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Preliminary Investigation of Risk Factors for Food Allergies in the Pediatric Population: Observations from a Survey Utilizing a Simplified Questionnaire in Gresik, East Java, Indonesia Jahja, Natalia Erica; Hikmah, Zahrah; Putera, Azwin Mengindra; Endaryanto, Anang
Folia Medica Indonesiana Vol. 60, No. 1
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: 1. A questionnaire, comprising various risk factors associated with food allergies, is anticipated to provide reliable indications for determining the necessity of restrictive diets for patients within primary healthcare settings. 2. Over time, the findings of this study can facilitate the development of a streamlined and cost-effective diagnostic tool, which will be particularly beneficial in remote regions due to its practical and efficient means of identifying food allergies. Abstract In Gresik, Indonesia, limited resources have led to challenges in accurately diagnosing food allergies. This study aimed to identify risk factors for food allergies among children in Gresik using a questionnaire-based approach. The study's ultimate goal was to develop a simple diagnostic tool in primary healthcare settings. Conducted at Petrokimia Gresik Hospital, this cross-sectional study enrolled children aged ≥6 months experiencing respiratory symptoms or atopic dermatitis for ≥1 week. The subjects (n = 247) underwent a two- to four-week restrictive diet for diagnostic purposes. The questionnaire demonstrated validity and reliability. Bivariate statistical analyses were performed to examine the correlations between risk factors and the incidence of food allergies (p < 0.05). A receiver operating characteristic (ROC) curve analysis was used to establish the cut-off values for the number of food allergies and atopic family members. The majority of the 247 children enrolled in this study were 6 to 12 years old. Respiratory symptoms (56.3%) were more common than atopic dermatitis (38.1%). The significant risk factors for food allergies included atopic dermatitis (p = 0.001; R = 0.203), previous history of suspected food allergies (p < 0.001; R = 0.747), and atopy in the family (p = 0.013; R = 0.157). The ROC curve analysis established the cut-off values for the number of atopic family members at 1.5 (p = 0.005; 95% CI 0.53-0.67) and the number of food allergies at 0.5 (p = 0.000; 95% CI 0.85-0.94). In conclusion, children are considered at risk of food allergies if they display persistent respiratory symptoms or atopic dermatitis, considering the history of suspected food allergies even to only one specific type of food.
Demographic and Clinical Profile of Juvenile Idiopathic Arthritis Patients in a Tertiary Referral Hospital in Indonesia (2021–2023) Satwika, Callista Nadhifa Parama; Putera, Azwin Mengindra; Fetarayani, Deasy; Hidayat, Taufiq
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v15i1.2026.17-27

Abstract

Background: Juvenile Idiopathic Arthritis (JIA) is the most common chronic rheumatic disease in children, characterized by joint inflammation lasting ≥6 weeks in individuals aged <16 years without a clear etiology. Despite advances in research on genetic, immunological, and environmental factors, its pathogenesis remains incompletely understood. In Indonesia, epidemiological data and clinical characteristics of JIA are still limited. This study aimed to describe the demographic profile and clinical characteristics of JIA patients at the pediatrics outpatient clinic of a tertiary referral hospital in Indonesia from 2021 to 2023.Methods: A descriptive retrospective study was conducted to evaluate medical records of patients who met the diagnostic criteria for JIA based on the International League of Associations for Rheumatology (ILAR) classification.Results: Of the 73 JIA patients, most were male (60.3%) and belonged to the age group >132–216 months (32.9%). Most patients were domiciled in Surabaya (35.6%). The most common chief complaint was joint pain (71.2%), and 58.9% had joint involvement involving <5 joints, suggesting an oligoarthritis subtype. Most patients’ vital signs were within normal limits, while anemia (58.9%) and elevated erythrocyte sedimentation rate (ESR) (80.8%) were the dominant laboratory findings.Conclusion: The majority of JIA patients were late-adolescent boys (132–216 months) presenting with pain and an oligoarthritis subtype. These findings highlight the importance of early detection and appropriate referral to prevent long-term complications.