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EFEKTIVITAS SUPLEMENTASI VITAMIN A DOSIS TINGGI TERHADAP TINGKAT PENYEMBUHAN DAN STATUS IMUN ANAK BALITA PENDERITA TUBERKULOSIS PARU Susi S. Suwardi; Ance Murdiana; Muhilal Muhilal; Endi Ridwan; Effendi Rustan; Susilowati Herman; Sri Martuti; Tita Miawati
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.v0i0.1533.

Abstract

Effectiveness of High Dose Vitamin A Supplementation on The Recovery Rate and Immune Status of Underfive Children Suffering From Tuberculosis.Tuberculosis (TB), the infectious disease, is still one of the health problems in Indonesia. TB does not just make the people sick physically, but also interfere the immunity. As we have known that vitamin A can improve the immunity. The aimed of this randomized double blind study was to know the effect of high dose vitamin A on the improvement, immune status and the relationship between vitamin A and immune status in TB. Sixtyfive underfive children were selected from the Pediatrics Wards for out patient in Salak and Clsarua Hospital. They were grouped into 11 treatment group who received standard regimen therapy for TB plus high dose vitamin A in each month for 6 months and 21 control group who received the same TB regimen plus placebo also in each month for 6 months. Data on physical examination, weight, height, hemoglobin (Hb), hematocrit (Ht), blood sedimen rate (BSR), serum vitamin A, immunoglobulin G (IgG) to TB, chest X ray (CXR) and food consumption were collected before and after (6 months) intervention. Information on morbidity and socioeconomic also were recorded. To evaluate the degree of improvement, score on nutritional status, BSR and CXR were made. The results showed that after 6 month there were improvement in anthropometry status, morbidity rate, Hb, Ht, BSR, IgG and CXR for both groups. The treatment group was improved in 7.2% subjects meanwhile the control group was improved in 58% subjects. Analysis for scoring improvement showed that the treatment group had better improvement 2,4 times than the control group. The conclusions are that the high dose vitamin A has a positive effect on the recovery and immune status of underfive children suffering TB. This study suggests to give high dose vitamin A to the regimen therapy for TB in children to get better results.Keywords: tuberculosis, vitamin A supplementation, IgG, recovery rate.
PENGARUH PEMBERIAN TABLET BESI SATU KALI SEMINGGU TERHADAP STATUS HB DAN STATUS BESI ANAK SEKOLAH PENERIMA PMT-AS Muhamad Saidin; Sukati Sukati; Ance Murdiana; Joko Pambudi; Effendi Rustan; Sri Martuti; Endi Ridwan; Muhilal Muhilal
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.v0i0.1535.

Abstract

It had been conducted a study on "The Effect of Weekly Iron Supplementation on The Status of Hb and Iron among School Children Receiving PMT-AS". The main objective of the study was to investigate the effect of iron tablets supplementation to iron status of school children receiving PMT-AS. The subjects of this study was primary school children in the fourth, fifth and sicth grades in six schools receiving PMT-AS in sub-district of Sidomulyo, south Lampung. The schools were randomly assigned into three groups. The first group received iron tablets given by school teacher. The second group received iron tablets given by school teacher and under supervision of researcher (nutritionist), and the third group was control. Iron tablets containing 60 mg elemental iron were given weekly for the duration of 4.5 months. The results of study showed: 1. The percentage of anemia subjects at the begining of study in group I, II, III were 60.0%, 58.0%, and 55.1% respectively. 2. Weekly Iron Supplementatioon reduced significantly the percentage of anemia subjects (p<0.05). 3. Weekly Iron Supplementation increased Hb status and iron status significantly (p<0.05). 4. Iron tablets distribution conducted by the school teacher without supervision was as effective as iron tablets distribution under supervision of researcher.Keywords: anemia, PMT-AS (School Feeding Program), iron tablet, hemoglobin status.
PREVALENSI ANEMIA DAN THALASEMIA KARIER PADA KELOMPOK WANITA USIA SUBUR (WUS) Sukati Saidin; Susi Suwarti Suwardi; Ance Murdiana; Reviana Christiani; Sri Martuti; Joko Pambudi; Muhilal Muhilal
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 24 (2001)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1504.

