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The suitability of sputum and blood culture in children with pneumonia at Sanglah General Hospital, Bali, Indonesia Ayu Setyorini Mestika Mayangsari; Ida Bagus Subanada; Putu Siadi Purniti; Wayan Agustini Selumbung
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.298 KB) | DOI: 10.15562/ism.v10i3.606

Abstract

Background: Pneumonia is one of the diseases in children with high morbidity, especially in children under 5 years old. In developing countries, the most common cause of pneumonia is bacteria. There is a newer method that gives a better reflection of the aetiology, which is the sputum examination. This study aims to determine the suitability of sputum and blood culture in children with pneumonia at Sanglah General Hospital, Bali.Methods: A cross-sectional study was conducted at Respirology Subdivision in Department of Child Health Sanglah Hospital from November 2016 until February 2017. A categorical comparative matching was carried out between 2 formula groups. The sputum culture and blood culture were obtained through Microbiology Laboratory at Sanglah General Hospital. Data were analysed using SPSS version 16 for Windows.Results: There were 50 children with pneumonia enrolled in this study. The children aged less than 1 years old were predominant (62%). There were a statistically systematic difference and only a fair agreement between blood and sputum culture (ĸ=0.257; p= 0.004). In a subject with positive sputum culture, 90.9% had a better outcome than the positive blood culture even though no statistically significant (RR=0.23; 95%CI: 0.15-22.53)Conclusion: There is suitability between the culture of sputum and blood cultures in children with pneumonia. Sputum culture has a higher probability to reveal the microorganism compared to blood cultures.
Tingkat pengetahuan, sikap, dan perilaku orangtua tentang penyakit diare dan penanganannya pada anak balita di Pandu D’Care Made Refika Widya Apsari Tangkas; Ni Nyoman Metriani Nesa; Ayu Setyorini Mestika Mayangsari; Nyoman Budi Hartawan
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.646 KB) | DOI: 10.15562/ism.v11i3.678

Abstract

Background: Diarrhea is an increased frequency of defecation, 3 times or more a day, with changes in the consistency of the stool which become loose to watery. World Health Organization (WHO) states that there are 1.7 billion cases of diarrhea annually and responsible for 525,000 deaths in children each year.Aim: This study aimed to determine the level of knowledge, attitudes, and behavior of parents regarding early treatment of diarrhea of toddlers in D’Care Pandu Child Care Center in January 2019.Method: This study was a cross-sectional observational study. Research subjects consisted of 47 parents who entrust their children to be taken care at the D'Care Pandu Child Care Center. Subjects were asked to fill out a questionnaire to determine the level of knowledge, attitudes and behavior of parents regarding diarrheal disease and its management.Results: Most parents had good knowledge about diarrhea (66%). Most respondent had good attitude level (66%) and moderate level of parental behavior (52%).Conclusion: There were adequate knowledge, attitudes and behaviors of parents related to diarrhea problems in children. Diare adalah meningkatnya frekuensi defekasi yaitu 3 kali atau lebih dalam sehari, dengan perubahan konsistensi tinja menjadi lebih lembek hingga cair. World Health Organization (WHO) menyatakan bahwa terdapat 1,7 milyar kasus diare pertahun secara global dengan angka kematian pada anak sebesar 525.000 tiap tahunnya.Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap, serta perilaku orangtua dalam penanganan awal diare pada balita di Tempat Penitipan Anak Pandu D’Care.Metode: Penelitian ini menggunakan merupakan penelitian observasional dengan pendekatan potong-lintang. Subyek penelitian terdiri dari 47 orangtua yang menitipkan anaknya di TPA Pandu D’Care pada Januari 2019. Subyek diminta mengisi kuisioner untuk mendapatkan gambaran tingkat pengetahuan, sikap serta perilaku orangtua tentang penyakit diare dan penanganannya.Hasil: tingkat pengetahuan orangtua mengenai diare sebagian besar adalah baik (66%). Sebagian besar responden memiliki tingkat sikap yang baik (66%) dan didapatkan dominansi perilaku orangtua dalam tingkatan sedang yaitu sebesar 52%.Simpulan: Studi ini menunjukkan cukup adekuatnya pengetahuan serta sikap dan perilaku orang tua terkait permasalahan diare pada anak. 
PENDAMPINGAN LEGALITAS UMKM NIB MELALUI SISTEM ONLINE SINGLE SUBMISSION (OSS) DI KELURAHAN SANANWETAN, SANANWETAN, KOTA BLITAR Thineza Ardea Pramesti; Thufaila Azizah, Roida; Nurbayzura, Wahyu; Azim Permana, Krisna; Putri Aqila, Nafisa Dean; Sulistyowati, Intan; Ahbab, Tuhfatul; Setyorini, Ayu; Pandu Khrisna, Gagas; Febriani, Safida; Aji Putra, Chrystia
Jurnal Pengabdian Kepada Masyarakat Patikala Vol. 2 No. 1 (2022): ABDIMAS PATIKALA
Publisher : Education and Talent Development Center of Indonesia (ETDC Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51574/patikala.v2i1.479

