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Gambaran Status Gizi pada Anak Down Syndrome di Samarinda Sarita, Nadia Rahma; Danial; Muhyi, Annisa
Jurnal Medika : Karya Ilmiah Kesehatan Vol 8 No 2 (2023): Jurnal Medika Karya Ilmiah Kesehatan
Publisher : ITKES Wiyata Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Down Syndrome (DS) is a congenital disorder that occurs during fetal development caused by non-disjunction chromosome 21 or trisomy 21. One of the health problems faced by DS children is nutritional status. This study aims to describe the nutritional status of children with Down syndrome in Samarinda. This study used a descriptive observational design with a cross-sectional approach which was carried out in February 2023 at Persatuan Orang Tua dengan Anak Down Syndrome (POTADS). The primary data were obtained through written interviews with the child's companion and measurements of length or height and weight in DS children. Samples were collected with accidental sampling method and obtained 30 samples. The results showed that the age of DS children with good nutritional status was mostly found in the group aged ≥ 1 – 3 years (16.7%). The gender of DS children with good nutritional status was mostly found in males (36.7%). The mother's education level of DS children with good nutritional status was mostly found in high school (23.3%). It was found that the most family income level of DS children with good nutritional status was ≤ UMK (33.3%). Keywords: Down Syndrome, children, nutritional status.
UNCONTROLLED TYPE 1 DIABETES MELLITUS WITH TUBERCULOMA IN INFERIOR LOBE LEFT LUNG AND BILATERAL HYDRONEPHROSIS IN CHILD Wardhana, Anggia Rarasati; Sukartini, Sukartini; Muhyi, Annisa
Jurnal Ilmu Kesehatan dan Kesehatan Vol 3 No 2 (2019): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v3i2.1155

Abstract

Diabetes Mellitus (DM) is an important risk factor for the development of active tuberculosis (TB). It is chronic and will weaken the immune system causing the patient have increased risk of tuberculosis by three-fold.We present a case of 13-year-old girl with chest pain and cough. She has a previous history of type 1 DM. Laboratory findings showed hyperglycemic state. Thoracic CT showed tuberculoma of inferoposterior lobe left lung, while abdominal CT showed bilateral hydronephrosis. He was then administered TB treatment of 2HRZE/10RH, corticosteroid, and insulin regiments with strict monitoring of blood glucoses. Clinical symptoms and blood glucose level were significantly improved after treatment.
Correlation between nutritional status, leukocyte levels, and neutrophil-lymphocyte ratio to the incidence of respiratory failure in children under five years of age with pneumonia at Abdoel Wahab Sjahranie Hospital, Samarinda Ainurfaiz Fiqridiyanto; Rachmi, Eva; Muhyi, Annisa
Pediatric Sciences Journal Vol. 5 No. 1 (2024): (Available online: 1 June 2024)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v5i1.63

Abstract

Background: The most common infectious infection-related fatality in children under five worldwide is pneumonia, an acute infection of the lung parenchyma. Hypoxemia can induce respiratory failure and pneumonia-related deaths. For children with pneumonia under five years old, several possible predictors, including nutritional status, leukocyte counts, and the neutrophil-lymphocyte ratio (RNL), can be used to forecast respiratory failure. Because these three criteria are common tests that can be employed in basic healthcare institutions, they are promising predictors. This study aims to determine the relationship between nutritional status, leukocyte levels, and RNL on the incidence of respiratory failure in children under five years of age with pneumonia at Abdul Wahab Sjahranie Hospital, Samarinda. Methods: The research design is case-control. All children with pneumonia under five years old receiving treatment at Abdul Wahab Sjahranie Hospital Samarinda from January to December 2022 made up the study population. Purposive sampling was used to carry out the sampling. The patient's medical record provides the information. Independent T-test and Chi-square test were used to assess the data. Forty patients in all; 20 were case samples, and 20 were control samples. Results: The results showed that the incidence of respiratory failure was related to nutritional status (OR=0.07; p=0.000; 95% CI 0.01 – 0.35), leukocyte levels (OR=35.28; p=0.000; 95% CI 3.86 – 321.98), and neutrophil-lymphocyte ratio (p=0.036). Conclusion: Malnutrition and poor nutritional status, high leukocyte levels, and high RNL have the potential to be predictors of respiratory failure in toddlers with pneumonia.
Association of Multidrug-Resistant Tuberculosis (MDR-TB) Patients on Profile of Liver and Kidney Function Muda, Iskandar; Adam, Muhammad Fadlan; Saputra, Rudi; Muhyi, Annisa; Noprianto, Dwi; Aminuddin, Muhammmad
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 5, No 2 (2022): JKPBK Desember 2022
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v5i2.9640

