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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Cermin Dunia Kedokteran
I Gusti Agung Ngurah Sugitha Adnyana
Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Udayana/RSUP Sanglah Denpasar
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Korelasi Pola Asuh Orangtua Terhadap Self-Esteem Remaja Sekolah Lanjutan Tingkat Pertama Harapan Denpasar Sri Maya; Soetjiningsih - Soetjiningsih; IGA Trisna Windiani; IGAN Sugitha Adnyana
Sari Pediatri Vol 20, No 1 (2018)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp20.1.2018.24-30

Abstract

Latar belakang. Masa remaja merupakan masa transisi kompleks ditandai perubahan fisik, emosi serta meningkatnya pengaruh teman kelompok. Masa remaja penting pada pembentukan self-esteem yang merupakan kebutuhan dasar manusia berupa kemampuan menilai dirinya serta keyakinan diri mengatasi tantangan, ambisinya dan menikmati usahanya. Remaja dengan self-esteem baik melihat dirinya berharga, optimis, peka lingkungan serta jauh dari tindakan agresif. Remaja dengan self-esteem rendah memiliki persepsi buruk, merasa tidak berharga, tidak berdaya, menghindari tugas untuk melindungi dirinya, serta menghindari bantuan sekitarnya sehingga berisiko depresi, penurunan prestasi akademik, bunuh diri dan kriminalitas. Pola asuh yang tepat akan membentuk self-esteem yang baik sehingga remaja mampu bersosialisasi dan mengembangkan potensinya. Tujuan. Mengetahui besar korelasi pola asuh orangtua dengan self-esteem remaja.Metode. Penelitian ini merupakan penelitian observasional analitik potong lintang pada 144 remaja kelas 7 dengan metode purposive sampling di SLTP Harapan Denpasar menggunakan kuesioner Rosenberg dan Kuesioner Pola Asuh Anak.Hasil. Pola asuh demokrasi ayah berkorelasi lemah dengan self-esteem remaja sebaliknya pola asuh demokrasi ibu berkorelasi sedang dengan self-esteem remaja (r=0,434). Semakin demokratis pola asuh ibu maka semakin baik self-esteem remaja. Kesimpulan. Pola asuh demokratis ibu berkorelasi dengan self-esteem remaja.
Prevalence and associated factors of airway hyper- responsiveness in children with recurrent chronic cough I Gusti Agung Ngurah Sugitha Adnyana; Putu Suwendra; Hendra Santoso
Paediatrica Indonesiana Vol 44 No 5 (2004): September 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.677 KB) | DOI: 10.14238/pi44.5.2004.181-7

Abstract

Background Airway hyper-responsiveness (AH) is a common char-acteristic of asthma. Patient who has recurrent chronic cough withAH is commonly referred as “cough variant asthma”. Histamineprovocation test should be performed to determine whether a pa-tient has “cough variant asthma” or recurrent viral bronchitis.Objective To determine AH prevalence in children with recurrentchronic cough and factors associated with it.Methods A cross sectional study was conducted on 6-12 year-oldchildren with recurrent chronic cough at the Pediatrics OutpatientClinic, Sanglah Hospital Denpasar from September 2002 until June2003Results Twenty one out of 64 (33%) subjects suffering from recur-rent chronic cough without wheezing had AH. Associated factorssignificantly associated with AH were age, allergic rhinitis, pater-nal and maternal history of atopy, passive smoking, use of mos-quito-coil, positive skin prick test, and eosinophilia. Spearman cor-relation analysis between associated factors and AH showed thatpositive skin prick test and passive smoking were moderately cor-related with AH (r=0.56, p<0.0001; r=0.57, p<0.0001, respectively),whereas multivariate regression logistic analysis on associatedfactors found true associated factors, such as positive skin pricktest (p=0.01; OR=14.82), history of atopy in father (p=0.02;OR=22.75), and passive smoking (p=0.03; OR=11.97).Conclusions The prevalence of airway hyper-responsiveness inchildren with recurrent chronic cough without history of wheezingwas 33%. Independent associated factors of AH in recurrent chroniccough children are positive skin prick test, history of atopy in fa-ther, and passive smoking
Quality of life among obese and non-obese early adolescents Putu Vivi Paryati; I. G. Lanang Sidiartha; I. G. Ayu Trisna Windiani; I. G. A. N. Sugitha Adnyana
Paediatrica Indonesiana Vol 57 No 4 (2017): July 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.685 KB) | DOI: 10.14238/pi57.4.2017.216-22

