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All Journal Althea Medical Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Sistem Kesehatan Indonesian Journal of Obstetrics & Gynecology Science Media Dermato-Venereologica Indonesiana
Lulu Eva Rakhmilla, Lulu Eva
Department of Obstetry and Gynecology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
Health Professions Medicine & Pharmacology Public Health

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Clinical Presentation and Laboratory Features in Pediatric Typhoid Fever Patient Susceptibility to First-line Antibiotic Therapy Ratnasari, Dewi; Setiabudi, Djatnika; Rakhmilla, Lulu Eva
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.585 KB)

Abstract

Background: RTyphoid fever remainsa serious health problem in the world. The main cause of this disease is Salmonella enterica serovar Typhi. These microbes have developed resistance to first-line antibiotics (chloramphenicol, ampicillin, and co-trimoksazol) since 1950. Clinical presentation and laboratory features conducted in children infected with resistant strains tend to be more severe. The objective of this study was to determine the differences of clinical presentation and laboratory features in pediatric typhoid fever patient susceptibility to first-line antibiotics.Methods: This was an analytical cross-sectional study of total 119 typhoid fever children with positive blood culture of Salmonella Typhi based on medical data in Department of Child Health Dr. Hasan Sadikin General Hospital, Bandung during 2008–2012. Inclusion criteria included 76 patients with age range 1–15 years old, given an antibiotic, and had susceptibility test done. Numerical variable was the duration of fever in patients after given an antibiotic. Categorical variable included hepatomegaly, diarrhea, platelet count at admission, and leukocyte count at admission. Data were analyzed using a Mann-Whitney and Chi-square test.Results: There was no statistically significant difference in the duration of fever, leucocyte count at admission, and thrombocyte count at admission between sensitive and resistant response to chloramphenicol, ampicillin, and co-trimoksazol (p>0.05). Leucocyte count at admission in children with sensitive and resistant strain to ampicillin almost showed a difference (p=0.07) but still not statistically significant difference.Conclusions: There is no difference of clinical presentation and laboratory features in pediatric typhoid fever patient susceptible to first-line antibiotics. [AMJ.2015;2(4):584–90] DOI: 10.15850/amj.v2n4.653
Characteristics of Childhood Steroid-Induced Glaucoma patients in National Eye Center, Cicendo Eye Hospital, Bandung, Indonesia from 2007 to 2011 Badriyah, Indri Nurul; Irfani, Irawati; Rakhmilla, Lulu Eva
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.225 KB)

Abstract

Background: The prevalence of children’s blindness in developing countries is still high especially in Asian countries. This children’s blindness influences their motoric, social and emotional developments and their chances to get education. One of the causes is steroid-induced glaucoma. The aim of the study was to identify the characteristics of childhood steroid-induced glaucoma in National Eye Center, Cicendo Eye Hospital, Bandung, Indonesia.Methods: A descriptive study was conducted to 22 medical records of childhood steroid-induced glaucoma patients in National Eye Center, Cicendo Eye Hospital Bandung from 2007−2011. The inclusion criterias were medical records contained complete demographic (age, sex, address and socioeconomic status), clinical (visual acuity, intraocular pressure, cup-disc ratio, underlying eye disease, working diagnosis, treatment and patient’s compliance to follow up) and risk factor (type and route of administration of steroid and duration of steroid usage).Results: Majority of patients were boys (73%), aged 4−7 years old (41%), from Bandung (55%), with moderate socioeconomic condition (73%). Most of the patients experienced blindness (64%), intraocular pressure around 20−30 mmHg (33%), cup-disc ratio above 0.4 (77%). The underlying eye disease was conjunctivitis vernalis (95%). They were treated by medicamentosa or trabeculectomy. The most common used steroid contained dexamethasone (100%) for more than 1 year of usage (64%). Patients’s compliance to follow up was mostly good (59%).Conclusions: Most of the patients with steroid-induced glaucoma is still very young and the use of topical dexamethasone to treat conjunctivitis vernalis for a long time leads to steroid-induced glaucoma. DOI: 10.15850/amj.v2n3.558
Correlation between Body Mass Index and Age at Menarche Putri, Atika Primandina; Sofiatin, Yulia; Fadil, R. M. Ryadi; Sukandar, Hadyana; Susanto, Nugroho Harry; Widjadjakusuma, Anggraini; Rakhmilla, Lulu Eva; Ilona, Lola
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: The decline of age at menarche has been reported in several countries, it occurred because of genetic, ethnic, and socioeconomic improvement in nutritional status and environment. The improvementof nutritional status has occurred globally all over the world including in Indonesia. One of the measuring tools in nutritional status is body mass index (BMI). The objective of the study was to assess the correlationbetween BMI and age at menarche.Methods: A cross-sectional study was carried out among girls aged 9–15 years old in Jatinangor, from May–November 2013. The sample of this study was chosen with cluster random sampling. Age at menarche information was collected through a questionnaire. Body mass index was calculated from measurement of body weight and height. Data was analyzed using Spearman correlation test.Results: Out of three hundred and sixty nine subjects participating in this study, sixty seven were included in the inclusive criteria. According to the classification of BMI of underweight, normal, overweight, andobese, there were 1, 55, 8, and 3 persons, respectively. Mean of BMI was 19.04 and mean age at menarche was 12.72 years, which showed a non significant result (r=-0.013; p= 0.458).Conclusions: Age at menarche was not correlated with BMI. [AMJ.2015;2(4):521–4] DOI: 10.15850/amj.v2n4.656
Analisis Sensorik Dengan Model Rasch Dan Standarisasi Nilai Gizi Makanan Selingan Berbasis Pangan Lokal Dedeh, Dedeh; Diah, Dewi Marhaeni; Rakhmilla, Lulu Eva
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.179 KB) | DOI: 10.24198/jsk.v2i3.11957

