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All Journal The Indonesian Biomedical Journal Sari Pediatri Paediatrica Indonesiana Majalah Kedokteran Nusantara The Journal Of Medical School Jurnal Keperawatan Priority Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Cermin Dunia Kedokteran

Oke Rina Ramayani, Oke Rina

Department Of Pediatrics, Faculty Of Medicine, University Of Sumatera Utara Jl. Dr. Mansyur No.5, Medan

Author-ID : 601685

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Association between the frequency of disposable diaper changing and urinary tract infection in children Meirina Daulay; Rosmayanti Siregar; Oke Rina Ramayani; Supriatmo Supriatmo; Rafita Ramayati; Rusdidjas Rusdidjas
Paediatrica Indonesiana Vol 53 No 2 (2013): March 2013
Publisher : Indonesian Pediatric Society

Background Urinary tract infection (UTI) is the most commoncause of fever in children. Less frequent disposable diaper changingis thought to be a cause ofUTI in children. While wearing a diapei;the perinea! area becomes damp with urine allowing bacteria tomigrate from the anus to the external urethral orifice.Objective To assess for an association between the frequencyof disposable diaper changing and urinary tract infections inchildren.Methods This cross-sectional study was conducted in thechildren's outpatient clinic of Haji Adam Malik Hospital fromApril to June 2010. Urine culture was performed in children withsuspected UTI who wore disposable diapers every day. Subjects'ages ranged from 2 months to 2 years 6 months, with samplesmatched and collected by consecutive sampling. Diagnosis ofUTIwas based on urine cultures with bacterial count 2:: 105/mL. Eightychildren were followed in this study and divided into two groups:positive (n=40) and negative (n=40) urine cultures. Chi squaretest was use d to analyze the association between the frequency ofdaily disposable diapers changing during a one week period andthe urine culture results.Results The frequency of daily disposable diapers changing in80 subjects was as follows: < 4 times (22.5%), 4-5 times (40%),and 2::6 times (37.5%) . The frequency of daily disposable diaperchanging in children with positive urine culture was as fo llows:< 4 times (1 8 out of 40), 4-5 times (22 out of 40), and 2::6 times(O out of 40); (P < 0.0001). The most common bacterial speciesfound in urine cultures was Escherichia coli.Conclusion Lower frequency of daily disposable diaper changingis significantly associated with higher UTI incidence in children.

Proteinuria and malaria parasite counts in children Mahrani Lubis; Rusdidjas Rusdidjas; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti S Siregar; Supriatmo Supriatmo
Paediatrica Indonesiana Vol 53 No 6 (2013): November 2013
Publisher : Indonesian Pediatric Society

Background Malaria-induced proteinuria has been observed insevere cases of malaria. Few studies have been done to assess foran association between proteinuria and malaria parasite countsbefore the disease becomes severe.Objective To investigate a possible association between proteinuriaand malaria parasite counts in children .Methods A cross-sectional study was conducted on school-agedchildren in Panyabungan, Mandailing Natal, between Septemberto November 2010. Malaria was diagnosed by microscopicexamination of peripheral blood smears. Children with malariaunderwent proteinuria t ests by urine dipstick method. Anassociation between proteinuria and malaria parasite counts wasanalyzed using linear regression test.Results Of 181 participants with Plasmodium fak:iparum malaria,53.6% were female and had a mean age of 7.8 years. Subjects'nutritional status were as follows: 50.8% normoweight, 28.2%mild malnutrition, 3 .3% moderate malnutrition, and 17. 7% severemalnutrition. Clinical manifestations showed 36.5% suffered fromsubfebrile temperatures and 29.8% had pallor. Proteinuria occurredin 45.9% participants and there was a weak association betweenproteinuria and malaria parasite counts (raa .261, Paa .0001).Conclusion There is a weak association between proteinuria andmalaria parasite counts in children.

