Irawan Anasta Putra, Irawan Anasta
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Hubungan Pola Kuman Saluran Cerna Anak Autis terhadap Tumbuh Kembang di Kota Jambi Putra, Irawan Anasta; Syauqy, Ahmad
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 2 No. 2 (2014): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.1 KB) | DOI: 10.22437/jmj.v2i2.2709

Abstract

ABSTRACT Background: Autism is developmental disorder that appears in children before the age of three and the cause is not known yet. Characteristics of autism are deficits in communication, social interaction, behavior and indigestion. Therapy for autism is not only behavioural therapy but also gluten free-casein free diet. The aim of this study is to describe the characteristics of the growth and development of children with autism at the age of 2-6 years and to see the possibility of the relationship between the pattern of microbe in tractus gastrointestinal and the growth level in children. Methods: Descriptive cross-sectional study, included 49 children with autism at the age of 2-6 years and their parents in special schools of Prof. Dr. Sri Soedewi Masjchun Sofwan, SH and three foundation of children with special needs in Jambi city. Result: 89,8% respondents aged 4-6 years; 87,9% dominated by boys; 87,8% autism is more common in pregnant women aged 21-35 years; 61,2% mothers had never experienced TORCH infection; 93,9% gave birth at >37-42 weeks gestation; 85,7% respondents had never experienced signs of severe breathing at birth; 89,8% had never experienced signs of meningitis or seizures; 33 parents have known about GFCF diet, but only 28 parents who apply the diet. From 28 parents; 21 replace cow’s milk to soy milk, 12 regular and discipline on the diet and 20 felts the positive effects of the diets. 49 respondents: 69,4% has normal nutritional status and 98% has suspect in development disorders. There are the relationships in statistic between the growth level of autism child with microbe Proteus mirabilis. Conclusion: The majority of children with autism at the age of 2-6 years in Jambi City have normal growth, yet fall into the category of suspect in developmental disorders. Proteus mirabilis is a microbe which has the relationships statistically with the growth level of autism children.   Keywords: Autism, growth, development, pattern of microbe
Hubungan Durasi Pemberian Asi Dengan Status Gizi Anak Usia 0-24 Bulan di Puskesmas Simpang IV Sipin Kota Jambi Tahun 2015 Amri, Nurul Khairiyah; Putra, Irawan Anasta; Karolina, Maria Estela
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 3 No. 1 (2015): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v3i1.2717

Abstract

ABSTRACT Background : The connection between breastfeeding duration starts on 0 Until 24 month and child's nutritional stat still bring some controversy. Positive and negative correlation can be seen ss result. This study purpose is to support the giving of exclusive breastfeeding for 2 whole years ( start from one hour after delivery, exclusive breastfeeding for 6 month, no bottle feeding, and 2 years or more of breastfeeding) in Jambi and the correlation with 0 – 24 month child’s nutritional state. Based on Jambi’s Health Departement data in 2013, there was counted 1545 exclusive breastfeeding on  0 – 6 months children  within 20  local Primary health care unit in Jambi. On Simpang IV Sipin area, there was 118 babies who got exclusive breastfeeding on 2013. Objective : To determine relationship between duration of  breastfeeding and nutritional status of children aged 0 – 24 months in Simpang IV Sipin Health Center Jambi in 2015. Methods : This Study used analytical research’s method with crosssectional approach held at Simpang IV Sipin Primary health care unit on 2015. This research used consecutive sampling to Primary health care unit the samples and got 73 children to be followed. This Study data been analyzed by using one- way Anova test. Results : Based on data, we can conclude that there is correlation between breastfeeding duration with nutritional state ( p value 0,037), child with normal nutritional state ( 29 children ) have breastfeeding duration for 8,9 month in average. Child with thin nutritional state have breastfeeding duration got 5,3 months in average, and child with fat nutritional state have breastfeeding duration got 10,2 month ib average. Conclusion: There is relationship between exclusive breastfeeding with nutritional status at age 0 – 24 months in Simpang IV Sipin Primary health care unit Jambi in 2015.   Keywords : Exclusive breastfeeding, nutritional status
KORELASI PEMERIKSAAN NS 1 Ag DAN PEMERIKSAAN DARAH TEPI PADA ANAK DENGAN DEMAM putra, irawan anasta; syauqy, ahmad; darmawan, armaidi; Rahman, Ave Olivia
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 4 No. 2 (2016): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.285 KB) | DOI: 10.22437/jmj.v4i2.3577