Abstract

Legalitas usaha sangat memiliki peran penting dalam suatu usaha yang dijalankan, karena legalitas pada suatu usaha merupakan bentuk dari pemberian izin bagi penyelenggaraan kegiatan usaha yang diberikan oleh pihak berwenang kepada pelaku usaha. Legilitas pada suatu usaha juga memiliki peran yang sangat penting karena digunakan sebagai penujuk bahwa usaha yang didirikan layak dan sedang berjalan. Kurangnya pemahaman masyarakat sekitar tentang pentingnya legalitas menjadi sebuah permasalah yang membuat pelaku usaha belum memiliki legalitas usaha. Pengabdian ini bertujuan untuk memberikan pemahaman kepada masyarakat, terutama pelaku usaha di kelurahan Sananwetan dalam hal pentingnya memiliki legalitas usaha serta memberikan pendampingan dalam hal membuat legalitas usaha. Metode pelaksanaan pengabdian ini dibagi dalam tiga tahap, pada tahap pertama kelompok 143 KKN-T UPN “Veteran” Jawa Timur memberikan pemahaman mengenai pentingnya memiliki legalitas usaha serta cara mengurusnya dengan melakukan sosialisasi yang diikuti oleh pelaku usaha di kelurahan Sananwetan, tahap selanjutnya yaitu melakukan observasi ke Dinas Penanaman Modal, Tenaga Kerja dan Pelayanan Terpadu Satu Pintu (DPMNAKER-PTSP) Kota Blitar guna mencari informasi mengenai syarat-syarat untuk pembuatan NIB (Nomor Induk Berusaha), dan tahap yang paling akhir yaitu melakukan door-to-door untuk memberi pendampingan dalam pembuatan Nomor Induk Berusaha (NIB) secara online melalui Online Single Submission (OSS). Pelaksanaan kegiatan ini dilakukan oleh kelompok 143 KKN-T MBKM UPN “Veteran” Jawa Timur yang terdiri dari 10 orang. Hasil yang diperoleh dalam kegiatan ini yaitu adanya peningkatan mengenai pemahaman dari para pelaku usaha di kelurahan Sananwetan dalam hal pentingnya memiliki legalitas usaha, serta dari 10 UMKM yang telah di survey oleh kelompok 143, 8 UMKM diantaranya belum memiliki NIB (Nomor Induk Berusaha) sehingga kelompok 143 memberi pendampingan dalam hal pengurusan NIB (Nomor Induk Berusaha) bagi usaha yang dilanjakan oleh pelaku usaha tersebut.
RELATIONSHIP BETWEEN NUTRITIONAL STATUS, IRON AND ZINC INTAKE AND LEARNING ACHIEVEMENT IN ADOLESCENT WOMEN IN SANTO YOSEPH JUNIOR HIGH SCHOOL Sri Widiani, Ni Komang Ayu; Mestika Mayangsari, Ayu Setyorini; Witarini, Komang Ayu; Eka Pratiwi, I Gusti Ayu Putu
E-Jurnal Medika Udayana Vol 13 No 2 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i02.P17

