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Perspectives on Neonatal Visits Coverage in Serdang Bedagai Regency Indonesia: A Qualitative Munthe, Novita Br Ginting; Machmud, Rizanda; Semiarty, Rima; Serudji, Joserizal; Bachtiar, Adang; Yani, Finny Fitry; Symond, Denas; Nelwati, Nelwati
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4092

Abstract

The purpose of neonatal visits is to re-examine newborns, review counseling and anticipation guidelines with parents, identify symptoms of illness, and educate and support parents. The purpose of neonatal visits is to improve neonatal access to basic health services and to find out as early as possible if there are abnormalities in the baby or if there are problems. One important indicator to describe the level of public health is the infant mortality rate. Objective to find out more about the perspectives on neonatal visit coverage in Serdang Bedagai District, Indonesia. The study was a qualitative with phenomenology approach. Twenty-five informants were applied in this study using purposive sampling. Data were collected using in-depth interviews. Data were analyzed using content analysis by the collaizi method. The study emerged nine themes, namely: 1) knowledge about neonatal visits; 2) neonatal visit quantity standards; 3) neonatal visit quality standards; 4) health care workers providing neonatal visiting services; 5) purpose of neonatal visits; 6) relationship between education and neonatal visit compliance; 7) relationship between husband/family support and neonatal visit compliance; 8) reasons for non-compliance with neonatal visits; and 9) culture in support of public health. These results can be input for policymakers to increase the coverage of neonatal visits in Serdang Bedagai Regency, Indonesia.
CONCORDANCE OF THE SCORING SYSTEM AND GENE-XPERT MTB/RIF TO DIAGNOSE CHILDHOOD TUBERCULOSIS IN PRIMARY HEALTH CARE Zeffira, Laura; Finny Fitry Yani; Rizanda Machmud
Jurnal EduHealth Vol. 12 No. 02 (2022): Edition March, Jurnal EduHealth
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (839.639 KB) | DOI: 10.54209/jurnaleduhealth.v12i02.162

Abstract

The Scoring system developed by the Indonesian childhood tuberculosis working group is an alternative way to clinically diagnose TB in children especially in primary health care, however, bacteriological confirmation using gene-Xpert MTB/RIF is still highly recommended. To compare childhood TB scoring system performance and gene-Xpert MTB/RIF results among children suspected of tuberculosis in primary health care. This study was conducted on 47 children who went to the primary health care facility. The design of this study was a cross-sectional study with a conformity test (kappa). Samples that meet the inclusion criteria are recorded in the form of age, gender, weight, height, nutritional status, previous history of BCG vaccination, and physical examination, then the data is entered into the scoring system. Sputum is obtained by induction and then examined using gene-Xpert. The number of boys and girls suspected of having pulmonary TB is almost the same. About 72% of children experience malnutrition and a positive BCG score is found in more than half of the samples. There were 51.1% of children in contact with positive smear adult TB patients. Based on the scoring system obtained a TB diagnosis of 74.5% whereas based on gene-Xpert MTB/RIF examination only 4.3% of children confirm TB. There is no match between the two (conformity test with the kappa values of -0.01 and suitability 0.397). There is no compatibility in making a diagnosis of pediatric tuberculosis between the scoring system and gene-Xpert MTB/RIF at the primary health care facility.
Hubungan Laju Endap Darah (LED) dengan Kejadian Syok pada Pasien Multisystem Inflammatory Syndrome in Children (MIS-C) Rahmi, Yannisa Mutiara; Ihsan, Indra; Indra, Beni; Yani, Finny Fitry; Rofinda, Zelly Dia
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1094

Abstract

Latar Belakang: Multisystem Inflammatory Syndrome in Children (MIS-C) merupakan respon inflamasi yang melibatkan > 2 organ pasca infeksi SARS-CoV-2. Pemeriksaan marker inflamasi dapat membantu klinisi dalam menegakkan diagnosis dan memprediksi luaran buruk, seperti kejadian syok. Laju endap darah (LED) merupakan marker inflamasi yang murah dan mudah dilakukan di layanan primer yang memiliki keterbatasan fasilitas. Objektif: Mengetahui hubungan LED dengan kejadian syok pada pasien MIS-C yang dirawat di RSUP Dr. M. Djamil Padang. Metode: Jenis penelitian ini adalah analitik retrospektif dengan menggunakan data rekam medis pasien yang memenuhi kriteria inklusi dan eksklusi. Penelitian dilakukan di RSUP Dr. M. Djamil Padang pada pasien yang didiagnosis MIS-C sesuai kriteria World Health Organization (WHO). Data kemudian dianalisis dengan uji Mann-Whitney. Hasil: Penelitian ini mendapatkan median LED adalah 25,5 (1-117) mm/jam pada pasien MIS-C. Sebanyak 43,8% pasien mengalami syok. Uji statistik Mann-Whitney menunjukkan bahwa tidak terdapat perbedaan yang signifikan antara nilai LED pada pasien MIS-C yang mengalami syok dengan yang tidak (p = 0,055). Kesimpulan: Median LED pada pasien MIS-C ditemukan meningkat melebihi batas normal. Pasien MIS-C yang mengalami syok memiliki median nilai LED yang lebih tinggi jika dibandingkan dengan yang tidak (43 vs. 19,5 mm/jam), namun tidak terdapat hubungan yang signifikan antara nilai LED dengan kejadian syok pada pasien MIS-C. Pemeriksaan LED tidak dianjurkan untuk digunakan dalam memprediksi kejadian syok pada pasien MIS-C. Kata kunci: Laju Endap Darah, Luaran, MIS-C, SARS-CoV-2, Syok
Penurunan Kasus Tuberkulosis Anak saat Pandemi Covid-19 di RSUD Dr. Achmad Mochtar Bukittinggi Humaira, Hamdini; Fitria, Liza; Alkamdani, Riki; Yani, Finny Fitry
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1278