Abstract

Introduction: Therapy of multidrug-resistant tuberculosis (MDR-TB) patients is still not handled properly, is more toxic, and is more high-priced. The liver is the primary metabolism, and the kidney is the main excretion organ. The study aims to know the association of multidrug-resistant tuberculosis (MDR-TB) patients on profile of liver and kidney function Methods: The research is a cross-sectional study with consecutive sampling. Twenty-four respondents were confirmed as MDR-TB patients without HIV who had done biochemical tests. Results: We found that sex of MDR-TB patients on liver function; ALT (p = 0.124) and AST (p = 0.077) and kidney function; BUN (p = 0.270), creatinine (p = 0.137).  Age of MDR-TB patients on liver function; ALT (p = 0.587) and AST (p = 0.093) and kidney function; BUN (p = 0.423), creatinine (p = 0.142). Comorbid on MDR-TB patients on liver function; ALT (p = 0.756) and AST (p = 0.244) and kidney function; BUN (p = 0.816), creatinine (p = 0.612). Conclusions: There were no association in sex, age, and comorbid of MDR-TB on liver and kidney function.
Hubungan Kejadian Skor Apgar Kurang dari 7 dengan Faktor Risiko Ibu dan Persalinan di RSUD Abdul Wahab Sjahranie Samarinda Tahun 2018-2019: Relationship between Incidence of Apgar Score Less than 7 with Risk Factors for Mother and Childbirth at Abdul Wahab Sjahranie Hospital, Samarinda in 2018-2019 Caecilia Anggi Raharjo; Novia Fransiska Ngo; Annisa Muhyi
Jurnal Sains dan Kesehatan Vol. 3 No. 2 (2021): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v3i2.213

Abstract

Asfiksia neonatorum adalah suatu kondisi dimana terdapat gangguan pertukaran gas karbondioksida dan oksigen yang menyebabkan terjadinya hipoksemia dan hiperkarbia pada janin yang berujung pada asidosis yang biasanya dapat dilihat dari skor apgar yang rendah. Asfiksia neonatorum menempati posisi kedua tertinggi penyebab kematian neonatus dengan angka 4 juta kematian setiap tahunnya. Penelitian ini bertujuan untuk mengetahui hubungan antara kejadian skor apgar kurang dari 7 dengan faktor risiko ibu yang terdiri dari usia ibu, paritas, anemia pada saat hamil, dan faktor risiko persalinan yang terdiri dari partus lama. Desain penelitian yang digunakan adalah kasus kontrol dengan sampel penelitian masing-masing sebanyak 46 untuk kelompok kasus dan kontrol. Analisis dilakukan dengan uji chi-square. Hasil penelitian menunjukan bahwa terdapat hubungan antara kejadian skor apgar kurang dari 7 dengan partus lama, serta tidak terdapat hubungan antara kejadian skor apgar kurang dari 7 dengan Usia Ibu, paritas dan Anemia.
Hubungan Status Gizi, Umur, Jenis Kelamin dengan Derajat Infeksi Dengue pada Anak di RSUD Abdul Wahab Sjahranie Samarinda: Relationship between Nutritional Status, Age, Gender and Degree of Dengue Infection in Children at Abdul Wahab Sjahranie Hospital Samarinda Putri Lintang Kharisma; Annisa Muhyi; Eva Rachmi
Jurnal Sains dan Kesehatan Vol. 3 No. 3 (2021): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v3i3.288

