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Perbandingan Sensitivitas dan Spesifisitas antara Pengukuran Lingkar Lengan Atas, Lingkar Pinggang dan Lingkar Leher untuk Identifikasi Anak dengan Obesitas Irawati, Cempaka; Nugroho, Hari Wahyu; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Childhood obesity is a global phenomenon. Oneoften childreninthe worldare over weight. Then in Indonesia, the prevalence of childhood obesityis relatively increasedyear to year. Screening forobese childrenneeds to be doneearly, given thatobesity inchildhoodis likely to leadtoadultobesitylater. Anthropometric measurements are easy and inexpensive way. Therefore, there was some studies using anthropometryas the tool for identify obesityin addition to body mass index(BMI), which is the gold standard. However, there is no studies have compared the validity of assorted anthropometricas a tool to identify obese children, so that there searcherintends to compare the sensitivity and specificity between mid-upper arm circumference (MUAC), waist circumference (WC), and neck circumference (NC) in identification obese children. Methods: This study is observational analytic cross sectional approach. A sample included 72 children who were aged 6 to 12 years from four elementary school in Surakarta. Sampling population was obesity and healthy children (controls) who selected by simple random sampling had been carried out previously by fixed disease samples. Then the child was measured height, weight, MUAC, WC, and NC. Height and weight will be converted into BMI to determine obesity or not. Data were analyzed with diagnostic tests are grouped in table 2x2. From diagnostic test, we can determine the sensitivity and specificity. Furthermore, data were analyzed by Chi Square test and analysis receiver operating characteristic curve (ROC) to determine accuracy. Results: Among 72 children, 51,4% are male. MUAC (â¥ percentile 90th), WC (â¥ percentile 90th) and NC (cut off point 27,0-31,5) are significantly correlated with BMI. The sensitivity of MUAC was 58,33% with specificity 100%. The sensitivity of waist circumference was 66,67% with specificity 97,22%. The sensitivity of the neck circumference was 80,56% with specificity 63,89%. Conclusions: MUA Cisthe best measuring tool to identification obesityin children because it hasthe highest specificity, that is 100%. Keywords: Mid-upper arm circumference, waist circumference, neck circumference, obesity, childrenÂ

The Correlation between Level of Mother's Knowledge in Bottle Feeding with Early Childhood Caries in Children Aged 3-5 Years Old Dewi, Anggita .; Nugroho, Hari Wahyu
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction:Caries is a problem that happen in many children around the world. Bottle feeding is one of factors that can occur caries on childrenâ€™s teeth. High level of mother's knowledge about bottle feeding is assumed can prevent their children from caries.This study aims to determine the correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Methods:This research was a cross-sectional observational analytic study. The subjects of this study was mother of Islam Bakti XI Surakarta and Sri Juwita Hanum kindergarten student. The sample size was 113 mother which was taken by purposive sampling. This research was done by using Knowledge of Bottle (KBU) questionnare and examination of children's teeth. Data was analyzed with spearman test by Statistical Product and Serve Solution (SPSS) version 21.0 for Windows. Results:This study showed that the correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old were significant (r = 0,917, p = 0,000). Conclusions:This study concluded that there was correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Keywords:level of motherâ€™s knowledge, bottle feeding, early childhood cariesÂ

Platelet and Leukocyte Count Difference on Clinical Degrees of Dengue in Children in Dr Moewardi Hospital Surakarta. Putro, Jati Febriyanto Adi Listyono; Nugroho, Hari Wahyu; ., Hudiyono
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Dengue Hemmorhagic Fever is still one of the major public health problem in Indonesia. The classification of Dengue severity from mild to severe is very important because it can prevent the progression of Dengue. Unfortunately the WHO 2011 criteria for Dengue severity only contains the clinical symptoms of patients without including the exact value of complete blood count, like platelet and leukocyte, in each degree. This study was conducted to determine whether there was a difference between the value of platelet and leukocyte in each clinical degree of Dengue Methods: This research was an analytical observational study with cross sectional approach. It was carried out in Dr. Moewardi hospital, Surakarta from July to October 2014. Children who were hospitalized in Dr. Moewardi hospital from January 1st to December 31st 2013 whom fulfill all of the inclusion criteria and none of the exclusion criteria were eliglible. Data was taken from medical record an analyzed using Kruskal-Wallis test and Spearman test. Results: Among 203 patiens were diagnosed with Dengue hemorrhagic fever, 113 (55%) patients were in DHF 1, 52 (25%) patiens were in DHF 2, and 38 (20%) were DSS patients. The difference of platelet count in each degree was significant (p=0,01). The difference of leukocyte in each degree was significant (p=0,002). The association between platelet count and clinical Dengue degree was statistically significant (p=0,005) with very weak negative correlation (r=-0,198). The association between leukocyte count and clinical Dengue degree was statistically significant (p=0,001) with weak positive correlation (r=0,227) Conclusions:There are significant differences of platelet and leukocyte count in clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta. There are no correlation between platelet and leukocyte with clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta although statistically significant. Keywords: Dengue hemorrhagic fever, platelets, lekocytesÂ

