan wilayah Sumatera Barat terutama Kota Padang dan Kabupaten Padang Pariaman. Pasca gempa ini akan mempunyai efek terhadap status kesehatan masyarakat terutama anak-anak.Penelitian ini bertujuan untuk melihat pola penyakit pada anak pasca gempa di Kecamatan Sungai Limau Kabupaten Padang Pariaman, Sumatera Barat.Penelitian ini merupakan penelitian retrospektif, sampel adalah seluruh pasien anak yang berobat ke pos – pos pengobatan IDAI di Kecamatan Sungai Limau.selama 11 hari, mulai dari tanggal 6 sampai dengan 16 Oktober 2009.Sampel berjumlah 508 orang, anak perempuan (53,1%) lebih banyak dari pada anak laki-laki (46,9%). Ada 5 penyakit terbanyak adalah penyakit saluran pernafasan (57,5%), penyakit kulit (13,6%), diare (12,6%), observasi demam (5,1%) dan trauma (2%). Kelompok umur yang terbanyak adalah 5-10 thn (36,2%) disusul oleh usia 1-5 thn (35,4%).Penyakit yang terbanyak adalah penyakit saluran pernafasan disusul dengan penyakit kulit dan diare. Ketiga penyakit ini merupakan penyakit yang disebabkan faktor sanitasi dan higienes, karena terbatasnya sumber air bersih, rusaknya sarana MCK.Kata kunci : morbiditas, anak, pasca gempaAbstractAn earthquake that occurred in West Sumatra on September 30th 2009 had been destroyed the city and caused so many victims, especially in Padang City and Padang Pariaman District. It will be impacted to the health state after disaster, especially in children.This study’s objective is to see the pattern of disease of the children after the earthquake in Sub-district of Sungai Limau, Padang Pariaman District, West Sumatra.A retrospective study was collected from medical record of all the children who went to “Ikatan Dokter Anak Indonesia (IDAI)” medical station in Sungai Limau sub-district during 11 days, starts from October 6th until October 16th 2009.ARTIKEL PENELITIAN121The number of sample is 508 children, girls (53.1%) are greater than boys (46.9%). The top of five disease are acute respiratory infection (57.5%), skin disease(13.6%), diarrhea(12.6%), fever observation (5.1%) and trauma (2%). The dominant ages range is between 5 - <10 years (36.2%), followed by ages 1 - <5 years (35.4%).The dominant disease are acute respiratory infection, skin disease and diarrhea.Key words: morbidity state, earthquake, health disaster

Hubungan Status Gizi, Umur, dan Jenis Kelamin dengan Derajat Pneumonia pada Balita di RSUP Dr. M. Djamil Padang Periode Januari 2018 – Desember 2018 Faris Saadi Firdaus; Eva Chundrayetti; Siti Nurhajjah
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 1 (2021): Maret 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Background. Pneumonia is an acute infection of lower respiratory tract. Pneumonia in under 5-year-old children is a health problem in developing countries, including Indonesia. Nutritional status, age, and sex are risk factors that increase the severity of pneumonia. Objective.The study aims to determine the relationship of nutritional status, age, and sex to severity of pneumonia in under 5-year-old children at Dr. M. Djamil General Hospital Padang in the period from January to December 2018. Methods.The study is of analytical cross-sectional design.The data is collected from the hospitals’s medical records department. The sample is 57 under 5-year-old children diagnosed with pneumonia at Dr. M. Djamil General Hospital Padang in the period from January to December 2018. Simple random sampling is used to select the sample. Chi-square tests are applied in data analysis. Results.The highest incidence of pneumonia is found in the category of severe pneumonia (64,9%), the age group of 2-24 months (73,7%), among males (52,6%), and nutritional status of normal and overnutrition (64,9%). The results of the chi-square test used to determine the relationship of nutritional status, age, and sex to severity of pneumonia are respectively p = 0,015, p = 0,033 and p = 0,532. Conclusion.There are relationships of nutritional status and age to severity of pneumonia, but no relationship of sex to severity of pneumonia