Abstract

Dengue virus infection can manifest from mild to severe, which are undifferentiated fever, dengue hemorrhagic fever (DD), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS), respectively. Mild and severe dengue infection is difficult to distinguish early in the course of the disease, and the clinical course is also difficult to "predict". Therefore, indicators were needed to predict the degree of dengue virus infection, thus appropriate treatment can be given. The study was aimed to determine the association of nutritional status, age, and sex with the degree of dengue infection in children. This study was an analytic observational study with a cross-sectional design. The samples were pediatric patients (0-18 years), who have been diagnosed with dengue virus infection and were hospitalized at the Abdul Wahab Sjahranie Hospital Samarinda in 2019. Purposive sampling technique was used to appointed 88 patients. The data obtained from the medical records. The bivariate association was statistically analyzed with chi-square test. The result showed a significant association between sex (p = 0.041) with the degree of dengue infection in children. Meanwhile nutritional status (p = 0.127) and age (p = 0.077) had no significant association with the degree of dengue infection in children. In conclusion, sex might serve as a predictor of the degree of dengue infection in children, in which male is more susceptible to worse manifestations.
Hubungan Usia, Kadar Hemoglobin Pretransfusi dan Lama Sakit terhadap Kualitas Hidup Anak Talasemia di Samarinda : Relationship of Age, Pretransfusion Hemoglobin Levels and Length of Sickness on Quality of Life in Children with Thalassemia in Samarinda Hurria Maulana Ali; Annisa Muhyi; Yudanti Riastiti
Jurnal Sains dan Kesehatan Vol. 3 No. 4 (2021): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v3i4.368

Abstract

The Relation between Age, Pre-transfusion Hemoglobin Level and Duration of Sickness on Quality of Life in Children with Thalassemia in Samarinda. Thalassemia is a genetic disease caused bya disturbance in the process of forming the hemoglobin chain of red blood cells that decreased the production or formation of hemoglobin. Children with Thalassemia will have transfusions for their whole life to maintain blood hemoglobin levels. The older age of the child will also increase the frequent of blood transfusions to support the child’s growth. Long and continuous transfusions also inadequate treatment will cause complications that affect the quality of life for people with Thalassemia. This study aims to analyze the relation between age, pre-transfusion hemoglobin level and duration of sickness on quality of life in children with Thalassemia in Samarinda. This research was an analytic observational study with a cross sectional design. The subjects were 32 children, aged 2-18 years, with major Thalassemia who werethe members of POPTI Samarinda. The data collected by medical records and the result from patient’s interview using PedsQl 4.0. Statistical analysis use Pearson Test. The resultshows there isno relation between age and quality of life in children with Thalassemia (p = 0.136), there is relation between pre-transfusion hemoglobin level with the quality of life in children with Thalassemia (p = 0.040) and there is relation between duration of sickness and quality of life in children with Thalassemia (p = 0.036). Based on the results of this study, it can be concluded that age has no relation to quality of life in children with Thalassemia. Pre-transfusion hemoglobin level and duration of sickness have relation to quality of life in children with Thalassemia. Keywords: Thalassemia, quality of life, age, pre-transfusion hemoglobin level, duration of sickness.
Profil Elektrolit dan Hematologi Pasien Balita Diare Akut dengan Dehidrasi Ringan-Sedang di RSUD Abdoel Wahab Sjahranie Samarinda: Electrolyte and Hematological Profiles of Children Under Five with Acute Diarrhea Complicated by Mild to Moderate Dehydration at RSUD Abdoel Wahab Sjahranie Samarinda Aegirine Rafilah Dahlan; Meiliati Aminyoto; Annisa Muhyi
Jurnal Sains dan Kesehatan Vol. 5 No. 4 (2023): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v5i4.1179

