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All Journal BALI MEDICAL JOURNAL (BMJ) INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi Cermin Dunia Kedokteran HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan Public Health and Preventive Medicine Archive Journal of Global Pharma Technology

I Gusti Agung Trisna Windiani

Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Udayana, Denpasar, Bali

Author-ID : 505440

Biochemistry, Genetics & Molecular Biology Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Social Sciences Other

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Hambatan Keberhasilan Pelaksanaan Inisiasi Menyusu Dini (IMD) pada Ibu Bersalin di Rumah Sakit Umum Pusat Sanglah Denpasar Ni Nyoman Sukarti; I Gusti Ayu Trisna Windiani; Desak Yuli Kurniati
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 8, No 1 (2020)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v8i1.1197

The problem of neonatal mortality is still a priority in Indonesia because 59% has contributed to infant mortality. Early breastfeeding (IMD) and exclusive breastfeeding is one of the intervention programs to reduce neonatal and infant mortality. This study aims to explore the implementation of early breastfeeding initiation at the Sanglah Central General Hospital Denpasar using qualitative methods. Data were obtained through in-depth interviews with 5 specialist doctors, 3 mothers giving birth and 5 focus group disscusion activities with 22 midwives. Data collection was carried out from October 2018 to January 2019. Data were analyzed thematically and presented using a narrative approach. The main themes that emerged in this study were 3, namely the knowledge of health workers related to the IMD program, supporting infrastructure facilities from hospitals for the implementation of IMD, and the implementation of the IMD program at Sanglah Hospital. The results of this study indicate that the implementation of IMD has not been carried out properly and correctly. The low knowledge of officers about IMD regulation and the motivation of officers in implementing IMD in mothers. The implementation has also not been supported by information media such as posters, photos, leaflets, booklets and counseling books. Implementation needs to be further enhanced by campaigning for early breastfeeding initiation to increase knowledge both of health workers and the wider community.

Paternal and maternal age at pregnancy and autism spectrum disorders in offspring Luh Putu Rihayani Budi; Mei Neni Sitaresmi; I Gusti Ayu Trisna Windiani
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Background The prevalence of autism spectrum disorders (ASDs) has increased 10 times over the past half century, while paternal and maternal age at pregnancy has also increased. Studies looking for an association between paternal or maternal age at pregnancy and ASDs in offspring have not been conclusive. Objective To assess for possible associations between paternal and maternal age at pregnancy and ASDs in offspring. Methods This case-control study had 50 case and 100 control subjects, each case was matched for age and gender to two controls. Case subjects were obtained by consecutive sampling of patients aged 18 months to 7 years who visited the Developmental Behavioral & Community Pediatrics Outpatient Clinic and private growth and development centers from January to April 2013, while control group were children of the same age range and same gender who visited pediatric outpatient clinic at Sanglah Hospital mostly due to acute respiratory tract infection, without ASDs as assessed by the DSM-IV-TR criteria. We interviewed parents to collect the following data: maternal and paternal age at pregnancy, childâ€™s birth weight, history of asphyxia, hospital admission during the neonatal period, pathological labor, maternal smoking during pregnancy, paternal smoking, and gestational age. Data analysis was performed with Chi-square and Fisherâ€™s exact tests. Results Multivariable analysis showed that higher paternal age at pregnancy was associated with ASDs in offspring (OR 6.3; 95%CI 2.0 to 19.3; P 0.001). However, there was no significant association between maternal age during pregnancy and the incidence of ASDs. Asphyxia and paternal smoking were also associated with higher incidence of ASDs in the offspring (OR 10.3; 95%CI 1.9 to 56.5; P 0.007 and OR 3.2; 95%CI 1.5 to 6.9; P 0.003, respectively). Conclusion Paternal age >=40 years increased the risk of ASDs in offspring by 6.3 times. In addition, paternal smoking increased the risk of ASDs in offspring by 3.2 times and asphyxia increased the risk of ASDs in offspring by 10.3 times.