Growing Exclusive Breastfeeding on Relationships and Development in Infants Age 6-12 Months Nela Novita Sari; Eva Chundrayetti; Yuliarni Syafrita
Science Midwifery Vol 10 No 1, October (2021): Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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

Breast milk is the single best food for babies aged 0 6 months. For this reason, exclusive breastfeeding for infants aged 0-6 months is the right step to maximize growth and development in infants aged 0-6 months and growth and development at later ages, because babies get proper nutrition and reduce the risk of infectious diseases that can affect nutritional conditions and growing. This study aims to determine the relationship of exclusive breastfeeding to growth and development in infants aged 6-12 months. This type of research is descriptive analytic with a cross-sectional study approach. The population in this study were all infants aged 6-12 months, namely 1538 infants. Sampling using consecutive sampling technique with a sample size of 56 respondents. The results showed that there was no significant relationship between exclusive breastfeeding and growth based on body weight (p = 1,000) and growth based on head circumference (p = 0.743). There was a significant relationship between exclusive breastfeeding and growth based on body length (p = 0.027) and the development of infants aged 6-12 months (p = 0.013). It can be concluded that exclusive breastfeeding has a significant relationship with growth based on body length and development of infants aged 6-12 months. Therefore, it is expected that breastfeeding mothers always give exclusive breastfeeding to infants aged 0-6 months in order to maximize the baby's growth and development and growth and development at a later age.Breast milk is the single best food for babies aged 0 6 months. For this reason, exclusive breastfeeding for infants aged 0-6 months is the right step to maximize growth and development in infants aged 0-6 months and growth and development at later ages, because babies get proper nutrition and reduce the risk of infectious diseases that can affect nutritional conditions and growing. This study aims to determine the relationship of exclusive breastfeeding to growth and development in infants aged 6-12 months. This type of research is descriptive analytic with a cross-sectional study approach. The population in this study were all infants aged 6-12 months, namely 1538 infants. Sampling using consecutive sampling technique with a sample size of 56 respondents. The results showed that there was no significant relationship between exclusive breastfeeding and growth based on body weight (p = 1,000) and growth based on head circumference (p = 0.743). There was a significant relationship between exclusive breastfeeding and growth based on body length (p = 0.027) and the development of infants aged 6-12 months (p = 0.013). It can be concluded that exclusive breastfeeding has a significant relationship with growth based on body length and development of infants aged 6-12 months. Therefore, it is expected that breastfeeding mothers always give exclusive breastfeeding to infants aged 0-6 months in order to maximize the baby's growth and development and growth and development at a later age.

HUBUNGAN KADAR ZINK DALAM ASI PADA RIWAYAT ASI EKSKLUSIF DENGAN PANJANG BADAN ANAK USIA 12 SAMPAI 15 BULAN DI WILAYAH KERJA PUSKESMAS PAUH PADANG Rahma Putri Idaman; Eva Chundrayetti; Eti Yerizel
Jurnal Kesehatan Medika Saintika Vol 13, No 2 (2022): Desember 2022
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v13i2.1588

