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Pneumonia Degree Correlation in Children with Clean and Healthy Behavior (CHB) Tri Kartika Setyarini; Aisyah Lahdji; Isna Zalwa Noor Fajri
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 2 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i2.4269

Abstract

Abstract  Pneumonia is an acute infection that affects the lung with symptoms of cough, shortness of breath, grunting, cyanosis, rhonchi, and infiltrates in thorax imaging. Based on The Integrated Management of Sick Children in handling Acute Respiratory Tract Infection program, pneumonia is classified as severe pneumonia, pneumonia and not pneumonia. One of the risk factors of pneumonia is the low level of Clean and Healthy Behavior (CHB). The purpose of this study was to determine the degree of pneumonia in children with clean and healthy behavior (CHB). The analytic observational study with cross-sectional method. The sample was conducted children under five years old diagnosed with pneumonia in the Children's Ward of Rachma Husada Hospital Bantul with due regard to inclusion and exclusion criteria. Sampling was carried out using consecutive techniques. The data was retrieved using secondary data (medical records) and observing CHB with questionnaire. The data was analyzed using fisher’s exact test. From 32 samples in this study, the majority of samples suffered from severe pneumonia (81.3%) and the most CHB indicators were the Intermediate category (50%). The result of bivariate analysis shows there was a correlation between the degree of pneumonia in children and the family’s CHB (p=0.01). There was a correlation between the degree of pneumonia in children and the clean and healthy behavior (CHB). Keywords             : pneumonia, CHB, childrenCorrespondence   : lahdjiaa@unimus.ac.id
Pengaruh Asfiksia Neonatal Terhadap Gangguan Pendengaran Gatot Irawan Sarosa; Alifiani Hikmah Putranti; Tri Kartika Setyarini
Sari Pediatri Vol 13, No 1 (2011)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp13.1.2011.5-13

Abstract

Latar belakang. Kejadian gangguan pendengaran di negara maju 1–3 dari 1000 kelahiran hidup, sedangkan prevalensi gangguan pendengaran di Indonesia ±4,2%, penyebabnya antara lain asfiksia. Identifikasi dini usia 3 bulan pertama kehidupan dan intervensi optimal 6 bulan pertama mencegah gangguan bicara, bahasa, kognitif, personal sosial, emosional, perilaku, akademik dan keterbatasan kesempatan kerja.Tujuan. Membuktikan asfifi ksia sebagai faktor risiko gangguan pendengaran sensorineural dengan mempertimbangkan prematuritas, obat ototoksik, dan ventilator mekanik.Metode. Penelitian observasional dengan rancangan kohort prospektif di RSUP Dr. Kariadi Semarang bulan Desember 2009 – November 2010. Subjek penelitian 68 neonatus terdiri dari 34 neonatus kelompok asfiksia dan 34 neonatus tanpa asfiksia Pemilihan subjek secara consecutive sampling, dicatat data klinis, laboratorium, dilakukan timpanometri, oto acustic emission (OAE) pertama usia <1 bulan dan OAE kedua dan brainstem evoked response audiometry (BERA) usia 3 bulan. Analisis statistik dengan uji Chi-square, uji Mc Nemar dan uji t tidak berpasangan, regresi logistik.Hasil. Kejadian gangguan pendengaran 35,3% pada asfiksia berdasarkan OAE pertama (p=0,003; RR:6,0; 95%CI:1,5-24,8), menjadi 20,6% pada OAE kedua (p=0,15). Gangguan pendengaran pada asfiksia berat 57,1% berdasarkan OAE pertama (p=0,003), menjadi 28,6% pada OAE kedua (p=0,16). Gangguan pendengaran sedang pada asfiksia 11,8% berdasarkan BERA (p=0,14). Faktor risiko prematuritas pada OAE pertama dan kedua p=1,00. Obat ototoksik, ventilator mekanik dan gangguan pendengaran pada OAE pertama (p=0,005; RR:4,4; 95%CI:1,3-14,3 dan p=0,03; RR:3,5; 95%CI:1,5-8,2). Analisis multi variat faktor risiko gangguan pendengaran untuk asfiksia (OR 1,3; 95%CI 0,1 - 19,9; p=0,84), obat ototoksik (OR 3,7; 95%CI 0,3 - 55,0; p=0,34), ventilator mekanik (OR 1,5; 95%CI 0,2-10,2;p=0,69)Kesimpulan. Asfiksia merupakan faktor risiko gangguan pendengaran usia kurang dari satu bulan. Gangguanpendengaran terbanyak pada asfiksia berat. Obat ototoksik dan ventilator mekanik merupakan faktor risikogangguan pendengaran usia kurang dari satu bulan. Prematuritas dan asfiksia, obat ototoksik, ventilatormekanik secara bersama-sama belum dapat disimpulkan sebagai faktor risiko gangguan pendengaran.
GAMBARAN X-FOTO THORAX DAN KARAKTERISTIK PASIEN ANAK PENDERITA COVID-19 DI RSUD TUGUREJO SEMARANG Hafizhah Alya Rizviar; Galuh Ramaningrum; Tri Kartika Setyarini; Kanti Rantaningrum
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 6 No 2 (2023): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