Factors related to missed opportunities for immunization at urban and suburban primary health centers in Medan Oke Rina Ramayani; Ridwan M. Daulay; Sri Sofyani; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 47 No 1 (2007): January 2007
Publisher : Indonesian Pediatric Society

Background Missed opportunites for immunization is one of theimportant causes of low immunization coverage that should beprevented.Objective To investigate missed opportunities for immunizationand related factors at urban and suburban primary health centersin Medan.Methods A cross sectional study was conducted between January-March 2004. Primary health centers in Medan were divided intourban (20 primary health centers) and suburban (19 primaryhealth centers) groups. The sample size was 109 children whovisited primary health centers for immunization. Study was doneby a questionnaire taken after infants received immunization (exitinterview).Results The proportion of missed opportunities in urban andsuburban area was 22.3% (95% CI 16.9%;27.7%) and 29.9% (95%CI 24.0%;35.2%) (P=0.191), respectively. Factors such as age ofstarting immunization, number of children more than 4, and lowparental attitude about immunization (P=0.001) were related tomissed opportunities for immunization.Conclusions There is no difference between proportion of missedopportunities at primary health centers in urban and suburbanarea. Related factors to missed opportunities for immunizationare age of starting immunization older than 3 months, number ofchildren more than 4, and low parental attitude aboutimmunization.

Noise exposure at school and blood pressure in adolescents Fadhilah Ihsani; Rafita Ramayati; Muhammad Ali; Rusdi Djas; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Paediatrica Indonesiana Vol 56 No 6 (2016): November 2016
Publisher : Indonesian Pediatric Society

Background The increasing prevalence of primary hypertension has motivated researchers to identify influencing factors, one of which is noise. There have been few studies on a relationships between noise exposure and blood pressure in children, and none have dealt exclusively with adolescents.Objective To assess for an association between noise exposure at school and blood pressure in adolescents.Â Â Methods To identify noisy and quiet schools, the mean noise levels of 192 senior high schools in Medan were measured using sound level meters. One noisy school and one quiet school were randomly selected for inclusion (mean noise levels of Â 68.2 and Â 53.8 dB, respectively). Students from both schools underwent blood pressure measurements by mercury sphygmomanometer. Their Body weights and heights were obtained for body mass index calculations. Subjects filled questionnaires and their parents were interviewed regarding history of illnesses.Results Of the 271 adolescents recruited, 136 (50.2%) were from the noisy school. Adolescents from the noisy school had higher mean systolic and diastolic blood pressures [121.6 (SD 13.87) mmHg and 71.1 (SD 8.15) mmHg, respectively], than those from the quiet school [111.8 (SD 12.61) mmHg and 63.8 (SD 8.05) mmHg, respectively]. After adjusting for other factors, noise had a significant, moderate, positive association with systolic and diastolic blood pressures [Î² = 0.452; B = 6.21 (95% CI 3.86-8.55) mmHg; and Î² = 0.473; B = 4.18 (95% CI 2.41 to 5.94) mmHg, respectively].Conclusion Adolescents from a noisy school have a greater risk of higher systolic and diastolic blood pressures than those from a quiet school.

Relationship between childrenâ€™s and parentsâ€™ blood pressure Desy Aswira Nasution; Rusdidjas Rusdidjas; Supriatmo Supriatmo; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti Siregar
Paediatrica Indonesiana Vol 54 No 4 (2014): July 2014
Publisher : Indonesian Pediatric Society

Background A family history of hypertension is a risk factor forhypertension in children. Past studies have reported a significantrelationship between elevated blood pressure in children andhypertensive parents.Objective To assess for an association between blood pressure inchildren and that of their parents.Methods A cross-sectional study was conducted in 90 childrenaged 6-18 years in Baringin Village, Panyabungan, from May toJune 2010. Subjects were collected by consecutive sampling.Classification of hypertension was based on Fourth Task ForceGuidelines by measuring blood pressure, height, and weight. Weused Student's T-test to analyze numerical data. Simple linearregression was used to investigate the relationship between bloodpressures of children and their parents.Results Of the 90 participants recruited, 24 boys and 17 girlshad hypertensive parents. The mean systolic (SBP) , diastolic(DBP) and arterial blood pressure (MABP) were significantlyhigher in children with hyperten sive parents than in childrenwith normotensive parents [ (SBP 116. 7 (SD 7 .07) vs. 87 .1 (SD13.57) mmHg; P=0.0001), (DBP 77.8 (SD 8.33) vs. 51.8 (SD11.70) mmHg; P=0.0001), (MABP 90.7 (SD 7.41) vs . 63 .6(12.10) mmHg; P=0.000 1] . There was a significant relationshipbetween elevated SBP in boys and their fathers, as indicated bythe correlation coefficient (r =0.806; P=0.0001).Conclusion The blood pressure is significantly higher in childrenwith hypertensive parents than in those with normotensiveparents. There is a correlation between SBP in boys and that oftheir fathers.