Abstract

Abstrak Latar Belakang: Pandemi COVID-19 berdampak pada layanan esensial tuberkulosis (TB) di seluruh dunia. Objektif: Penelitian ini bertujuan untuk mendeskripsikan profil TB anak sebelum dan selama pandemi COVID-19 pada pasien rawat jalan anak di Rumah Sakit Dr. Achmad Mochtar Bukittinggi, Sumatera Barat, Indonesia. Metode: Penelitian ini dilakukan secara deskriptif retrospektif, dari data rekam medis pasien rawat jalan TB anak tahun 2017-2022 di Rumah Sakit Dr. Achmad Mochtar Bukittinggi. Data usia, jenis kelamin, klasifikasi diagnosis TB, gejala dan tanda dikumpulkan. Kami juga membandingkan total kasus sebelum (2017-2019) dan saat (2020-2022) pandemi COVID-19. Hasil: Subyek yang terdiagnosis TB anak sebanyak 164 anak, sebagian besar berusia 5-14 tahun (56,1%) dan berjenis kelamin laki-laki (53%). TB paru sebanyak 65,9% dan sebagian besar didiagnosis berdasarkan sistem skor TB anak Indonesia (68,9%). Gejala terbanyak adalah batuk >2 minggu (75%), diikuti gizi buruk (70,1%), dan demam >2 minggu (55,5%). Pembesaran kelenjar getah bening sebanyak 51,8% dan tidak ada pembengkakan sendi atau tulang. Tes kulit tuberkulin positif ditemukan sebanyak 62,2% dan rontgen dada menunjukkan sugestif TB pada 25,6% pasien. Dalam analisis perbandingan, kami menemukan bahwa jumlah kasus TB anak mengalami penurunan yang signifikan (p<0,01) selama pandemi COVID-19 mencapai 70% dibandingkan sebelumnya. Namun tren kasus TB anak kembali meningkat pada tahun 2022 lebih dari 100%. Kesimpulan: Terjadi penurunan kasus TB anak secara signifikan selama pandemi COVID-19, namun meningkat tajam pada tahun 2022. Kata kunci: COVID-19, tuberkulosis anak
Effect of Diagnosis, Complications, and Nutrition for Using Nasogastric Tube to Body Weight of Child Patients with Feeding Difficulty at Dr. M. Djamil General Hospital, Padang, Indonesia Youri, Riana; Gustina Lubis; Finny Fitry Yani; Aumas Pabuti; Didik Hariyanto; Yusri Dianne Jurnalis; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 6 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i6.1008

Abstract

Background: Several conditions in children can cause nutritional intake via the oral route to be inadequate. Providing enteral nutrition via a nasogastric tube (NGT) is an alternative option. Research on the use of NGTs in Indonesia is still limited, so this research aims to determine the effect of NGT use on the weight of pediatric patients with feeding difficulties at Dr. M. Djamil General Hospital, Padang. Methods: Experimental research with a pre and post-test-only design was conducted on 96 children aged 1 month - 18 years in the children's inpatient room at Dr. M. Djamil General Hospital, Padang. Body weight measurements were carried out before and after using NGT for 4 weeks (January 2022 – January 2023) at the pediatric nutrition and metabolic diseases polyclinic. Data were analyzed using paired t-test and ANOVA. Results: Most subjects (40.9%) were in the 1-12 month age group. The most common type of nutrition was ONS (oral nutritional supplements) (84.4%), the most common diagnosis was pulmonology (33.3%), and the majority were without complications (72.9%). There is an influence on the child's weight before and after using NGT (p-value <0.01). Significant differences were also found in changes in children's weight with diagnosis and complications (p<0.01). Conclusion: The use of NGT can increase the weight of pediatric patients who have feeding difficulties at Dr. M. Djamil General Hospital, Padang. Significant differences were found in changes in children's weight by diagnosis and complications.
Effect of Diagnosis, Complications, and Nutrition for Using Nasogastric Tube to Body Weight of Child Patients with Feeding Difficulty at Dr. M. Djamil General Hospital, Padang, Indonesia Youri, Riana; Gustina Lubis; Finny Fitry Yani; Aumas Pabuti; Didik Hariyanto; Yusri Dianne Jurnalis; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 6 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i6.1008

