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Sensitivitas dan Spesifisitas Kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC) untuk Diagnosis Lupus Eritematosus Sistemik Sembiring, Krisnarta; Irsa, Lily; Evalina, Rita; Lubis, Mahrani
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Lupus eritematosus sistemik (LES) merupakan penyakit autoimun yang sering dijumpai pada remaja. Manifestasi klinis yang bervariasi dengan perjalanan penyakit yang sulit diduga menyebabkan angka kecacatan dan kematian penyakit ini cukup tinggi. Terdapat dua kriteria penegakan diagnosis LES, yaitu: kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC). Kriteria SLICC lebih sensitif dibandingkan ACR sehingga lebih baik untuk menapis pasien dan mempercepat manajemen penyakit.Systemic lupus erythematosus (SLE) is a common autoimmune disease in adolescents. Various clinical manifestations and unpredictable clinical course reslut in high morbidity and mortality. Two diagnostic criteria are: American College of Rheumatology (ACR) and Systemic Lupus International Collaborating Clinics (SLICC) criteria. SLICC criteria is more sensitive; it is better to be used to screen patients and hasten the management of the disease.

Proteinuria and malaria parasite counts in children Mahrani Lubis; Rusdidjas Rusdidjas; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti S Siregar; Supriatmo Supriatmo
Paediatrica Indonesiana Vol 53 No 6 (2013): November 2013
Publisher : Indonesian Pediatric Society

Background Malaria-induced proteinuria has been observed insevere cases of malaria. Few studies have been done to assess foran association between proteinuria and malaria parasite countsbefore the disease becomes severe.Objective To investigate a possible association between proteinuriaand malaria parasite counts in children .Methods A cross-sectional study was conducted on school-agedchildren in Panyabungan, Mandailing Natal, between Septemberto November 2010. Malaria was diagnosed by microscopicexamination of peripheral blood smears. Children with malariaunderwent proteinuria t ests by urine dipstick method. Anassociation between proteinuria and malaria parasite counts wasanalyzed using linear regression test.Results Of 181 participants with Plasmodium fak:iparum malaria,53.6% were female and had a mean age of 7.8 years. Subjects'nutritional status were as follows: 50.8% normoweight, 28.2%mild malnutrition, 3 .3% moderate malnutrition, and 17. 7% severemalnutrition. Clinical manifestations showed 36.5% suffered fromsubfebrile temperatures and 29.8% had pallor. Proteinuria occurredin 45.9% participants and there was a weak association betweenproteinuria and malaria parasite counts (raa .261, Paa .0001).Conclusion There is a weak association between proteinuria andmalaria parasite counts in children.

HUBUNGAN ANTARA USIA AWITAN PEMBERIAN MAKANAN PENDAMPING-ASI (MPASI) DENGAN STATUS GIZI PADA BALITA DI PUSKESMAS PANCUR BATU, DELI SERDANG TAHUN 2017 Femmy Stefanie Legie; Mahrani Lubis
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Latar Belakang. Makanan Pendamping Air Susu Ibu (MP-ASI) adalah makanan dan minuman yang diberikan kepada bayi guna memenuhi kebutuhan gizi selain ASI. WHO merekomendasikan pengenalan makanan padat pada bayi dilakukan pada saat bayi berusia 6 bulan. Beberapa penelitian menyatakan bahwa pengenalan dini makanan dapat menyebabkan anak mengalami gizi tidak normal dan mudah terinfeksi organisme asing. Menurut data RISKESDAS tahun 2010, prevalensi balita dengan gizi kurang dan buruk di Provinsi Sumatera Utara adalah 21,4 %. Tujuan. Penelitian ini bertujuan untuk melihat hubungan usia pertama pemberian MP-ASI terhadap status nutrisi pada balita. Metode. Jenis penelitian ini adalah analitik dengan desain cross sectional. Waktu penelitian ini dilakukan mulai dari bulan Agustus hingga bulan November 2017. Populasi dari penelitian ini adalah semua balita (3-59 bulan) yang datang ke Puskesmas Pancur Batu. Penelitian dilakukan dengan menggunakan data primer melalui wawancara dengan alat berupa kuesioner. Analisis data dilakukan dengan program Statistical Product and Service Solutions (SPSS) dan menggunakan uji Chi Square untuk analisa bivariat. Hasil. Hasil penelitian ini menunjukkan dari 90 anak, 51,1% adalah anak perempuan, 53% anak diberi MP-ASI tepat usia, 70% anak dengan status nutrisi baik. Status nutrisi tidak normal lebih banyak didapatkan pada anak yang diberikan MP-ASI dini (77.8%). Kesimpulan. Terdapat hubungan antara usia pertama pemberian MPASI dengan status nutrisi pada balita, p= 0.0001 (p

