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All Journal Paediatrica Indonesiana Majalah Kedokteran Nusantara The Journal Of Medical School

Rafita Ramayati

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Author-ID : 3454023

Health Professions Medicine & Pharmacology

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Comparison of blood pressure of senior high school students in the inner and outer city of Medan Johannes H. Saing; Ridwan M. Daulay; Rafita Ramayati; Rusdidjas Rusdidjas
Paediatrica Indonesiana Vol 47 No 6 (2007): November 2007
Publisher : Indonesian Pediatric Society

Background Blood pressure (BP) in children and adolescentsdepends on multiple factors, both genetic and environmental suchas gender, age, body weight and height, obesity, life style,socioeconomic status, etc. Surveillance of families in Medan(2000) reported that the socioeconomic status in the outer citywas lower than in the inner city; other factors that influence BPof adolescents may also be different.Objective To compare the prevalence of hypertension betweensenior high school students in the inner and outer city of Medan.Methods A cross sectional study was conducted on 250 studentsselected randomly from four senior high schools in Medan, each2 schools from inner and outer city. This study was done betweenJune and August 2003. BP measurement was done in the morningat 08.00 â€“ 12.00 oâ€™clock before the subjects got exercises. BPmeasurements were done three times according to Task Force onBlood Pressure 1996 recommendation. The average of systolicand diastolic was considered as BP of the subjects.Results Systolic and diastolic BPs of the female students in theouter city (115.3/80.0 mmHg) were higher than those of thefemale students in the inner city (111.2/71.8 mmHg) and thedifference was statistically significant (P=0.008 and P=0.014),but not for the male students. The prevalence of hypertension inthe inner and outer city of Medan was 6.0% and 8.4%, respectively.Conclusions The prevalence of hypertension in the outer city wasabit higher than that in the inner city. The averages of systolicand diastolic BPs of female students in the outer city were higherthan those of the female students in the inner city of Medan.

Effect of classical music on reducing blood pressure in children Saloma Klementina Saing; Oke Rina; Rafita Ramayati; Rusdidjas Rusdidjas
Paediatrica Indonesiana Vol 48 No 3 (2008): May 2008
Publisher : Indonesian Pediatric Society

Background High blood pressure remains a public healthproblem. High blood pressure in children and adolescent is amajor risk for cardiovascular disease in adulthood which cancause high morbidity and mortality. Listening to the classicalmusic can be used as an alternative in reducing high bloodpressure.Objective To investigate the effect of classical music in reducingblood pressure in children with high normal blood pressure andor hypertension.Methods Eighty eight students of Sidorame Senior High SchoolMedan with blood pressure 2: 120/80 mmHg or blood pressure2: 90 percentile Task Force were included in this study. TheVivaldi's Four Seasons was played for 30 minutes using Sony stereocassette recorder and earphone. The students' blood pressure weremeasured after listening to the music.Results The reduction of students' blood pressure in the classicalmusic group was greater than control group (L'ISBP, L'IDBP9.4lmmHg, 6.05mmHg versus 4.37mmHg, 2.23mmHg) andshowed statistically difference.Conclusion Listening to the classical music can reduce bloodpressure in children with high blood pressure.

Study of blood pressure in elementary school children at hill and seashore areas Ani Ariani; T Erna Lisma; Iskandar Z Lubis; Rafita Ramayati; Rusdidjas Rusdidjas
Paediatrica Indonesiana Vol 43 No 1 (2003): January 2003
Publisher : Indonesian Pediatric Society

Background Measurement of blood pressure is the most impor-tant tool for early detection of hypertension. There is an assump-tion that salt consumption of the population living at the seashoreis higher than that of those living on the hill area, and it would leadto higher blood pressure.Objective To find out whether there is any difference of bloodpressure between school-age children (6-13 years) living on thehill area (Brastagi subdistrict) and those living at the seashore area(Pantai Cermin sub district), North Sumatra.Methods A cross sectional study was conducted in Brastagi andPantai Cermin from September to October 1995. The subjects weretaken by a simple random sampling method. The blood pressurewas measured based on recommendation of The Second TaskForce on Blood Pressure Control in Children 1987.Results The means systolic pressure in boys of 6 years of age aswell as in girls of 6,8,12 and 13 years, and the means of diastolicpressure in girls of 6,7,8,11 years were higher in Pantai Cermin(p<0.05). Blood pressure had significant positive correlations(p<0.001) with age, weight and height in both areas. Overall, hy-pertension was found in 117 (11%) out of 1065 children, 11.6%among girls and 10.6% among boys. On the hill and at seashorearea, hypertension was found in 10.2% and 11.8% of children re-spectively, which was not statistically different (p>0.05).Conclusion In children, there was no significant difference be-tween the prevalence of hypertension on hill and seashore area

