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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Majalah Kedokteran Bandung Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi The Indonesian Journal of Public Health Sari Pediatri Paediatrica Indonesiana Belitung Nursing Journal Jurnal Gizi Klinik Indonesia Jurnal Kesehatan Reproduksi Media Ilmu Kesehatan Journal of Community Empowerment for Health Jurnal Aisyah : Jurnal Ilmu Kesehatan Berita Kedokteran Masyarakat Jurnal Kebidanan dan Keperawatan Aisyiyah Academic Hospital Journal Jurnal Ilmiah Kesehatan Keperawatan Indonesian Journal of Pharmacology and Therapy

Mei Neni Sitaresmi

Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta

Author-ID : 382474

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Hypovitaminosis D as a risk factor for severe autism spectrum disorder Diyah Rakanita Undang; Mei Neni Sitaresmi; Roni Naning
Paediatrica Indonesiana Vol 61 No 2 (2021): March 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.2.2021.82-8

Background Vitamin D is an important risk factor for autism spectrum disorder (ASD). However, research on hypovitaminosis D as a risk factor for severe ASD has been limited. To our knowledge, no such studies have been done in Indonesia. Objective To evaluate hypovitaminosis D as a risk factor for severe ASD. Methods This cross-sectional study included children aged 2-18 years who fulfilled the ASD DSM-5 diagnostic criteria. Subjects were consecutively sampled from April - June 2019 at the Child Growth and Polyclinic, Dr. Sardjito General Hospital, Yogyakarta. Assessment of ASD severity was carried out using the Childhood Autism Rating Scale Second Edition (CARS-2) questionnaire. Serum 25(OH)D examination was done in the Clinical Laboratory, Dr. Sardjito General Hospital. Results Of 36 children with ASD, 36.1% had hypovitaminosis D (<30 ng/mL) and 69.4% had severe ASD, based on the CARS-2 questionnaire (â‰¥37-60). Bivariate analysis revealed that children with hypovitaminosis D had more severe CARS-2 values â€‹â€‹(92.3%) compared to those with normal vitamin D levels (56.5%) (PR 1.633; 95%CI 1.10 to 2.42; P=0.031). Multivariate analysis with logistic regression revealed that hypovitaminosis D increased the risk of severe ASD (PR 1.65; 95%CI 1.06 to 2.56; P=0.037). However, other variables such as gender, parental education, attention deficit and hyperactivity disorder (ADHD), epilepsy, sleep disorders, pharmacotherapy and non-pharmacotherapy had no significant relationships with severe ASD. Conclusion Children with ASD and hypovitaminosis D have a 1.65 times higher risk of severe ASD compared to children with ASD and sufficient vitamin D levels. We recommend that children with ASD undergo serum 25(OH)D monitoring.

Growth and development in an extremely low birth weight infant with osteopenia of prematurity: a case report Syifa Armenda; Tunjung Wibowo; Mei Neni Sitaresmi
Paediatrica Indonesiana Vol 62 No 2 (2022): March 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.2.2022.143-8

Caring for extremely low birth weight (ELBW) infants remains a challenge in developing countries due to high morbidity and mortality rates. In Dr. Sardjito Hospital, Yogyakarta, the ELBW survival rate was 39.3%.1 Expected outcomes of these ELBW survivors are increased risk of mortality during the infant period and short term as well as long term complications.2 Osteopenia of prematurity is a comorbidity that can interfere with longterm growth and neurodevelopment.3 Osteopenia of prematurity is found in approximately 55% of babies with ELBW.4 Antenatal demineralization is aggravated by improper nutritional interventions during perinatal care and post-discharge care. This comorbidity is asymptomatic in the infantâ€™s early life, but later contributes to linear growth failure, delayed teeth eruption, respiratory problems, and bone fractures in ELBW babies.3 Early detection and prompt management of osteopenia of prematurity are needed for all ELBW infants. Here we present a case of an ELBW infant with osteopenia of prematurity who we observed for 18 months. The child underwent multidisciplinary interventions for modifiable prognostic factors to support optimal achievement of growth and neurodevelopment.