Abstract

Abstract Background: Examination of NS1 is one enforcement investigation in the diagnosis of dengue fever, which has been widely used and is believed to have a high degree of accuracy. But in some cases the results of the tests show results that are inconsistent with blood tests edges. Under these conditions, researchers interested in studying the correlation NS1 Ag examination by examination of peripheral blood in children with fever. Methods: This study is observational Analytical involving 70 pediatric patients (age <14 years) who were hospitalized in Mayang Medical Centre (MMC) with a diagnosis of fever. Samples were taken by way of Consecutive Sampling. Time data collection was held on October 1, 2014 until March 31, 2015. Results: Overview of test results on samples of peripheral blood for cases hemoglobin (g / dL) had a mean value of 12.73 ± 0.94, the levels of erythrocyte (million / mm3) has an average value of 4.84 ± 0.29, the levels of leukocytes (/ mm3) has a mean value of 5166.28 ± 1904.06, platelets (/ mm3) has an average value 120,168.03 ± 40191.56, hematocrit (%) had a mean value of 38.74 ± 2,65.Untuk group control of hemoglobin (g / dL) had a mean value of 11.86 ± 1.03, the levels of erythrocyte (million / mm3) has an average value of 4.59 ± 0.35, the levels of leukocytes (/ mm3) has a mean value of 11520 ± 4234, 78, the levels of platelets (/ mm3) has an average value 325,571.43 ± 89177.38, hematocrit (%) had a mean value of 36.34 ± 2.90. Differences in mean values of the results of leukocytes and platelets between the case group and control group had a p-value of 0.000 and the results of Pearson correlation test between NS1 Ag test results by examination of peripheral blood in children showed a correlation value <0.05. Conclusion: There is no correlation between the results of the NS1 Ag by examination of peripheral blood in children with fever. Keywords: NS1 Ag, Blood Bank Examination, Fever Abstrak Latar Belakang: Pemeriksaan NS1 merupakan salah satu pemeriksaan penunjang dalam penegakkan diagnosa demam dengue yang saat ini telah banyak digunakan dan dipercaya memiliki tingkat akurasi yang tinggi. Namun pada beberapa kasus hasil pemeriksaannya memperlihatkan hasil yang tidak sejalan dengan pemeriksaan darah tepinya. Berdasarkan hal tersebut maka peneliti tertarik untuk meneliti mengenai korelasi pemeriksaan NS1 Ag dengan pemeriksaan darah tepi pada anak yang menderita demam. Metode: Penelitian ini merupakan Observasional Analitik yang melibatkan 70 pasien anak (berusia < 14 tahun) yang dirawat di Rumah Sakit Mayang Medical Centre (MMC) dengan diagnosis demam. Sampel penelitian diambil dengan cara Consecutive Sampling. Waktu pengambilan data dilaksanakan pada 1 Oktober 2014 sampai 31 Maret 2015. Hasil: Gambaran hasil pemeriksaan darah tepi pada sampel untuk kelompok kasus kadar hemoglobin (g/dL) memiliki nilai rerata 12,73±0,94, kadar eritrosit (juta/mm3) memiliki nilai rerata 4,84±0,29, kadar leukosit (/mm3) memiliki nilai rerata 5166,28±1904,06, kadar trombosit (/mm3) memiliki nilai rerata 120168,03±40191,56, kadar hematokrit (%)memiliki nilai rerata 38,74±2,65.Untuk kelompok kontrol kadar hemoglobin (g/dL) memiliki nilai rerata 11,86±1,03, kadar eritrosit (juta/mm3) memiliki nilai rerata 4,59±0,35, kadar leukosit (/mm3) memiliki nilai rerata 11520±4234,78, kadar trombosit (/mm3) memiliki nilai rerata 325571,43±89177,38, kadar hematokrit (%) memiliki nilai rerata 36,34±2,90. Perbedaan nilai rerata dari hasil pemeriksaan leukosit dan trombosit antara kelompok kasus dengan kelompok kontrol memiliki nilai p-value 0,000 serta hasil uji korelasi Pearson antara hasil pemeriksaan NS1 Ag dengan pemeriksaan darah tepi pada anak menunjukkan nilai korelasi <0,05. Kesimpulan: Tidak terdapat korelasi antara hasil pemeriksaan NS1 Ag dengan pemeriksaan darah tepi pada anak yang menderita demam. Kata Kunci: NS1 Ag, Pemeriksaan Darah Tepi, Demam
HUBUNGAN PEMERIKSAAN DARAH TEPI , SEROLOGIS DAN KLINIS SEBAGAI FAKTOR RESIKO TERJADINYA SYOK DEMAM BERDARAH DENGUE PADA BAYI DAN ANAK putra, irawan anasta; Syauqy, ahmad; dewi, hasna
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 5 No. 1 (2017): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (491.913 KB) | DOI: 10.22437/jmj.v5i1.3669