Abstract

Background Obesity in adolescents adversely affects both their psychological as well as their physical health.Objective To compare the quality of life between obese and non-obese early adolescents, using the PedsQL inventory.Methods A cross-sectional study was carried out on early adolescents aged 10-12 years among several elementary schools in Denpasar, Bali. Body mass index (BMI) percentiles for age and sex were categorized as obese (BMI ≥95th percentile) and non-obese (BMI <95th percentile). Data on quality of life were collected using PedsQL Generic Core Scales version 4.0 inventory, filled by the children and their parents separately.Results Total PedsQL score in obese and non-obese group were significantly difference in both reports [child report: mean difference of 9.59 (95%CI 7.14 to 12.05; P<0.05) and parent-proxy report: mean difference at 8.95(95%CI6.64 to 11.26; P<0.05)]. After classifying subjects into impaired and not impaired quality of life based on a total score cut-off <78 as well as other cut-off points for each domain, the individual domains of physical, social, and school function were also significantly associated with obesity (child report: P=0.02, P< 0.001, P=0.018, respectively, and parent-proxy report:P=0.007, P<0.001, P<0.001, respectively). However, emotional function was not significantly associated with obesity (P>0.05). After adjusting for age, gender, and parental education, obesity was significantly associated with PedsQL scores in the child report (OR 7.25; 95%CI 2.94 to 17.89; P<0.05) and the parent-proxy report (OR 10.87; 95%CI 3.83 to 30.84; P<0.05).Conclusion Obese early adolescents reported significantly poorer quality of life with regards to the physical, social, school function domains and total quality of life than those who were classified into non-obese.
Phototherapy and serum calcium levels in full term neonates with hyperbilirubinemia Carissa Lidia; I Made Kardana; Gusti Ayu Putu Nilawati; Ida Bagus Subanada; I Gusti Agung Ngurah Sugitha Adnyana; Ayu Setyorini Mestika Mayangsari
Paediatrica Indonesiana Vol 61 No 1 (2021): January 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.1.2021.8-11

Abstract

Background Hyperbilirubinemia is one of the most common problems in newborns. Severe hyperbilirubinemia, known as kernicterus, can suppress O2 consumption and oxidative phosphorylation, as well as damage brain cells, resulting in neuronal dysfunction and encephalopathy. Phototherapy is a common therapy for neonatal hyperbilirubinemia, but may rarely lead to the adverse effect of hypocalcemia. Objective To investigate serum calcium levels in full term neonates with hyperbilirubinemia, before and after phototherapy. Methods This cohort study compared total serum calcium level before and after phototherapy in full term neonates with hyperbilirubinemia. Subjects were full term neonates aged 2-14 days with high total serum bilirubin levels, according to the Bhutani curve, and were treated with phototherapy at Sanglah Hospital, Denpasar, Bali, Indonesia. Paired T-test was used to compare serum calcium levels before and after phototherapy. Results There were 35 subjects in this study. Paired T-test revealed that subjects’ serum calcium significantly decreased after phototherapy [before: 9.47 mg/dL vs. after: 9.23 mg/dL; mean difference 0.24; (95%CI 0.03 to 0.46; P=0.025)]. None of our subjects had hypocalcemia after phototherapy. Conclusion Full term neonates with hyperbilirubinemia have reduced serum calcium levels after phototherapy.
Masalah Adiksi Game Online pada Anak Muhammad Reza; IGAN Sugitha Adnyana; I Gusti Ayu Trisna Windiani; Soetjiningsih -
Cermin Dunia Kedokteran Vol 43, No 4 (2016): Adiksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v43i4.44