INISIASI MENYUSU DINI MENJAGA KESTABILAN SUHU PADA BAYI BARU LAHIR Nuli Nuryanti Zulala; Mei Neni Sitaresmi; Sulistyaningsih
MEDIA ILMU KESEHATAN Vol 7 No 1 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i1.222

Background: Hypothermia contributes 6.3% to neonatal mortality. Interventions to keep newborns warm can reduce neonatal mortality by 18-42%. Early Breastfeeding Initiation (EBI) is a simple intervention that reduces the risk of neonatal death. Objective: The aim of this study to determine the difference of axillary temperature of newborn between improper EBI group and proper EBI group for 24 hours. Methods: This prospective cohort study was conducted at Aisyiyah Muntilan Hospital. Sixty-two healthy newborns from healthy mothers born in November 2016 who meet the inclusion and exclusion criteria. Subjects were grouped in improper EBI groups (n=32) and proper EBI groups (n=32). Axila temperature measurements were performed at 1st minute, 30th minute, 60th minute, 6th hour, 12th hour, 24th hour. Results: The result of the hypotermic occurrence is more happened on improper EBI than proper EBI. EBI is able to prevent hypothermia during the first 24 hours of newborn life Conclussions: Infants with proper EBI have a lower risk of hypothermia. Keyword: Early Breastfeeding Initiation, Hypothermia, Newborn

Kadar kalsium serum pada anak stunting dan tidak stunting usia 24-59 bulan Yulinda Kurniasari; Mohammad Juffrie; Mei Neni Sitaresmi; Muhammad Dawam Jamil
Jurnal Gizi Klinik Indonesia Vol 12, No 3 (2016): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Children with stunning as the accumulations of the lack of nutrient or continuous infection are highly at risk to suffer from illness and death. In developing country, there are 165 million children under the age of suffering from stunting. Research done showed that nationally stunting prevalence in 2013 is 37,2 percent. West Borneo is one of the twenty provinces with the stunting prevalence above the national average. During the growth period, children need calcium, especially for ossification. The lack of calcium is mainly caused by inadequate intake and or non-optimal calcium absorption. Some of the previous research has shown that the level of calcium serum of children with stunting has significantly lowered than the normal children.Objective: The aim of this study was to analyze the calcium serum level of the children with stunting aged 24-59 months in Pontianak City.Method: This study is a cross-sectional design. It conducted in East Pontianak and North Pontianak subdistricts, from July to August 2015. A number of samples were 90 children. Statistical analysis was performed using chi-square, t-test, and logistic regression.Results: There was no significance in serum calcium level between stunting and nonstunting children (p=0,193). The average of the calcium serum level of the stunting children was 12,14±1,97 mg/dl, while the nonstunting children were 12,16±1,63 mg/dl. The t-test showed that there was no significant difference (p=0,966).Conclusion: There is no significant difference of the calcium serum level between the stunting and nonstunting children aged 24- 59 months in Pontianak City (p=0,193).

Asupan protein, kalsium dan fosfor pada anak stunting dan tidak stunting usia 24-59 bulan Endah Mayang Sari; Mohammad Juffrie; Neti Nurani; Mei Neni Sitaresmi
Jurnal Gizi Klinik Indonesia Vol 12, No 4 (2016): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.23111