Abstract

Diarrhea is the second leading cause of mortality in children under five years old worldwide. Diarrhea is also the highest cause of death in children under five in Indonesia and in East Kalimantan. Various complications can be caused by diarrhea, such as dehydration, electrolyte disturbances, and even death. Most of these complications are related to delay in diagnosis and inappropriate therapy. Some of the modalities that can help to diagnose acute diarrhea in children are electrolyte and hematology examination. This study aims to describe the electrolyte and hematological profiles of children under five with acute diarrhea complicated by mild to moderate dehydration at RSUD Abdoel Wahab Sjahranie Samarinda. This research design was descriptive observational with a retrospective approach. The research data were obtained from the medical records at RSUD Abdoel Wahab Sjahranie Samarinda over the course of 2019-2021. The results of this study showed that on hematological examination, the average values of leukocytes, hemoglobin, and hematocrit were 12500/µL, 12.04 g/dL, and 35.91%, respectively. On electrolyte examination, the average values of sodium, potassium, and chloride were 135.4 mmol/L, 4.31 mmol/L, and 106.39 mmol/L, respectively. The conclusion of this study were the electrolyte and hematological profiles in most children under five with acute diarrhea complicated by mild to moderate dehydration were normal and the most common electrolyte imbalances were hyponatremia, followed by hypokalemia and hyperchloremia. Keywords: children under five, acute diarrhea, electrolyte profile, hematological examination Abstrak Di seluruh dunia, diare berada pada urutan kedua teratas sebagai penyebab mortalitas pada anak di bawah lima tahun (balita). Diare juga menjadi penyebab kematian tertinggi pada balita di Indonesia maupun di Kalimantan Timur. Berbagai komplikasi dapat ditimbulkan oleh diare, seperti dehidrasi, gangguan elektrolit, hingga kematian. Sebagian besar komplikasi tersebut terkait dengan keterlambatan diagnosis serta pemberian terapi yang tidak tepat. Salah satu modalitas yang dapat membantu penegakan diagnosis diare akut pada anak adalah pemeriksaan elektrolit dan hematologi. Penelitian ini bertujuan untuk mendeskripsikan profil elektrolit dan hematologi pasien balita diare akut dengan dehidrasi ringan-sedang di RSUD Abdoel Wahab Sjahranie Samarinda. Penelitian ini menggunakan desain observasional deskriptif dengan pendekatan retrospektif. Data penelitian diperoleh dari rekam medis RSUD Abdoel Wahab Sjahranie Samarinda periode 2019-2021 menggunakan teknik purposive sampling dan diperoleh 102 sampel. Hasil penelitian ini menunjukkan pada pemeriksaan hematologi, nilai rata-rata leukosit, hemoglobin, dan hematokrit masing-masing 12500/µL, 12.04 g/dL, dan 35.91%. Pada pemeriksaan elektrolit, didapatkan nilai rata-rata natrium, kalium, dan klorida masing-masing 135.4 mmol/L, 4.31 mmol/L, dan 106.39 mmol/L. Kesimpulan penelitian ini adalah profil elektrolit dan hematologi pada sebagian besar balita diare akut dengan dehidrasi ringan-sedang berada pada nilai normal serta gangguan elektrolit yang paling sering terjadi adalah hiponatremi, diikuti oleh hipokalemi dan hiperkloremi. Kata Kunci: balita, diare akut, profil elektrolit, pemeriksaan hematologi
Hubungan Jenis Kelamin, Status Gizi, dan Berat Badan Lahir Rendah dengan Kejadian Kejang Demam pada Anak di RSUD Abdoel Wahab Sjahranie Samarinda: The Relationship Between Gender, Nutritional Status, and Low Birth Weight with The Incidence of Febrile Seizures in Children at the RSUD Abdoel Wahab Sjahranie Samarinda Muhammad Harbiyan Acikdin; Annisa Muhyi; Vera Madonna Lumban Toruan
Jurnal Sains dan Kesehatan Vol. 5 No. 6 (2023): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v5i6.1382