Pertumbuhan dan panjang badan bayi dipengaruhi oleh banyak faktor, salah satunya zink yang merupakan zat gizi mikronutrien yang berperan dalam pertumbuhan bayi. Zink berperan penting dalam proses enzimatik, ekspresi gen dan stabilisasi sel. Penelitian ini bertujuan untuk mengetahui hubungan kadar zink dalam ASI pada riwayat ASI ekslusif dengan panjang badan anak usia 12 sampai 15 bulan diwilayah kerja puskesmas Pauh Kota Padang. Penelitian ini telah dilakukan diwilayah kerja Puskesmas Pauh Kota Padang dari bulan Juni sampai Oktober 2020. Desain Penelitian “Cross Sectional” dengan jumlah sampel 30 orang dengan riwayat ASI Ekslusif.Pengambilan sampel dilakukan dengan Simpel Random Sampling. Data dianalisa secara univariat dan bivariat dengan menggunakan uji Korelasi Spearman. Hasil penelitian didapatkan bahwa rata-rata kadar zink dalam ASI pada ibu anak usia 12 bulan adalah 0,48 mg/L ± 0,234 ,anak usia 15 bulan sebesar 0,52 mg/L ± 0,228. Rata-rata panjang badan anak usia 12 bulan adalah 72,47 ± 1,88 dan rata-rata panjang badan usia 15 bulan adalah 75,13 ± 1,71. analisa bivariat didapatkan korelasi lemah antara kadar zink dalam ASI dengan panjang badan anak usia 12 bulan sampai 15 bulan (p>0,05). Disimpulkan bahwa tidak ditemukan korelasi antara kadar zink dalam ASI dengan riwayat ASI ekslusif dengan panjang badan anak usia 12 sampai 15 bulan.Kata kunci: kadar zink; panjang badan anak

Mother’s perseption and attitudes on exclusive breastfeeding among traditional market traders Ariani, Peny; Lipoeto, Nur Indrawaty; Chundrayetti, Eva; Malini, Hema
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1803

The benefits of breastfeeding for infants are well documented. One factor that contributes to suboptimal exclusive breastfeeding is the presence of working mothers. However, studies have revealed that employers tend to hold negative perceptions of breastfeeding, particularly for those working in the informal sector. The objective of this study was to examine the perspectives of mothers engaged in informal employment in North Sumatra and to identify the factors that influence their decision to exclusively breastfeed. A qualitative study was conducted with the participation of formal workers who were traders in traditional markets. In this study, mothers with children aged 0-2 years old who work as traders in traditional markets were recruited to participate in focus group discussions (FGDs) conducted in the local language which lasted between 45 and 60 minutes, were audio recorded and transcribed. The data were analyzed using a content analysis approach. The decision to exclusively breastfeed is influenced by a number of factors for mothers who work as traditional market traders. These can be grouped into three sub-themes: perceived benefits of breast milk and positive breastfeeding, support from family and friends, and misinformation related to breastfeeding behaviour and self-efficacy of breastfeeding mothers. Peer support for breastfeeding is a highly valuable study intervention. The health system and health workers facilitate the expansion of exclusive breastfeeding peer support. Highlight the benefits of exclusive breastfeeding across all socioeconomic groups and advocate for more conducive policies.

Faktor Risiko Terjadinya Epilepsi pada Anak Palsi Serebral Suhaimi, M Luthfi; Syarif, Iskandar; Chundrayetti, Eva; Lestari, Rahmi
Jurnal Kesehatan Andalas Vol. 9 No. 2 (2020): Online June 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i2.1282

Pada anak yang menderita palsi serebral kemungkinan akan mengalami peningkatan risiko terjadinya epilepsy. Setiap perubahan pada otak dapat menjadi faktor risiko terjadinya epilepsi dengan berbagai manifestasi klinis. Tujuan: Mengetahui hubungan antara faktor risiko dengan terjadinya epilepsi pada anak palsi serebral di RSUP Dr. M. Djamil Padang. Metode: Desain peneltian ini adalah cross-sectional study yang dilaksanakan pada Agustus 2018 sampai Desember 2019. Subjek palsi serebral diperoleh secara consecutive sampling, dengan jumlah minimal 60 subjek. Faktor risiko yang diteliti meliputi asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal. Uji statistik menggunakan Chi-square test dan Fisherâ€™s exact test, dengan batas kemaknaan p<0,05. Hasil: Pada 60 pasien palsi serebral, ditemukan 39 pasien (65%) menderita epilepsi dan 21 pasien (35%) tidak menderita epilepsi. Perbandingan jenis kelamin perempuan dan laki-laki 1,2:1. Epilepsi umum merupakan tipe epilepsi yang paling banyak ditemukan (76,9%), pengobatan secara politerapi hampir sama banyak dengan monoterapi. Asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal tidak bermakna sebagai faktor risiko epilepsi pada anak palsi serebral. Simpulan: Tidak terdapat hubungan antara asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal dengan terjadinya epilepsi pada anak palsi serebral.Kata kunci: cerebral palsy, epilepsy, risk factors