Background: Indonesia is one of developing country which still facing a serious problem concerning stunting. Causes of stunting is a complex things, one of the cause is protein intake which is have effect on the level plasma insulin growth factor I (IGF-I), protein bone matrix and growth factor, also calcium and phosphorus that has an important role in bone formation. One of the province in Indonesia which has stunting prevalence above level of National prevalence is West Borneo. Pontianak as the capital city of West Borneo is still facing serious problem concerning stunting and the low level of food security.Objective: Analyze protein, calcium and phosphorus intake of stunting and non stunting children aged 24-49 months in Pontianak.Method: The study was an analytical observational with cross sectional design. Samples of the study were children aged 24-59 months in the districts of East Pontianak and North Pontianak, West Borneo, as much as 90 samples have been chosen by using simple random sampling technique. The research was conducted from July - August 2015. Statistical analysis was performed by using chi square and t-test.Results: Protein, calcium and phosphorus intake are lower to the stunting compare to non stunting children (p<0,05). Stunting prevalence of lower protein group is higher 1,87 times than adequate protein intake group. Stunting prevalence of low calcium intake group is higher 3,625 times than adequate calcium intake group. Moreover, the stunting prevalence of low phosphor intake group is higher 2,29 times than adequate phosphor intake group.Conclusion: Protein, calcium and phosphor intake significant lower to the stunting compare to non stunting children aged 24- 59 months in Pontianak.

Praktik pemberian makan terhadap kejadian kurus pada anak baduta Fithia Dyah Puspitasari; Mei Neni Sitaresmi; Susetyowati Susetyowati; Iram Barida; Kartika Handayani
Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.26057

Background: Wasting is an acute malnutrition form that interrupts immune function, prolong duration of infection and in the end increase mortality risk of children. It is not clear yet which risk factor leading to wasting, simply because wasting-suspected risk factors were also involved in another kind of malnutrition such as stunting and underweight.Objective: To determine whether infant and young child feeding practices is risk factor for wasting in under two year children.Method: This research was mix method research which used matching case control design for quantitative research and focus group discussion to gather information in qualitative research. Case were wasting children age 3-23 months old (z-score WHZ <-2 SD) while control were non-wasting children age 3-23 months old (z-score WHZ ≥-2 SD). This research involved 106 under-two years old children and 14 nutritionist from 14 community health center which randomly chosen. Control group was matched by age and socio economic to case group.Results: Case group had more proportion of inappropriate feeding practices (26.41%% vs 20.75%). More than half respondent failed to meet Indonesian recommended dietary allowance for energy (57.55%). Inappropriate infant and young child feeding practice significantly did not increased risk of wasting in under two children at Yogyakarta (OR=1.4; 95% CI:0.62-3.36; p=0.523). Nutritionist from community health center focused in consultation and counseling in effort to increase infant and young child feeding practice.Conclusion: Feeding practices in under-two children in Yogyakarta was already good. Infant and young child feeding practice was not risk factor for wasting in under two years old children at Yogyakarta.

Perbedaan asupan makan balita di perkotaan dan perdesaan pada provinsi dengan beban gizi ganda Puji Lestari; Susetyowati Susetyowati; Mei Neni Sitaresmi
Jurnal Gizi Klinik Indonesia Vol 17, No 2 (2020): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.46304

Differences in food intake among children under five years in urban and rural areas in provinces with the double burden of malnutritionBackground: The double burden of malnutrition is one of the nutritional problems in children at national and global levels. Food intake is the main cause of the double burden of malnutrition. Differences in residence in urban and rural areas will affect food access which will have an impact on different food intake. Objective: To analyze the differences in energy, protein, fat, and carbohydrate intake of children under-fives in urban and rural areas in provinces with the double burden of malnutrition. Methods: This research used secondary data analysis using the Total Diet Study (TDS) 2014. The subjects of this study were 813 children in provinces with a dual burden of malnutrition that fulfilled the inclusion and exclusion criteria. Provinces with the double burden of malnutrition are provinces with a prevalence of underweight children aged ≥24-59 months at >22.36% and a prevalence of overweight children age ≥24-59 months at >1.23%. Total Diet Study (TDS) data will provide information on food intake of children through recall results, differences in residence obtained from district classification data, the double burden of malnutrition data obtained from children nutritional status is overweight and underweight based on weight and age data of children processed using WHO-ANTRO software. Results: The average intake of energy, protein, and fat in the urban area are higher than in a rural area, but the average carbohydrate intake in an urban area is lower than in a rural area. The average intake of energy in urban was 1300.01 kcal, in rural areas was 1223.23 kcal (p=0.0008). The average intake of protein in urban was 55.03 g, in rural areas was 47.67 g (p<0.0001). The average intake of fat in urban was 47.99 g, in rural areas was 37.12 g (p<0.0001). The average intakes of carbohydrate in urban were 163.61 g, in rural areas was 178.88 g (p=0.0042).Conclusions: There are differences in energy, protein, fat, and carbohydrate intake of children under five years in urban and rural areas in provinces with the double burden of malnutrition.