Abstract

ABSTRAK Remaja adalah periode peralihan dari masa anak menjadi dewasa. Perkembangan remaja merupakan kompleks dengan pubertas, kematangan neurokognitif, transisi peran sosial, konsekuensi peningkatan kebutuhan terhadap nutrisi. Remaja putri membutuhkan zat gizi tiga kali lebih tinggi dari pria karena setiap bulan remaja putri mengalami menstruasi. Status gizi, zat besi dan seng adalah salah satu aspek penting mikronutrient yang mempengaruhi prestasi akademik remaja putri. Penelitian ini dilakukan untuk mengetahui hubungan status gizi, tingkat konsumsi zat besi (Fe) dan seng (Zn) dengan prestasi belajar pada remaja putri di SMP Santo Yoseph Denpasar. Penelitian ini menggunakan metode cross sectional. Instrumen dalam penelitian ini adalah kuesioner sosiodemografi, form food recall 1x24 jam, nilai rapor siswi kelas IX dan status gizi dinilai melalui Indeks Massa Tubuh. Hasil penelitian ini mengungkapkan sebagian besar responden (60,4%) dengan status gizi normal, sebagian besar responden (84,9%) dengan tingkat konsumsi zat besi kurang dan paling banyak responden (71,7%) memiliki tingkat konsumsi seng kurang. Prestasi belajar sebagian besar siswi memiliki prestasi belajar tinggi dalam mata pelajaran Bahasa Indonesia (78,3%), Matematika (73,6%), Bahasa Inggris (80,2%) dan Ilmu Pengetahuan Alam (92,5%). Tidak ditemukan hubungan antara status gizi dengan prestasi belajar Bahasa Indonesia (p=0,241), Matematika (p=0,288), Bahasa Inggris (p=0,690), dan IPA (p=0,327). Tingkat konsumsi zat besi tidak memiliki hubungan dengan prestasi belajar Bahasa Indonesia (p=0,096), Matematika (p=0,889), Bahasa Inggris (p=0,572), dan IPA (p=0,416). Tingkat konsumsi seng tidak memiliki hubungan dengan prestasi belajar Bahasa Indonesia (p=0,436), Matematika (p=0,971), Bahasa Inggris (p=0,568), dan IPA (p=0,829). Kata Kunci: Status Gizi, Zat Besi, Seng, Prestasi Belajar, Remaja Putri
Efektivitas Suplementasi Zink Terhadap Lama Rawat Inap pada Pasien Pneumonia Anak: A Systematic Review of Randomized Controlled Trials Dewi, Ni Luh Putu Yunia; Mayangsari, Ayu Setyorini Mestika; Adnyana, I Gusti Agung Ngurah Sugitha
E-Jurnal Medika Udayana Vol 12 No 2 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i02.P02

Abstract

Zinc supplementation was reported increasing pneumonia in child outcomes, which one is the length of hospital stay, but still controversial. This review will discuss about effectivity of zinc supplementation for the length of hospital stay in children hospitalized with pneumonia in forms systematic review. Searching was performed at CENTRAL, PubMed, and ProQuest for journal published from 2015 to 2020 which evaluate the effectivity of zinc supplementation for the length of hospital stay in children hospitalized with pneumonia. This review based on writing guidelines by Cochrane Textbook of Systematic Review. There are four studies relevant to this review. All studies are blinded study. A total of 1.359 children hospitalized with pneumonia, percentage of a male around 59%. A total of 680 participants received zinc supplementation as addition for standard antibiotics. Participants were 1 to 60 months of age. All studies measure baseline serum zinc levels. Two studies reported significant results, while two other study conversely. Effectivity of zinc supplementation has not been concluded yet. Based on critical appraisal, the author attends to agree with two studies that conduct in Asia, in which the populations were similar to Indonesia. In that study found zinc supplementation effective to decreases the length of hospital stay in children hospitalized with pneumonia. There is no fatal adverse effect of zinc supplementation was reported.
The QUALITY OF LIFE IN ADOLESCENT DURING COVID 19 PANDEMIC Setiyawan, I Made Karma; Apsari, Ni Luh Sri; Saputra, I Made Yullyantara; Sindhughosa, Wega Upendra; Sinardja, Siska Permanasari; Mayangsari, Ayu Setyorini Mestika; Witarini, Komang Ayu; Dewi, Ida Ayu Made Ratna
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P13