Abstract

The incidence of febrile seizures is the most common cause in the neuro field of children at the age of 6 months to 60 months, the incidence ranges from 2 to 5% of cases. Risk factors for febrile seizures such as gender, nutritional status, and low birth weight. This study aims to determine the relationship between gender, nutritional status, and low birth weight with the incidence of febrile seizures in children at the Abdoel Wahab Sjahranie Hospital, Samarinda. The study was carried out using observational analysis using a cross-sectional design. The research data were obtained from medical records at Abdoel Wahab Sjahranie Hospital Samarinda with a purposive sampling method. The sample of this study was children aged 6 months to 60 months who suffered from febrile seizures and fever without seizures and met the researcher's criteria. Statistical analysis using chi-square test. The results found as many as 184 samples of 92 samples of febrile seizures and fever without seizures each. The incidence of febrile seizures occurred in the group of children aged 13-24 months (42.4%) with a prevalence of 68.5% boys and 31.5% girls. Researchers used chi-square and obtained p-values for gender (p = 0.034), nutritional status (p = 0.715) and low birth weight (p = 0.412). The conclusion is that there is a relationship between gender and there is no relationship between nutritional status and low birth weight with the incidence of febrile seizures. Keywords:          Gender, Nutritional Status, Low Birth Weight, Febrile Seizure   Abstrak Kejadian kejang demam kasus tersering di bidang neuro anak di umur 6 bulan hingga 60 bulan, insiden berkisar 2 hingga 5% kasus kejadian. Faktor risiko kejang demam seperti jenis kelamin, status gizi dan Berat Badan Lahir Rendah (BBLR). Penelitian ini bertujuan mengetahui hubungan jenis kelamin, status gizi dan BBLR dengan kejadian kejang demam anak di RSUD Abdoel Wahab Sjahranie Samarinda. Penelitian dilaksanakan dengan analitik observasional menggunakan desain potong lintang. Data penelitian diperoleh dari rekam medik di RSUD Abdoel Wahab Sjahranie Samarinda dengan metode purposive sampling. Sampel dari penelitian ini adalah anak yang berumur 6 bulan hingga 60 bulan yang menderita  febrile seizure dan fever without seizure serta memenuhi kriteria dari peneliti. Analisis statistik memakai uji chi-square. Hasil ditemukan sebanyak 184 sampel yang terdiri dari masing-masing 92 sampel kejang demam dan demam tanpa kejang. Kejadian febrile seizure terjadi pada kelompok anak berusia 13-24 bulan (42.4%) dengan prevalensi anak laki-laki 68.5% dan perempuan 31.5%. Peneliti memakai chi-square dan didapatkan p-value jenis kelamin (p = 0.034), status gizi (p = 0.715) dan BBLR (p = 0.412). Kesimpulan didapatkan bahwa terdapat hubungan antara jenis kelamin dan tidak terdapat hubungan antara status gizi dan BBLR dengan kejadian kejang demam. Kata Kunci:         Jenis Kelamin, Status Gizi, BBLR, Kejang Demam
Gambaran Faktor Risiko Pasien Epilepsi Anak Zakiyati, Nainingsih Indar; Yuniati, Yuniati; Muhyi, Annisa
Jurnal Kedokteran Mulawarman Vol 11, No 2 (2024): Jurnal Kedokteran Mulawarman
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkm.v11i2.10342

