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Severe sepsis criteria, PELOD-2, and pSOFA as predictors of mortality in critically ill children with sepsis Anindita Wulandari; Pudjiastuti Pudjiastuti; Sri Martuti
Paediatrica Indonesiana Vol 59 No 6 (2019): November 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.778 KB) | DOI: 10.14238/pi59.6.2019.318-24

Abstract

Background Sepsis is one of the main causes of death in infants and children. Currently, it is defined as a life-threatening organ dysfunction, caused by an inflammatory response of infection. Several organ dysfunction assessment methods are available, but they are not uniformly used. Objective To compare the accuracy of three mortality predictor tools: severe sepsis criteria, pediatric logistic organ dysfunction (PELOD)-2, and pediatric sequential organ failure assessment (pSOFA), in critically ill children with sepsis. Methods This prospective cohort study was conducted in the pediatric intensive care unit (PICU) and pediatric high care unit (HCU) of dr. Moewardi Hospital, Surakarta, Central of Java. All patients who met the systemic inflammatory response syndrome (SIRS) criteria were included in our study. The exclusion criteria were congenital anomalies of heart or kidney, malignancy, or hematological abnormalities. The data were taken from laboratory and physical examinations by the physicians on duty. The outcome assessed was mortality. Results Of 30 subjects, the mean age was 22.22 (SD 29.36) months; the most common infection source was the respiratory tract, followed by gastrointestinal tract and central nervous system. Most subjects were treated in the PICU and had a mean length of stay of 8.70 (SD 11.91) days. Severe sepsis and PELOD-2 were not significant predictors of death. However, pSOFA score was a statistically significant predictor of mortality, with odds ratio 10.11 (95%CI 1.054 to 97.002; P=0.039). Conclusion Pediatric SOFA (pSOFA) is a better predictor of mortality compared to PELOD-2 and SIRS-severe sepsis. A pSOFA score ≥ 2 increases the risk of mortality by 10.11-fold.
Penyuluhan Cara Penyimpanan Asi Pada Ibu Bekerja Dengan Peningkatan Pengetahuan Cara Penyimpanan ASI Martina Fitriyaningrum; Winarsih; Sri Martuti
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 6 No. 2 (2018): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/xgyacg45

Abstract

Background: The provision of breastfeeding in Indonesia has not been fully implemented. Efforts toimprove behavior feeding is weak. The main problems are socio-cultural factors, awareness of theimportance of breast milk, health services, incessant promotion of formula milk and working mothers. Thecoverage of breastfeeding in the Demangrejo village area of 13 infants aged 0-6 months who were stillexclusively breastfed was 4 babies (30.80%) and those who were not exclusively breastfed were 9 babies(69.24%).Purpose: To evaluate the effectiveness of counseling about how to strorage breastmilk with improving ofknowledge breastmilk storage methods for working mother in posyandu Demangrejo Kulon Progo 2016.Methods: quasi experiment with one group pretest-posttest design research design. Research time is AprilMay 2016. The research location is in Posyandu, Demangrejo Village, Kulon Progo Yogyakarta. The sampleused was nursing mothers who worked. This research analyzes the data used is Wilcoxon testResults: The results of the study, based on analysis of the wilcoxon data pretest and posttest obtainedvalue Z count -4,419 and P-value is 0.000 (p<0,05), it means there was a relations counseling storagemethods breastmilk on the work with increased knwoledge storage methods breastmilk in posyanduDemangrejo Kulon Progo.Conclusions: There is relations counseling storage methods breastmilk on the work with increasedknwoledge storage methods breastmilk in posyandu Demangrejo Kulon Progo.Keyword : Counseling, Enhancement, BreastmilkIN
LITERATURE REVIEW: ANALISIS PENGARUH LIFE STYLE (PEROKOK DAN NON PEROKOK) TERHADAP POSITIFITAS HASIL PEMERIKSAAN MIKROSKOPIS BAKTERI TAHAN ASAM (BTA) Fetiara Dewi; Wahid Syamsul Hadi; Sri Martuti; Dhiah Novalina; Tri Dyah Astuti
Journal Transformation of Mandalika, e-ISSN: 2745-5882, p-ISSN: 2962-2956 Vol. 2 No. 12 (2021): Desember
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jtm.v2i12.972

