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All Journal Althea Medical Journal Paediatrica Indonesiana
Ryadi Fadil
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Health Professions Medicine & Pharmacology

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Familial Predisposition of Primary Dysmenorrhea among Senior High School Girl Students Prema Sharlini; Hadyana Sukandar; Ryadi Fadil
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (538.032 KB)

Abstract

Background: Dysmenorrhea is a common female reproductive problem in women of active reproductive agewhich is characterized by menstrual pain or cramps in a women’s lower abdomen or back. Dysmenorrhea can be classified into primary and secondary. One of the associated risk factor of primary dysmenorrhoeais the family history, however the study on the family history of primary dysmenorrhea with recurrent  menstrual pain is limited. This study was conducted to identify the correlation between family history and primary dysmenorrhea in high school girls.Methods: This cross sectional study was conducted at several senior high schools in Jatinangor from April−June 2013. One hundred and sixty two students were included in this study. The sample size was calculated based on the unpaired−dichotomous variable for the two−sided formula. A self administered questionnaire was distributed to the senior high school girl students who were in their menarche age, menstrual cycle characteristics, presence or absence of dysmenorrhea, severity of pain and presence dysmenorrhea in mothers and in sisters were inquired. Data were analyzed using chi square test.Results: Overall, there were association between positive family history and primary dysmenorrhea among the students with (p<0.001). The prevalence of dysmenorrhea in the students was 92.6% with 95% confidence interval which was 87.5−95.7%. The prevalence rate was 67.9% in mothers with 95% confidence interval which is 60.4−74.6% and 80.2% prevalence of primary dysmenorrhoea in sisters with 95% confidence interval which is 73.4−85.6%.Conclusions: There is a significant association between positive family history and primary dysmenorrhea.[AMJ.2015;2(4):579–83] DOI: 10.15850/amj.v2n4.643
Relationship between Body Mass Index with Menstrual Cycle in Senior High School Students Rinasyah Ganesh; Lola Ilona; Ryadi Fadil
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (594.969 KB)

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Background: In recent years, there is an escalation of menstrual disorders in both developing and developed countries. One of the important factors that contribute to menstrual disorders is body fat content. In developing countries like Indonesia, young women in certain cultures get married at average age of 16 years. At the same time, the number of malnourishment among adolescent is increasing. This study was conducted to analyze the relationship between body mass index (BMI) and menstrual cycle in senior high school students.Methods: This study included 330 girls ages 15−17. This study was conducted in Jatinangor, Sumedang from the period of August–October 2013 using a cross-sectional study. Questionnaires assessing their menstruation and their weight and height were collected after obtaining the respondents consent.The collected data were analyzed using the independent T-test.Results: Most of the respondents had normal BMI, menstrual interval, amount and duration. There was no relationship between BMI and menstrual interval and menstrual amount (0.74 and 0.878 respectively), however there was relationship between BMI and menstrual period (p= 0.036).Conclusions: Menstrual abnormalities among female adolescents are common. Based on this study, BMI seems to be moderately associated with menstrual cycle, especially with menstrual period, although a possibility still remains that body fat affects the menstruation superiorly. [AMJ.2015;2(4):555–60] DOI: 10.15850/amj.v2n4.640
Association between age and serum ferritin level with bone age deficit in children with thalassemia major Sri Hastuti Andayani; Nanan Sekarwana; Ryadi Fadil
Paediatrica Indonesiana Vol 48 No 1 (2008): January 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.675 KB) | DOI: 10.14238/pi48.1.2008.33-6

Abstract

Background Multiple blood transfusions in thalassemia patientslead to iron overload in bone tissue. Iron overload can bedetermined by serum ferritin measurement. Several studies haveevaluated association between serum ferritin level and growth,but without bone age examination.Objective To determine the association between age and serumferritin level with bone age in children with thalassemia major.Methods This study was conducted at Hasan Sadikin HospitalBandung during March-May 2007. We performed physicalexamination, serum feritin measurement, and bone ageexamination. Data were analyzed with x 2 to determine associationbetween variables. The association between age and serum ferritinlevel with bone age deficit was analyzed with regression logisticmodel.Results Subjects consisted of 49 patients with thalassemia major.All subjects had bone age deficit. Most boys were in age group of>10 years and had bone age difference >36 months, while mostgirls were <10 years and had bone age difference <36 months.Subjects with bone age difference <36 months mostly had serumferritin level <5,000 ng/dL, while most subjects with bone agedifference >36 months had serum ferritin level =5,000 ng/dL.This was statistically significant (x 2 =4.573, P=0.032). There wasassociation between age and bone age deficit (OR=13.461, 95%CI 3.199;56.640), but not with serum ferritin level (OR= 2.199,95% CI 0.532;9.095).Conclusion In thalassemic children, bone age deficit is associatedwith age, but not with serum feritin level.
Thyroxine and thyroid stimulating hormone levels in under-five severe malnourished children Shelvi H. Tamzil; Ryadi Fadil; Diet S. Rustama; Melinda D. Nataprawira
Paediatrica Indonesiana Vol 43 No 2 (2003): March 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi43.2.2003.42-5

Abstract

Background In Indonesia, protein energy malnutrition (PEM) inchildren is still a health problem. Malnourished children will havegrowth and development disruption, which is not only caused bynutritional factor, but might be associated with endocrine system,such as thyroid hormone metabolism. Hypothyroidism or thyroidhypofunction could be happened in malnourished children.Objective The purpose of this study was to assess thyroxine (T4)and thyroid stimulating hormone (TSH) levels in under-five severemalnourished children.Methods This was a descriptive study with cross sectional design.Subjects were all under-five severe malnourished childrenbased on nutritional evaluation in August 2001 done by local healthcare workers in Andir District, Bandung. Severe malnutrition wasdefined as weight for age less than -3SD (W/A <-3SD).Results There were 42 subjects who fulfilled inclusion criteria, aged11-57 months, five of them showed clinical manifestation of marasmus.The T4 levels of the 41 subjects were still in normal limitsand within the range of 4.5-11.2 mg/dl. Thirty-nine subjects hadnormal TSH levels, ranged from 0.9 to 5.0 mlU/ml, and 2 subjectsshowed increased TSH levels of 6.8 and 7.6 mlU/ml, respectively.Reduced T4 and TSH levels of 3.93 mg/dl and 0.2 mlU/ml, respectivelywere detected in one subjectConclusion In general, the T4 & TSH levels were still normal,with only one subject (2%) showed low levels of T4 & TSH.
Co-Authors Diet S. Rustama Hadyana Sukandar Lola Ilona Melinda D. Nataprawira Nanan Sekarwana Prema Sharlini Rinasyah Ganesh Shelvi H. Tamzil Sri Hastuti Andayani