Santoso, Kohar Hari Santoso Hari
Department Of Anesthesiology And Reanimation, Faculty Of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya

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NUTRITION AS A RISK FACTOR OF CHILD LEPROSY IN GRESIK DISTRICT 2019 Isnaniyanti Fajrin Arifin; Flora Ramona Sigit Prakoeswa; Cita Rosita Sigit Prakoswa; Kohar Hari Santoso; Budi Utomo; Trias Mahmudiono; Agus Sri Wardoyo
Jurnal Berkala Epidemiologi Vol. 10 No. 1 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I12022.86-94

Abstract

Background: Indonesia's annual increase in leprosy is a serious health problem. In east Java, child leprosy cases spread in several counties/cities, the number of new cases of child leprosy cases has been raised in Gresik District from 2015 until 2019. Purpose: This study analyzed characteristics, BCG vaccine status, nutritional status and home environment, the correlated risk factors to child leprosy in Gresik District. Methods: This study used a design population-based matched case-control design and analysis data using computer computing. The variables for this research were characteristics (age, sex, and education) and BCG vaccine status (BCG scar and without BCG scar), nutritional status classified as Body Mass Index (BMI)(normal and thin) and protein (albumin and Hb serum), and home environment (wall, ceiling, floor, humidity, ventilation, and density of occupancy). It was conducted in October 2019-February 2020 using a questionnaire, observation and measurements. The total sample was 36 respondents, of which the number of the case was 18, and the control was 18. Data were analyzed using the Logistic Regression method entered with a 95% CI and an OR. Results: Home environment had not correlated to leprosy cases of children. The completeness of BCG vaccine status correlated to children's leprosy cases (p=0.02). BMI had correlated to leprosy cases of children (p=0.01). The most influential variable was the completeness protein of albumin serum (Odds Ratio (OR) =9.10; 95%CI=1.11-41.44; p=0.01). Conclusion: The most dominant risk factor correlated with the incidence of leprosy is the serum albumin level.
Strategies for Managing Preoperative Anxiety in Children: A Comprehensive Approach Riswandi, Riswandi; Santoso, Kohar Hari; Andriyanto, Lucky
Nusantara Medical Science Journal Vol. 10 No. 1 (2025): Volume 10 Issue 1, January - June 2025
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v10i1.44560

Abstract

Introduction: Preoperative anxiety is prevalent among pediatric patients and may adversely affect anesthetic induction, postoperative recovery, and long-term psychological outcomes. It arises from developmental vulnerability, lack of understanding, and exposure to unfamiliar environments. Method: This narrative review synthesizes evidence from studies retrieved via PubMed, ScienceDirect, and EBSCO, using keywords related to preoperative anxiety, pediatric patients, and management strategies. The review explores both risk factors and intervention modalities. Results: The database search using predefined keywords yielded a total of 193 articles. After screening and eligibility assessment, 22 articles met the inclusion criteria and were included in this literature review. Conclusions: A comprehensive, individualized approach combining both pharmacological and non-pharmacological strategies is essential to effectively manage preoperative anxiety in children. Early identification of risk factors and tailored interventions can significantly enhance perioperative experiences and outcomes.
Incidence of Emergence Agitation in Pediatric Patient after General Anesthesia Andriyanto, Lucky; Utariani, Arie; Hanindito, Elizeus; Santoso, Kohar Hari Santoso Hari; Hamzah, Hamzah; Puspita, Eka Ari
Folia Medica Indonesiana Vol. 55, No. 1
Publisher : Folia Medica Indonesiana

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Abstract

Post anesthesia agitation is common problem in pediatric post anesthesia care unit. The incidences range from 10 to 80%. EA has been described as a dissociated state of consciousness in which the child is inconsolable, irritable, and uncooperative typically thrashing, crying, moaning or incoherent. This study was done to determine the incidence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. This descriptive and analytic study was performed on 105 pediatric patient aged 1-12 years that underwent general anesthesia for various elective diagnostic and surgeries at Dr. Soetomo Hospital between January and February 2016. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium (PAED) scale. The factors that linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software with logistic regression. p - values less than 0.05 were considered as significant. Forty two (40%) children had Emergence Agitation. Preoperative anxiety (p = 0.006) and Pain (p=0.035) were associated with higher rates of post anesthetic emergence agitation. This study identified preoperative anxiety and pain as risk factors, which are associated with emergence agitation in children. To minimize the incidence of post anesthetic emergence agitation, these risk factors should be considered in the routine care by anesthetist.
Profile of Analgesics in Toddler Patients Undergoing Surgery at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, January 2021-December 2021 Hernando, Devin; Maulydia, Maulydia; Qorib, Mohammad Fathul; Santoso, Kohar Hari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.8-14

Abstract

Highlights: Pain is the most common complaint in every medical procedure. Pain management in toddlers requires special attention due to the need to consider various factors.   Abstract Introduction: Pain is the most frequent complaint in all medical procedures. Managing procedures in toddlers requires special attention due to various influencing factors. The 19th century witnessed significant advancements in analgesics. Analgesics help manage pain that may arise from procedures performed on toddlers. Methods: This study identified the analgesic profile in toddlers undergoing surgery at the Integrated Surgery Center (GBPT) of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January to December 2021. It was a retrospective descriptive study using medical records. The sample included toddlers who had surgery and received analgesics at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. The sampling technique used was total sampling. Results: During the period from January to December 2021, a total of 451 pediatric patients underwent surgery at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. A total of 232 patients were excluded due to incomplete medical records. A total of 219 patients met the criteria. The majority were 1-year-old (32.42%), with male patients being predominant (58.9%). Most toddlers had a normal body mass index (BMI). The majority of surgeries lasted 1-3 hours (64.38%). The most common procedures were debridement and wound dressing (11.87%). Opioids were the most frequently used analgesics (41%), with fentanyl being the most common (71.85%), while paracetamol was the primary non-opioid analgesic (43.33%). The most common pain intensity before and after surgery was no pain. Conclusion: Analgesics help manage pain from procedures in toddlers. Opioids were the most frequently used, with fentanyl being the most common.