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All Journal Jurnal Ilmu keperawatan Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal NERS Sari Pediatri Paediatrica Indonesiana Belitung Nursing Journal
Sunartini Hapsara
Department Of Pediatric, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Indonesia
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing

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The duration of playing Play Station@ as a risk factor of obesity in school age children in Yogyakarta Ely Yulian; Endy Paryanto; Sunartini Hapsara
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 (276.302 KB) | DOI: 10.14238/pi48.1.2008.15-7

Abstract

Background Childhood obesity is a common health problem.There are multi-factors causing childhood obesity. One of themis lack of activity like watching television, playing computer, andplaying Play Station@ .Objective The aim of this study was to find the duration ofplaying Play Station@ as a risk factor of obesity in school agechildren.Methods This study was a case–control study with individualmatching, that was done since April 2004 until August 2004.Results Children who spent time for playing Play Station@ morethan two hours per day had the risk of obesity 22 times higherthan those who spent less than two hours per day with 95%confidence interval. These results were analyzed with chi squaretest.Conclusion Playing Play Station@ is a risk factor of obesity inschool age children.
Detection of the jaundice-related G71R mutation in the UGT1A1 gene by denaturing high performance liquid chromatography (DHPLC) Retno Sutomo; Sunartini Hapsara; Suryono Yudha Patria; Hajime Nakamura
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.816 KB) | DOI: 10.14238/pi49.1.2009.1-6

Abstract

Background  The  G71R mutation in the UGT1A1 gene has  beenassociated with neonatal jaundice  and  other  cases  of  hereditary,unconjugated hyperbilirubinemia in several Asian populations.Currently,  DNA  sequencing  is  the  only  method  available  toidentify the mutation, which can be time- and  labor-intensive,particularly for such projects  as  population-based genetic studies.A relatively new method, denaturing high performance liquidchromatography (DHPLC),  is  increasingly used to  detect  variousmutations.Objective  The  aim  of  the present study was to investigate theability of DHPLC to  detect  the G71R mutation, in comparisonwith the gold standard of sequencing analysis.Methods Seventy-two infants were enrolled. Following genomicDNA  extraction, exon 1 of the UGT1A1 gene was amplified  bypolymerase chain reaction (PCR). Afterwards, the G71R mutationwas simultaneously,  and  blindly, determined in all subjects  byDHPLC and sequence analysis.  The  performance  of  the DHPLCanalysis, compared  to  the sequence analysis, was assessed in termsof  sensitivity  and  specificity.Results DHPLC detected the G71 R mutation in  31  individuals.Of  these,  26  were heterozygous and 5 were homozygous for themutation. This method did not find the mutation in  41  otherindividuals. Sequence analysis produced identical results for allindividuals.Conclusion DHPLC analysis  is  capable  of  detecting the G71Rmutation  in  the  UGT1A1  with  a degree  of  sensitivity  andspecificity  (100%  each)  that  is  comparable to sequencing analysis.
Early detection of cerebral palsy in high-risk infants: diagnostic value of primitive and developmental reflexes as well as ultrasound Setyo Handryastuti; Ghaisani Fadiana; Sofyan Ismael; Sudigdo Sastroasmoro; Asril Aminulah; Ferial Hadipoetro Idris; Adji Saptogino; Sunartini Hapsara
Paediatrica Indonesiana Vol 58 No 1 (2018): January 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.128 KB) | DOI: 10.14238/pi58.1.2018.5-12