Perbandingan Sensitivitas dan Spesifisitas antara Pengukuran Lingkar Lengan Atas, Lingkar Pinggang dan Lingkar Leher untuk Identifikasi Anak dengan Obesitas Cempaka Irawati; Hari Wahyu Nugroho; Dyah Ratna Budiani
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Childhood obesity is a global phenomenon. Oneoften childreninthe worldare over weight. Then in Indonesia, the prevalence of childhood obesityis relatively increasedyear to year. Screening forobese childrenneeds to be doneearly, given thatobesity inchildhoodis likely to leadtoadultobesitylater. Anthropometric measurements are easy and inexpensive way. Therefore, there was some studies using anthropometryas the tool for identify obesityin addition to body mass index(BMI), which is the gold standard. However, there is no studies have compared the validity of assorted anthropometricas a tool to identify obese children, so that there searcherintends to compare the sensitivity and specificity between mid-upper arm circumference (MUAC), waist circumference (WC), and neck circumference (NC) in identification obese children. Methods: This study is observational analytic cross sectional approach. A sample included 72 children who were aged 6 to 12 years from four elementary school in Surakarta. Sampling population was obesity and healthy children (controls) who selected by simple random sampling had been carried out previously by fixed disease samples. Then the child was measured height, weight, MUAC, WC, and NC. Height and weight will be converted into BMI to determine obesity or not. Data were analyzed with diagnostic tests are grouped in table 2x2. From diagnostic test, we can determine the sensitivity and specificity. Furthermore, data were analyzed by Chi Square test and analysis receiver operating characteristic curve (ROC) to determine accuracy. Results: Among 72 children, 51,4% are male. MUAC (? percentile 90th), WC (? percentile 90th) and NC (cut off point 27,0-31,5) are significantly correlated with BMI. The sensitivity of MUAC was 58,33% with specificity 100%. The sensitivity of waist circumference was 66,67% with specificity 97,22%. The sensitivity of the neck circumference was 80,56% with specificity 63,89%. Conclusions: MUA Cisthe best measuring tool to identification obesityin children because it hasthe highest specificity, that is 100%. Keywords: Mid-upper arm circumference, waist circumference, neck circumference, obesity, children

PERANAN MATA PELAJARAN PPKn DALAM RANGKA MENUMBUHKAN NILAI KARAKTER RELIGIUS SISWA KELAS IV DI SDN 3 WURYOREJO Hari Wahyu Nugroho; Suyahman Suyahman; Meidawati Suswandari
CIVICS EDUCATION AND SOCIAL SCIENCE JOURNAL (CESSJ) Vol 1, No 1 (2019)
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/cessj.v1i1.356

Tujuan dari penelitian ini adalah untuk mendeskrPPKnikan Peranan Mata Pelajaran PPKn Dalam Rangka Menumbuhkan Nilai Karakter Religius Siswa Kelas IV Di Sekolah Dasar Negeri 3 Wuryorejo Kabupaten Wonogiri Tahun Pelajaran 2017/2018 Jenis penelitian ini adalah Penelitian kualitatif dengan pendekatan deskriptif. Subjek penelitian adalah guru dan siswa kelas IV Di Sekolah Dasar Negeri 3 Wuryorejo Kabupaten Wonogiri Tahun Pelajaran 2017/2018 sebanyak 15 peserta didik. Pelaksanaan penelitian dilaksanakan selama 2 minggu, mulai pada tanggal 02 Februari 2018 s.d tanggal 16 Februari 2018. Metode pengumpulan data menggunakan : observasi, wawancara dan dokumentasi. Validitas data dilakukan dengan triangulasi data dan metode. Teknik analisis data dilakukan dengan teknik analisis mengalir yang terdiri dari tiga langkah: reduksi data, display data dan Verifikasi data. Hasil penelitian menunjukan melalui matapelajaran PPKn di SD berdasarkan kurikulum 2013 ada beberapa materi yang dapat digunakan untuk membentuk karakter religius yaitu toleransi beragama, ketaatan pada pencipta alam semesta, sedangkan dalam proses pembelajaran PPKn dapat dibentuk juga nilai karakter religius dengan cara: berdoa pada saaat mengawali dan mengakhiri pembelajaran, mengajaksiswa mendoakan temannya yang sakit, mengajak siswa tenang dan khidmat mendengarkan suara adzan, serta mengajak siswa mendoakan saudara-saudara Guru yang kena musibah bencana alam. Simpulannya metapelajaran PPKn di Sekolah Dasar Negeri 3 Wuryorejo Kabupaten Wonogiri Tahun Pelajaran 2017/2018 berperanan dalam Menumbuhkan Nilai Karakter Religius