Abstract

Abstract Predicting DHF patients that will continue causing Shock or Recurrent Shock is not easy. Based on several studies it appears that examination of peripheral blood, serology, and clinical features into several factors to predict dengue hemorrhagic shock in infants and children. In Jambi there has never been any research related to it. Therefore it is necessary to do research on "Relationship of Blood Pressure, Serologic and Clinical Symptoms as Risk Factors of Shampoo Dengue Fever Shock in Infants and Children." This study was an observational analytical study conducted at Mayang Medical Center Hospital Jambi with a sample of all dengue hemorrhagic patients from January to November 2016. All samples were seen as peripheral blood examination result, serological examination result, and patient clinical picture to be analyzed statistically Chisquare associated with the occurrence of Dengue Hemorrhagic Shock. Characteristics of 70 respondents by sex had a balanced portion between men and women (50%), by age, the number of respondents was 5-10 years old (48.57%), based on clinical symptoms, who bleeded only 27, 14%, stomach tension 47.14%, 88.57% abdominal pain, and 40% decrease in awareness. Based on the results of peripheral blood examination, respondents had Hb values ​​of at most 12-14 g / dL (57.14%), platelets at most 51,000-100.000 / mm3 (25.71%) and hematocrit at most ≤42% (75.71 %). For serologic examination of NS1 Ag, generally showed positive results (60%). Based on statistical analysis of the relationship between clinical symptoms (bleeding, stomach tension, abdominal pain, and decreased consciousness), blood test results (Hb, platelets, Ht) and serologic examination of NS1 Ag with shocks in pediatric and infant patients with dengue hemorrhagic fever Gives result p value <0,05. Conclusion: There is a significant relationship between clinical symptoms, blood test results and serologic examination of NS1 Ag with shock occurrence in pediatric and infant patients with dengue hemorrhagic fever. Keywords: peripheral blood, clinical symptoms, serologic, dengue fever Abstrak Memprediksi pasien DBD yang akan berlanjut sehingga menimbulkan Syok atau Syok berulang tidaklah mudah. Berdasarkan beberapa penelitian tampak bahwa pemeriksaan gambaran darah tepi, serologi, dan gambaran klinis menjadi beberapa faktor untuk meprediksi terjadinya syok demam berdarah dengue pada bayi dan anak. Di Jambi belum pernah dilakukan penelitian terkait hal tersebut. Oleh karena itu perlu dilakukan penelitian mengenai “Hubungan Pemeriksaan Darah Tepi, Serologis dan gejala klinis Sebagai Faktor Resiko Terjadinya Syok Demam Berdarah Dengue Pada Bayi dan Anak.” Penelitian ini merupakan penelitian observasional analitik yang dilakukan di Rumah Sakit Mayang Medical Center Jambi dengan sampel seluruh pasien demam berdarah dengue periode Januari-November 2016. Seluruh sampel dilihat hasil pemeriksaan darah tepi, hasil pemeriksaan serologis, dan gambaran klinis pasien untuk kemudian dilakukan analisa secara statistik chisquare terkait hubungannya dengan terjadinya Syok Demam Berdarah Dengue. Karaktersitik 70 reponden berdasarkan jenis kelamin memiliki porsi yang seimbang antara laki-laki dan perempuan (50%), berdasarkan usia, jumlah responden paling banyak berusia 5-10 tahun (48,57%), berdasarkan gejala klinis, yang mengalami perdarahan hanya 27,14%, perut tegang 47,14%, nyeri perut 88,57%, dan penurunan kesadaran 40%. Berdasarkan hasil pemeriksaan darah tepi, responden memiliki nilai Hb paling banyak 12-14 g/dL (57,14%), trombosit paling banyak 51.000-100.000/mm3 (25,71%) dan hematokrit paling banyak ≤42% (75,71%). Untuk pemeriksaan serologi NS1 Ag, umumnya menunjukkan hasil positif (60%). Berdasarkan analisis statistik terkait hubungan antara gejala klinis (perdarahan, perut tegang, nyeri perut, dan penurunan kesadaran), hasil pemeriksaan darah (Hb, trombosit, Ht) dan pemeriksaan serologi NS1 Ag dengan terjadinya syok pada pasien anak dan bayi yang menderita demam berdarah dengue memberikan hasil p value<0,05. Kesimpulan: ada hubungan yang bermakna antara gejala klinis, hasil pemeriksaan darah dan pemeriksaan serologi NS1 Ag dengan terjadinya syok pada pasien anak dan bayi yang menderita demam berdarah dengue. Kata Kunci: darah tepi, gejala klinis, serologis, demam berdarah dengu