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All Journal MEDIA MEDIKA INDONESIANA Jurnal NERS Paediatrica Indonesiana Health Notions Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Personifikasi: Jurnal Ilmu Psikologi MEDICINUS Journal of Public Health and Pharmacy Folia Medica Indonesiana
Mira Irmawati
Department Of Child Health, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Risk factors of speech and language disorders in children Rusli, Vinia; Suryawan, Ahmad; Irmawati, Mira; Irwanto, Irwanto; Notobroto, Hari Basuki
Paediatrica Indonesiana Vol. 64 No. 5 (2024): September 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.5.2024.430-8

Abstract

Background Speech and language problems are developmental disorders often observed in children. Risk factors for speech and language disorders can occur prenatally, perinatally, or postnatally. Recognizing the risk factors for speech and language problems is essential for early diagnosis and intervention. Objective To identify risk and protective factors of speech and language disorders in children. Methods This case-control study was conducted in the Growth and Development Clinic at Dr. Soetomo Hospital, Siloam Hospital, Kendangsari Merr Hospital, and Darmo Hospital, Surabaya, East Java. Subjects with normal development were included in the control group, subjects with speech-language development disorders with no additional problems were included in the primary case group, and subjects with speech-language disorders and additional problems were included in the secondary case group. Subjects underwent history-taking and developmental examinations to assess for risk factors and types of speech-language disorders. Results During March – July 2023, 162 subjects aged 2-6 years met the inclusion criteria. The significant risk factors in the primary group were male sex (P=0.000), age 2-3 years (P=0.01), and maternal age 19-35 years (P=0.018). The protective factor identified was not bilingual (P=0.046). In the secondary group, the significant risk factor was male gender (P=0.002). The protective factors obtained were absence of seizures (P=0.028) and not being bilingual (P=0.045). Conclusion Male gender is a risk factor while non-bilingual is protective for speech-language disorders in children.
Community Knowledge on Child Gastrointestinal Disease, Growth, and Development : A Cross Sectional Study in Mandangin Islan, Sampang, Indonesia ATHIYYAH, ALPHA FARDAH; Subijanto Marto Sudarmo; Reza Gunadi Ranuh; Andy Darma; Mira Irmawati; Khadijah Rizky Sumitro; Muhammad Irawan; Budiyanto; Novi Rahayu Arianti; Steven Christian Susianto; Sacharissa Zerlina Tsarwah Thirafi
Journal of Community Medicine and Public Health Research Vol. 5 No. 2 (2024): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v5i2.54969

Abstract

The prevalence of diarrhea in Madura is higher than in East Java. Mandangin island, an isolated island in Sampang, Madura has limited access to healthcare and knowledge. It will lead to disruptions in the children’s growth and development. This study aimed to evaluate the impact of health education on community knowledge about gastrointestinal disorders and children’s development. This cross-sectional study involved 48 subjects from Mandangin Island, Sampang by total sampling. The subjects received some presentations related to gastrointestinal disease, growth, and development in children using a handbook and audio-visual media. The subjects were required to complete pretest and posttest questionnaires. The pretest and post-test results were processed and analyzed using the statistical software “SPSS” and the Wilcoxon test. Most of the subjects were housewives with a mean age of 28.73 ± 6.22 years old. There was a significant difference between pre-and post-test in gastrointestinal disease, growth, and development in children (46.04 ± 21.71 vs 62.29 ± 13.25, p<0.001). This study found that health education through face-to-face, handbooks, and audiovisual media can enhance community knowledge.
Correlation of Responsive Caregiving with Child Development Ichromy, Ulfi Rifki; Suryawan, Ahmad; Irmawati, Mira
Journal of Public Health and Pharmacy Vol. 5 No. 1 (2025): March 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i1.6247

Abstract

Introduction: Caregiving or parenting significantly impacts a child's growth and development. Responsive caregiving is regarded as the optimal caregiving model. Current research pertains to responsiveness and the cognitive and psychosocial development of children. However, research linking responsive caregiving to children’s development is still rarely conducted. This study aimed to determine the correlation between responsive caregiving patterns and child development. Methods: This cross-sectional study was conducted on children aged 48 to 72 months in Bina Anaprasa kindergartens Surabaya within May 2024. Data collection was obtained through interviews and observation of interactions between caregivers and children. Responsiveness was measured using responsiveness criteria in the HOME assessment score. Child development was measured using Denver II. Denver II tests child development as general, which consist of gross-motor, language, fine motor and personal-social developments. Data analysis used a correlation test based on each variable’s scale. Ethical approval was obtained from Komite Etik RS Dr. Soetomo, and participants provided written informed consent. Results: A total of 67 children from 4 kindergartens were included in this study. This study found 7 children (10.5%) with developmental delay. A significant relationship was found between parenting responsiveness and general child development [p=0.021; OR: 7.5 (1.31-42.76)]. If specified, fine motor development have significant relationship (p=0.006). However, there was no significant correlation between responsive caregiving and gross motor development (p=0.299), language development (p=0.060), and personal-social development (p=0.076). Conclusion: Responsive caregiving was correlated with general child development and fine motor development. However, there was no correlation between responsive caregiving and other development parts. Although responsive caregiving is already widely recommended for optimal child growth and development, it is not routinely evaluated. We recommend routine assessment and caregiving training as early intervention. The limitation of this study is that the sample were homogeneous, and did not involve other influential variables such as nutritional intake and socioeconomic status. Further study addressing this limitation can be conducted.
Correlation Between Sleep Disturbance and Agression on Childern With Autism Spectrum Disorder Fauziah, Fany Nabila; Nining Febriyana; Mira Irmawati; Maria Beatriz Yazbek David Ramires
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.51789