Waist circumference, body mass index, and skinfold thickness as potential risk factors for high blood pressure in adolescents Roslina Dewi; rafita ramayati; Nelly Rosdiana; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Background The prevalence of hypertension in children and adolescents has increased with the rising obesity epidemic. Recent studies have found that prevalence of hypertension was higher in obese children or adolescents than in the normal weight ones. Anthropometric measurements such as body mass index (BMI), waist circumference, and skinfold thickness have been used as criteria to determine obesity in children and adolescents. Increased waist circumference has been most closely related to increased blood pressure. Objective To compare waist circumference, BMI, and skinfold thickness as potential risk factors for hypertension in adolescents. Methods This cross-sectional study was conducted in May 2014 in three senior high schools in Medan, North Sumatera, and included 253 students with normal urinalysis test. All subjects underwent blood pressure, waist circumference, tricep- and subscapular-skinfold thickness (TST and SST), body weight, and body height measurements. The study population was categorized into underweight, normoweight, overweight, and obese, according to four different criteria: waist circumference, BMI, TST, and SST; all variables were analyzed for possible correlations with systolic and diastolic blood pressure. Results There were significant positive correlations between systolic blood pressure and waist circumference (OR 7.933; 95%CI 2.20 to 28.65; P=0.011) as well as BMI (OR 4.137; 95%CI 1.16 to 14.75; P=0.041). There were also significant correlations between diastolic blood pressure and waist circumference (OR 3.17; 95%CI 1.83 to 5.51; P=0.002), BMI (P=0.0001; OR=3.69), TST (OR 4.73; 95%CI 2.31 to 9.69; P=0.0001), and SST (OR 3.74; 95%CI 2.35 to 5.94; P=0.0001). Multivariate analysis showed that waist circumference was a predictive factor for systolic blood pressure (OR 9.667), but not for diastolic blood pressure. Conclusion Waist circumference is the strongest, significant, predictive factor for elevated systolic blood pressure; meanwhile BMI, SST, and TST could be predictive factors for elevated diastolic blood pressure.

The relationship between children’s blood pressure and blood pressure of their parents Desy Aswira Nasution; Rusdidjas dr; Supriatmo dr; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 2 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background : Family history of hypertension is a risk factor for hypertension in children. Some studies have reported significant relationship of elevated blood pressure in children with hypertensive parents.Objective : To determine the relationship between blood pressure in children and blood pressure of their parents Methods : A cross sectional study was conducted in 90 children aged 6 until 18 years in Baringin village, Panyabungan on May until June 2010. Sample was collected with consecutive sampling. Classification of hypertension determined by measurement of blood pressure, height, weight based on Fourth Task Force. We used student t-test to analyzed numerical data. Simple linier regression was used to investigate the relationship between blood pressure of children and blood pressure of their parents. Results : Of 90 participants that had been examined, 24 boys and 17 girls have hypertensive parents. The mean systolic (SBP), diastolic (DBP) and mean arterial blood pressure (MABP) was significantly higher in children with hypertensive parents than normotensive parents (116.7 and 7.07 respectively ; P = 0.0001 for SBP, 77.8 and 8.33 respectively; P = 0.0001 for DBP, 90.7 and 7.41 respectively; P = 0.0001 for MABP). There was a significant relationship between elevated SBP in boys and SBP of his father was indicated by the correlation coefficient (r = 0.806; P = 0.0001).Conclusions: The blood pressure of children was significantly higher in children with hypertensive parents than normotensive parents. There was a strong correlation between SBP in boys with SBP of his father.Keywords : hypertension; blood pressure; parents; children