Sensitivitas dan Spesifisitas Kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC) untuk Diagnosis Lupus Eritematosus Sistemik Krisnarta Sembiring; Lily Irsa; Rita Evalina; Mahrani Lubis
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i1.543

Lupus eritematosus sistemik (LES) merupakan penyakit autoimun yang sering dijumpai pada remaja. Manifestasi klinis yang bervariasi dengan perjalanan penyakit yang sulit diduga menyebabkan angka kecacatan dan kematian penyakit ini cukup tinggi. Terdapat dua kriteria penegakan diagnosis LES, yaitu: kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC). Kriteria SLICC lebih sensitif dibandingkan ACR sehingga lebih baik untuk menapis pasien dan mempercepat manajemen penyakit.Systemic lupus erythematosus (SLE) is a common autoimmune disease in adolescents. Various clinical manifestations and unpredictable clinical course reslut in high morbidity and mortality. Two diagnostic criteria are: American College of Rheumatology (ACR) and Systemic Lupus International Collaborating Clinics (SLICC) criteria. SLICC criteria is more sensitive; it is better to be used to screen patients and hasten the management of the disease.

Relationship between breastfeeding and the incidence of diarrhoea in children aged 6-24 months Manmeet Kaur Gurbachan Singh; Mahrani Lubis
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 2, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol9.Iss2.art8

Background: Diarrhoea is still a global problem with high mortality. Children who are malnourished or have impaired immunity have the highest risk of diarrhoea. Exclusive breastfeeding in infants is known could protect the babies against diarrhoea.Objective: This study aims to determine the relationship between exclusive breastfeeding with the incidence of diarrhoea in children aged 6-24 months.Methods: This is an observational study where the data collected during August-November 2017 at Padang Bulan Primary Health Care. The subjects are a mother who has children between 6-24 months. The primary data was obtained through interviews using a validated structured questionnaire. The relationship between exclusive breastfeeding and the incidence of diarrhoea were analysed using Chi-square. Statistical analysis was performed in 95% coefficient interval (alpha=0,05).Results: Amongst 98 children, 53.1% are female. Children who have received exclusive breastfeeding were 53 children (54.1%). The number of children who had diarrhoea was 68.4% while many diarrhoea frequencies were 49%. Only 29 children (29.6%) had diarrhoea with exclusively breastfeeding, while 38 children (38.8%) had diarrhoea without exclusive breastfeeding. There is a relationship between exclusive breastfeeding to the incidence of diarrhoea in children aged 6-24 months (p= 0,002).Conclusion: There is a significant relationship between exclusive breastfeeding and the incidence of diarrhoea in children aged 6-24 months.

Sensitivitas dan Spesifisitas Kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC) untuk Diagnosis Lupus Eritematosus Sistemik Krisnarta Sembiring; Lily Irsa; Rita Evalina; Mahrani Lubis
Cermin Dunia Kedokteran Vol 46 No 1 (2019): Obstetri-Ginekologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i1.538

Lupus eritematosus sistemik (LES) merupakan penyakit autoimun yang sering dijumpai pada remaja. Manifestasi klinis yang bervariasi dengan perjalanan penyakit yang sulit diduga menyebabkan angka kecacatan dan kematian penyakit ini cukup tinggi. Terdapat dua kriteria penegakan diagnosis LES, yaitu: kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC). Kriteria SLICC lebih sensitif dibandingkan ACR sehingga lebih baik untuk menapis pasien dan mempercepat manajemen penyakit. Systemic lupus erythematosus (SLE) is a common autoimmune disease in adolescents. Various clinical manifestations and unpredictable clinical course reslut in high morbidity and mortality. Two diagnostic criteria are: American College of Rheumatology (ACR) and Systemic Lupus International Collaborating Clinics (SLICC) criteria. SLICC criteria is more sensitive; it is better to be used to screen patients and hasten the management of the disease.