Abstract

PREVALENSI ANEMIA DAN THALASEMIA KARIER PADA KELOMPOK WANITA USIA SUBUR (WUS)
HUBUNGAN KANDUNGAN KLOR SERUM DENGAN HORMON T3/T4 PADA ANAK SEKOLAH DI DAERAH GONDOK ENDEMIK Sukati Saidin; Djoko Pambudi; Sri Martuti; M. Saidin; Susilowati Herman
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 25 No. 1 (2002)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v25i1.1416.

Abstract

ASSOCIATION OF SERUM CHLOR CONTENT WITH T3/T4 HORMONEIN SCHOOL CHILDREN IN IODINE DEFICIENCY REGION.Background: The National Mapping Survey of IDD (1998) found that 7% of sub districts In Indonesia was regarded as severe endemic goitre area (TGR>30%). The high TGR prevalence, beside as a result of low iodized salt consumption (< 30 ppm), It was assumed as the effect of exposure of goitrogenic agent such as chlorine. Based on observation in Karawang sub district showed people had food habit to consume fish contaminated by insecticide used for killing milk fish predator or salted fish which had also contaminated by insecticide used during process of fish drying. Insecticide raw material consists of chlorine which can not be broken by heat or oxidation. Previous study by Gaitan E. (1986) found that chlorine component could inhibit iodine metabolism to form mono and di-iodotyrosine as precursor of T3 and T4 hormones.Objectives: The aim of this study was to find an association of serum chlorine as a reflection of chlorine consumption from daily food with T3 and T4 hormone.Methods: Research design was case control. Study was conducted in Karawang district, West Java. The subject were elementary school children in the fourth, fifth and sixth grades with positive goitre at grade I and II by palpation. Sample size was 140 children divided into two groups, case group (70 children) and control group (70 children). Main data collected was chlorine consumption from daily food, serum chlorine, serum T3 and T4 hormones as well as anthropometries.Results: The result showed that chlorine consumption from food was relatively greater in case group (135.9 ugr/day) than in control group (129.9 ug/day) but statistically it was not significant. Serum chlorine content in case group (1 14.8 mmol/L) was significantly higher than in control group (102.1 mmol/L). Serum T4 hormone in case group (7.3 ug/dl) was significantly lower than in control group (9.5 ug/dl). Serum T3 hormone in case group (1.83 ng/ml) was significantly lower than in control group (2.3 ng/ml). The association of serum chlorine with T4 hormone was low, r = -0.3488 (p=0.001). The association of serum chlorine with T3 hormone was also low, r = -0.2459 (p=0.051).Conclusions: There is less association of serum chlorine with T 3 and T 4 hormones probably caused by other polutant, such as timbal (Pb) and mercury (Hg).Keywords: serum chlor, T3/T4 hormone, iodine deficiency
HUBUNGAN ANTARA ZINC SERUM DENGAN STATUS GIZI LANSIA Fitrah Emawati; Sri Martuti; Joko Pambudi; Rustan Efendi
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 25 No. 1 (2002)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v25i1.1418.