Interleukin-6 urin sebagai pemeriksaan cepat pielonefritis pada neonatus Nezman Nuri; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti Syafriani Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Pyelonephritis is a common infection to all children in all age groups, including the newborn. The diagnosis of urinary tract infection is established certainly by urine culture. Additional investigations can be done to help confirm the diagnosis, such as urinary interleukin-6. Increased number of urinary interleukin-6 is helpful to quickly confirm the occurrence of pyelonephritis. Keyword : pyelonephritis; neonates; urine culture; interleukin-6

Rasiotekanan darah terhadap tinggi badan dalam diagnosis hipertensi pada remaja Kristina Ambarita; Oke Rina Ramayani; Munar Lubis; Isti Ilmiati; Rafita Ramayati; Rusdidjas dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Diagnosis of hypertension in children and adolescents according to the Fourth Report from the National High Blood Pressure Education Program (NHBPEP) Working Group on Children and Adolescents 2004 is complicated, influenced by gender, age, and height. This resulted in an effort to find alternative ways to overcome the lack of practical diagnostic tool hypertension in adolescents. Current research is centered on the use of anthropometric variables to detect hypertension in adolescents. Height is a factor that plays an important role in determining blood pressure because of body size affects blood pressure. The blood pressure to height ratio is a simple method that can be used for diagnosing hypertension in adolescents. This ratio is not influenced by age which means determining the cut-off point of hypertension is not according to age specific, and the ratio is not adjusted in height so that this ratio can be used in adolescents who are short or tall. This ratio has a high sensitivity and specificity in the diagnosis of hypertension, which is high capabilities in the detection of hypertension and to determine non hypertension in adolescents.Keyword :adolescence, blood pressure to height ratio, diagnosis, hypertension

Penilaian kualitas hidup pada anak penderita penyakit ginjal kronis Dicky Iskandar Nadeak; Rusdidjas dr; Rafita Ramayati; Oke Rina Ramayan; Rosmayanti S Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Penyakit ginjal kronis (PGK) oleh The National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative (NKF KDOQI) didefinisikan sebagai suatu keadaan terjdinya kerusakan ginjal selama minimal 3 bulan dengan atau tanpa penurunan laju filtrasi glomerulus (LFG) atau LFG kurang dari 60 mL/menit per1.73m2 yang berlangsung selama 3 bulan dengan atau tanpa kerusakan ginjal. Penilaian kualitas hidup sangat penting dilakukan pada anak yang menderita PGK karena mempengaruhi gangguan pertumbuhan fisik, penghambatan perkembangan, terjadi gangguan kognitif, gangguan akademis, gangguan emosional, serta gangguan hubungan sosialnya. Beberapa studi telah melakukan penilaian kualitas hidup yang berhubungan dengan kesehatan pada anak penderita PGK dan mendapatkan bahwa kualitas hidup anak penderita PGK lebih rendah dibandingkan dengan anak sehat.Kata kunci : penyakit ginjal kronis; kualitas hidup; TECAVNER; laju filtrasi glomerulus

Infeksi nosokomial saluran kemih paska kateterisasi urin pada anak Lorinda R.P. Harahap; Rafita Ramayati; Rusdidjas dr; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Urinary catheters are often used in hospitalized patients and this could be potentially a infection. It is estimated that approximately 80% hospital-acquired urinary tract infection (UTI) associated with catheter use. aim of the study is to determine relationship between use of urinary catheter with nosocomial urinary tract infection in children.Keywords : urinary catheter; nosocomial urinary tract infection; children

Co-Authors Ani Ariani Beatrix Siregar Desy Aswira Nasution Dicky Iskandar Nadeak Iskandar Z Lubis Isti Ilmiati Johannes H. Saing Kristina Ambarita Lorinda R.P. Harahap Munar Lubis Nelly Rosdiana Nezman Nuri Oke Rina Oke Rina Ramayan Oke Rina Ramayani, Oke Rina Ridwan M. Daulay Roslina Dewi Rosmayanti S Siregar Rosmayanti Siregar Rosmayanti Syafriani Siregar Rusdidjas dr Rusdidjas Rusdidjas Saloma Klementina Saing Supriatmo dr T Erna Lisma

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