Abstract

Tuberculosis (TB) is a disease with potentially infectious cough symptoms caused by the bacterium Mycobacterium tuberculosis. Half of the deaths caused by TB occur in men due to smoking habits and 3.2 times smokers can be at risk of developing pulmonary tuberculosis. Early diagnosis of tuberculosis cases can be done through microscopic analysis of sputum with Ziehl-Neelsen staining in order to prevent tuberculosis cases from increasing and reducing mortality due to tuberculosis. The objectives of this study are to determine the level of positivity of the results of microscopic examination of acid-fast bacteria (AFB) in smokers and non-smokers, to determine the effect of cigarettes on the results of microscopic examination of acid-fast bacteria (AFB), and to determine the risk factors that influence the positivity of the results of acid-fast bacteria (AFB) in smokers and non-smokers. This study employed literature review method with the PICO method on two databases, namely PubMed and Google Scholar. The level of positivity of AFB microscopic examination results in smokers found AFB results +3, +1, and +2 while in non-smokers found AFB results +1 and +3. The risk factors affecting the level of AFB positivity in smokers and non-smokers included more found in male than female, productive age, and smoking history. In smokers, the level of positive of the microscopic inspection of AFB revealed the most AFB +3 result, whereas non-smokers revealed the most AFB +1 results. Male, productive age (15-64 years), and smoking history are all risk factors for AFB positive in smokers and non-smokers (type of bidi cigarettes, consumption of 10-20 cigarettes per day, and the presence of exposure to cigarette smoke).
PENDAYAGUNAAN KELEMBAGAAN SWADAYA MASYARAKAT (LSM) DALAM UPAYA PENINGKATAN CAKUPAN DISTRIBUSI PIL BESI M. Saidin; Sukati Sukati; Sri Martuti; Sihadi Sihadi; Kodrat Pramudho; Djoko Susanto
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 19 (1996)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.2299.

Abstract

Telah dilakukan penelitian "Pendayagunaan Kelembagaan Swadaya Masyarakat (LSM) dalam Upaya Peningkatan Cakupan Distribusi Pil Besi". Tujuan penelitian ini adalah untuk mempelajari dan mengidentifikasi lembaga-lembaga swadaya masyarakat yang berpotensi untuk dilibatkan dalam upaya peningkatan cakupan distribusi pil besi. Penelitian dilakukan di tiga propinsi yaitu Jawa Barat, Nusa Tenggara Barat (NTB) dan Nusa Tenggara Timur (NTT). Wilayah penelitian di Jawa Barat adalah Kabupaten Cianjur, meliputi 7 desa perlakuan dan 7 desa kontrol, di NTB penelitian dilakukan di Kabupaten Lombok Barat meliputi 5 desa perlakuan dan 5 desa kontrol. Di NTT penelitian dilakukan di Kabupaten Kupang, meliputi 10 desa perlakuan dan 10 desa kontrol. Di desa perlakuan distribusi pil besi dilakukan oleh kader LSM melalui forum pengajian disamping jalur biasa (Posyandu), sedangkan di desa-desa kontrol distribusi pil besi dilakukan seperti biasanya yaitu melalui Posyandu. Petugas LSM yang terlibat di Jawa Barat adalah anggota pengurus Majelis Ulama tingkat Kecamatan, Majelis Ta'lim dan Karang Taruna. Petugas LSM di NTB adalah anggota/pengurus Fatayat NU, Muslimat Nahdlatul Wathon, Nasiyatul Aisiyah Muhamadiyah, Yayasan Pondok Pesantren Bayyinul Ulum. Di NTT petugas LSM yang terlibat adalah kader masyarakat setempat binaan PLAN International. Petugas LSM di Jawa Barat berperan sebagai motivator, sedangkan di NTB dan NTT berperan sebagai motivator dan distribusi pil besi. Setelah kegiatan berlangsung 3 bulan, di Jawa Barat terjadi kenaikan cakupan distribusi pil besi di daerah perlakuan sebesar 17.4% dan kontrol sebesar 7.6% (p>0.05). Rataan pil besi yang diminum selama 3 bulan per ibu di daerah perlakuan sebanyak 60 pil lebih tinggi secara bermakna dibandingkan dengan daerah kontrol sebesar 44 pil. Rataan kenaikan kadar Hb di daerah perlakuan sebesar 0.6±1.438 g/dl dan di daerah kontrol sebesar 0.4±0.744 g/dl (p>0.05). Di NTB terjadi kenaikan cakupan distribusi pil besi di wilayah perlakuan sebesar 22.3% lebih tinggi secara bermakna (p<0.05) daripada di daerah kontrol sebesar 10.6%. Rataan pil besi yang diminum di daerah perlakuan sebesar 85 pil, lebih tinggi secara bermakna (p<0.05) daripada daerah kontrol (60 pil). Rataan kenaikan kadar Hb di daerah perlakuan sebesar 0.6±1.146 g/dl dan di daerah kontrol sebesar 0.3±1.130 g/dl dan secara statistik berbeda bermakna (p<0.05). Di NTT, meskipun cakupan distribusi pil besi di daerah perlakuan lebih tinggi (14.2%) daripada di daerah kontrol (6.6%), tetapi perbedaan tersebut tidak bermakna. Rataan pil besi yang diminum per ibu hamil selama 3 bulan di daerah perlakuan 52 pil dan di daerah kontrol sebesar 40 pil. Kenaikan kadar Hb di daerah perlakuan sama dengan di daerah kontrol yaitu sebesar 0.4 g/dl.
HUBUNGAN KONSUMSI MAKANAN DENGAN KINERJA PEKERJA WANITA Sukati S.; Y. Krisdinamurtirin; M. Saidin; Murdiana S.; Sri Martuti; Sri Murni P.
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 20 (1997)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.2358.