Abstract

Introductions: Children with autism are a group of people with a pervasive developmental disorder characterized by abnormalities and/or developmental disabilities, marked by the presence of abnormalities in social interaction, communication, and limited and repetitive behavior. Children with Autism Spectrum Disorder have more sleep disturbances that correlate with the severity of autism symptoms, such as aggression. The aim of this study is to determine the relationship between sleep disturbances and aggression in children with autism at the Child Psychiatry Daycare Unit of Dr. Soetomo Regional General Hospital Surabaya. Methods: The research design used in this study is cross-sectional with a quantitative approach. Sampling was done using the total sampling method, resulting in 40 respondents. Sleep disturbance variables were measured using the Children’s Sleep Habit Questionnaire Abbreviated (CSHQ-A), and aggression variables were measured using the Modified Overt Aggression Scale (MOAS). Data were analyzed using Spearman’s correlation test. Results: The results showed a correlation coefficient of 0.841 with a significant p-value of < α 5% (0.05). Data analysis indicates that sleep disturbances in children with Autism Spectrum Disorder are strongly and linearly related to the level of aggression displayed. Conclusion: In conclusion, the more severe the sleep disturbances experienced by autistic children, the more severe the aggression displayed by children with Autism Spectrum Disorder.
Literature Review: Stres Pengasuhan pada Anak dengan Gangguan Spektrum Autisme Ibrahim, Maulana Hanif; Kalalo, Royke Tony; Irmawati, Mira
Personifikasi: Jurnal Ilmu Psikologi Vol 13, No 2 (2022)
Publisher : Universitas Trunojoyo Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21107/personifikasi.v13i2.18006

Abstract

This literature review aims to examine the results of research on parenting stress in children with autism spectrum disorders that has been carried out for the last ten years, namely in the period 2012 - 2022. The search for research articles was carried out using certain keywords by following the PRISMA guidelines . There were 12 research articles analyzed in this literature review which were obtained through the Google Scholar, SAGE Journals, PubMed, SpringerLink, ScienceDirect, Taylor and Francis Online, and Wiley Online Library databases, which were then analyzed for the purpose, methods, sample, and research findings.  The results of this literature review are in line with previous studies regarding the level of parenting stress in children with autism spectrum disorders which showed that parents of children with autism spectrum disorders experienced significantly higher parenting stress than parents of children with other developmental disorders. and children with normal development, and there is a significant difference between the level of stress on mother's care and stress on father's care for children with autism spectrum disorders. There are 3 main factors that relate to and influence the level of parenting stress on parents, namely children, parents, and external factors. Parenting stress has consistently been found to negatively impact parents' quality of life in terms of mental health. Future research can look at socio-cultural factors associated with parenting stress in various cultures so as to add information to the literature on parenting stress and how intervention methods can be given that are culturally appropriate for each parent.
Enhanced Efficacy of Sublingual Immunotherapy in Childhood Allergic Asthma by Probiotics Endaryanto, Anang; Irmawati, Mira
Folia Medica Indonesiana Vol. 54, No. 1
Publisher : Folia Medica Indonesiana

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Abstract

It is expected that probiotics may act synergistically to improve the clinical efficacy of sublingual immunotherapy (SLIT). The aim of this study was to investigate the role of probiotics in enhancing efficacy of sublingual immunotherapy in childhood allergic asthma. This was a randomized single blind clinical trial conducted on 6-17 year-old asthmatic children sensitive to house dust mite allergens. Subjects were allocated to Group A receiving SLIT, Group B receiving probiotics and SLIT, Group C receiving probiotics only. Clinical parameters (FEV1 reversibility, medication score, and symptom score) and immunological parameters (total IgE, eosinophil count, IFN-γ, IL-2, IL-4, IL5, IL10, and TGF-b were evaluated in week 0 until 14. Statistical analysis revealed that the difference of clinical parameters (FEV1 reversibility, medication score, and symptom score) between groups were not significant. The difference of the immunological parameters of total IgE, IFN-γ, IL-2, IL-4, IL5, IL10, and TGF-íŸ were also not significant. Eosinophil count decreased in subjects who received combination SLIT with probiotics. In conclusion, probiotics enhanced the efficacy of sublingual immunotherapy in childhood allergic asthma by decreasing the eosinophil count.
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
Publisher : Folia Medica Indonesiana

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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 Ahmad Suryawan Alpha Fardah Athiyyah Anang Endaryanto Andy Cahyadi Andy Darma Aprilawati, Dwi BUDI UTOMO BUDIYANTO Dewi Astasari Dian Dwi Sari Dwi Susanti Endang Retnowati Fachry Abda El Rahman Fauziah, Fany Nabila Febriyana, Nining Hari Basuki Notobroto Husada Tsalitsa Mardiansyah I Dewa Ayu Agung Sridharaswari I Gusti Ayu Indah Ardani Ibrahim, Maulana Hanif Ichromy, Ulfi Rifki IRWANTO Irwanto Irwanto Irwanto Irwanto Irwanto, Irwanto Jonathan, Elizabeth Beatrice Kalalo, Royke Tony Khadijah Rizky Sumitro Lisa Pangemanan Maria Beatriz Yazbek David Ramires Moersintowarti B Narendra Monica Tiara Arum Kinanthi Muhammad Irawan Novi Rahayu Arianti Reza Gunadi Ranuh Rika Hapsari Rusli, Vinia Sacharissa Zerlina Tsarwah Thirafi Steven Christian Susianto Sudarmo, Subijanto Marto