The Profile of Physical Activity in Children Surviving Acute Lymphoblastic Leukemia based on the Global Physical Activity Questionnaire in Surakarta Zahara, Dini Safitri; Riza, Muhammad; Nugroho, Hari Wahyu
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Acute lymphoblastic leukemia is one of the most common malignancies in children with the highest incidence aged 3-7 years. Management and treatments such as chemotherapy and radiotherapy have musculoskeletal and neuromuscular side effects which can significantly reduce the physical activity of leukemia patients and survivors. This study aims to determine the profile of the physical activity level of children with acute lymphoblastic leukemia as assessed by the Global Physical Activity Questionnaire (GPAQ) in Surakarta, Indonesia. Subjects and Method: This was a study with a cross-sectional design. Children who survived acute lymphoblastic leukemia who had completed chemotherapy at Dr. Moewardi Hospital and met the inclusion criteria were included in this study. A sample of 26 patients was selected through purposive sampling. Demographic data were obtained through interviews and the profile of the patient's physical activity level was assessed using the GPAQ questionnaire. Data analysis was performed using a Pearson Correlation test with SPSS 22.0. Results: The total sample in this study was 26 children with acute lymphoblastic leukemia. As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. There was a significant relationship between length of stay (p=0.001), age (p=0.004), gender (p=0.031), and the degree of risk of acute lymphoblastic leukemia (p=0.004) with the category of physical activity based on the GPAQ score. Conclusion: As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. The length of time being a survivor, the degree of risk of acute lymphoblastic leukemia, the age of the survivor, and gender are risk factors for decreased physical activity in children.

Quality of Life in Children with Nephrotic Syndrome at Dr. Moewardi Hospital Kartawijaya, Andrew Andy Putra; Nugroho, Hari Wahyu; Nur, Fadhilah Tia
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Children with chronic disease often have poor quality of life. Nephrotic syndrome was one of the most common kidney diseases in children with a high number of relapses. Therefore, treatment for nephrotic syndrome might take a long time. Complications from the disease and medications might affect the quality of life of the patient. Subjects and methods: This was a cross sectional, descriptive analytic study. Children aged 5-18 years old who visited the nephrologic outpatient department of Dr Moewardi general hospital from july to September 2020 and fullfilled the inclusion criteria were included in the study. Quality of life was assessed using PedsQLTM 4.0 generic module.The analysis of this research was done by using chi-square and logistic regression. Results: A total of 27 children aged from 5-18 years old participated in this study. Decrease quality of life was reported in 22% based on report from parents. From parent’s report, gender (OR= 0.06; CI95%= 0.01 to 0.66; p= 0.008) was associated with decrease of quality of life in children with nephrotic syndrome. Most of the children had decreased quality of life in the psychososial domain according to parent’s report (OR= 4.70; 95% CI= 1.12 to 19.70; p= 0.026). Conclusion: 22% children with nephritic syndrome have decreased quality of life. Gender was the risk factors that might contribute to the decreased quality of life of children with nephrotic syndrome.

Vitamin D Deficiency is Associated with Hypocalcemia in Preterm Infants Nabiel, Nabiel; Nugroho, Hari Wahyu; Moelyo, Annang Giri
Molecular and Cellular Biomedical Sciences Vol 8, No 2 (2024)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v8i2.473

Background: Vitamin D deficiency results in various problems, like rickets, osteomalacia, heart problems, cancer, diabetes, and autoimmune diseases. Hypocalcemia is a common disorder among preterm infants, indicating vitamin D deficiency. This study was conducted to analyze the association of vitamin D deficiency with hypocalcemia in preterm infants.Materials and methods: A cross-sectional study was performed in preterm infants born in our hospital from December 2022 to May 2023. Venous blood was collected within the first 24 hours to assess vitamin D and calcium levels. Chi-square test and logistic regression analysis were used to assess the association of gestational age, sex, birth weight, and vitamin D with the incidence of hypocalcemia. The significance was determined with p<0.05.Results: There were 40 preterm newborns, comprising 37.5% moderately preterm, 20% very preterm, and 42.5% extremely preterm. Most subjects were female (52.5%). Low birth weight, very low birth weight, and extremely low birth weight occurred in 55%, 27.5%, and 17.5%, respectively. Vitamin D insufficiency and deficiency were observed in 20% and 80% subjects, respectively. Most subjects had hypocalcemia (62.5%). Chi-square test obtained a significant association of vitamin D deficiency with hypocalcemia (p=0.029).Conclusion: Vitamin D deficiency is significantly associated with the incidence of hypocalcemia in preterm infants.Keywords: Vitamin D, hypocalcemia, preterm neonates