Prevalence and factors associated with behavioral disorders in children with chronic health conditions Budi Santoso Adji; Soetjiningsih Soetjiningsih; Trisna Windiani
Paediatrica Indonesiana Vol 50 No 1 (2010): January 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.455 KB)

Background Patients suffering from chronic health conditions are compelled to strive to adjust in their communities. As a result, changes in their physical and psychosocial states are likely to occur. Several studies have described the prevalence of behavioral disorders in such patients. Pediatric Symptom Checklist (PSC) is a screening tool to detect behavioral disorders in children with chronic illness.Objective To determine the prevalence of and factors associated with behavioral disorders in children with chronic health conditions.Methods A cross sectional study was conducted on 4 to 14 year-old-children with chronic diseases in out-patient clinic, Sanglah Hospital from October to December 2008. PSC-17 was used to screen the presence of behavioral disorders. Bivariate analysis and logistic regression were used for analysis.Results One hundred and four children were included in this study. The prevalence of behavioral disorder based on PSC-17 score â‰¥ 15 was 37.5%. The study showed that duration of illness of more than 3 years had significant correlation with behavioral disorders, compared with the group of 3 month â€“ 3 years duration of illness (OR 3.30, 95% CI 1.33 to 8.22, P = 0.010}.Conclusions Prevalence of behavioral disorders in children with chronic health condition is 37.5%. The duration of illness contributes to the manifestation of behavioral disorders in children with chronic health conditions. [Paediatr Indones. 2010;50:1-5].

Developmental delay in 3-month-old low birth weight infants with hyperbilirubinemia Wiradharma Wiradharma; I Gusti Ayu Trisna Windiani; Ekawaty Lutfia Haksari
Paediatrica Indonesiana Vol 53 No 4 (2013): July 2013
Publisher : Indonesian Pediatric Society

Backgrourui Developmental delay may be due to a variety offactors occurring during the prenatal, perinatal, or postnatalperiods, one of which is hyperbilirubinemia.Objective To evaluate the impact ofhyperbilirubinemia on infantdevelopmental delay.Methods A prospective cohort study was conducted from March toJuly 2011. Subjects were low birth weight infants with and withouthyperbilirubinemia. Developmental delay was measured using theMullen Scales of Early Learning. Data was analyzed by Chi squaretest and relative risks were calculated. Logistic regression analysiswas performed to assess factors associated with developmentaldelay. Differences were considered statistically significant for Pvalues < 0.05.Results Forty-six low birth weight infants were enrolledin this study, 23 with hyperbilirubinemia and 23 withouthyperbilirubinemia. The relative risk (RR) for developmentaldelay in the hyperbilirubinemia group was 2.08 (95%CI 0.51 to8 .40). Multivariate analysis revealed that hyperbilirubinemia didnot significantly influence developmental delay (RR 1.45; 95%CI0.29 to 7.31). However, small for gestational age with or withouthyperbilirubinemia significantly influenced developmental delay(RR 12.13; 95%CI 2.43 to 60.56).Conclusion Hyperbilirubinemia in low birth weight infants isn ot a risk factor for developmental delay at the age of 3 months.However, being small for gestational age with or withouthyperbilirubinemia significantly influences the likelihood ofdevelopmental delay.

Television watching time and cognitive development in young children Anak Agung Ayu Windi Antari; I Gusti Ayu Trisna Windiani; Djauhar Ismail
Paediatrica Indonesiana Vol 52 No 1 (2012): January 2012
Publisher : Indonesian Pediatric Society