Histamine-2 Receptor Antagonist for Gastric Bleeding Prophylaxis in Low-Risk Critically Ill Children: A Randomized Trial of Ranitidine Sylvetri Lestari; Mayetti; Yusri Dianne Jurnalis; Eva Chundrayetti; Rusdi; Rahmi Lestari; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1397

Background: The utility of stress ulcer prophylaxis (SUP) in critically ill children is a subject of ongoing debate, particularly in patients who do not present with classic high-risk features for stress-related mucosal disease (SRMD). This study aimed to evaluate the efficacy of ranitidine for preventing gastric bleeding in a heterogeneous cohort of critically ill children. Methods: A single-center, prospective, open-label, randomized controlled trial was conducted in a tertiary Pediatric Intensive Care Unit (PICU) in Indonesia. Children aged 1 month to 18 years admitted to the PICU were randomized to receive either intravenous ranitidine (1 mg/kg/dose twice daily) or standard care without prophylaxis for five days. The primary outcome was the incidence of overt gastric bleeding. Post-hoc power analysis and multivariable logistic regression were performed to contextualize the findings. Results: From 243 patients screened, 60 were randomized (30 per group). The cohort was predominantly composed of infants (60.0%) with respiratory distress. Overt gastric bleeding occurred in 1 of 30 patients (3.3%) in the ranitidine group versus 3 of 30 patients (10.0%) in the control group. This difference was not statistically significant (Relative Risk [RR] 0.33; 95% CI 0.04–3.11; p=0.612). After adjusting for a baseline imbalance in age, the odds of bleeding remained non-significantly lower in the ranitidine group (Adjusted Odds Ratio [aOR] 0.29; 95% CI 0.03–3.20). The study was found to be severely underpowered (16% power), and none of the bleeding events were clinically significant. Conclusion: In this small, underpowered trial of predominantly low-risk critically ill children, ranitidine did not significantly reduce the incidence of overt gastric bleeding. These findings, while limited by significant methodological weaknesses, do not support the routine use of SUP in similar pediatric populations and underscore the critical need for larger, more definitive trials to inform evidence-based risk-stratification strategies.

Histamine-2 Receptor Antagonist for Gastric Bleeding Prophylaxis in Low-Risk Critically Ill Children: A Randomized Trial of Ranitidine Sylvetri Lestari; Mayetti; Yusri Dianne Jurnalis; Eva Chundrayetti; Rusdi; Rahmi Lestari; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1397

Background: The utility of stress ulcer prophylaxis (SUP) in critically ill children is a subject of ongoing debate, particularly in patients who do not present with classic high-risk features for stress-related mucosal disease (SRMD). This study aimed to evaluate the efficacy of ranitidine for preventing gastric bleeding in a heterogeneous cohort of critically ill children. Methods: A single-center, prospective, open-label, randomized controlled trial was conducted in a tertiary Pediatric Intensive Care Unit (PICU) in Indonesia. Children aged 1 month to 18 years admitted to the PICU were randomized to receive either intravenous ranitidine (1 mg/kg/dose twice daily) or standard care without prophylaxis for five days. The primary outcome was the incidence of overt gastric bleeding. Post-hoc power analysis and multivariable logistic regression were performed to contextualize the findings. Results: From 243 patients screened, 60 were randomized (30 per group). The cohort was predominantly composed of infants (60.0%) with respiratory distress. Overt gastric bleeding occurred in 1 of 30 patients (3.3%) in the ranitidine group versus 3 of 30 patients (10.0%) in the control group. This difference was not statistically significant (Relative Risk [RR] 0.33; 95% CI 0.04–3.11; p=0.612). After adjusting for a baseline imbalance in age, the odds of bleeding remained non-significantly lower in the ranitidine group (Adjusted Odds Ratio [aOR] 0.29; 95% CI 0.03–3.20). The study was found to be severely underpowered (16% power), and none of the bleeding events were clinically significant. Conclusion: In this small, underpowered trial of predominantly low-risk critically ill children, ranitidine did not significantly reduce the incidence of overt gastric bleeding. These findings, while limited by significant methodological weaknesses, do not support the routine use of SUP in similar pediatric populations and underscore the critical need for larger, more definitive trials to inform evidence-based risk-stratification strategies.