COVID-19 adalah penyakit yang disebabkan oleh virus SARS-CoV-2. Kasus COVID-19 di Indonesia mencapai 7,76%, angka ini lebih besar dari kasus COVID-19 di dunia yang hanya 0,8-2,2%. Gambaran foto thoraks dan karakteristik pasien COVID-19 anak lebih bervariasi dibanding kasus dewasa. Penelitian terkait COVID-19 pada anak di Indonesia masih terbatas. Oleh karena itu, peneliti ingin mengetahui gambaran foto thoraks dan karakteristik pasien COVID-19 anak. Penelitian ini adalah studi deskriptif observasional dengan pendekatan kuantitatif. Sampel penelitian ini adalah anak yang didiagnosis COVID-19 dan dirawat di bangsal anak di RSUD Tugurejo Semarang periode Mei 2020-Agustus 2021. Data penelitian menggunakan data sekunder berupa rekam medis. Gambaran foto thoraks yang sering ditemukan penebalan pola broncovaskular dan infiltrasi (39,5%) dan normal (39,5%). Sampel anak di dominasi usia remaja (12-18 tahun) sebanyak 52,6%, laki-laki 68,4%, indeks massa tubuh (IMT) normal 73,7%; dengan gejala ringan 63,2%. Pasien dengan komorbid hanya 2,6%. Gambaran foto thoraks bervariasi kemungkinan disebabkan manifestasi klinis anak mayoritas ringan-sedang sehingga tidak ada gambaran khas seperti pada dewasa. Karakteristik pasien berdasarkan usia mayoritas remaja kemungkinan disebabkan remaja merupakan usia produktif yang memiliki risiko terpapar paling besar karena interaksi erat dengan sekitar. Jenis kelamin mayoritas laki-laki kemungkinan disebabkan jumlah CD4+ pada tubuh lebih sedikit dari wanita. Pasien dengan komorbid hanya 2,6% yaitu bayi prematur kemungkinan disebabkan kekebalan sistem humoral dan selular yang belum cukup. IMT mayoritas normal namun nutrisi sangat dibutuhkan dalam pertahanan tubuh melawan virus. Gejala anak mayoritas ringan-sedang kemungkinan diakibatkan anak memiliki ACE-2 lebih sedikit dari dewasa sehingga tidak sensitif terhadap virus SARS-CoV-2 Kata kunci: anak, COVID-19, foto thoraks, karakteristik DOI : 10.35990/mk.v6n2.p173-182
Biskuit CERIA (Cangkang Telur Kombinasi Kurma dan Madu) sebagai Snack Alternatif untuk Meningkatkan Status Gizi Anak Hema Dewi Anggraheny; Aisyah Lahdji; Tri Kartika Setyarini; Ika Dyah Kurniati
Jurnal Surya Masyarakat Vol 6, No 1 (2023): November 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.6.1.2023.20-25