Analisis Pelaksanaan Trias Usaha Kesehatan Sekolah (UKS) dan Perilaku Hidup Bersih dan Sehat (PHBS) di SLB C di Bantul Rahmah Widyaningrum; Mei Neni Sitaresmi; Lely Lusmilasari
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Evaluation of triage programs school health unit and clean and health living behavior in school for children with special educational needs BantulPurposeThis study aimed to get an overview of school health unit and implementation of clean and health living behavior in school for children with special educational needs. MethodsThis research used qualitative methods with a case study approach. Participants of the study included the principal, the teacher, students and public health center staff, the senior managers of the school, and the Yogyakarta provincial youth and sports education department. Qualitative data were obtained through in-depth interviews, observations, and documentation studies. ResultsThe implementation of trias school health unit program was in the good category. Some clean and health living indicators were still in low category. The obstacles of the school health unit and clean and health living behavior program implementation were limited understanding of students, low coverage of teacher and school training, economic conditions and parental attitudes, school readiness, and involvement of relevant agencies. Factors affecting school health unit implementation included curriculum, school organization, and partnership. ConclusionThe implementation of school health unit and clean and health can be enhanced through partnership optimization with community health centers, related offices, non-governmental organizations, and education and health universities.

ketepatan waktu vaksinasi campak sebagai faktor preventif kejadian campak di Kota Yogyakarta Anggraeni Budi Lestari; Mei Neni Sitaresmi; Tunjung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Timely measles vaccination as a preventive factor on measles occurrence in YogyakartaPurposeThis study aimed to see the relation of timely measles vaccination on measles occurrence.MethodsThis research was a matched case control study. A total of 33 cases and 33 controls were used as samples. Case subjects were toddlers aged 9-48 months with measles clinical symptoms (fever, rash and one of cough, cold/runny or conjunctivitis) who were diagnosed by clinic doctors and confirmed by laboratory (positive IgM) and children without measles (healthy) in the same period who came from the neighboring areas in the city of Yogyakarta as controls.ResultsBivariable analysis showed a significant correlation between timely measles vaccination with occurrence of measles disease where p = 0.0042 and OR = 7 (95% CI: 1.60-63.45). On multivariate analysis, after controlling by including gender and maternal education gained correlation between measles vaccination views of the value of p = 0.008, OR-8.2 (95% CI: 1.7-40.3), gender OR = 0.95 (95% CI = 0.3-2.7 ) and maternal education OR = 1.96 (95% CI = 0.4-9.5).ConclusionThere was a correlation between timely measles vaccination with the occurrence of the disease of measles in the city of Yogyakarta.

Asuhan bidan dan perawat yang tepat mengurangi risiko kejadian hipotermi pada bayi baru lahir Nuli Nuryanti Zulala; Mei Neni Sitaresmi; Sulistyaningsih Sulistyaningsih
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 14, No 1 (2018): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Penelitian kohort prospektif ini bertujuan untuk mengetahui pengaruh asuhan bidan dan perawat terhadap kejadian hipotermi pada bayi baru lahir. Subyek dikelompokan dalam kelompok asuhan tidak tepat (n=32) dan kelompok asuhan tepat (n=32). Observasi asuhan bidan dan perawat menggunakan checklist the warm chain dari WHO. Pengukuran suhu axila dilakukan pada menit ke-30, menit ke-60, jam ke-6, jam ke-12, jam ke-24. Hasil penelitian menunjukan asuhan perawat dan bidan yang tepat menurunkan risiko 1,4 kali kejadian hipotermi pada bayi baru lahir.