Abstract

Makanan selingan merupakan bagian dari pemberian makanan selama dirawat. Makanan berfungsi untuk menunjang perbaikan kondisi kesehatan pasien sehingga dibutuhkan variasi supaya tidak membosankan, dapat mengurangi terjadinya sisa makanan dan dapat meningkatkan asupan. Penelitian ini bertujuan menganalisis daya terima makanan selingan berbasis pangan lokal dan menyusun standar nilai gizi makanan selingan yang dihasilkan. Metode penelitian menggunakan pendekatan cross sectional dengan subyek penelitian adalah  17 orang ahli gizi dan 16 orang pasien gagal ginjal kronik yang diambil secara consecutive addmission di instalasi gizi dan di ruang rawat RSUP dr Hasan Sadikin pada bulan Januari 2016. Data kuantitatif hasil uji organoleptik/ sensorik dianalisis dengan Rasch Model dan standarisasi nilai gizi menggunakan software nutrisurvey. Hasil analisis Multi Facet Rasch Measurement menunjukkan dari 12 macam makanan selingan berbasis pangan lokal diperoleh 8 makanan selingan berbasis pangan lokal yang dapat diterima oleh ahli gizi maupun oleh pasien gagal ginjal kronik dari seluruh aspek yang dinilai yaitu rasa,warna/ penampilan, aroma,tekstur dan besar porsi. Hasil analisis uji t-independent menunjukkan terdapat perbedaan bermakna uji sensorik makanan selingan berbasis pangan lokal oleh ahli gizi dan oleh pasien gagal ginjal kronik (p=0,003). Nilai kalori makanan selingan ada pada kisaran 95 kkal sampai 125 kkal sehingga dapat digunakan untuk penyediaan snack di rumah sakit.Kata Kunci: evaluasi sensorik, pangan lokal, rasch model.
Role of Exclusive Breastfeeding in Preventing Diarrhea Rohmah, Hanifah; Hafsah, Tisnasari; Rakhmilla, Lulu Eva
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

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Abstract

  Background: Breast milk has protective factors for infants’ digestive tract. Infants are vulnerable to diseases, one of which is diarrhea. This cross-sectional study was designed to determine the relation between the proportion of diarrhea in infants and the administration of exclusive breastfeeding in Jatinangor.Methods: This study was an observational study. Data on mothers with 6 months old infants were collected from Jatinangor Primary Health Center (PHC) infant records. The inclusion criteria applied were infants born in April 2012, alive, and living in Jatinangor subdistrict. One hundred and seventy one infants were recorded in April of 2012 in the PHC data. Thirty five were excluded because they were not born in April 2012. Another 45 were excluded because they were not permanent residents of Jatinangor subdistrict, while 4 infants died, and 23 had incomplete data. Therefore, only 66 infants were included as study subjects. Those infants came from 12 villages in the subdistrict of Jatinangor. Data collection was then performed using a questionnaire to the parents during the period of 21–31 October 2012.Results: From 66 infants, the proportion of diarrhea was 66.7%. Only 27.3% of all infants received exclusive breastfeeding. There was a difference in the proportion of diarrhea between infants who were exclusively breastfed and those who were not. Exclusive breastfeeding also reduced the risk of diarrhea (OR= 0.26, 95% CI 0.08–0.83).Conclusions: There is a relation between the proportion of diarrhea in infants and exclusive breastfeeding in Jatinangor. Breastfeeding has a protective effect against diarrhea in infants.Keywords: Diarrhea, exclusive breastfeeding, infants DOI: 10.15850/amj.v2n1.436 
Relationship between Physical Activity and Age on Flatfoot in Children Jasrin, Carmellia Janice; Mayasari, Wulan; Rakhmilla, Lulu Eva
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.283 KB) | DOI: 10.15850/amj.v3n3.887