Background Television viewing for children is prevalent. Therehave been few Indonesian studies on the association betweenduration of television watching and cognitive development inyoung children.Objective To assess cognitive development in young children whowatched < 1 hour, 1-2 hours, or > 2 hours of television daily.Methods We conducted a cross-sectional study at 6 prekindergartensin Denpasar, Bah. We included 135 subjects in thisstudy. Cognitive development was measured by the Mullen ScalesofEarly Learning (MSEL). Data was analyzed by one-way analysisof variance (ANOVA) test, post-hoc test, and univariate analysisof covariance (ANCOVA) with significance level of P < 0.05.Results There were significant differences among compositestandard score in children who watched television < 1 hour, 1-2hours, and> 2 hours per day (P=0.035). The mean compositestandard score in children who watched television 1-2 hours dailywas 6.087 points higher than in those who watched television< 1 hour daily (P=0.013, 95%CI 1.29 to 10.88) and 4.213points higher than in those who watched television > 2 hoursdaily (P=0.045, 95%CI 1.08 to 8.51). There was an associationbetween television watching time and cognitive development(P=0.001).Conclusion Television watching time was statistically associatedwith cognitive development in young children, where thoseviewing television 1-2 hours daily scoring significantly higher thanthose viewing < 1 hour and > 2 hours daily. [Paediatr lndones.2012;52:32-7].

Comparison of maternal anxiety scores in pediatric intensive care unit and general ward parents Lie Affendi Kartikahadi; Soetjiningsih Soetjiningsih; I Gusti Ayu Endah Ardjana; I Gusti Ayu Trisna Windiani
Paediatrica Indonesiana Vol 52 No 2 (2012): March 2012
Publisher : Indonesian Pediatric Society

Background Hospitalization of a child is known to be a dreadfuland stressful situation for parents. One study reported thatadmitting a child to a general ward caused mild anxiety to mothers,while admitting a child to the pediatric intensive care unit (PICU)caused moderate anxiety to mothers.Objective To compare Hamilton anxiety scores of mothers whosechildren were admitted to the PICU to those of mothers whosechildren were admitted to the general ward.Methods A cross-sectional study was done on mothers ofchildren aged 1 month-12 years. Children were admitted toeither the intensive care unit or the general ward from October2010-January 2011. All subjects were assessed by Hamiltonanxiety scores and questioned for risk factors and other causesof maternal anxiety. Consecutive sampling was used to allocatethe subjects. Differences were considered statistically significantfor P < 0.05.Results Of the 72 subjects, the median Hamilton anxiety score inmothers of children admitted to the PICU was 20.5 (interquartilerange 14-29.75), higher than that of mothers of children admittedto the general ward (14, interquartile range 9-16.75). MannWhitneyU test revealed a statistically significant difference inscores between the two groups (P = 0.DO1). Ancova multivariateanalysis showed the admission location to be the only significantrelationship to Hamilton anxiety score (P = 0.0001).Conclusion Hamilton anxiety scores were higher for mothersof children admitted to the PICU than that of mothers withchildren admitted to the general ward. [Paediatr lndones.2012;52:95-8].

Quality of life among obese and non-obese early adolescents Putu Vivi Paryati; I. G. Lanang Sidiartha; I. G. Ayu Trisna Windiani; I. G. A. N. Sugitha Adnyana
Paediatrica Indonesiana Vol 57 No 4 (2017): July 2017
Publisher : Indonesian Pediatric Society

Background Obesity in adolescents adversely affects both their psychological as well as their physical health.Objective To compare the quality of life between obese and non-obese early adolescents, using the PedsQL inventory.Methods A cross-sectional study was carried out on early adolescents aged 10-12 years among several elementary schools in Denpasar, Bali. Body mass index (BMI) percentiles for age and sex were categorized as obese (BMI â‰¥95th percentile) and non-obese (BMI <95th percentile). Data on quality of life were collected using PedsQL Generic Core Scales version 4.0 inventory, filled by the children and their parents separately.Results Total PedsQL score in obese and non-obese group were significantly difference in both reports [child report: mean difference of 9.59 (95%CI 7.14 to 12.05; P<0.05) and parent-proxy report: mean difference at 8.95(95%CI6.64 to 11.26; P<0.05)]. After classifying subjects into impaired and not impaired quality of life based on a total score cut-off <78 as well as other cut-off points for each domain, the individual domains of physical, social, and school function were also significantly associated with obesity (child report: P=0.02, P< 0.001, P=0.018, respectively, and parent-proxy report:P=0.007, P<0.001, P<0.001, respectively). However, emotional function was not significantly associated with obesity (P>0.05). After adjusting for age, gender, and parental education, obesity was significantly associated with PedsQL scores in the child report (OR 7.25; 95%CI 2.94 to 17.89; P<0.05) and the parent-proxy report (OR 10.87; 95%CI 3.83 to 30.84; P<0.05).Conclusion Obese early adolescents reported significantly poorer quality of life with regards to the physical, social, school function domains and total quality of life than those who were classified into non-obese.