Abstract

Background: Several conditions in children can cause nutritional intake via the oral route to be inadequate. Providing enteral nutrition via a nasogastric tube (NGT) is an alternative option. Research on the use of NGTs in Indonesia is still limited, so this research aims to determine the effect of NGT use on the weight of pediatric patients with feeding difficulties at Dr. M. Djamil General Hospital, Padang. Methods: Experimental research with a pre and post-test-only design was conducted on 96 children aged 1 month - 18 years in the children's inpatient room at Dr. M. Djamil General Hospital, Padang. Body weight measurements were carried out before and after using NGT for 4 weeks (January 2022 – January 2023) at the pediatric nutrition and metabolic diseases polyclinic. Data were analyzed using paired t-test and ANOVA. Results: Most subjects (40.9%) were in the 1-12 month age group. The most common type of nutrition was ONS (oral nutritional supplements) (84.4%), the most common diagnosis was pulmonology (33.3%), and the majority were without complications (72.9%). There is an influence on the child's weight before and after using NGT (p-value <0.01). Significant differences were also found in changes in children's weight with diagnosis and complications (p<0.01). Conclusion: The use of NGT can increase the weight of pediatric patients who have feeding difficulties at Dr. M. Djamil General Hospital, Padang. Significant differences were found in changes in children's weight by diagnosis and complications.
Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra Yani, Finny Fitry; Izzah, Amirah Zatil; Alkamdani, Riki; Widoyo, Ratno
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p8-16.2024

Abstract

Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association. Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44). Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients.
Co-Authors Abi Andayu Adang Bachtiar Adefri Wahyudi Afdal Afdal Afdal Ahmad Junaidi Ahmad Kurniawan Akbar Aidil Rahman Novesar Alfi Maido Alius Alkamdani, Riki Amelin, Fitrisia Amirah Zatil Izzah Andani Eka Putra Ariescha, Putri Ayu Yessy Arni Amir Arwin AP Akib Asrawati Asrawati Aumas Pabuti Aumas Pabuti Bachti Alisjahbana Bambang Supriyatno Beni Indra, Beni Br Ginting Munthe, Novita Chicy WIdya Morfi Chika Aulia Husna Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfious Basir Darmawan B. Setyanto Dasman, Hardisman Denas Symond Desmawati Destri Linjani Devi Gusmaiyanto Devita, Retno Dhyna Lidya Lestari Diana Nur Asrini Didik Hariyanto Didik Hariyanto Dini Anggini Diska Yulia Trisiana Diska Yulia Trisiana Dita Maharani Dwiana Ocviyanti Dwihardiani, Bintari Dya Mulya Lestari Edison Edison Efrida Efrida Efrida Eka Agustia Rini Elsesmita Elsesmita Emeraldy Chatra Erkadius Erkadius Erli Meichory Viorika Eryati Darwin Fachry Abda El Rahman Fauzar Fauzar Felisia . Firman Arbi Gustina Lubis Gustina Lubis Hafifatul A Rahmy Hafni Bachtiar Hanifa Hanif Hardisman Dasman Harun Harnavi Helmizar Hervita Yeni Hirowati Ali, Hirowati Humaira, Hamdini Husna Yetti Ied Imilda Ihsan, Indra Ikhsan Marzony Ilmiawati Ilmiawati, Ilmiawati Imil Irsal Imran Indra Ihsan Indrapriyatna, Ahmad Syafruddin Indri Permata Rani Irhamna Yusra Irvan Medison Irvan Medison Irvan Medison Iskandar Fitri, Iskandar Koesoemadinata, Raspati C. Lita Farlina Liza Fitria Liza Fitria, Liza Lydia Aswati, Lydia Machdawaty Masri Masri Marhefdison Marhefdison Muhammad Hendri Munthe, Novita Br Ginting Nastiti Kaswandani Nelwati, Nelwati Nia Kurniati Nice Rachmawati Nina Dwi Putri Nisa Haska Maulina Novi Violona Edwar Nur Afrainin Syah Nur Indrawaty Lipoeto Nurul Noviarisa Osharinanda Monita Rahmi Lestari Rahmi, Yannisa Mutiara Rapida Saragih Ratno Widoyo, Ratno Revi Riliani Ricco Azali Riki Alkamdani Rima Semiarty Rina Triasih Rinang Mariko Rizanda Machmoed Rizanda Machmoed Rizanda Machmud Rizanda Machmud Rizki Meizikri Roni Eka Sahputra Roza Erisma Roza Kurniati Russilawati, Russilawati Sahputra, Roni Eka Sari, Maharani Permata Shinta Ayudhia Stephen M. Graham, Stephen M. Susmiati Susmiati Syahredi SA Trisasi Lestari, Trisasi Triyanto Triyanto Utari Gustiany G Viorika, Erli Meichory Youri, Riana Yuhandri Yuhandri, Yuhandri Yuniar Lestari Yuniar Lestari Yusrawati Yusrawati Yusri Dianne Jurnalis Yusri Dianne Jurnalis Zeffira, Laura Zelly Dia Rofinda