Abstract

RELATIONSHIP BETWEEN ZINC SERUM AND NUTRITIONAL STATUS OF ELDERLY PEOPLE.Background: The findings of study that 30% in Bogor and 27% in Jakarta of elderly people were undernourished. Malnutrition may occur due to infection and low food intake. Among elderly people, one of the factors that causes low food intake is affected by impairment of taste sensory and teeth function. The impairment of taste sensory is influenced by zinc status in the body.Objective: To collect food consumption pattem data of zinc rich foods, zinc concentration in serum and to analyze association of zinc concentration and nutritional status.Methods: Research design was cross sectional, and conducted in two sub districts in Bogor city. The respondents were women in 60-75 years of age, no suffering from illnesses and chronically disease. The total respondent was 90 people, and divided into three groups of 30 peoples. Data gathered included respondent identity, physical examination, anthropometry, blood biochemical and zinc dietary consumption.Results: Zinc dietary consumption adequacy of underweight group was only 30% of recommended dietary allowance, while for normal and overweight groups were 40% of dietary allowance. Zinc serum concentration of underweight group (82 ug/dl) was not significantly different with normal group (85 ug/dl), however differed significantly (p<0.05) with overweight group (95 ug/dl). Underweight group suffered 40% zinc deficiency, 27% for normal and only 7% for overweight group.Conclusions: Zinc deficiency was more prevalent in underweight group than that of normal and overweight group. [Panel Gizi Makan 2002,25: 26-33).Keywords: zinc serum concentration, zinc dietary consumption, underweight
KEKURANGAN VITAMIN A PADA KELOMPOK BAYI DAN FAKTOR YANG BERHUBUNGAN DI KABUPATEN BOGOR Muherdiyatiningsih Muherdiyatiningsih; Nuning M. Kiptiyah; Muhilal Muhilal; Sri Martuti; Frank T. Wieringa; Marjoleine A. Dijkhuizen
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 26 No. 2 (2003)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v26i2.1432.

Abstract

VITAMIN A DEFICIENCY AND ITS RELATED FACTORS IN INFANTS IN BOGOR DISTRICT.Background: Based on clinical indicators, vitamin A deficiency in Indonesia is not a public health problem because the prevalence of xerophthalmia has been decreased to 0.34%. But, this decrease has not been followed by a decrease of marginal deficiency of vitamin A in vulnerable groups, especially infants.Methods: The cross-sectional baseline study was conducted at Bogor District. The aim of the study was to collect information about the vitamin A status of the breastfed infant, and to look for a relationship between many factors related to it. The samples were 183 breastfed infants aged 2-0 months without chronic disease, congenital disease, severe PEM nor twins. The chi-square and the prevalence odds ratio (POR) at the 95% confidence interval were used to measure the association between variables. Multiple logistic regression analysis was used to measure the closest factors to infant's vitamin A status.Results: The study showed that 54.1% of breastfed infants were at risk of vitamin A deficiency. Based on bivariate analysis, there are two significant independent variables related to infants vitamin A status, which are maternal vitamin A status and infant infection status. Multiple logistic regression analysis showed that infection status is the closest factor to vitamin A deficiency in infants, followed by maternal vitamin A status and breast feeding frequency. There are no significant association between supplementary feeding, age, nutritional status and the infant's vitamin A status.Conclusions: Marginal vitamin A deficiency in infants aged 2-10 months is still a public health problem in the research area. The infection status is the closest factor to vitamin A deficiency in infants, followed by maternal vitamin A status and breast feeding frequency.Keywords: vitamin A deficiency, breast feeding, infection, complementary feeding, infant 
RISK FACTORS FOR MORTALITY IN PEDIATRIC TRAUMATIC BRAIN INJURY IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU) OF RSUD DR. MOEWARDI Rusyda, Ayusya Khairunnisa; Sri Martuti; Aisya Fikritama Aditya
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 3 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i3.665

