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Education regarding relationship of nutritional status to short stature and level of intelligence to parents of elementary school students Rohmawati, Lili; Pratita, Winra; Tanjung, Ika Citra; Arto, Nindia Sugih
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Short stature is a health problem with long-term implications to the future of the children. Short stature condition in children below five years old, known as stunting, may cause cognitive, psychomotor impairment and interfere with productivity on adult period. Main concern in short stature is due to insufficient of dietary intake in long-term period. Parentsâ€™ role in the prevention of short stature is important, therefore, performing education to parents is a crucial task to the government, universities and communities to be done continuously. The objective of this educational counseling was to educate the parents so they would be able to comprehend the relationship of nutritional status to short stature, especially in children below five years old, and level of intelligence in order to prevent the condition of short stature in the future. This activity was held in conjunction with community service program Pengabdian Kepada Masyarakat Dosen Wajib Mengabdi Universitas Sumatera Utara (USU) 2019, by the lecturer team of Faculty of Medicine USU in elementary school Yayasan Pendidikan Al-Washliyah Tanjung Rejo, Medan. Educational counseling materials were modules and leaflets distributed to the parents. To evaluate the educational counseling, questionnaires were disposed prior to and after the lecture. The target audience was the parents of elementary school students, amount of 48 people. The results showed mean difference questionnairesâ€™ score of 0.97 (SD 1.76) with 95%CI=0.46-1.49 and p value=0.001 (p<0.05). There was significant difference of parental knowledge to educational counseling material prior to and after the counseling. Concluded, parental knowledge regarding relationship of nutritional status to short stature and level of intelligence is significantly increased through the educational counseling.

Gambaran Indeks Eritrosit pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUP H. Adam Malik Medan Togatorop, Yosephin Irene; Arto, Nindia Sugih
Jurnal Kesehatan Andalas Vol. 11 No. 1 (2022): Online March 2022
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v11i1.1899

Chronic Kidney Disease (CKD) will cause anemia which can lead to death. CKD patients undergoing hemodialysis therapy can also experience anemia. Therefore, it is necessary to check the erythrocyte index consisting of Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), and Mean Corpuscular Hemoglobin Concentration (MCHC) to determine the type of anemia so that appropriate therapy can be given. Objectives: To determined the description of the erythrocyte index in CKD patients undergoing hemodialysis at H. Adam Malik General Hospital Medan. Methods: This research used the descriptive observational method with a cross-sectional design. The study population was all CKD patients who underwent hemodialysis at the Adam Malik General Hospital Medan period July 2018 until June Â 2019 according to inclusion and exclusion criteria (total sampling) using medical record data. Results: From 149 study samples, 92 people (61.7%) were male, 57 people were female (38.3%), more in the age range of 55-64 years, hemoglobin (Hb) on average in low grades (98.9% men, 94.7% women), and erythrocyte index (MCV, MCH, MCHC) averages in the normal range. Conclusion: The description of patients with chronic kidney disease undergoing hemodialysis at H. Adam Malik General Hospital in July 2018 - June 2019, in general, is normochromic normocytic anemia.Keywords: Â CKD, erythrocyte index, Hb, hemodialysis

PERBEDAAN HASIL HITUNGAN DARAH LENGKAP SEBELUM DAN SESUDAH FASE INDUKSI PADA ANAK DENGAN LEUKEMIA LIMFOBLASTIK AKUT: DIFFERENCES IN COMPLETE BLOOD COUNT RESULTS BEFORE AND AFTER THE INDUCTION PHASE IN CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA Siregar, Yoga Rhamada; Aman, Adi Koesoema; Nasution, Malayana Rahmita; Arto, Nindia Sugih; Permatasari, Ranti
Jurnal Kedokteran Ibnu Nafis Vol. 14 No. 1 (2025): Juni 2025
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v14i1.858

Leukemia Limfoblastik Akut (LLA) merupakan kanker darah tersering pada anak-anak dengan manifestasi klinis utama berupa anemia, leukositosis, dan trombositopenia. Penelitian ini bertujuan mengevaluasi perbedaan hasil hitung darah lengkap (hemoglobin, leukosit, trombosit) sebelum diagnosis dan setelah fase induksi terapi pada pasien anak dengan LLA. Penelitian ini merupakan studi observasional analitik retrospektif terhadap 40 pasien anak LLA di RSUP H. Adam Malik Medan tahun 2023. Hasil penelitian menunjukkan peningkatan bermakna kadar hemoglobin (5,86±2,46 g/dL vs 11,70±1,30 g/dL), penurunan jumlah leukosit (15.640 vs 6.655 sel/µL), dan peningkatan jumlah trombosit (35.375±41.097 vs 303.000±119.108 sel/µL) setelah fase induksi terapi (p<0,05). Kesimpulan penelitian ini adalah terdapat perbedaan signifikan parameter darah lengkap sebelum diagnosis dibandingkan setelah fase induksi, yang menunjukkan respons baik terhadap terapi induksi pada pasien LLA anak.