Forced expiratory volume in 1-second and blood gas analysis in children during asthma attacks Dewa Ayu Dini Primashanti; Putu Siadi Purniti; I Gusti Ayu Trisna Windiani
Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

Background Asthma is the most common chronic disease in the world, with a high incidence in children. Blood gas analysis and pulmonary function test using spirometry are recommended to evaluate the degree of asthma in children. Spirometry test is non-invasive and easier to implement compared to blood gas analysis. Objective To evaluate for a possible correlation between forced expiratory volume in 1 second (FEV1) measured by spirometry test and blood gas analysis (pO2 and pCO2 levels) in children during an asthma attack. Methods This cross-sectional study was done in children with asthma attacks who were admitted to Sanglah Hospital, Denpasar, Bali, between November 2016 and April 2017. Subjects underwent spirometry tests and blood gas analyses. Potential correlations between FEV1 and pO2 and pCO2 levels were analyzed by Spearmanâ€™s correlation test. Results A total of 50 subjects, consisting of children aged 6 to 12 years, were diagnosed with asthma attacks during the study period. Subjectsâ€™ mean FEV1 level was 43.6%, mean pCO2 was 38.36 mmHg, and mean pO2 was 121.92 mmHg. There were no significant correlations between FEV1 and pCO2 level (r=0.206; P=0.152) or FEV1 and pO2 (r=0.157; P=0.277) found in this study. Conclusion FEV1 does not correlate with pCO2 and pO2 level in children during asthma attacks.

Validation of the Indonesian Version of Modified Checklist for Autism in Toddlers: a diagnostic study Hendra Salim; Soetjiningsih Soetjiningsih; I Gusti Ayu Trisna Windiani; I Gede Raka Widiana; PITIKA ASPR
Paediatrica Indonesiana Vol 60 No 3 (2020): May 2020
Publisher : Indonesian Pediatric Society

Background Autism is a developmental disorder for which early detection in toddlers is recommended because of its increased prevalence. The Modified Checklist for Autism in Toddlers (M-CHAT) is an easy-to-interprete tool that can be filled out by parents. It has been translated into the Indonesian language but needs to be validated. Objective To evaluate the diagnostic validity of the Indonesian version of M-CHAT in detection of autism spectrum disorder in Indonesia. Methods A diagnostic study was conducted at Sanglah Hospital, Denpasar, Bali, from March 2011 to August 2013. Pediatric outpatients aged 18 to 48 months were included. The Indonesian version of the M-CHAT tool was filled by parents. Autism assessment was done according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV-TR). The assessment results were analyzed with the MedCalc program software, in several steps: (i) reliability of M-CHAT; (ii) description, distribution, and proportion to determine the characteristics of the subjects of research; and (iii) validity of M-CHAT compared to the gold standard DSM-IV-TR by a receiver operating characteristic curve and several area under the curve cut-off points, in order to assess the sensitivity, specificity, positive predictive value, negative predictive value, and positive and negative likelihood ratio, accompanied by the 95% confidence interval of each value. Results The Indonesian version of M-CHAT in toddlers had 82.35% sensitivity and 89.68% specificity, using the cut-off point of more than 6 failed questions. Conclusion The Indonesian version M-CHAT translated by Soetjiningsih has optimal diagnostic validity for detection of autism in toddlers.