Abstract

Berbagai usaha telah dilakukan produsen untuk meningkatkan mutu dan jumlah produk oleh perusahaan. Dalam upaya tersebut disamping aspek teknologi, hal lain yang harus diperhatikan adalah kualitas sumberdaya manusia. Salah satu usaha untuk memperoleh pekerja yang berkualitas tinggi adalah perbaikan atau pengaturan konsumsi makanan. Makanan pagi juga makan siang bagi pekerja yang sesuai dengan kecukupan akan dapat mempertahankan kebugaran tubuhnya guna menghasilkan kinerja yang optimal. Penelitian ini bertujuan untuk menilai hubungan konsumsi makanan dengan kinerja pekerja. Subjek pada penelitian ini adalah pekerja wanita yang bekerja di bagian produksi (bekerja secara manual), berumur antara 19-40 tahun, masa kerja di atas 5 tahun, tidak menderita penyakit menahun dan tidak anemi. Dari jenis pekerjaan termasuk pekerja ringan dan pekerja sedang. Data utama yang dikumpulkan: 1) Antropometri, 2) Konsumsi makanan dan zat gizi (energi, protein, lemak dan hidrat arang), 3) Glukosa darah: 2 jam setelah makan pagi dan 2 jam setelah makan siang, 4) Pola kegiatan di tempat kerja, 5) Hasil produksi. Penelitian dilakukan di pabrik jamu Air Mancur Solo. Hasil penelitian menunjukkan bahwa: a) semua pekerja makan pagi sebelum mulai bekerja, namun rata-rata jumlah energi yang dikonsumsi kurang dari 400 Kkal, b) glukosa darah pekerja dengan makan pagi cukup (250 Kkal) tidak berbeda nyata dengan kadar glukosa pekerja dengan makan pagi <200 Kkal, c) tidak ditemukan adanya perbedaan hasil produksi pagi dan siang, d) kelompok pekerja dengan makan pagi cukup (>250 Kkal) mempunyai hasil produksi yang lebih baik daripada kelompok pekerja dengan makan pagi kurang (<200 Kkal), dan e) ada hubungan positif dan nyata antara konsumsi energi sehari dengan jumlah produksi sehari.
PROFIL KESEHATAN IBU HAMIL DI PROPINSI JAWA BARAT DAN NUSA TENGGARA BARAT Sri Martuti; Sukati Saidin
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 20 (1997)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.2360.