Abstract

Background The incidence of cerebral palsy (CP) has increased due to better survival of high-risk babies. A simple assessment method is needed for the early detection of CP, which can be performed by general practitioners and pediatricians in daily practice.Objectives To assess motor delay, primitive and developmental reflexes, and cerebral ultrasound abnormalities as simple methods for early detection of CP in high-risk infants. We also aimed to evaluate the ease and consistency of the methods for use in daily practice, as well as determine risk factors associated with CP.Methods A prospective cohort study was done on 150 high-risk babies starting from the age of 4 months up to 12 months. We obtained subjects’ histories of motor ability and assessed primitive reflexes and postural reactions at the ages of 4, 6, 9 and 10 months. The diagnosis of CP was established at 6 and 12 months of age. We also determined Kappa test for inter-rater reliability between pediatric residents and pediatric neurologist.Results In 88.7% of subjects, CP was detected in the first 6 months. At 4 months, positive palmar reflex, head lag, and fisting were predictive of CP at 6 months of age. Motor delay, positive palmar grasp reflex, head lag, fisting, and absent protective extension reflex at 6 months were predictive of CP at 12 months. At 9 to 10 months, motor delays, absent protective extension reflex, and negative parachute reaction were predictive of CP at 12 months. Cerebral ultrasound abnormalities were predictive of CP at 6 and 12 months of age. Kappa test result was 0.9, indicating the ease and consistency of these methods for daily medical practice.Conclusion Cerebral palsy can be detected as early as the first 6 months of life. Assessment for motor delays, physical examination for asssessing primitive and developmental reflexes, and cerebral ultrasound can be used for this purpose.
Risk factors and the occurrence of cerebral palsy in high risk infants Setyo Handryastuti; Sofyan Ismael; Sudigdo Sastroasmoro; Asril Aminulah; Ferial Hadipoetro Idris; Adji Saptogino; Sunartini Hapsara
Paediatrica Indonesiana Vol 58 No 2 (2018): March 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.929 KB) | DOI: 10.14238/pi58.2.2018.95-100

Abstract

Background The incidence of cerebral palsy (CP) has increased due to better survival rates of high-risk babies. Early detection and time to the occurrence of CP in the first year of life is important in order to provide early intervention.Objectives To determine the proportion of CP in high-risk babies, the time to the occurrence of CP in the first year, and assess possible associations between risk factors of CP and time to the occurrence of CP.Methods A prospective cohort study was done on 150 high-risk babies up to the age of 12 months. We obtained history of motor ability and assessed primitive reflexes and postural reactions of subjects at the ages of 4 and 6 months. The diagnosis of CP was established at 6 and 12 months of age.Results The proportion of CP was 26% at 6 months and 24% at 12 months of age. Significant risk factors associated with CP at 6 and 12 months of age were cerebral ultrasound abnormalities, hypoxic-ischemic encephalopathy, and intracranial hemorrhage. In 88.7% of subjects with CP, CP was detected in the first 6 months. Mean age at the occurrence of CP was 9.99 months (95%CI 9.46 to 10.53). Risk factors that significantly affected the time to the occurrence of CP by survival analysis were ultrasound abnormalities and hypoxic-ischemic encephalopathy.Conclusions Cerebral palsy can be detected as early as the first 6 months of life. Cerebral ultrasound abnormalities and hypoxic ischemic encephalopathy are the risk factors associated with CP.
Long-term follow up of a tuberous sclerosis patient: evaluation of anti-epileptic drugs and self- management support therapy Anindya Diwasasri; Retno Danarti; Retno Sutomo; Sunartini Hapsara
Paediatrica Indonesiana Vol 60 No 1 (2020): January 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1555.75 KB) | DOI: 10.14238/pi60.1.2020.53-60

Abstract

Tuberous sclerosis (TSC) (OMIM 191100) is an inherited, autosomal dominant disorder affecting multiple organ systems.1 A genetic mutation in one of the tumor suppressor gene (TSG) alleles causes tumor growth in various organ systems. Tuberous sclerosis can be found in people of all races, and does not differ in men and women, with an incidence 1 in 6,000 births and prevalence of 1 in 20,000.1-3 Although the prevalence is quite high, diagnosing this disorder is often difficult and delayed due to diverse disease manifestations and varied age at onset.
THE INTERRATER RELIABILITY OF NURSING OUTCOME CLASSIFICATION (NOC): “SELF-CARE: EATING” ON MENTALLY DISABLED CHILDREN IN YOGYAKARTA Hartini, Sri; K, Novi Aprilia; Nurjannah, Intansari; Haryanti, Fitri; Kholisa, Itsna Lutfi; Hapsara, Sunartini
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.271 KB) | DOI: 10.33546/bnj.506