Abstract

Game online adalah game berbasis elektronik dan visual yang menggunakan jaringan internet, yang dapat dimainkan oleh beberapa pemain di lokasi berbeda. Game ini tidak asing lagi di kehidupan masyarakat, dapat dijumpai di rumah, warung internet, konsol, dan gadget. Maraknya game online dapat menyebabkan adiksi pada anak. Adiksi game online dapat menimbulkan kerugian signifikan, yaitu timbulnya sikap dan perilaku kompulsif, agresif, dan acuh pada kegiatan lain. Juga munculnya gejala seperti rasa tak tenang atau gelisah jika hasrat bermain tidak segera terpenuhi. Peran orangtua dalam terapi anak dengan adiksi game online sangat penting. Orangtua wajib membangun komunikasi yang hangat dan terbuka dengan anak; melarang terlalu keras dapat menyebabkan anak melawan dan akan berperilaku makin menyimpang.
Karakteristik anak yang mengalami child abuse dan neglect di RSUP Sanglah, Denpasar, Indonesia tahun 2015-2017 Made Ardinata; Soetjiningsih Soetjiningsih; I Gusti Ayu Trisna Windiani; I Gusti Agung Ngurah Sugitha Adnyana; Ida Bagus Putu Alit
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (358.225 KB) | DOI: 10.15562/ism.v10i2.404

Abstract

Background: Child abuse and neglect is any form of physical, emotional, sexual abuse, or neglect of children. Child abuse causes various consequences that are harmful to the child and the future of the nation. The purpose of this study was to determine the characteristics of children who experience child abuse at Sanglah Hospital Denpasar.Methods: A cross sectional study design was conducted using secondary data taken from medical records of the Forensic Medicine Department, Sanglah General Hospital Denpasar from January 2015 to December 2017. Data related to age, gender, origin, types of abuse, and perpetrator’s house were analyzed as percentage using SPSS version 17 software. Ethical clearance was carried out prior study conducted. Result: From 2015 to 2017, 173 subjects were recorded as child abuse. The age group of 13-15 years and 16-18 years is the highest age group that experiences child abuse which is 28.3% and 33.5%. Subjects of female sex were 56.0%. The highest distribution of subject origin comes from Denpasar area 20.8% and the highest education level of parents is 45.0% senior high school. Subjects who experienced physical violence and threats were 93.6%, sexual violence was 50.8%, and 1.7% experienced neglect. The perpetrators of child abuse are mostly people who are known to the victim. The perpetrator's or subject's house is the place where most physical, emotional, or sexual violence occurs, which is 72.2%, 69.7%, and 89.7% respectively.Conclutions: Most cases of Child abuse occur in the age group of 13-15 years and 16-18 years. Child abuse is more common in women; most of the perpetrators are people who are recognized. Home is the most common place of physical, emotional, or sexual violence.
Gambaran perkembangan kognitif dan bahasa pada anak usia di bawah 3 tahun di Taman Pengasuhan Anak (TPA)/(Daycare) Kota Denpasar, Bali I Gusti Istri Agung Widnyani; I Gusti Ayu Trisna Windiani; I Gusti Agung Ngurah Sugitha Adnyana; Soetjiningsih Soetjiningsih
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.199 KB) | DOI: 10.15562/ism.v11i1.539