Abstract

PROFIL KESEHATAN IBU HAMIL DI PROPINSI JAWA BARAT DAN NUSA TENGGARA BARAT
EFEKTIVITAS SUPLEMENTASI PIL BESI DUA KALI SEMINGGU DAN SATU KALI SEHARI PADA IBU HAMIL M. Saidin; Sukati Saidin; Sri Martuti
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 20 (1997)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.2364.

Abstract

Telah dilakukan penelitian ujicoba penyederhaan suplementasi pil besi dua kali seminggu pada ibu hamil dibandingkan dengan supplementasi pil besi setiap hari dengan dosis yang sama. Penelitian dilakukan di 16 desa, 8 desa di Propinsi Jawa Barat dan 8 desa di Propinsi Nusa Tenggara Timur (NTT). Secara rabdom dibagi menjadi 2 wilayah penelitian yaitu 8 desa pelakuan dan 8 desa kontrol. Di wilayah perlakuan ibu hamil memperoleh supplementasi pil besi 2 x seminggu dan wilayah kontrol ibu hamil memperoleh supplementasi seperti biasa yaitu minum setiap hari. Subjek penelitian adalah ibu hamil dengan umur kehamilan 3-6 bulan. Di wilayah perlakuan diperoleh ibu hamil sebanyak 129 orang dan di wilayah kontrol diperoleh 132 orang. Dosis pil besi yang diberikan adalah pil besi fero sulfat dengan kandungan besi 60 mg dan 0.25 mg asam folat. Supplementasi pil besi diberikan selama 3 bulan (14 minggu). Hasil penelitian menunjukkan bahwa: 1) jumlah pil besi yang diminum ibu hamil di wilayah perlakuan sebanyak 22 pil dan wilayah kontrol 51 pil, 2) supplementasi pil besi dua kali seminggu dapat meningkatkan kadar Hb ibu hamil sebesar 0.4±0.628 g/dl dan dapat meningkatkan kadar Hb ibu hamil (khusus yang anemia) sebesar 0.5±0.802 g/dl 3) supplementasi pil besi setiap hari dapat meningkatkan kadar Hb ibu hamil sebesar 0.5±0.561 g/dl dan dapat meningkatkan kadar Hb ibu hamil (khusus yang anemia) sebesar 0.6±0.541 g/dl, 4) supplementasi pil besi dua kali seminggu dan setiap hari selama 14 minggu belum dapat meningkatkan cadangan besi dalam tubuh, dan 5) dilihat dari kenaikan kadar Hb ibu hamil supplementasi pil besi dua kali seminggu sama efektifnya dengan supplementasi pil besi setiap hari. 
STATUS GIZI BALITA DI KABUPATEN BOGOR PADA KRISIS EKONOMI Dewi Permaesih; Yuniar Rosmalina; Reviana Christijani; Sri Martuti; Susilowati Herman
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 23 (2000)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1489.

