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All Journal Paediatrica Indonesiana Indonesian Journal of Medicine Journal of Maternal and Child Health Plexus Medical Journal
Fadhilah Tia Nur, Fadhilah Tia
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Health Professions Medicine & Pharmacology Public Health

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Risk Factors of Behavioral Problems in Pediatric Epilepsy Nur, Fadhilah Tia; Azmi, Nurul; Hermasari, Bulan Kakanita
Indonesian Journal of Medicine Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (662.44 KB)

Abstract

Background: Epilepsy is the most common neurological disorders in children and the number of case for epilepsy still incre­asing. Epilepsy can affect children and their growth physically, psy­cho­logi­cally, and socially, yet the treatment of behavioral problems in pediatric epilepsy is still lacking. This stu­dy aimed to investigate the association of frequency of seizure, type of seizure, duration of illness, and use of antiepileptic drug with behavioral dis­order in children with epilepsy.Subjects and Method: This was an analytical observational study with a cross sectional design. The study was conducted at Pediatric Neurology Unit of Dr. Moewardi hospital, Sura­karta, from September to October 2016. A sample of 50 pediatric patients with epilepsy was selected for this study. Parents or care­givers completed behavioral problems screen­ing tool Pediatric Symptom Checklist-17 (PSC-17) and were interviewed about frequency of seizure, type of seizure, duration of illness, and use of antiepileptic drug. The data were ana­lyzed by a multiple logistic regres­sion.Results: Frequent seizure (OR= 3.09; 95% CI= 0.89 to 10.59; p= 0.068) increased beha­vioral problem. Being treated with ≥1 anti-epileptic drugs (OR= 1.58; 95% CI= 0.44 to 5.71; p= 0.521) increased beha­vioral problem, but it was statistically non-significant. Type of seizure (OR= 1.01; 95% CI= 0.32 to 3.20; p= 0.991) and duration of illness ≥1 year (OR= 1.03; 95% CI= 0.22 to 4.89; p= 1.000) were not associated with behavioural problem. Conclusion: Frequent seizure increase beha­vioral problemKeywords: epilepsy, behavioral problems, pediatricsCorrespondence: Fadhilah Tia Nur. Department of Child Health, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: fadhilah.harris@gmail.comIndonesian Journal of Medicine (2020), 05(02): 162-169https://doi.org/10.26911/theijmed.2020.05.02.11
Quality of Life in Children with Nephrotic Syndrome at Dr. Moewardi Hospital Kartawijaya, Andrew Andy Putra; Nugroho, Hari Wahyu; Nur, Fadhilah Tia
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.986 KB) | DOI: 10.26911/thejmch.2021.06.03.09

Abstract

Background: Children with chronic disease often have poor quality of life. Nephrotic syn­drome was one of the most common kidney diseases in children with a high number of relapses. Therefore, treatment for nephrotic syndrome might take a long time. Compli­ca­tions from the disease and medications might affect the quality of life of the patient. Subjects and methods: This was a cross sectional, descriptive analytic study. Children aged 5-18 years old who visited the nephrologic outpatient department of Dr Moewardi general hospital from july to September 2020 and fullfilled the inclusion criteria were included in the study. Quality of life was assessed using PedsQLTM 4.0 generic module.The analysis of this research was done by using chi-square and logistic regression. Results: A total of 27 children aged from 5-18 years old participated in this study. Decrease quality of life was reported in 22% based on report from parents. From parent’s report, gender (OR= 0.06; CI95%= 0.01 to 0.66; p= 0.008) was associated with decrease of quality of life in children with nephrotic syndrome. Most of the children had decreased quality of life in the psychososial domain according to parent’s report (OR= 4.70; 95% CI= 1.12 to 19.70; p= 0.026). Conclusion: 22% children with nephritic syn­drome have decreased quality of life. Gender was the risk factors that might contri­bute to the decreased quality of life of children with nephrotic syndrome.
Faktor Risiko Mortalitas pada Anak dengan COVID-19 di Rumah Sakit Dr. Moewardi Surakarta Dzakiyyah, Arifatul; Martuti, Sri; Nur, Fadhilah Tia
Plexus Medical Journal Vol. 3 No. 3 (2024): Juni
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v3i3.1032

