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Faktor-Faktor Risiko Terjadinya Epilepsi pada Anak di RSUD Dr. Moewardi Riski Setianingsih, Paramita; Soedomo, Agus; Giri Moelyo, Annang
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: There is no definite epidemiological data about the number of patients with epilepsy in Indonesia. It is estimated that there are 900.000â1.800.000 epilepsy patients. The onset can be at any age, in which 30â32.9% patients experience the first convulsion less than 4 years old, 50-51.5% in less than 10 years old, 75â83.5% in less than 20 years old, 15% in more than 25 years oldÂ and 2% in more than 50 years old. Several risk factors cause epilepsy in children e.g. hereditary factor, asphyxia, premature, complex febrile seizure and head trauma. Methods: This was a case control study. Subject were selected consecutively from epilepsy children in Dr. Moewardi Hospital and matched with pediatric patients in Outpatlient Pediatric Clinics. The data was collected by structured interview and medical record. The data analyzed by Chi-Square test and Logistic Regression. All statistic analysis was measured by Statistical Product and Service Solution (SPSS) 16.00 for Windows. Results: There are 84 subjects eligible for the criteria. Asphyxia (p= 0.121) and premature (p= 0.393) are not risk factor for epilepsy. Hereditary factor (p= 0.001), complex febrile seizure (p= 0.000), and head trauma history (p= 0.001) are significant risk factor for epilepsy. Logistic regression result shows that the risk factors affecting epilepsy in children at Dr. Moewardi Hospital were complex febrile seizure (OR= 18.267 ; Cl 95% 5.393 s.d. 61.873 ; p= 0.000) and head trauma history (OR= 16.341 ; Cl 95% 3.346 s.d. 79.801 ; Â p= 0.001). Conclusions: Risk factor of epilepsy in children are complex febrile seizure and head trauma history. Keywords: hereditary, asphyxia, premature, complex febrile seizure, head trauma history, children with epilepsy Â

The Difference in Junior Doctor's Knowledge of Patient Safety Based on Experiences of Operative Stations at Medical Faculty of Universitas Sebelas Maret. Mini Thesis,Faculty of Medicine, Sebelas Maret University, Surakarta Justinus Kurniabudhi Novarianto; Ari Natalia Probandari; Annang Giri Moelyo
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction: Medical students are the key of the future of patient safety culture, yet it development still focused on the staff level, administratives, and other medical professionals. The patient safety system is designed for more efficient and easier recording of errors, to prevent and mitigate the risks and errors of medical procedure. Surgical procedure are one of the riskiest medical procedure. The experience in surgical stations might increase the junior doctor's knowledge on patient safety. This research aimed to study the difference in junior doctor's knowledge on patient safety based on the experience in surgical stations. Methods: This research used an analytical observational approach with cross sectional design. The study was conducted in RSUD Dr. Moewardi Surakarta on October 2015. The subject of this research are junior doctors in RSUD Dr. Moewardi Surakarta who met the inclusion and exclusion criterias determined by the researcher. Sampling technique used in this study was the total sampling method. The total sample of the study were 226 junior doctors. Data collected from the questionnaire on knowledge of patient safety filled by the samples, the questionnaire has gone through validation and reliability testing phase. Collected data was then analyzed with independent t-test and multivariate linear regression test. Results: The result of independent t-test showed that there was statistically insignificant relationship between the experience of operative stations and the knowledge on patient safety (p=>0,102). The result of multivariate linear regression test showed that there was difference in the quesionnary score between the junior doctors that have went through operative stations and those who have not, with the decrease of 0,787 points on sample's questionary score with more experience on operative stations, even though it was not statistically significant (p=0,525). Conclusions: The level of knowledge regarding patient safety of junior doctors with more operative station experiences are not higher compared to those with fewer operative station experiences. Keywords: patient safety, junior doctor. clerkship, patient safety education, medical education

Hubungan Lama Sakit dengan Status Gizi Anak Penderita Talasemia di RSUD Dr. Moewardi Ilma Anisa; Muhammad Riza; Annang Giri Moelyo
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Systemic complications that occur in children with thalassemia like hepatomegaly, hemosiderosis, bone deformities can affect nutrition disorder and growth retardation. The longer someone has suffered thalassemia, the more likely for the systemic disorder occurred. The aims of this study to find out the correlation between duration of illness with nutritional status of children with thalassemia in Dr. Moewardi Hospital. Methods: This is an observational analytic study using cross sectional design which was conducted from April to May 2013. Thirty children with thalassemia in the Dr. Moewardi Hospital were fulfill the restriction criteria. The duration of illness was acquired from medical record, while the nutritional status was obtained through measurements of weight, height, and the mid-upper arm circumference. The correlation between the duration of illness, gender, blood transfusion, iron chelating agents, splenomegaly, and 1 day food recall with nutritional status was analyzed by using Spearman test followed by the multivariate logistic regression analysis. Results: Spearman test analysis showed no significant correlation between duration of illness with nutritional status in children with thalassemia according to the weight/age and height/age indicator (p = 0,403 and p = 0,408). From the result of analysis on correlation between gender, blood transfusion, iron chelating agents, splenomegaly, and 1 day food recall with nutritional status according to the weight/age and height/age indicator (p > 0,05). Conclusions: There is no significant correlation between the duration of illness with the nutritional status of children with thalassemia according to the weight/age and height/age indicator in Dr. Moewardi Hospital. There is no correlation between gender, blood transfusion, iron chelating agents, splenomegaly, and 1 day food recall with nutritional status. Keywords: Duration of Illness, Nutritional Status, Thalassemia