Abstract

Epilepsi adalah penyakit otak kronik karena aktivitas abnormal otak danmengakibatkan kejang berulang. Terdapat faktor risiko yang berkaitan dengan epilepsi anak. Penelitian ini bertujuan untuk mengetahui faktor risiko epilepsi anak meliputi usia awitan epilepsi, jenis kelamin, berat bayi lahir, usia gestasi, riwayat kejang demam, riwayat epilepsi pada keluarga, riwayat infeksi sistem saraf pusat, dan riwayat tumor otak. Penelitian ini menggunakan desain deskriptif di Komunitas Epilepsi Indonesia. Data primer diperoleh melalui wawancara pendamping pasien anak dengan metode consecutive sampling  dan didapatkan 77 sampel. Hasil penelitian menunjukkan usia awitan epilepsi <1 tahun (42.9%), 1-5 tahun (39.0%), jenis kelamin laki-laki (54.5%) dan perempuan (45.5%). Faktor lain didapatkan riwayat berat bayi lahir rendah (13.0%), berat bayi lahir normal (84.4%), sedangkan riwayat usia gestasi preterm (18.2%), usia gestasi aterm (79.2%), riwayat kejang demam sederhana (7.8%), riwayat kejang demam kompleks (19.5%), dan tanpa riwayat kejang demam (72.7%), riwayat infeksi sistem saraf pusat (5.2%) dan tanpa riwayat infeksi sistem saraf pusat (94.8%), riwayat tumor otak  (3.9%) dan tanpa riwayat tumor otak (96.1%). Riwayat epilepsi pada keluarga didapatkan first degree relatives (2.6%), second degree relatives (6.5%), dan tanpa riwayat epilepsi pada keluarga (90.9%). Kesimpulan penelitian ini adalah didapatkan pasien epilepsi anak paling banyak usia awitan epilepsi <1 tahun, berjenis kelamin laki-laki, riwayat berat bayi lahir normal, riwayat usia gestasi aterm, tanpa riwayat kejang demam, tanpa riwayat epilepsi pada keluarga, tanpa riwayat infeksi sistem saraf pusat, dan tanpa riwayat tumor otak.Kata Kunci : epilepsi, anak, faktor risikoEpilepsi adalah penyakit otak kronik karena aktivitas abnormal otak danmengakibatkan kejang berulang. Terdapat faktor risiko yang berkaitan dengan epilepsi anak. Penelitian ini bertujuan untuk mengetahui faktor risiko epilepsi anak meliputi usia awitan epilepsi, jenis kelamin, berat bayi lahir, usia gestasi, riwayat kejang demam, riwayat epilepsi pada keluarga, riwayat infeksi sistem saraf pusat, dan riwayat tumor otak. Penelitian ini menggunakan desain deskriptif di Komunitas Epilepsi Indonesia. Data primer diperoleh melalui wawancara pendamping pasien anak dengan metode consecutive sampling  dan didapatkan 77 sampel. Hasil penelitian menunjukkan usia awitan epilepsi <1 tahun (42.9%), 1-5 tahun (39.0%), jenis kelamin laki-laki (54.5%) dan perempuan (45.5%). Faktor lain didapatkan riwayat berat bayi lahir rendah (13.0%), berat bayi lahir normal (84.4%), sedangkan riwayat usia gestasi preterm (18.2%), usia gestasi aterm (79.2%), riwayat kejang demam sederhana (7.8%), riwayat kejang demam kompleks (19.5%), dan tanpa riwayat kejang demam (72.7%), riwayat infeksi sistem saraf pusat (5.2%) dan tanpa riwayat infeksi sistem saraf pusat (94.8%), riwayat tumor otak  (3.9%) dan tanpa riwayat tumor otak (96.1%). Riwayat epilepsi pada keluarga didapatkan first degree relatives (2.6%), second degree relatives (6.5%), dan tanpa riwayat epilepsi pada keluarga (90.9%). Kesimpulan penelitian ini adalah didapatkan pasien epilepsi anak paling banyak usia awitan epilepsi <1 tahun, berjenis kelamin laki-laki, riwayat berat bayi lahir normal, riwayat usia gestasi aterm, tanpa riwayat kejang demam, tanpa riwayat epilepsi pada keluarga, tanpa riwayat infeksi sistem saraf pusat, dan tanpa riwayat tumor otak.Kata Kunci : epilepsi, anak, faktor risiko