Abstract

Pendahuluan: COVID-19 adalah penyakit infeksi saluran pernapasan yang dapat menyerang semua usia, termasuk anak-anak. Hingga saat ini, penelitian mengenai faktor risiko mortalitas pada pasien anak dengan COVID-19 khususnya di negara berkembang masih terbatas dengan hasil yang bervariasi. Penelitian ini bertujuan untuk menganalisis usia, jenis kelamin, komorbid, status gizi, gejala klinis, temuan laboratorium, dan temuan radiologi sebagai prediktor mortalitas COVID-19. Metode: Penelitian menggunakan metode deskriptif desain cross sectional, dilakukan pada bulan Maret-September di Rumah Sakit Dr. Moewardi dengan jumlah sampel sebanyak 70 pasien dengan data sekunder dan diolah menggunakan SPSS analisis chi square dan uji regresi logistik. Hasil: Dari 70 pasien yang diteliti dalam penelitian ini 20% di antaranya mengalami mortalitas. Berdasarkan analisis multivariat terdapa tiga variabel yang memengaruhi mortalitas yaitu komorbid (OR = 82,023, 95% CI: 1,625-4139,152, p = 0,028), status gizi (OR = 43,843, 95% CI: 1,640-1179,148, p = 0,024), dan temuan laboratorium (OR = 70,838, 95% CI 4,222-1188,483, p = 0,003). Sementara variabel usia, jenis kelamin, gejala klinis, dan temuan radiologi tidak menunjukkan hasil yang signifikan pada analisis bivariat. Kesimpulan: Faktor risiko yang memengaruhi mortalitas yaitu pasien dengan komorbid, status gizi malnutrisi, dan temuan laboratorium abnormal.
Risk factors for feeding difficulties in children with cerebral palsy Nur, Fadhilah Tia; Handryastuti, Setyo; Pusponegoro, Hardiono D.
Paediatrica Indonesiana Vol. 65 No. 2 (2025): March 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.2.2025.156-63

Abstract

Background Cerebral palsy (CP) is caused by brain injury sustained during development. It is a motor and posture disorder. Feeding problems are more likely to appear in children with severe motor impairment, leading to insufficient caloric intake and malnourished. Objective To indentify association between the Gross Motor Function Classification System (GMFCS)  and CP type  as risk factors of  feeding difficulties in children with  CP. Methods This cross-sectional study was conducted between January and September 2015, in a Pediatric Neurology Outpatient Clinic at a tertiary hospital in Surakarta, Indonesia. Nutritional status, feeding difficulties, and the  GMFCS were used to assess children with  CP.  We performed Gross Motor Function Measure-88 to identify the GMFCS. Regulation of the Minister of Health of the Republic of Indonesia No. 2 of 2020 concerning child anthropometric standards was carried out to evaluate and classify nutritional status. Krick CP growth curve was used to compare spastic quadriplegia. Calorie intake was evaluated by dietary analysis and defined as adequate if it reached 13.9 kcal/cm body height (BH) ± 10%. Results The majority of CP patients (96.3%) were spastic, with quadriplegic and diplegic cases being the most common. Malnourished impacted 78% of all participants; in addition, 78% of participants reported having feeding difficulties, with roughly one-third having a high GMFCS score. The GMFCS scale on oromotor dysfunction (OMD) and bad postural control (BPC) showed statistically significant, with P values of 0.042 and 0.041, respectively. The GMFCS scale and spastic CP type is also statistically significant with BPC (OR 6.35;95%CI 3.29 to 24.12 and OR 4.32;95%CI 2.53 to 22.35, respectively). Sixty-eight% of children with CP were wasted, with 10% experiencing severely wasted. Conclusion Children with CP who have a higher GMFCS score and spastic CP are more likely to have feeding issues.
Co-Authors Bulan Kakanita Hermasari Dzakiyyah, Arifatul Hardiono D. Pusponegoro, Hardiono D. Hari Wahyu Nugroho Kartawijaya, Andrew Andy Putra Nurul Azmi, Nurul Setyo Handryastuti, Setyo Sri Martuti