Abstract

Background : Assessment of quality of life in children is a useful indicator of overall health because it encompasses information about children's physical and mental health. Managing the existing environment and adhering to current constraints due to Covid-19 can be especially difficult for children and adolescents because these conditions can be regarded as incompatible with their developmental tasks. The Pediatric Quality of Life Inventory (PedsQL) is a tool designed to assess children's quality of life based on age, maturity, and cognitive development. While self-report is the gold standard for measuring perceived PedsQL, there may be occasions when the kid is too young, too sick, or too tired to complete PedsQL instrument, in which case a parent-proxy report may be required. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The research was conducted at Udayana University Hospital in July 2022. Detailed explanations about the context and how to fill out the PedsQL form were given to students and their parents. The students and parents fill out PedsQL forms in separate rooms. The PedsQL questionnaire used was the Indonesian version. Concordance between self-report and parent-proxy was evaluated using the Wilcoxon paired sign rank test. Intraclass correlation coefficients (ICC) to assess parent and child agreement. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was no difference in PedsQL between self-report and parent-proxy in overall and subscales functioning domain. Physical, emotional, social, and school functioning all had intraclass correlation coefficients of 0.85, 0.83, 0.79, and 0.88, respectively. Low energy (physical functioning), feel afraid or scared and feel angry (emotional functioning), and can’t do things that children his age do (social functioning) were found different among factor loadings. School functioning factor loadings were found similar. Conclusion : This study shows a good agreement and no significant difference in overall and subscale scores between children's self-report and parent-proxy reports. Although significant differences were found when examining each factor loadings in each component.
GAMBARAN STATUS KONTROL ASMA DAN KUALITAS HIDUP ANAK DENGAN ASMA DI RSUP PROF. DR. I.G.N.G NGOERAH DENPASAR DAN RSUD WANGAYA DENPASAR TAHUN 2020-2021 Nurliandari, Nia; Witarini, Komang Ayu; Mayangsari, Ayu Setyorini Mestika; Pratiwi, I Gusti Ayu Putu Eka
E-Jurnal Medika Udayana Vol 12 No 12 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i12.P03

Abstract

Asthma is a chronic and emergency disease in children. Uncontrolled asthma in children can affect the quality of life of children and even lead to death. Bali is the province with the third highest prevalence of asthma after the Special Region of Yogyakarta and East Kalimantan. However, data regarding the description of asthma control status and quality of life of children with asthma in Bali, especially in Denpasar, are still limited. Therefore, the authors want to know the overview of asthma control status and quality of life of children with asthma at Prof. Dr. I.G.N.G Ngoerah Hospital Denpasar and Wangaya Hospital Denpasar in 2020-2021. The design of this research is descriptive observational with a cross-sectional approach. After the approval of the constitutional ethics committee, all children aged 6-11 years with asthma at the Outpatient and Inpatient Respirology Pediatric Clinic Prof. Dr. I.G.N.G Ngoerah Hospital Denpasar and Wangaya Hospital Denpasar in 2020-2021 which is recorded in a complete medical record and has approval for participation in the study by parents/guardians (n=32) will be given a questionnaire containing the child and parent’s biodata, Childhood Asthma Control Test (C-ACT) to assess asthma control status, and Pediatric Quality of Life (PedsQL) to assess children's quality of life through an electronic form. Based on asthma control status, the results showed that 27 children (84.4%) had fully controlled asthma control status and 5 children (15.6%) had partially controlled asthma control status. In controlled asthma control status, all children were male. The majority of children (3 children) have poor nutritional status and some (2 children) have obese nutritional status. All children have a family history of asthma. Most of the children's parents have the latest education in college (3 children), senior high school (1 child), and elementary school (1 child). All parents of children have jobs and most of them (3 parents of children) have salaries above the minimum wage. Based on the quality of life, there were 4 children (12.5%) with a disturbed quality of life and 28 (87.5%) children with an undisturbed quality of life. In terms of quality of life, there were 2 children, male and female, respectively. The majority of these children had good nutritional status (2 children) and did not have a family history of asthma (3 children). The parents of the 2 children have the last education in elementary school, while the other 2 parents have the last education in college. All of the children's parents have jobs and the majority (3 parents of children) have salaries above the minimum wage. Further research is needed with a larger sample size and should be carried out prospectively so that the data obtained is more complete.
Korelasi antara Pediatric Symptom Checklist-17 (PSC-17) dan Pediatric Quality Of Life Inventory (PedsQL) pada Anak Sekolah Dasar Setiyawan, I Made Karma; Saputra, I Made Yullyantara; Sindhughosa, Wega Upendra; Apsari, Ni Luh Sri; Sinardja, Siska Permanasari; Mayangsari, Ayu Setyorini Mestika; Witarini, Komang Ayu
E-Jurnal Medika Udayana Vol 13 No 9 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i09.P04