Abstract

Traumatic brain injury (TBI) represents the most common type of injury globally and can lead to death or permanent disability in children. In Indonesia, most existing studies have concentrated on adult TBI cases. This study aimed to identify the risk factors associated with mortality in pediatric patients with traumatic brain injury. This research employed an analytical observational approach with a cross-sectional design. Data were obtained from the medical records of pediatric patients aged 1–18 years diagnosed with TBI and admitted to the PICU of RSUD Dr. Moewardi between January and December 2023. A total of 40 patients were included. Statistical analyses were conducted using the Chi-square or Fisher's Exact test and logistic regression via SPSS. Mortality occurred in 25% of the patients (10 out of 40). Bivariate analysis indicated that a Glasgow Coma Scale (GCS) score ≤8 (OR = 36; 95% CI = 3.79–342.02; p < 0.001) and abnormal pupillary response (OR = 7.99; 95% CI = 2.73–84.18; p = 0.047) were significantly associated with mortality. Multivariate analysis identified a GCS score ≤8 as the most significant risk factor (OR = 22.87; 95% CI = 2.15–243.20; p = 0.009), followed by abnormal pupillary response (OR = 7.99; 95% CI = 2.73–84.18; p = 0.047). In conclusion, a GCS score ≤8 and abnormal pupillary response are significant risk factors for mortality in pediatric TBI patients admitted to the PICU of RSUD Dr. Moewardi.
BASIC IMMUNIZATION STATUS CORRELATED TO MORBIDITY AND MORTALITY OF SEVERE PNEUMONIA IN TODDLERS Eddy Teguh Pribadi; Sri Martuti; Nugroho, Hari Wahyu
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 3 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i3.719

Abstract

Pneumonia is an acute lung infection that often affects toddlers and is a major cause of morbidity and mortality. Routine immunization is an important preventive measure. This study aims to analyze the relationship between immunization status and morbidity and mortality of toddlers with severe pneumonia in the PICU of Dr. Moewardi Regional Hospital. The retrospective cross-sectional analytical study design used medical record data and the Menuju Sehat Card in 34 toddlers. Immunization status was considered complete if appropriate for age. Morbidity was seen from the length of hospitalization, mortality from the status of alive/dead. Analysis used chi-square/Fisher and logistic regression. The results showed that 90% of toddlers with complete immunization were hospitalized for <10 days, while 82.6% with incomplete immunization were hospitalized for ≥10 days (p<0.001). Mortality was higher with incomplete immunization (90.0%) than with complete immunization (45.8%) (p=0.024). DPT3 and smallpox immunization were associated with morbidity, while polio and smallpox were associated with mortality. Conclusion: Basic immunization is an independent predictor of morbidity and mortality in severe pneumonia in toddlers after controlling for age, exclusive breastfeeding, and cigarette smoke exposure.
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
Faktor Risiko Tingkat Keparahan pada Anak dengan Covid-19 di Ruang Isolasi Covid-19 RSUD Dr. Moewardi Gerardo Daniel Fernando; Sri Martuti; David Anggara Putra
Plexus Medical Journal Vol. 3 No. 1 (2024): Februari
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v3i1.1103

Abstract

Pendahuluan: Covid-19 merupakan penyakit infeksi saluran pernapasan yang dapat menyerang semua kalangan usia. Hingga saat ini, penelitian mengenai faktor risiko tingkat keparahan pada pasien anak dengan Covid-19, khususnya di negara berkembang, masih terbatas dengan hasil yang bervariasi. Penelitian ini bertujuan untuk menganalisis usia, jenis kelamin, obesitas, penyakit bawaan, dan asma sebagai faktor risiko tingkat keparahan Covid-19. Metode: Penelitian menggunakan metode deskriptif desain cross sectional yang dilakukan pada bulan Mei-September 2023 di Rumah Sakit Dr. Moewardi dengan jumlah sampel sebanyak 60 pasien dengan data sekunder dan diolah menggunakan SPSS analisis chi square dan uji regresi logistik. Hasil: Dari 60 pasien yang diteliti dalam penelitian ini 40% di antaranya mengalami tingkat keparahan kritis. Berdasarkan analisis multivariat, terdapat satu variabel yang memengaruhi tingkat keparahan, yaitu penyakit jantung bawaan (OR = 6,000, 95% CI: 1,890-19,043, p = 0,002). Sementara itu, variabel usia hanya berpengaruh signifikan pada analisis bivariat. Untuk variabel jenis kelamin, obesitas, dan asma tidak menunjukkan hasil yang signifikan pada analisis bivariat. Kesimpulan: Faktor risiko yang memengaruhi tingkat keparahan yaitu pasien dengan riwayat penyakit jantung bawaan.