Abstract

Background: Modern technology has decreased physical activities of most people, especially children. A low physical activity is one of the risk factors of flatfoot. Flatfoot is a flattening of medial longitudinal arch of the foot (MLA) affecting human’s body posture and gait. The objective of this study was to analyze the relationship between physical activity and age on flatfoot.Methods: This study selected 271 children from the elementary school of Cikeruh 1, Jatiroke 1, and Paripurna using cluster random sampling method. Data were collected from August to November 2015. The primary data were collected using questionnaire to determine the physical activity level and footprint method to measure MLA height which was counted using Arch Index (AI). If the AI>0.26, it was considered low arch/flatfoot. Statically, the collected data were analyzed by Fisher’s exact test.Results: From a total of 271, 151 (55.7%) children had a low activity level with 120 of them (44.3%) were flatfoot, whereas in 113 (41.7%) children with an intermediate activity level, 76 children (28.0%) were flatfoot; and from a total of 7 (2.6%) children with a high activity level, 4 children (1.5%) were flatfoot. There was a negative correlation between age and arch index, right foot (r=-1.67;p=0.006), left foot (r=-1.56;p=0.01). This study proved that there was a relationship between the level of physical activity and flatfoot (Fisher=6.125/p=0.040).Conclusions: The Arch Index of the foot becomes smaller with age with an inverse correlation and low physical activities have been proved to have contibution to flatfoot occurrence. [AMJ.2016;3(3):396–400] DOI: 10.15850/amj.v3n3.887 
Overview of The Risk Factors of Spontaneous Abortus Among Young Pregnancy Woman: A Systemic Review Tan, Zaki Miftah Nalalindra; Irianti, Setyorini; Rakhmilla, Lulu Eva; Ramdhan, Muhammad Raihan; Judistiani, Raden Tina Dewi; Handono, Budi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.741

Abstract

Objective: To identify the risk factors of spontaneous abortus among young pregnancy women.Methods: We used PubMed and ScienceDirect databases and electronic journals such as the American Journal of Obstetrics and Gynecology and the International Journal of Gynecology and Obstetrics. The articles were screened based on inclusion and exclusion criteria. The keywords used for inclusion were “Risk Factors,” “Abortus,” and “Young Maternal Age.” Next, articles were quality assessed using the JBI Critical Appraisal Checklist. The extracted data were presented in the table and narrative synthesis.Result: This review has six studies that has identified the risk factors of spontaneous abortus among young pregnancy woman. The risks were body mass index, maternal habits, infection, coital, and experience of IPV. However, some factors, such as iodine level, are insignificant to spontaneous abortuses. This review also found that infection also had a role in the complications of spontaneous abortus. The limitation of this study was each variable was different in each survey. So, we couldn’t compare each variable to avoid bias from each study.Conclusion: The most affected risk factors of spontaneous abortus among young pregnancy woman are an infection, followed by first coital age, IPV, partner controlling behaviour, BMI, and maternal smoking habit.Faktor Risiko Abortus Spontan pada Kehamilan Usia Muda: Systematic ReviewAbstrakTujuan: Mengidentifikasi faktor risiko abortus spontan pada kehamilan usia muda.Metode: Kami menggunakan database web-based berupa PubMed dan ScienceDirect dan jurnal elektrik berupa American Journal of Obstetrics and Gynecology dan International Journal of Gynecology. Artikel yang didapatkan akan dilakukan skrining berdasarkan kriteria inklusi dan kriteria eksklusi. Kata kunci yang digunakan untuk melakukan inklusi berupa “Faktor Risiko”, “Abortus”, dan “Kehamilan Usia Muda”. Selanjutnya, artikel dilakukan penilaian kualitas menggunakan JBI Critical Appraisal Checklist. Data yang diekstrak disajikan dalam bentuk dabel dan narasi.Hasil: Sebanyak 6 penelitian yang ditelaah mengidentifikasi faktor risiko abortus spontan pada kehamilan usia muda berupa indeks massa tubuh, kebiasaan ibu hamil, infeksi, koitus, dan pengalaman kekerasan oleh pasangan. Namun, kadar iodine dalam tubuh tidak memengaruhi secara signifikan kejadian abortus spontan. Penelitian ini juga menemukan bahwa infeksi juga memiliki peran dalam terjadinya komplikasi pada abortus spontan. Keterbatasan pada penelitian ini adalah tidak ada variable yang sama dari artikel ditelaah. Oleh karena itu perbandingan tidak dapat dilakukan untuk mencegah kemungkinan kecenderungan pada penelitian yang ditelaah.Kesimpulan: Faktor risiko yang paling mempengaruhi abortus spontan pada ibu hamil Ketika usia muda adalah infeksi, diikuti dengan usia pada saat koital pertama, kekerasan dari pasangan, kebiasaan mengontrol pasangan, indeks massa tubuh, dan kebiasaan merokok.Kata Kunci: Abortus Spontan, Faktor Risiko, Kehamilan Usia Muda 
PENGARUH EDUKASI TERHADAP PENGETAHUAN, SIKAP, DAN PERILAKU DALAM PENCEGAHAN SKABIES DI PESANTREN DI JATINANGOR Hisan, Kultsum Khairatun; Hidayah, Risa Miliawati Nurul; Rakhmilla, Lulu Eva; Avriyanti, Erda; Sutedja, Endang
Media Dermato-Venereologica Indonesiana Vol 52 No 2 (2025): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v52i2.467