Waist circumference, body mass index, and skinfold thickness as potential risk factors for high blood pressure in adolescents Roslina Dewi; rafita ramayati; Nelly Rosdiana; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Background The prevalence of hypertension in children and adolescents has increased with the rising obesity epidemic. Recent studies have found that prevalence of hypertension was higher in obese children or adolescents than in the normal weight ones. Anthropometric measurements such as body mass index (BMI), waist circumference, and skinfold thickness have been used as criteria to determine obesity in children and adolescents. Increased waist circumference has been most closely related to increased blood pressure. Objective To compare waist circumference, BMI, and skinfold thickness as potential risk factors for hypertension in adolescents. Methods This cross-sectional study was conducted in May 2014 in three senior high schools in Medan, North Sumatera, and included 253 students with normal urinalysis test. All subjects underwent blood pressure, waist circumference, tricep- and subscapular-skinfold thickness (TST and SST), body weight, and body height measurements. The study population was categorized into underweight, normoweight, overweight, and obese, according to four different criteria: waist circumference, BMI, TST, and SST; all variables were analyzed for possible correlations with systolic and diastolic blood pressure. Results There were significant positive correlations between systolic blood pressure and waist circumference (OR 7.933; 95%CI 2.20 to 28.65; P=0.011) as well as BMI (OR 4.137; 95%CI 1.16 to 14.75; P=0.041). There were also significant correlations between diastolic blood pressure and waist circumference (OR 3.17; 95%CI 1.83 to 5.51; P=0.002), BMI (P=0.0001; OR=3.69), TST (OR 4.73; 95%CI 2.31 to 9.69; P=0.0001), and SST (OR 3.74; 95%CI 2.35 to 5.94; P=0.0001). Multivariate analysis showed that waist circumference was a predictive factor for systolic blood pressure (OR 9.667), but not for diastolic blood pressure. Conclusion Waist circumference is the strongest, significant, predictive factor for elevated systolic blood pressure; meanwhile BMI, SST, and TST could be predictive factors for elevated diastolic blood pressure.

The relationship between children’s blood pressure and blood pressure of their parents Desy Aswira Nasution; Rusdidjas dr; Supriatmo dr; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 2 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background : Family history of hypertension is a risk factor for hypertension in children. Some studies have reported significant relationship of elevated blood pressure in children with hypertensive parents.Objective : To determine the relationship between blood pressure in children and blood pressure of their parents Methods : A cross sectional study was conducted in 90 children aged 6 until 18 years in Baringin village, Panyabungan on May until June 2010. Sample was collected with consecutive sampling. Classification of hypertension determined by measurement of blood pressure, height, weight based on Fourth Task Force. We used student t-test to analyzed numerical data. Simple linier regression was used to investigate the relationship between blood pressure of children and blood pressure of their parents. Results : Of 90 participants that had been examined, 24 boys and 17 girls have hypertensive parents. The mean systolic (SBP), diastolic (DBP) and mean arterial blood pressure (MABP) was significantly higher in children with hypertensive parents than normotensive parents (116.7 and 7.07 respectively ; P = 0.0001 for SBP, 77.8 and 8.33 respectively; P = 0.0001 for DBP, 90.7 and 7.41 respectively; P = 0.0001 for MABP). There was a significant relationship between elevated SBP in boys and SBP of his father was indicated by the correlation coefficient (r = 0.806; P = 0.0001).Conclusions: The blood pressure of children was significantly higher in children with hypertensive parents than normotensive parents. There was a strong correlation between SBP in boys with SBP of his father.Keywords : hypertension; blood pressure; parents; children