Hubungan Durasi dan Postur Duduk Terhadap Keluhan Low Back Pain pada Mahasiswa Kedokteran Jocelyn Koswara; Yetty Machrina; Mahrani Lubis; Rina Amelia
SCRIPTA SCORE Scientific Medical Journal Vol. 5 No. 2 (2024): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v5i2.14906

Background: Low Back Pain (LBP) is the most common musculoskeletal disorder in the community with a global prevalence of 15-45% each year. Medical students are prone to LBP due to several risk factors such as long sitting duration and improper sitting posture during lectures. Objectives: This research is performed to determine the correlation between the duration and sitting posture during lectures on the incidence of LBP in medical students at Universitas Sumatera Utara (USU). Methods: This study used an analytical descriptive research design with a cross-sectional approach conducted in April 2023 at the Faculty of Medicine, Universitas Sumatera Utara. The sampling technique used is simple random sampling with 147 medical students selected as the research sample. Data was obtained from filling out PAD and BAPHY questionnaires. A Chi-square test was used to explore the association between the two variables and LBP while the logistic regression test was used to identify the dominating causes generating LBP. Result: The study's findings revealed that 40.1% of students reported having LBP problems, 72.1% reported sitting for more than seven hours, and 33.3% reported having a bad sitting posture. Chi-square analysis revealed a significant correlation between sitting duration and posture on complaints of LBP (RR = 1.69, p = 0.041 and RR = 1.69, p = 0.009). At a risk of 2,438 times, sitting position is the main factor contributing to LBP among medical students at USU. Conclusion: This research showed a correlation between duration and sitting posture on the incidence of LBP. Keyword: Low Back Pain, Medical Students, Seven Hours, Sitting duration, Sitting posture Latar Belakang: Low Back Pain (LBP) merupakan gangguan muskuloskeletal yang paling sering terjadi pada masyarakat dengan prevalensi global 15-45% setiap tahunnya. Mahasiswa kedokteran rentan mengalami keluhan LBP dikarenakan beberapa faktor risiko seperti durasi duduk yang lama dan postur duduk yang tidak ergonomis saat perkuliahan. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara durasi dan postur duduk saat perkuliahan terhadap keluhan LBP pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara. Metode: Penelitian ini menggunakan desain penelitian deskriptif analitik dengan pendekatan cross-sectional yang dilakukan pada bulan April 2023 di FK USU Medan. Populasi penelitian adalah mahasiswa FK USU angkatan 2021 yang dipilih dengan metode simple random sampling dengan jumlah sampel sebanyak 147 orang. Data diperoleh dari pengisian kuesioner PAD dan BAPHY. Untuk mengetahui hubungan kedua variabel dengan keluhan LBP dilakukan uji Chi-square dan uji regresi logistik untuk melihat faktor dominan penyebab keluhan LBP. Hasil: Dari hasil penelitian ditemukan terdapat 40,1 % mahasiswa yang mengalami keluhan LBP dengan durasi duduk > 7 jam sebesar 72,1% dan postur duduk yang tidak baik sebesar 33,3%. Analisis Chi-square menunjukkan terdapat hubungan bermakna antara durasi dan postur duduk terhadap keluhan LBP (RR = 1,69, p=0,041 dan RR = 1,69, p=0,009). Faktor dominan penyebab keluhan LBP pada mahasiswa FK USU angkatan 2021 adalah postur duduk dengan besar risiko sebesar 2,438 kali. Kesimpulan: Durasi dan postur duduk memiliki hubungan dengan keluhan LBP. Kata Kunci: Durasi duduk, Low Back Pain, Mahasiswa Kedokteran, Postur Duduk, Tujuh Jam

PROBLEMATIKA PEMBELAJARAN DARING (Kesulitan Yang Dihadapi Guru Dan Siswa SMP Swasta Nur Ihsan) Mahrani, Abdul Muthalib, Azhar Lubis, Indah permata Sari Sinaga,
PENDALAS: Jurnal Penelitian Tindakan Kelas dan Pengabdian Masyarakat Vol 2 No 1 (2022): PENDALAS
Publisher : Yayasan Pendidikan Islam dan Multikultural