PERANAN MATA PELAJARAN PPKn DALAM RANGKA MENUMBUHKAN NILAI KARAKTER RELIGIUS SISWA KELAS IV DI SDN 3 WURYOREJO Nugroho, Hari Wahyu; Suyahman, Suyahman; Suswandari, Meidawati
Civics Education and Social Science Journal (CESSJ) Vol. 1 No. 1 (2019)
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/cessj.v1i1.356

Tujuan dari penelitian ini adalah untuk mendeskrPPKnikan Peranan Mata Pelajaran PPKn Dalam Rangka Menumbuhkan Nilai Karakter Religius Siswa Kelas IV Di Sekolah Dasar Negeri 3 Wuryorejo Kabupaten Wonogiri Tahun Pelajaran 2017/2018 Jenis penelitian ini adalah Penelitian kualitatif dengan pendekatan deskriptif. Subjek penelitian adalah guru dan siswa kelas IV Di Sekolah Dasar Negeri 3 Wuryorejo Kabupaten Wonogiri Tahun Pelajaran 2017/2018 sebanyak 15 peserta didik. Pelaksanaan penelitian dilaksanakan selama 2 minggu, mulai pada tanggal 02 Februari 2018 s.d tanggal 16 Februari 2018. Metode pengumpulan data menggunakan : observasi, wawancara dan dokumentasi. Validitas data dilakukan dengan triangulasi data dan metode. Teknik analisis data dilakukan dengan teknik analisis mengalir yang terdiri dari tiga langkah: reduksi data, display data dan Verifikasi data. Hasil penelitian menunjukan melalui matapelajaran PPKn di SD berdasarkan kurikulum 2013 ada beberapa materi yang dapat digunakan untuk membentuk karakter religius yaitu toleransi beragama, ketaatan pada pencipta alam semesta, sedangkan dalam proses pembelajaran PPKn dapat dibentuk juga nilai karakter religius dengan cara: berdoa pada saaat mengawali dan mengakhiri pembelajaran, mengajaksiswa mendoakan temannya yang sakit, mengajak siswa tenang dan khidmat mendengarkan suara adzan, serta mengajak siswa mendoakan saudara-saudara Guru yang kena musibah bencana alam. Simpulannya metapelajaran PPKn di Sekolah Dasar Negeri 3 Wuryorejo Kabupaten Wonogiri Tahun Pelajaran 2017/2018 berperanan dalam Menumbuhkan Nilai Karakter Religius

The Effect of Health Insurance Membership on Self-Medicine: An Analysis using Indonesian Family Life Survey 5 Syuadzah, Rahmi; Nugroho, Hari Wahyu; Tampy, Safitri Tia; Kartikawati, Dwiana
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.96 KB)

Background: The prevalence of selfmedication in Indonesia is still quite large. The result of a survey conducted by the National SocioEconomic Survey (Susenas) showed that the percentage of the population who had selfmedicated health complaints was 61.05%. The negative impact of selfmedication is the side effects of drugs, the resistance to antibiotics, and the wrong choice of drugs. This study aimed to analyze the correlation between insurance ownership and selfmedication using IFLS data analysis.Subjects and Method: This was a crosssectional study. This study involved 31,411 sample obtained from IFLS 5 data. The dependent variable was selfmedication. The independent variables were age, sex, residence, marital status, and insurance ownership. The data were analyzed by multiple logistic regression. Results: The individuals who had insurance increased the initiative to seek selfmedication (OR=1.08; 95%CI=1.04 to 1.13; p<0.001). Male (OR=0.92; 95%CI=0.88 to 0.96; p<0.001), who lived in the city (OR=0.94; 95%CI=0.90 to 0.99; p=0.009), in the working reproductive age (1564 years) (OR=0.80; 95%CI=0.73 to 0.89; p<0.001), and married (OR = 0.82; 95% CI = 0.78 to 0.86; p <0.001) had a tendency not to take selfmedication.Conclusion: Based on the result of the study, the subjects of the study who have insurance have a greater risk of selfmedication.Keywords: Selfmedication, insuranceCorrespondence: Rahmi Syuadzah. Pediatric Research Center (PRC) Department of Child Health, Dr. Moewardi Hospital, Surakarta. Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126. Rahmi_syuadzah@yahoo.com.Journal of Health Policy and Management (2021), 06(01): 67-73https://doi.org/10.26911/thejhpm.2021.06.01.07

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