Abstract

   Pendahuluan: Skabies merupakan penyakit kulit yang sangat menular, disebabkan oleh tungau Sarcoptes scabiei var. hominis. Pesantren menjadi salah satu tempat berisiko sebagai tempat penularan skabies karena kepadatan penghuni serta frekuensi kontak langsung dan berbagi alat tidur yang tinggi. Tujuan penelitian ini adalah untuk mengetahui pengaruh edukasi terhadap perubahan pengetahuan, sikap, dan perilaku dalam pencegahan penyakit skabies di Pesantren Al Falah Jatinangor, Sumedang, Jawa Barat. Metode: Penelitian melibatkan 64 warga pesantren yang terdiri dari santri yang tinggal bersama di pesantren. Metode yang digunakan adalah one group pre-test post-test dengan instrumen kuesioner sebelum dan setelah edukasi. Data post-test perilaku diambil 17 hari setelah edukasi. Hasil: Hasil penelitian menunjukkan bahwa edukasi berpengaruh terhadap peningkatan rata-rata skor pre-test dan post-test pengetahuan (9,42 menjadi 12,11; p=0,000), sikap (33,46 menjadi 36,95; p=0,000), dan perilaku (25,61 menjadi 37,23; p=0,012). Kesimpulan: Edukasi dinilai efektif dalam usaha pencegahan penularan skabies. 
Impact Of Maternal Education On Birth Weight and Gestational Age In West Java: A 2022 Study Aprilia Kadi, Fiva; Pratiwi, Indah Anindya; Rakhmilla, Lulu Eva
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I2.2025.224-229

Abstract

Infant development is greatly influenced by maternal health. Maternal factors such as level of education and age impact self-care during pregnancy, resulting in heterogeneity of birth weight and gestational age. Objective: This study analyzes the association between maternal level of education and age with birth weight and gestational age. Methods: A cross-sectional study with simple random sampling was performed by using medical records at Dr. Hasan Sadikin General Hospital Bandung from 1st January to 31st December 2019. Subjects were mothers who delivered single live-born and infants without congenital anomalies at Dr. Hasan Sadikin General Hospital Bandung. Data analysis represents the proportion between groups and the Mann-Whitney test (p<0.05) to observe the association between variables. Results: A total of 1574 birth data encounter the criteria in this study. Types of delivery, abnormality of amnion fluid, IUGR, PROM, and pregnancy complications didn’t differ between high- and low-risk groups of mothers. High-risk maternal age (<20 and >35 years old) was associated with gestational age (preterm birth, c=36.59 weeks; p=0.036). Maternal level of education wasn’t associated with gestational age and birth weight, also maternal age wasn’t associated with birth weight (p>0.05). Conclusion: High-risk maternal age (<20 and >35 years old) was associated with gestational age (preterm birth), however, a low level of education (no education, elementary school, and junior high school) wasn't shown to be related. Birth weight wasn't affected by maternal age and level of education. Further studies that account for socioeconomic aspect in regards of education level and birth weight and gestational age are necessary.
Co-Authors Anggraini Widjadjakusuma, Anggraini Aprilia Kadi, Fiva Atika Primandina Putri, Atika Primandina Budi Handono Dedeh Dedeh, Dedeh Dewi Marhaeni Diah Herawati Dewi Ratnasari Djatnika Setiabudi Endang Sutedja Erda Avriyanti Hadyana Sukandar Hanifah Rohmah, Hanifah Hidayah, Risa Miliawati Nurul Hisan, Kultsum Khairatun Indri Nurul Badriyah, Indri Nurul Irawati Irfani Jasrin, Carmellia Janice Lola Ilona, Lola Mayasari, Wulan Nugroho Harry Susanto, Nugroho Harry Pratiwi, Indah Anindya R. M. Ryadi Fadil, R. M. Ryadi Raden Tina Dewi Judistiani Ramdhan, Muhammad Raihan Setyorini Irianti Tan, Zaki Miftah Nalalindra Tisnasari Hafsah, Tisnasari Yulia Sofiatin