Abstract

NUTRITIONAL STATUS OF UNDERFIVE YEARS CHILDREN DURING ECONOMIC CRISIS AT BOGOR DISTRICT.Background: The relationships between nutritional status, growth and development of vital organ have been published else where. The increasing of body weight and height can be used as indicators of good nutritional status of ctildren under five of age. The prevalence of severe malnutrition of children under five years lends to increase. Vitamin A deficiency and anemia were also still problems in Indonesia. The periodic information about nutritional status of children less than five years of age is important.Method: The assessment of nutritional status of under five children had been conducted in the area of 10 Puskesmas in Kabupaten Bogor. The selection of these areas based on the survey in 1992. Data collection was carried out twice in April 1999 and November 1999. The assessment included vitamin A status, anthropometry and hemoglobin level.Results: The result shows there was no case of xerophthalmia among the children. However, analysis shows that 7.3% children under five of age have serum vitamin A level below 10 ug/dl in April 1999 and 6.8 in November 1999.The prevalence of severe malnutrition based on weight for age tend to increase 3.1% (in 1992), 3.9% (in April 1999), and 4.4% (in November 1999). The prevalence of underweight significantly increased (p<0.05) from 11.4% to 24%. The prevalence of wasting also shows significantly increased both at 0-23 months and 24-60 months of age from 4.7% to 13.9% and 6.3 to 11.6% respectively. The prevalence of stunting not significantly increased. The prevalence of anemia increased from 41.7% in 1992 to 48.7% in April 1999 and 49.2% in November 1999. However, the increase was not significant statistically.Key Words: underfive years old, nutritional status, vitamin A status, anemia status.
HUBUNGAN ANTARA ANEMI DAN STATUS BESI DENGAN STATUS IMUNITAS PADA ANAK YANG MENDAPAT VAKSINASI CAMPAK Susi Suwarti Suwardi; Ance Murdiana Dahro; Sri Martuti; Reviana Christiani; Muhilal Muhilal
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 23 (2000)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1496.

Abstract

THE RELATIONSHIP BETWEEN ANEMIA AND IRON STATUS WITH IMMUNE STATUS OF CHILDREN VACCINATED WITH MEASLES VACCINE.Background: Anemia, especially caused by iron deficiency, is one of several health problems in Indonesian children below 5 years of age. That condition seems appear in young children whose food is lack of iron. When those children are going to be vaccinated, how will the result be?.Objective: We sought to determine the relationship between anemia and iron with immune status of children who have got measles vaccine.Method: The study was conducted in village of Bantarjaya district of Bogor, from June 1997 to February 1998 in 86 children above 9 months old who received measles vaccines in local Post Integrated Service (Posyandu). Before intervention, data on physical examination, weight, height, hemoglobin, hematocrit serum ferritin, free erythrocyte protoporphyrin (FEP) and measle immunoglobin G were obtained from all Subjects. Information on morbidity, socioeconomic, environment and food consumption also were recorded. After intervention or six mouths later, the same data were collected again.Results: Subjects were divided into two group; (1) anemic group (Hb<11 g/dl) consisting of 46 subjects (53,5%) and (2) non anemic group (Hb>11 g/dl) with 40 subjects (45,5%). The study revealed that 27,9% subjects have iron deficiency and 43,0% suffered from iron deficiency anemia. Six months after vaccination, the level of measles IgG was increased in 87,4% subjects. The measle IgG level of the non anemic group was increased significantly, but was not significant for the anemic group.Conclusions: There were no relationship between iron status and immune status but however anemic condition influenced the level of measles IgG.Key Words: iron status, anemia, immunoglobulin G.
EFEK SUPLEMENTASI OMEGA-3 PADA PENDERITA ARTRITIS REUMATOID Reviana Christiani; Sri Martuti; Susilowati Herman
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 22 (1999)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1532.

Abstract

Effects of Omega-3 Supplementation on Patients With Rheumatoid Arthritis.A study on omega-3 supplementation was conducted to women of 55-90 years old with active rheumatoid arthritis who stay at home for elderly (in six nursing home) in Bogor. The objective of this study is to see the effects of omega-3 supplementation on patients with active rheumatoid arthritis. Sixty subjects (respondents) were devided into two groups. The first group, 30 respondents, were given an omega-3 capsuls (180 mg EPA and 120 mg DHA) every day for two months; the second group, also 30 respondents, were given placebo capsules (equal). Data collected including identity of respondents, anthropometric, clinical status, radiology (rontgen), and blood sample analysis (LED and ARF). The results of this study showed that omega-3 supplementation proportionally decreased the quantity of patients with morning stiffness significantly, decreased the quantity of patients with joint swelling (not significant), failed inreducing the quantity of patients with joint pain, and failed in changing the value of RF (from + to -) of patients. The omega-3 supplementation on patients with active rheumatoid arthritis also failed in decreasing the average of LED of the patients, and failed in changing the result of rontgen.Keywords: rheumatoid arthritis, EPA & DHA omega-3, supplementtaion, elderly.