Abstract

Background: Speech and language developmental disorders can affect various functions in learning difficulties. This often happens to children who are less stimulated because today, many parents work so that child care will be reduced. Therefore, the childcare park (TPA) can be a choice of place to leave the child so that it is expected to get proper stimulation according to age level. This study aims to assess the status of cognitive and language development in children under 3 years of age at the Denpasar City, Bali.Methods: A cross-sectional study was conducted to 48 children who were in 4 TPAs in Denpasar during February 2018. Variables assessed in this study included cognitive and language aspects using adaptive cognitive test (CAT) / clinical linguistic & auditory milestone scale questionnaires. (CLAMS) that is valid and reliable. The research data obtained were analyzed using SPSS software version 19 for Windows.Results: Most respondents were female (56.3%), mean age 19.5 ± 10.0 months, and have high levels of education for both fathers (87.5%) and mothers (91.7%). The Caput Scale results show that the average DQ CAT value is 98.1 ± 11.0, DQ CLAMS 92.1 ± 12.0, and FSDQ 95.1 ± 11.0. As many as 27.1% of children in TPA have abnormal FSDQ score. The FSDQ score of the respondent's characteristics showed that most of the normal values were obtained for male (76.2%), high education on fathers (78.5%) and mothers (77.2), as well as jobs as a civil servant for fathers (73.3) and mothers (78.6)Conclusion: About 27.1% of children experience cognitive and language impairment in TPA through CAT/CLAMS examination. In this regard, further assessment with a better research design is needed to find a causal effect. Latar Belakang: Gangguan perkembangan bicara dan bahasa dapat memengaruhi berbagai fungsi dalam kesulitan belajar. Hal ini sering terjadi pada anak yang kurang mendapat stimulasi dikarenakan saat ini banyak orang tua bekerja sehingga pengasuhan terhadap anak akan berkurang. Oleh karena itu Taman pengasuhan anak (TPA) dapat menjadi pilihan tempat untuk menitipkan anak sehingga diharapkan mendapatkan stimulasi yang baik sesuai dengan tingkat usia. Penelitian ini bertujuan untuk menilai status perkembangan kognitif dan bahasa pada anak di bawah usia 3 tahun di TPA Kota Denpasar, Bali.Metode: Penelitian ini menggunakan pendekatan potong lintang terhadap 48 anak yang berada pada 4 TPA di Denpasar pada bulan Februari 2018. Variabel yang dinilai pada penelitian ini meliputi aspek kognitif dan bahasa dimana menggunakan kuisioner cognitif adaptive test (CAT)/clinical linguistic & auditory milestone scale (CLAMS) yang sahih dan reliabel. Data penelitian yang diperoleh dianalisis menggunakan piranti lunak SPSS versi 19 untuk Windows.Hasil: Sebagian besar responden berjenis kelamin perempuan (56,3%), usia rata-rata 19,5±10,0 bulan, dan tingkat pendidikan yang tinggi baik pada ayah (87,5%) maupun ibu (91,7%). Hasil Caput Scale menunjukkan bahwa rata-rata nilai DQ CAT adalah 98,1±11,0, DQ CLAMS 92,1±12,0, dan FSDQ 95,1±11,0. Sebanyak 27,1% anak di TPA memiliki nilai FSDQ tidak normal. Nilai FSDQ karakteristik responden menunjukkan sebagian besar nilai normal diperoleh pada laki-laki (76,2%), Pendidikan tinggi ayah (78,5%) dan ibu (77,2), maupun pekerjaan PNS pada ayah (73,3) dan ibu (78,6)Simpulan: Anak yang mengalami gangguan fungsi kognitif dan bahasa di TPA sebanyak 27,1% melalui pemeriksaan CAT/CLAMS. Berkaitan dengan hal tersebut maka penilaian lebih lanjut dengan desain penelitian yang lebih baik diperlukan untuk mencari hubungan sebab akibat.
Co-Authors Ayu Setyorini Mestika Mayangsari Carissa Lidia Desak Putu Gayatri Saraswati Seputra Gusti Ayu Putu Nilawati Gusti Ayu Teja Devi Megapuspita Hendra Santoso Hendry Raymen Satria I Gusti Agung Trisna Windiani I Gusti Ayu Endah Ardjana I Gusti Ayu Indah Ardani I Gusti Ayu Trisna Windiani I Gusti Istri Agung Widnyani I Gusti Lanang Sidiartha I Ketut Suarta I Made Kardana Ida Aju Kusuma Wardani Ida Bagus Putu Alit Ida Bagus Subanada Kadek Agus Rendy Surya Sentana Kadek Apik Lestari, Kadek Apik Kadek Surya Jayanti, Kadek Surya Ketut Dewi Kumara Wati Luh Kadek Pande Ary Susilawati Made Ardinata Muhammad Reza Muhammad Reza Ni Luh Sukma Pratiwi Murti Putu Anindia Sekarningrum Putu Dian Savitri Irawan Putu Suwendra Putu Vivi Paryati Rasmi Adelaide Indah Juwita S. Soetjiningsih, S. Soetjiningsih - Soetjiningsih - Soetjiningsih - Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Sri Maya Tristina Wardani