Masalah Adiksi Game Online pada Anak Muhammad Reza; IGAN Sugitha Adnyana; I Gusti Ayu Trisna Windiani; Soetjiningsih -
Cermin Dunia Kedokteran Vol 43, No 4 (2016): Adiksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v43i4.44

Game online adalah game berbasis elektronik dan visual yang menggunakan jaringan internet, yang dapat dimainkan oleh beberapa pemain di lokasi berbeda. Game ini tidak asing lagi di kehidupan masyarakat, dapat dijumpai di rumah, warung internet, konsol, dan gadget. Maraknya game online dapat menyebabkan adiksi pada anak. Adiksi game online dapat menimbulkan kerugian signifikan, yaitu timbulnya sikap dan perilaku kompulsif, agresif, dan acuh pada kegiatan lain. Juga munculnya gejala seperti rasa tak tenang atau gelisah jika hasrat bermain tidak segera terpenuhi. Peran orangtua dalam terapi anak dengan adiksi game online sangat penting. Orangtua wajib membangun komunikasi yang hangat dan terbuka dengan anak; melarang terlalu keras dapat menyebabkan anak melawan dan akan berperilaku makin menyimpang.

Co-Authors Abadi, Dewa Ayu Ketut Sri Adnyana, I Gusti Agung Ngurah Sugitha Agung Ngurah Sugitha Adnyana, I Gusti Anak Agung Ayu Windi Antari and R. Kusnandi Ardani, I Gusti Ayu Indah Ayu Indah Ardani, I Gusti Ayu Setyorini Mestika Mayangsari Budi Santoso Adji Desak Putu Gayatri Saraswati Seputra Desak Putu Kunti Wedayanti Desak Putu Yulita Kurniati Dewa Ayu Dini Primashanti Dewa Ayu Ketut Sri Abadi Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi, Ni Nyoman Gita Kharisma Djauhar Ismail Dyah Ekowati Eka Gunawijaya Ekawaty Lutfia Haksari Ekowati, Dyah Gusti Ayu Teja Devi Megapuspita Hapsari, Ida Ayu Nyoman Dian Permana Hendra Salim Hendrikus Gede Surya Adhi Putra I Gde Raka Widiana I Gede Ngurah Harry Wijaya Surya I Gusti Agung Ngurah Sugitha Adnyana I Gusti Ayu Endah Ardjana I Gusti Ayu Putu Eka Pratiwi I Gusti Istri Agung Widnyani I Gusti Lanang Sidiartha I Gusti Ngurah Sanjaya Putra I Made Arimbawa I Nyoman Budi Hartawan I NYOMAN MANTIK ASTAWA I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Gustawan Ida Bagus Putu Alit Ida Bagus Subanda Julitasari S Kadek Apik Lestari, Kadek Apik Khrispina Owa Khrispina Owa Komang Ayu Kartika Sari Kurniasih Widayati Lie Affendi Kartikahadi Luh Gede Ayu Putri Vebriany Widiaskara Luh Kadek Pande Ary Susilawati Luh Putu Rihayani Budi Luh Seri Ani Made Ardinata Made Supartha Maharini, Kadek Mei Neni Sitaresmi Muhammad Reza Muhammad Reza Muliawati, Ni Kadek NEGARA, NI WAYAN WIRAYANTI PUTRI Ni Kadek Muliawati Ni Nyoman Ayuk Widiani Ni Nyoman Sukarti Ni Putu Anggun Laksmi Ni Putu Siadi Purniti Ni Putu Veny Kartika Yantie, Ni Putu Veny Kartika Ni Rai Sintarini Novilia Sjafri Bachtiar PITIKA ASPR Pratiwi, Ni Luh Putu Sukma Putu Anindia Sekarningrum Putu Dian Savitri Irawan Putu Junara Putra Putu Vivi Paryati Ricky Theddy Rini Mulia Sari S. Soetjiningsih, S. S. Sotjiningsih SAK Indriyani Sawitri, Anak Agung Sagung Soetjiningsih - Soetjiningsih - Soetjiningsih - Soetjiningsih Soetjiningsih . Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Sri Maya Suwandi, Nyoman Defriyana Tristina Wardani TULUS, ANGELINA Widayati, Kurniasih Widiani, Ni Nyoman Ayuk Wiradharma Wiradharma Yuliani Yuliani Yuliani

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