Co-Authors Abdul Wahab Ade Febrina Lestari Afrilia Intan Pratiwi Agung Triono Agung Triono, Agung Akhmadi Akhmadi Albaaza Nuady Albayani, Melati Inayati Albayani, Melati Inayati Alifah Anggraini, Alifah Anggraeni Budi Lestari Anita E. Heywood Anjarsari Haspitaningrum Arhana, Arhana Ari Prayitno, Ari Arief Tarmansyah Iman Aries Suparmiati Azwar Aruf Barida, Iram Budi Santosa Chandini Raina MacIntyre Cissy B. Kartasasmita Cissy B. Kartasasmita Damroni, Rais Aliffandy Dewi Mutiati Ratnasari Dina Rismawati Diyah Rakanita Undang Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djelantik, I.G.G. Dominicus Husada Dwi Prasetyo Dwi Prasetyo Elisabeth Siti Herini Elsa Maimon Ema Madyaningrum Endah Mayang Sari Faisal Husien Ferry Andian Sumirat Firda Ridhayani Fithia Dyah Puspitasari Fithia Dyah Puspitasari, Fithia Dyah Fitri Haryanti Gatot Irawan Sarosa Gatot Irawan Sarosa, Gatot Irawan Hanifah Oswari Hari Wahyu Nugroho Hartono Gunardi Haspitaningrum, Anjarsari Hindra Irawan Satari, Hindra Irawan Holly Seale I Gusti Agung Trisna Windiani Indria Laksmi Gamayanti Indria Laksmi Gamayanti Iram Barida Iskandar, Kristy Ismoedijanto Jamil, Muhammad Dawam Jarir Atthobari Julitasari Sundoro Kartika Handayani Kartika Handayani Kurniasari, Yulinda Kurniasari, Yulinda Kurniawati Arifah Kusnandi Rusmil Kusuma Ayu Rachmasari Laksono, Bima Adi Lely Lusmilasari, Lely Lestari, Ade Febrina Luh Putu Rihayani Budi Madarina Julia Maddepunggeng, Martira Mayae Hugo Mayae Hugo Medina Permatawati Mohammad Juffrie Mohammad Juffrie Mohammad Juffrie, Mohammad Mooiindie, Khansadhia Hasmaradana Muhammad Dawam Jamil N Nurlaila Nastiti Kaswandani Nenny Sri Mulyani Neti Nurani Novilia Sjafri Bachtiar Nugrahanto, Andika Priamas Nurlaila, N Ova Emilia Paramastuti, Avianti Pradipta, Afradilla Hanum Prasetyo, Ashadi PUJI LESTARI Puji Lestari Purwanta Purwanta Rachmasari, Kusuma Ayu Raihan Raihan, Raihan Ramdaniati, Sri Ratih Wulandari Ratih Wulandari Ratni Indrawanti Retna Siwi Padmawati Ridhayanti, Firda Rini Mulia Sari Risalia Reni Arisanti Roni Naning Rosana, Elvira Sari, Endah Mayang Sari, Shinta Kusumalarna Setyo Handryastuti, Setyo Shinta Kusumalarna Sari Shyrien Amalina Sigit Prastyanto Siti Helmyati Soedjatmiko Soedjatmiko Soedjatmiko Soeroyo Machfudz Sri Rezeki Hadinegoro, Sri Rezeki Sri Rezeki S. Hadinegoro Sri Rezeki S. Hadinegoro, Sri Rezeki S. Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih, Sulistyaningsih - Sumadiono Sumadiono Sunartini Sunartini, Sunartini Sundari, Ririn Isma Supriyati Susetyowati Syafriyal Syafriyal, Syafriyal Syahperlan Wendi Simangunsong Syawitri P. Siregar Syifa Armenda Timoti, Joshua Tony Arjuna Tunjung Wibowo Tunjung Wibowo Wahyu Damayanti Wibowo, Anton Sony Widyaningrum, Rahmah Yati Soenarto Zakiuddin Munasir Zakiudin Munasir Zulala, Nuli Nuryanti

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