Abstract

Many studies state that most cases of malnourished children, such as stunting, experience a lack of calories and protein. So that one of the focuses is to improve the nutritional status of children, especially by making food preparations from ingredients that are high in calories and protein, and of course those that are of interest to children in terms of taste and shape. Egg shells are an alternative food ingredient that is rich in protein and calcium. In addition, dates and honey produce a natural sweet taste, and have high nutritional value. The purpose of this activity is to provide alternative snacks for children in the form of eggshell cookies, a combination of dates and honey. The method starting with making egg shell cookies a combination of dates and honey (Ceria), and determining the right recipe for these biscuits, in terms of taste and shape. Then tested the nutritional composition (calories, carbohydrates, protein, fat, sugar, and fiber). Furthermore, the cookies were distributed to partners, namely mothers who have children aged 6 months to 9 years and health cadres in the Kedungmundu Village, Semarang. The result for this research was Ceookies “Ceria” with the ingredients of eggshell flour, wheat flour, cornstarch, dates, honey, and egg yolks. The nutritional composition produced in 100 grams of cookies produces 511 kcal calories, 63,7 grams of carbohydrates, 0,83 grams of protein, 28,3 grams of fat, 49,5 grams of fiber, and 7 grams of sugar. Ceria cookies (egg shell combination of dates and honey) can be given as an alternative food supplement for children, with the appropriate nutritional composition and using natural ingredients without artificial sweeteners or preservatives.
Analisis Faktor yang Mempengaruhi Perilaku Pemberian ASI Ekslusif pada Ibu Menyusui Rina Purnamasari; Feny Sinta Dewi; Tri Kartika Setyarini; Vita Susianawati
Prosiding Seminar Nasional Unimus Vol 6 (2023): Membangun Tatanan Sosial di Era Revolusi Industri 4.0 dalam Menunjang Pencapaian Susta
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Latar Belakang: Perilaku pemberian ASI eksklusif mendapat pengaruh dari faktor eksternal (dukungankeluarga dan petugas kesehatan) serta faktor internal (pengalaman menyusui, tingkat pengetahuan, danfaktor demografi (pekerjaan, umur, pendidikan). Metode: Penelitian ini menerapkan metode observasi analitik melalui pendekatannya cross sectional yangmenganalisis pengetahuan, pekerjaan dan dukungan keluarga pada perilaku pemberian ASI Ekslusif.Populasi adalah ibu menyusui di Puskesmas Bandarharjo. Teknik sampling dengan metode purposivesampling dan sampel yang didapatkan ada 45 responden. Data dikumpulkan dengan kuesioner. Analisisdata melalui analisis univariat dan bivariat dan pengujian Chi Square Hasil: Dari total 45 responden sesuai kriteria responden terbanyak usia <35 tahun (57,8%), pendidikantertinggi SMA (44,4%), tidak bekerja (60%), multipara (68,9%), memberikan ASI eksklusif (68,9%),pengetahuan tinggi (57,8%), dan yang mendapatkan dukungan baik (73,3%). Hasilnya menjelaskan adaketerkaitan signifikan dari pengetahuan untuk memberikan ASI Ekslusif yang bernilai p-value 0,004(≤0,05) dan adanya hubungan signifikan antara dukungan keluarga terhadap perilaku memberikan ASIEkslusif dengan nilai p-value 0,000. Namun tidak ada keterkaitan antara pekerjaan pada perilaku pemberianASI Ekslusif dengan nilai p-value 0,293. Kesimpulan: Terdapat hubungan signifikan antara pengetahuan dan dukungan keluarga pada perilakupemberian ASI Ekslusif. Namun tidak ada keterkaitan pekerjaan pada perilaku pemberian ASI Ekslusif  Kata Kunci: ASI ekslusif, pengetahuan, perilaku
The Correlation between Hemoglobin Level, Age, and Family History of Febrile Seizure with The Incidence of Febrile Seizure in Children Istiqomah, Wimakrifah; Kartika Setyarini, Tri; Ratnaningrum, Kanti
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Febrile seizure is a seizure that occur when the body temperature increases and is caused by an extracranial process. There are several risk factors of febrile seizure, including hemoglobin level,-age,-and family history of febrile seizure. The aim of this study was to analyze the relationship between hemoglobin level, age, and family history of febrile seizure with the incidence of febrile seizure in 6-60 months children in Fatimah-Hospital-of Mother-and-Child-Lamongan. This study used a case-control design through retrospective approach based on data of children’s medical records in Fatimah-Hospital Lamongan from January-November 2021. The sample was selected by consecutive sampling method. Data analysis were using the chi-square test and continued with multiple logistic regression tests. The sample of this study was 80 children, consist of each 40 children as case and control group. Most of the febrile seizure occured in children with a low hemoglobin level (85%), in age of 6-24 months (82,4%), and have a family history of febrile seizure (65%). The result of the bivariate analysis showed that there was significant correlation between hemoglobin level (p = 0,022), age (p = 0,015),  and family history of febrile seizure (p = 0,000) with the incidence of febrile seizure. The result of the multivariate analysis showed that the most influential variable is family history of febrile seizure (OR=13,670). There was significant correlation between hemoglobin level,-age,-and family history of febrile seizure with the incidence of febrile seizure. Family history was the most influences factor for the incidence of febrile seizure.
Hubungan Kelengkapan Imunisasi Dasar dengan Tumbuh Kembang Anak Usia 12-36 Bulan di Puskesmas Winong I Kabupaten Pati Tri Kartika Setyarini; Lita Purwira Mikasyanti; Gharini Sumbaga Narhadina; Oky Rahma Prihandani
AT-TAKLIM: Jurnal Pendidikan Multidisiplin Vol. 2 No. 4 (2025): At-Taklim: Jurnal Pendidikan Multidisiplin (Edisi April)
Publisher : PT. Hasba Edukasi Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71282/at-taklim.v2i4.239