Interleukin-6 urin sebagai pemeriksaan cepat pielonefritis pada neonatus Nezman Nuri; Rafita Ramayati; Oke Rina Ramayani; Rosmayanti Syafriani Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Pyelonephritis is a common infection to all children in all age groups, including the newborn. The diagnosis of urinary tract infection is established certainly by urine culture. Additional investigations can be done to help confirm the diagnosis, such as urinary interleukin-6. Increased number of urinary interleukin-6 is helpful to quickly confirm the occurrence of pyelonephritis. Keyword : pyelonephritis; neonates; urine culture; interleukin-6

Rasiotekanan darah terhadap tinggi badan dalam diagnosis hipertensi pada remaja Kristina Ambarita; Oke Rina Ramayani; Munar Lubis; Isti Ilmiati; Rafita Ramayati; Rusdidjas dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Diagnosis of hypertension in children and adolescents according to the Fourth Report from the National High Blood Pressure Education Program (NHBPEP) Working Group on Children and Adolescents 2004 is complicated, influenced by gender, age, and height. This resulted in an effort to find alternative ways to overcome the lack of practical diagnostic tool hypertension in adolescents. Current research is centered on the use of anthropometric variables to detect hypertension in adolescents. Height is a factor that plays an important role in determining blood pressure because of body size affects blood pressure. The blood pressure to height ratio is a simple method that can be used for diagnosing hypertension in adolescents. This ratio is not influenced by age which means determining the cut-off point of hypertension is not according to age specific, and the ratio is not adjusted in height so that this ratio can be used in adolescents who are short or tall. This ratio has a high sensitivity and specificity in the diagnosis of hypertension, which is high capabilities in the detection of hypertension and to determine non hypertension in adolescents.Keyword :adolescence, blood pressure to height ratio, diagnosis, hypertension

Kualitas tidur sebagai faktor risiko peningkatan tekanan darah pada remaja Arie Taufansyah Putra Nasution; Rafita Ramayanti; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Hypertension in adolescent must be awared, because adolescent with hypertension has higher risk of morbidity and mortality. Hypertension can be influenced by poor sleep quality, so early detection of hypertension and sleep quality in adolescent is needed.Keywords : adolescents; blood pressure; sleep quality

Co-Authors Adi Koesoema Aman, Adi Koesoema Arie Taufansyah Putra Nasution Barus, Ratna Sari Beatrix Siregar Beatrix Siregar, Beatrix Bugis Mardina Lubis, Bugis Mardina Desy Aswira Nasution Desy Aswira Nasution Elfrida, Anastasya Valentine Fadhilah Ihsani Hasibuan, Syahreza Iskandar Z. Lubis Isti Ilmiati Kristina Ambarita Lorinda R.P. Harahap Lubis, Mahrani Meirina Daulay Muhammad Ali Munar Lubis Nelly Rosdiana Nezman Nuri Panjaitan, Cornelia Rosa Liliani Rafita Ramayanti Rafita Ramayati Rafita Ramayati Rafita Ramayati Rafita Ramayati Rafita Ramayati Rafita Ramayati Rafita Ramayati Rafita Ramayati, Rafita Ridwan M. Daulay Roslina Dewi Rosmayanti Rosmayanti Rosmayanti Rosmayanti Rosmayanti S Siregar Rosmayanti Siregar Rosmayanti Siregar Rosmayanti Siregar Rosmayanti Siregar Rosmayanti Siregar, Rosmayanti Rosmayanti Syafriani Siregar Rusdi Djas Rusdidjas -, Rusdidjas Rusdidjas dr Rusdidjas Rusdidjas Rusdidjas Rusdidjas Rusdidjas Rusdidjas Rusdidjas Rusdidjas Rusdidjas Rusdidjas Sain, Johannes H. Sembiring, Krisnarta Sinaga, Harida Panduwita Siregar,, Rosmayanti Sitorus, Mega Sari Sri Rahayu Sri Sofyani Supriatmo dr Supriatmo Supriatmo Supriatmo Supriatmo Supriatmo Supriatmo Tarigan, Trianita Zuriana, Dini

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