Abstract

Background : Identification of psychosocial problems and quality of life of school-aged children should be routinely applied in child developmental health-related practices. The main concerns in measuring the quality of life of children with psychosocial disorders are mainly related to language development, cognitive development and the type of disorder. This has led to the identification of developmental disorders in school-aged children requiring specific tools (PSC-17 score and PedsQL score) designed for pediatric patients. The similarities or differences obtained based on these measurement tools will depend on the precise formulation of the questions as well as the assessment of the situation of the individual being evaluated. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The study was conducted at Udayana University Hospital in July 2022. The scores used in this study were self-reported PedsQL scores and PSC-17 scores obtained based on interviews with children. The correlation between the evaluation results using the PSC-17 and PedsQL questionnaires was evaluated using the Spearman correlation test. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was a significant correlation between PSC-17 scores and PedsQL scores (r= -0.59; p<0.001). Subgroup analysis on PSC-17 aspect subscales and PedsQL dimensions found significantly varying negative correlations. Conclusion : This study found a moderate negative correlation between PSC-17 scores and PedsQL scores, varying correlations strength between each aspect/dimension of each score. Keywords: children, quality of life, PedsQL, psychosocial, PSC-17.
Prevalens dan Faktor yang Berhubungan dengan Asma pada Anak Usia 13-14 Tahun di Daerah Rural Wanami Putri, Ni Made Wini Jayesthiwi; Mayangsari, Ayu Setyorini Mestika; Sidiartha, I Gusti Lanang; Adnyana, I Gusti Agung Ngurah Sugitha
E-Jurnal Medika Udayana Vol 11 No 3 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i03.P08

Abstract

There are 300 million people in all aged have an asthma, or it reach 1-16% prevalent of asthma in children worldwide. The study of prevalence and risk related factors of asthma in rural daerah is still very limited nowadays. The design of this study is cross-sectional quantitative study, with epidemiology analytic design. This study was conducted in Junior High School 1 in Sukawati, Sukawati Village, Gianyar, Bali. There are 557 samples of children aged 13rd-14th. The samples were collected based on constitutional sampling method. This study used ISAAC (International Study of Asthma and Allergies in Childhood) electronic questionnaires. The aims of this study was to determine the relation between prevalence of asthma and its related factors dermatitis atopic, allergies rhinitis, states of nutrition, atopic diseases in family, passive smokers, and fast food consumption in rural daerah in Bali. Prevalence of asthma in Bali in this study is 7.5%. Based on the analysis, allergic rhinitis (RP= 2.09 IK95%= 1.1-3.72 p= 0.01), atopic dermatitis (RP=4.33 IK95%=2.34-8.02 p=0.0001), and atopic diseases in family (RP= 2.56 IK95%=1.42-4.63 p=0.001), had a significant difference result with the prevalence of asthma. Besides, obesity (RP=0.98 IK95%=0.48-2.0 p=0.96), passive smokers (RP=1.52 IK95%=0.84-2.74 p=0.16), and fast food consumption (RP=1.24 IK95%=0.65-2.35 p=0.51), did not have any significant different result with the prevalence of asthma. Internal risk factors have a significant result towards the prevalence of asthma. Meanwhile, external risk factors need more exploration and research to know its effect on exacerbation and incident of asthma. Keyword: Asthma, ISAAC, Prevalence, Related Factors
PREVALENS DAN KARAKTERISTIK BAYI DENGAN SINDROM GAWAT NAPAS DI UNIT PERAWATAN INTENSIF NEONATUS RSUP SANGLAH TAHUN 2020 Sukarta, Ni Kadek Yusthiani; Wati, Dyah Kanya; Cempaka, Putu Mas Vina Paramitha; Witarini, Komang Ayu; Mayangsari, Ayu Setyorini Mestika
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P10

Abstract

Respiratory distress syndrome (RDS) is a cause of respiratory distress in baby that occurs several hours after newborns and can cause respiratory arrest and even death. This study aims to provide an overview of the prevalence and characteristics of infants with RDS in neonatal intensive care unit of Sanglah Hospital in 2020. This study used a cross-sectional descriptive approach with retrospective data. The study sample was infants aged 0-28 days with RDS in the neonatal intensive care unit of Sanglah Hospital who were recorded in complete medical records from January 1, 2020 to December 31, 2020. The prevalence of infants with RDS in the neonatal intensive care unit of Sanglah Hospital in 2020 was 10.9%. All of them were singleton pregnancies with a magnitude of 0 days (63.9%), female (52.8%), and second children (50%). Most of the mothers had done prenatal care (91.7%), without a history of disease (75%), primipara (50%), and ruptured membranes <24 hours (75%). Babies born with very premature gestational age (61.1%), by cesarean section (55.6%), low birth weight (30.6%), and APGAR score 7-10 (75%). A total of 36.1% of infants used a breathing apparatus in CPAP and received first-line antibiotics (94.4%). Infants with RDS have a high variability of characteristics including the general characteristics of the history of pregnancy and childbirth. The recommendation for other researchers are expect to conduct further analytical studies in the future.