Abstract

Background: The stunting prevalence in Indonesia has been recorded at 21.6%, with the prevalence of children suffering from malnutrition at 7.1%. There are still approximately 5-10% of children experiencing developmental delays. Chronic and recurrent infections in children can affect growth and development due to nutrient absorption disorders. Children's immunity to diseases can be improved through immunization. This research seeks to explore the correlation between the completeness of basic immunization and the growth and development of children aged 12-36 months at Puskesmas Winong I, Pati Regency. Methods: This study employs a quantitative approach with a retrospective cohort design. All children aged 12-36 months at Puskesmas Winong I were included as the study population, with samples selected through purposive sampling based on inclusion and exclusion criteria. Data were analyzed using the Chi-Square test and Fisher’s Exact test. Results: Out of 83 children, 43 received complete immunization, while 40 did not receive basic immunization. The percentage of children with normal growth was 79,5%, while those with abnormal growth was 20,5%. 92.8% of the children exhibited appropriate development, while those with inappropriate development was 7.2%. The analysis results indicate that the completeness of basic immunization is associated with child growth, with a p-value of 0.001 < 0.05 and an RR of 1.600 (95% CI: 1.259-2.034). Meanwhile, in terms of child development, a p-value of 0.01 < 0.05 with an RR of 1.176 (95% CI: 1.033-1.340) was obtained, indicating an association between basic immunization completeness and child development. Conclusion: The completeness of basic immunization is associated with the growth and development of children aged 12-36 months at the Winong I Community Health Center, Pati Regency.
Biskuit CERIA (Cangkang Telur Kombinasi Kurma dan Madu) sebagai Snack Alternatif untuk Meningkatkan Status Gizi Anak Hema Dewi Anggraheny; Aisyah Lahdji; Tri Kartika Setyarini; Ika Dyah Kurniati
Jurnal Surya Masyarakat Vol 6, No 1 (2023): November 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.6.1.2023.20-25