Hubungan antara Status Gizi dan Infeksi Blastocystis hominis pada Pasien Bangsal Anak RSUD Dr. Moewardi Surakarta Nabila Adib Sungkar; Paramasari Dirgahayu; Annang Giri Moelyo
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background :Blastocystis hominis is one of the most common protozoans found in worldwide human intestinal tract. In Indonesia, its prevalence reached 60%, the highest prevalence found in children less than 6 years old (25%). Epidemiological and clinical researches show that a defect of nutritional status can inhibit immunity response and increase risk of infectional disease. This study aimed to analyze the correlation between nutritional status and Blastocystis hominis infection among children in RSUD Dr. Moewardi Surakarta. Methods :This study was an observational analytical research using cross-sectional approach. The subjects were every pediatric ward patient in RSUD Dr. Moewardi Surakarta period July-August 2013. A total of 50 subjects were selected using total sampling method. Fresh stool samples were examined using Ziehl-Neelsen staining method. Data were analyzed by multiple logistic regression analysis and processed with the Statistical Product and Service Solutions (SPSS) 17.0 for Windows. Results :Blastocystis hominis was found in 36/50 (72%) stool samples. Poor nutritional status patients in pediatric ward of RSUD Dr. Moewardi Surakarta have the same risk to be infected by Blastocystis hominis compared to good nutritional status patients (OR = 1.04 ; p < 0.97). But children aged under 2 years old have lower risk to get infected by Blastocystis hominis compared to children over 2 years old (OR = 29,333 ; p < 0,001) Conclusion :There is not any significant correlation between nutritional status and Blastocystis hominis infection among children in RSUD Dr. Moewardi Surakarta. Keywords :Blastocystis hominis, nutritional status

Perbedaan Kadar Thyroid Stimulating Hormone dan Free Thyroxine pada Pasien Talasemia Î’-Mayor dengan Kelasi Besi Deferasirox dan Deferiprone Aries - Krisbiyantoro; Harsono Salimo; Annang Giri Moelyo
Sari Pediatri Vol 19, No 4 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Talasemia Î² Mayor merupakan kelainan herediter yang disebabkan gangguan produksi rantai globin. Transfusi rutin menyebabkan kelebihan besi yang tertimbun dalam jaringan sehingga menyebabkan kardiomiopati, gangguan liver, dan komplikasi endokrin. Tiroid merupakan kelenjar endokrin yang berperan penting bagi anak. Pengendapan besi di kelenjar tiroid dapat menyebabkan gangguan fungsi tiroid. Pemberian kelasi besi deferiprone dan deferasirox dan pengaruhnya pada kadar TSH dan FT4 perlu dievaluasi lebih lanjut.Tujuan. Menganalisis perbedaan kadar TSH dan FT4 pada pasien anak dengan talasemia Î² mayor menggunakan kelasi besi deferiprone dan deferasirox Metode. Penelitian analitik dengan rancangan potong lintang (cross sectional) terhadap 43 pasien talasemia Î² mayor anak berusia 9-18 tahun pada bulan April sampai Juni 2017. Pemilihan subjek dilakukan secara consecutive sampling. Data di analisis dengan SPSS 20 mengunakan uji t independen dan uji man whitney.Hasil. Rerata usia pasien 12,5+3,12 tahun. Rerata kadar TSH kelompok deferiprone dan deferasirox adalah 3.051,78 IU/ml dan 2.351,29 IU/ml. Sedangkan rerata kadar FT4 untuk kelompok deferiprone dan deferasirox 15.424,12 mmol/l dan 15.822,75 IU/ml. Tidak terdapat perbedaan kadar TSH dan FT4 pada kelompok yang mendapatkan deferasirox dan deferiprone berturut-turut nilai TSH (p=0,148; p>0,05) dan FT4 (p=0,836; p>0,05). Kesimpulan. Tidak terdapat perbedaan kadar TSH dan FT4 pada pasien talasemia beta mayor yang mendapatkan kelasi deferasirox maupun deferiprone.