Abstract

Background: The common problems suffered by children with intellectual disability are difficulty to perform of daily activities or self-care including eating activity. NOC Self-care: eating is a measurement of client’s status regarding eating skill after provides nursing intervention. NOC was translated into Indonesian and its indicators were operationalized. The measurement of self-care: eating need to be evaluated, thus the reliability of this instrument was tested to determine whether the NOC is also reliable for use in Indonesia. Objective: The aim of this study was to investigate the interrater reliability of the NOC: Self-care: eating in the Indonesian Language in children with intellectual disability. Methods: Two raters assessed 124 children with intellectual disability using NOC: Self-care: eating. The study was conducted on December 2017 to January 2018. NOC was translated into Indonesian and each indicator was operated. Kappa and percent agreement were used for the analysis. Results: The overall kappa value of NOC: Self-care: eating was 0.55, while the percent agreement was 88. The highest kappa value and percent agreement was indicator of swallowing the food (0.8 and 99). Conclusions: The interrater reliability of NOC: Self-care: eating in Indonesian was at the level of great reliability.
Experiences and perceptions of nurses and air ambulance service providers in carrying out aeromedical evacuations in Indonesia: A qualitative research Ambarwati, Dwi; Warsini, Sri; Hapsara, Sunartini; Haryanti, Fitri
Belitung Nursing Journal Vol. 10 No. 2 (2024): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3232

Abstract

Background: Basic non-military flight nurse training is essential for enhancing nurses’ competency in conducting aeromedical evacuations. Trained nurses possessing flight nurse proficiency are indispensable for ensuring stable patient conditions amidst the unique physical, physiological, and psychological challenges encountered during flights. Objective: This study aimed to describe the experiences and perceptions of nurses and air ambulance service providers regarding aeromedical evacuations. Methods: This study employed a qualitative descriptive design. Data were gathered from February to July 2023 through semi-structured online interviews with seven nurses and air ambulance service providers engaged in aeromedical evacuation. Content analysis was utilized to interpret the interview data. Results: Seven themes were generated: 1) Experiences in aeromedical evacuation experiences, 2) Challenges faced by nurses and air ambulance service providers during aeromedical evacuations, 3) Essential knowledge for nurses involved in aeromedical evacuations, 4) Efforts to improve nurses’ knowledge and skills, 5) Leveling of flight nurse training, 6) Flight nurse training methods, and 7) Flight nurse training evaluation strategies. Conclusion: Nurses and air ambulance service providers acknowledge the significant influence of the flight environment on changes in patient conditions during aeromedical evacuations. To effectively manage alterations in patient conditions during flights, healthcare workers equipped with aviation health competency are imperative. One approach to enhancing the competency of healthcare workers is through flight nurse training. The findings from this study serve as a valuable resource for policymakers and health-related institutions endeavoring to formulate aeromedical evacuation strategies.
Co-Authors Adhitya Putra Pratama Adji Saptogino Ahmad Wisnu Wardhana Anindya Diwasasri Asril Aminulah Cahya Dewi Satria Dina Zakiyyatul Fuadah Dwi Ambarwati, Dwi Eddy Supriyadi Elisabeth S. Herini Ely Yulian Endy Paryanto Ferial Hadipoetro Idris Fitri Haryanti Ghaisani Fadiana Hajime Nakamura I Gede E. Paramarta I Komang Kari Intansari Nurjannah Itsna Lutfi Kholisa, Itsna Lutfi K, Novi Aprilia Lely Lusmilasari, Lely Made Ermayani, Made Mariyono Sedyowinarso Muslikhah Yuni Farkhati Nur Laili Muzayyanah Retno Sutomo S. Yudha Patria Setyo Handryastuti Sofyan Ismael Sri Hartini Sri Warsini Sudigdo Sastroasmoro Suryono Yudha Patria Tunjung Wibowo