Abstract

Many studies state that most cases of malnourished children, such as stunting, experience a lack of calories and protein. So that one of the focuses is to improve the nutritional status of children, especially by making food preparations from ingredients that are high in calories and protein, and of course those that are of interest to children in terms of taste and shape. Egg shells are an alternative food ingredient that is rich in protein and calcium. In addition, dates and honey produce a natural sweet taste, and have high nutritional value. The purpose of this activity is to provide alternative snacks for children in the form of eggshell cookies, a combination of dates and honey. The method starting with making egg shell cookies a combination of dates and honey (Ceria), and determining the right recipe for these biscuits, in terms of taste and shape. Then tested the nutritional composition (calories, carbohydrates, protein, fat, sugar, and fiber). Furthermore, the cookies were distributed to partners, namely mothers who have children aged 6 months to 9 years and health cadres in the Kedungmundu Village, Semarang. The result for this research was Ceookies “Ceria” with the ingredients of eggshell flour, wheat flour, cornstarch, dates, honey, and egg yolks. The nutritional composition produced in 100 grams of cookies produces 511 kcal calories, 63,7 grams of carbohydrates, 0,83 grams of protein, 28,3 grams of fat, 49,5 grams of fiber, and 7 grams of sugar. Ceria cookies (egg shell combination of dates and honey) can be given as an alternative food supplement for children, with the appropriate nutritional composition and using natural ingredients without artificial sweeteners or preservatives.
Pola Pemberian Makan Mempengaruhi Kejadian Stunting Pada Anak Umur 24 – 59 Bulan Muhammad Ivan Ardiansyah; Tri Kartika Setyarini; Wijayanti Fuad
Jurnal Keperawatan Karya Bhakti Vol. 10 No. 2 (2024)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.165

Abstract

Abstrak Stunting dapat disebabkan faktor langsung (bayi Berat Badan Lahir Rendah, penyakit infeksi, jenis kelamin, riwayat anemia ibu) serta faktor tidak langsung (imunisasi tidak lengkap, status ekonomi keluarga, pola pemberian makan anak). Penelitian ini bertujuan menganalisis hubungan riwayat anemia ibu hamil dan pola pemberian makan anak terhadap kejadian stunting pada anak usia 24-59 bulan di kelurahan Geneng kecamatan Batealit, Jepara. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Metode pengambilan sampel secara simple random sampling. Sampel penelitian yang digunakan sebanyak 85 responden. Uji statistik menggunakan uji chi – square untuk analisis bivariat dan uji multiple logistic regression untuk analisi multivariat. Responden yang mengalami stunting sebesar 56,5%, dan ibu yang memiliki riwayat anemia sebesar 55,3%, sedangkan ibu dengan pola pemberian makan anak tidak baik sebesar 62,4%. Riwayat anemia ibu dan pola pemberian makan anak berpengaruh terhadap kejadian stunting anak umur 24–59 bulan di kelurahan Geneng, kecamatan Batealit, Jepara (p=0,002 dan p=0,000). Pola pemberian makan anak merupakan faktor yang lebih berpengaruh terhadap kejadian stunting dibandingkan riwayat anemia ibu. Terdapat hubungan antara riwayat anemia ibu dan pola pemberian makan anak terhadap kejadian stunting. Kata Kunci: Pola pemberian makan; Riwayat anemia ibu; Stunting Abstract Failure to achieve maximum growth is the definition of stunting, calculated based on height for age (TB/U) with a limit value of less than minus 2 SD. Globally, according to the United Nations Children's Fund, in 2018 there were 22.2% of children experiencing stunting, or 1 in 4 children aged 0 to 5 years in the world had a stunting problem. Stunting can be caused by direct factors (low birth weight babies, infectious diseases, gender, history of maternal anemia) and indirect factors (incomplete immunizations, family economic status, child feeding patterns). This study aims to analyze the relationship between a history of anemia in pregnant women and child feeding patterns to the incidence of stunting in children aged 24-59 months in Geneng village, Batealit sub-district, Jepara. This research is an analytic observational study with a cross sectional approach. The sampling method is simple random sampling. The research sample used was 85 respondents. Statistical test using chi-square test for bivariate analysis and multiple logistic regression test for multivariate analysis. This study was conducted after obtaining ethical approval. Respondents who experienced stunting were 56.5%, and mothers who had a history of anemia were 55.3%, while mothers with poor child feeding patterns were 62.4%. History of maternal anemia and child feeding patterns affect the incidence of stunting in children aged 24–59 months in Geneng sub-district, Batealit sub-district, Jepara (p=0.002 and p=0.000). Child feeding pattern is a more influential factor on the incidence of stunting than the history of maternal anemia. There is a relationship between a history of maternal anemia and child feeding patterns on the incidence of stunting.. Keywords: Stunting; history of maternal anemia; feeding patterns.