Perbedaan Prevalensi Obesitas antara Etnis Jawa, Tionghoa, dan Arab pada Anak Sekolah Menengah Pertama di Surakarta Zenia Purnama Murti; Annang Giri Moelyo; . Widardo
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Obesitycauses many health problems in childhoodsuch ascardiovasculardisease, diabetes, musculoskeletaldisorders, cancersthat causemorbidity and mortalityin adulthood. Ethnicity is a risk factor for obesity. Ethnicity affect eating habits, genetic, amount of energy expenditure, fat distribution and tendency of obese in a child. The aim of this study was to analyze prevalence of obesity in Junior High School Children in Surakarta based on ethnic differences (Javanese, Chinese, and Arabian). Methods:This was a cross-sectional analytic study to 395 students of 8th grade in SMP Negeri 4 Surakarta, SMP Bintang Laut Surakarta, and SMP Diponegoro Surakarta (junior high school) that consist of Javanese, Chinese, and Arabian. Samples were collected by purposive sampling technique. Inclusion criteriaswere students of 8thgrade,parentshave thesameethnicity, and signed an informed consent. Exclusion criterias werechildrenwithedema, have achronicillness, taking medicationlong-termandconditions ofhandicapped.The questionnaire was used to know the ethnic of the child. Body mass index was used to define obesity status with Z-score >+2 SD based on World Health Organization in 2007 growth chart. Data were analyzed by Chi-Square test. Results:This research shows 246 (63%) subjects were Javanese, 79 (20%) subjects were Chinese, and 70 (17%) subjects were Arabian. Twenty seven subjects (6.84%) were obese and threehundred andsixty-eight subjects (93.16%) were not obese. Obese prevalence was 4.5 % among Javanese, 8.9 % among Chinese, and 12.9 % among Arabian.It shows a significant differences in the prevalence of obesity among the three ethnics (p=0,036; p < 0.05). Conclusions:There are significant differences in the prevalence of obesity among Javanese, Chinese, and Arabian Ethnic in junior high school children in Surakarta. Keywords:ethnicity, obesity, children

Faktor-Faktor Risiko Terjadinya Epilepsi pada Anak di RSUD Dr. Moewardi Paramita Riski Setianingsih; Agus Soedomo; Annang Giri Moelyo
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: There is no definite epidemiological data about the number of patients with epilepsy in Indonesia. It is estimated that there are 900.0001.800.000 epilepsy patients. The onset can be at any age, in which 3032.9% patients experience the first convulsion less than 4 years old, 50-51.5% in less than 10 years old, 7583.5% in less than 20 years old, 15% in more than 25 years old and 2% in more than 50 years old. Several risk factors cause epilepsy in children e.g. hereditary factor, asphyxia, premature, complex febrile seizure and head trauma. Methods: This was a case control study. Subject were selected consecutively from epilepsy children in Dr. Moewardi Hospital and matched with pediatric patients in Outpatlient Pediatric Clinics. The data was collected by structured interview and medical record. The data analyzed by Chi-Square test and Logistic Regression. All statistic analysis was measured by Statistical Product and Service Solution (SPSS) 16.00 for Windows. Results: There are 84 subjects eligible for the criteria. Asphyxia (p= 0.121) and premature (p= 0.393) are not risk factor for epilepsy. Hereditary factor (p= 0.001), complex febrile seizure (p= 0.000), and head trauma history (p= 0.001) are significant risk factor for epilepsy. Logistic regression result shows that the risk factors affecting epilepsy in children at Dr. Moewardi Hospital were complex febrile seizure (OR= 18.267 ; Cl 95% 5.393 s.d. 61.873 ; p= 0.000) and head trauma history (OR= 16.341 ; Cl 95% 3.346 s.d. 79.801 ; p= 0.001). Conclusions: Risk factor of epilepsy in children are complex febrile seizure and head trauma history. Keywords: hereditary, asphyxia, premature, complex febrile seizure, head trauma history, children with epilepsy

GAMBARAN KASUS PSIKOLOGI ANAK DI KLINIK TUMBUH KEMBANG ANAK RSUD DR. MOEWARDI SURAKARTA Suci Murti Karini; Sri Wahyu Herlinawati; Annang Giri Moelyo
Wacana Vol 1, No 1 (2009)
Publisher : UNS Press

Salah satu aspek tumbuh kembang anak adalah perkembangan psikologis. Telah dilakukan penelitian di Klinik Tumbuh Kembang Anak RSUD Dr. Moewardi terhadap kasus-kasus psikologi pada anak. Disain penelitian adalah deskriptif retrospektif terhadap catatan medik kasus-kasus psikologi anak yang datang di Unit Rawat Jalan pada Klinik Tumbuh Kembang Anak RSUD Dr. Moewardi Surakarta dari April 2002 hingga Maret 2006, kemudian dibandingkan dengan kasus serupa pada tahun 2001. Hasil penelitian pada sebanyak 212 anak menunjukkan bahwa laki-laki lebih banyak (63,7%), lebih banyak pada anak berusia lebih dari 5 tahun (56,5%), dan kasus dari luar kota Surakarta (56,6%). Sebanyak 99 subjek datang atas keinginan sendiri, berbeda dengan data tahun 2001 di mana kasus terbanyak adalah rujukan dari dokter anak. Jenis gangguan berupa gangguan intelektual (24,5%), gangguan perkembangan (47,2%), gangguan psikologis disertai manifestasi fisik (6,1%), dan gangguan tingkah laku 22,2%). Gambaran status perkembangan mental menunjukkan sebanyak 85 subjek normal dan 15 subjek abnormal, berbeda dengan data tahun 2001 di mana 64,5% perkembangan mentalnya abnormal. Kata kunci : tumbuh kembang anak

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