Abstract: This study aims to analyze the difficulties facing teachers and private junior high school students Nur Ihsan, with two focus research studies that are problematic use of online learning media for teachers and students, printing a sanctions of online learning material for teachers and students. This research is implemented in private junior high school nur Ihsan on Febuari-October 2021. This research uses a qualitative method based on case studies. Data collection using observation, interview and documentation techniques. Then in the analysis with the data reduction stages, data sanctions, and concludes. The results showed that (1) Problematic Media's use of online learning for teachers and students at private junior high school Nur Ihsan in the COVID-19 period: The teacher is only bias using the WhatsApp app for teaching and learning processes, not utilizing other learning applications, not all students have a mobile phone, unstable network due to the conditions of residence from teachers or students who have unexed internet connection and purchase of expensive internet quotas. (2) Problematics in the Energy Learning Materials for Master and Private SMP Students Nur Ihsan in the Cove "-the 19th of the Creative Master In the Self-Speaking Learning Memorials only gives the textbooks to the students. Teacher feels limited in delaying materials and rapid changes from face-to-face learning switch to learning online making teachers less prepared in carrying out learning processes online. Keyword: Education, Daring, Covid-19

Sensitivitas dan Spesifisitas Kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC) untuk Diagnosis Lupus Eritematosus Sistemik Krisnarta Sembiring; Lily Irsa; Rita Evalina; Mahrani Lubis
Cermin Dunia Kedokteran Vol 46 No 1 (2019): Obstetri-Ginekologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v46i1.538

Lupus eritematosus sistemik (LES) merupakan penyakit autoimun yang sering dijumpai pada remaja. Manifestasi klinis yang bervariasi dengan perjalanan penyakit yang sulit diduga menyebabkan angka kecacatan dan kematian penyakit ini cukup tinggi. Terdapat dua kriteria penegakan diagnosis LES, yaitu: kriteria American College of Rheumatology (ACR) dan Systemic Lupus International Collaborating Clinics (SLICC). Kriteria SLICC lebih sensitif dibandingkan ACR sehingga lebih baik untuk menapis pasien dan mempercepat manajemen penyakit. Systemic lupus erythematosus (SLE) is a common autoimmune disease in adolescents. Various clinical manifestations and unpredictable clinical course reslut in high morbidity and mortality. Two diagnostic criteria are: American College of Rheumatology (ACR) and Systemic Lupus International Collaborating Clinics (SLICC) criteria. SLICC criteria is more sensitive; it is better to be used to screen patients and hasten the management of the disease.

Associations between seizure management and sleep disorders in children with epilepsy: A cross-sectional study in Medan, Indonesia Suistaya, Novi A.; Dimyati, Yazid; Siregar, Olga R.; Harahap, Juliandi; Dewi, Ika C.; Lubis, Mahrani; Mukhtar, Fatima AS.; Alharbi, Olayan
Narra X Vol. 3 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v3i1.168

Sleep disorders are prevalent in children, particularly those with chronic illnesses such as epilepsy, where they disrupt sleep quantity, quality, or timing. The aim of this study was to analyze factors associated with sleep disorder among epileptic children admitted to Haji Adam Malik General Hospital, Medan, Indonesia. The study employed cross sectional design, recruiting 49 children (4–10 years old) with epilepsy at Haji Adam Malik General Hospital from February to June 2024. Data collection was carried out using the Children's Sleep Habit Questionnaire (CSHQ) questionnaire. Further, data on Anti-Epileptic Drugs (AED) intake and history and type of seizures were collected. Pearson’s Chi-square test was employed to analyze the association of the demographic, seizure characteristics, and AED with sleeping disorder. The findings suggest that sleep disorder in children with epilepsy was prevalent (n=26, 53.1%), mostly occurring in boys (32.7%) and those receiving valproic acid (n=9, 34.6%) and its combination with levetiracetam (n=8, 30.8%). Chi-square test results showed that seizure history intake (p<0.001), AEDs intake (p<0.001), and type of AED (p=0.010) were significantly associated with sleep disorder. In conclusion, seizure management strategies and AED regimens can influence sleep disorders in children with epilepsy. Therefore, revisiting and modifying AED treatments may be required to improve both seizure control and sleep quality in affected patients.

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