Neutrophil-To-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) as Predictors of Mortality in Chronic Kidney Disease Patients Undergoing Hemodialysis Silaban, Roy Efendi; Arto, Nindia Sugih; Lubis, Mohammad Riza
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6998

Chronic Kidney Disease (CKD) is associated with high mortality, especially among patients undergoing hemodialysis (HD). Inflammation markers such as the Neutrophil-to-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) have been linked to mortality prediction. This study aims to evaluate the role of NLR and PLR as mortality predictors in CKD patients undergoing HD at H. Adam Malik Hospital, Medan. This retrospective study analyzed CKD patients receiving HD from January to December 2023, aged 18-60 years, and undergoing routine HD for at least 3 months. Excluded were those with comorbidities, immunosuppressant use, or incomplete records. Data on demographics, laboratory values (including NLR and PLR), and mortality outcomes were collected. ROC curve and logistic regression analysis were used. Out of 108 patients, 35 (32.4%) died. The median NLR was significantly higher in the mortality group (7.89 vs. 3.41, p < 0.001), while PLR showed no significant difference. ROC analysis revealed NLR's moderate accuracy (AUC = 73.3%, cut-off = 5). Multivariate analysis identified coronary artery disease history, age, and creatinine levels as significant mortality factors. NLR is a moderate predictor of mortality in CKD patients undergoing HD, while PLR is not.

Hubungan Red Cell Distribution Width Terhadap Kadar Feritin dan Total Iron Binding Capacity Pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis Purnamasari, Yeni; Adhayanti, Ida; Tarigan, Radar Radius; Lubis, Mohammad Riza; Arto, Nindia Sugih; Youvella, Sylvia
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 3 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss3.1995

Tujuan penelitian untuk mengetahui hubungan RDW terhadap hasil TIBC dan kadar feritin pada pasien penyakit ginjal kronik yang menjalani hemodialisis di RS Adam Malik. Metode penelitian merupakan studi retrospektif, yang melibatkan 114 pasien PGK yang menjalani hemodialisis di RS Adam Malik pada tahun 2023. Pasien yang terlibat pada studi ini yakni pasien berusia ≥ 18 tahun, menjalani hemodialisis rawat jalan, dan memiliki data rekam medis yang lengkap. Data yang telah terkumpul selanjutnya dianalisis menggunakan uji korelasi Spearman. Hasil penelitian menunjukan mayoritas pasien berjenis kelamin laki-laki (62,3%), berusia 46–60 tahun (43,0%), lama hemodialisis < 5 tahun (70,2%), dan menderita diabetes (56,1%). Sebagian besar memiliki RDW normal (60,5%), feritin tinggi (78,1%), dan TIBC rendah (69,3%), menunjukkan adanya inflamasi kronik dan kelebihan besi. Tidak terdapat hubungan signifikan antara RDW dengan TIBC maupun feritin, sehingga RDW tidak mencerminkan status besi atau inflamasi pada pasien hemodialisis. Kesimpulannya tidak ada hubungan antara RDW terhadap TIBC dan feritin.

Education regarding relationship of nutritional status to short stature and level of intelligence to parents of elementary school students Rohmawati, Lili; Pratita, Winra; Tanjung, Ika Citra; Arto, Nindia Sugih
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Short stature is a health problem with long-term implications to the future of the children. Short stature condition in children below five years old, known as stunting, may cause cognitive, psychomotor impairment and interfere with productivity on adult period. Main concern in short stature is due to insufficient of dietary intake in long-term period. Parentsâ€™ role in the prevention of short stature is important, therefore, performing education to parents is a crucial task to the government, universities and communities to be done continuously. The objective of this educational counseling was to educate the parents so they would be able to comprehend the relationship of nutritional status to short stature, especially in children below five years old, and level of intelligence in order to prevent the condition of short stature in the future. This activity was held in conjunction with community service program Pengabdian Kepada Masyarakat Dosen Wajib Mengabdi Universitas Sumatera Utara (USU) 2019, by the lecturer team of Faculty of Medicine USU in elementary school Yayasan Pendidikan Al-Washliyah Tanjung Rejo, Medan. Educational counseling materials were modules and leaflets distributed to the parents. To evaluate the educational counseling, questionnaires were disposed prior to and after the lecture. The target audience was the parents of elementary school students, amount of 48 people. The results showed mean difference questionnairesâ€™ score of 0.97 (SD 1.76) with 95%CI=0.46-1.49 and p value=0.001 (p<0.05). There was significant difference of parental knowledge to educational counseling material prior to and after the counseling. Concluded, parental knowledge regarding relationship of nutritional status to short stature and level of intelligence is significantly increased through the educational counseling.

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