Policy Analysis On Exclusive Breastfeeding for Informal Workers in Traditional Markets in North Sumatra Ariani, Peny; Lipoeto, Nur Indrawaty; Chundrayetti, Eva; Malini, Hema; Bachtiar, Adang; Sulastri, Delmi; Mayetti, Mayetti; Neherta, Meri
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4064

Most informal female workers in traditional markets are in the reproductive age range. One of the causes of low exclusive breastfeeding in women informal workers is the low implementation of policies related to exclusive breastfeeding in the workplace, especially in the informal sector. Objective to analyze the policies carried out by the local government related to exclusive breastfeeding policies for informal workers in traditional markets. Method: the study was qualitative with a phenomenological approach. Participants consisted of 12 employees of related agencies with purposive sampling. Data collection was done through in-depth interviews using voice records. Data analysis used content analysis by the collaizi method. The principle of traceability was applied to ensure rigor in the research. The results of this study obtained two themes related to the analysis of exclusive breastfeeding policies in Informal Workers of Traditional Markets in North Sumatra, namely 1) perception of lactation corner facilities in the markets; and 2) barriers to the certainty of lactation corners in the traditional market. It is essential to analyze the exclusive breastfeeding policy for informal workers in convention markets to create better policies by providing adequate lactation corner facilities for informal workers.

Vascular Architecture Alterations Independent of Lipid Profiles: The Paradoxical Dissociation between Dyslipidemia and Carotid Intima-Media Thickness in Obese Adolescents Yenny Astari; Didik Hariyanto; Eka Agustia Rini; Eva Chundrayetti; Nice Rachmawati Masnadi; Anggia Perdana Harmen; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 4 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i4.1564

Background: Adolescent obesity is a global epidemic that initiates subclinical atherosclerosis. While lipid profiles are traditional markers, their correlation with structural vascular changes in the pediatric population remains a subject of intense academic debate. This study evaluates the relationship between traditional lipid parameters and carotid intima-media thickness (CIMT) in obese high school students. Methods: An observational cross-sectional study was conducted between January 2025 and January 2026 involving 45 obese adolescents aged 15 to 18 years in Padang, Indonesia. Nutritional status was determined using the CDC 2000 growth charts, specifically targeting those with a body mass index at or above the 95th percentile. CIMT was measured via high-resolution B-mode ultrasonography. Lipid profiles, including total cholesterol, triglycerides, HDL, and LDL, were analyzed through laboratory testing. Statistical analysis utilized Fisher’s exact test through SPSS version 22. Results: The subjects, of whom 68.9 percent were female, had a median BMI of 29.34 ± 2.03 kg/m². Remarkably, 68.9 percent exhibited CIMT thickening above the 75th percentile. Bivariate analysis revealed no significant association between CIMT and total cholesterol (p=0.402), triglycerides (p=0.696), HDL (p=0.563), or LDL (p=1.000). Conclusion: Vascular remodeling in obese adolescents occurs independently of circulating lipid levels, suggesting that chronic inflammation may drive early atherosclerosis before clinical dislipidemia manifests.

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