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All Journal Althea Medical Journal Jurnal Sistem Kesehatan Paediatrica Indonesiana Narra J
Anggraini Alam, Anggraini
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Health Promotion Activities in Bandung Public Health Centre (Puskesmas) Nadya, Siti Fairuz; Arya, Insi Farisa Desy; Alam, Anggraini
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.135 KB)

Abstract

Background: Health promotion is one of Public Health Centre (Pusat Kesehatan Masyarakat, Puskesmas) essential health effort able to increase community health status. The purpose of this study was to describe health promotion activities in Bandung Public Health Centre (Puskesmas).Methods: This study was a cross sectional descriptive study using questionnaire as data collection instrument. The questionnaires were distributed to 24 Puskesmas in Bandung that were selected randomly using simple random sampling method. The process of questionnaire filling was performed by health promotion officer after informed consent was done. The variables were basic health promotion strategies, health promotion supports, health promotion in health facility and health promotion in community.Results: Most of the Puskesmas showed that basic health promotion strategies, health promotion in health facility and health promotion in community were already done. Support media that was mostly used was printed media while lectures was the most used method. Human resources practitioner and coordinator of health promotion were dominated by mid level health workers consists of midwife and nurse. This study showed that the majority of health promotion coordinator had underwint training and certificate related to health promotion. The availability of funds were possessed by 13 out of 24 sample. While, health promotion guideline were possessed by less than half of the sample.Conclusions: Health promotion is done in almost all sample. There is lack of health promotion support in the form of the availability of funds and guideline of health promotion method. [AMJ.2016;3(3):459–67]DOI: 10.15850/amj.v3n3.864
Correlation between Gross Motor Function Classification System and Communication Function Classification System in Children with Cerebral Palsy Margaretha, Vindy; Prananta, Marietta Shanti; Alam, Anggraini
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.252 KB) | DOI: 10.15850/amj.v4n2.1092

Abstract

Background: Cerebral Palsy (CP) is a group of movement and posture disorder commonly accompanied by comorbidities such as sensation, cognition, communication abnormalities and many more. This study aimed to identify the correlation between gross motor function(measured by Gross Motor Function Classification System, GMFCS) and communication function (measured by Communication Function Classification System, CFCS) in children with CP.Methods: Thirty six children with CP aged 0–12 years were examined. Samples were taken from Department of Physical Medicine and Rehabilitation Dr. Hasan Sadikin General Hospital Bandung on September to October 2015. Patients’ descriptive data, levels of GMFCS and CFCS were collected by the researcher and residents previously standardized. Kendall’s tau b correlation coefficient was used to analyze the inter-relationship between the GMFCS and CFCS.Results: Levels of GMFCS and CFCS in all samples were moderately correlated (r=0.405; p=0.004). In patients with spastic quadripledic type, correlation were found moderate(r=0.495; p=0.014). No significant correlation was found when CP spastic quadriplegic patients were excluded (r=0.048, p=0.829).Conclusions: Levels of GMFCS and CFCS should be described to provide the complete gross motor and communication picture of CP children.Gross motor function in a child with spastic quadriplegic CP might be correctly predicted from his/ her communication function and vice versa. DOI: 10.15850/amj.v4n2.1092
Hubungan Lamanya Terapi ARV dengan Kepatuhan Minum Obat pada Anak HIV di Klinik Teratai Hayatiningsih, Ari; Alam, Anggraini; Sitorus, Trully Deti
Jurnal Sistem Kesehatan Vol 3, No 2 (2017): Volume 3 Nomor 2 Desember 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.055 KB) | DOI: 10.24198/jsk.v3i2.15007

Abstract

Prevalensi Human immunodeficiency virus (HIV) di Indonesia mengalami peningkatan. Manajemen utama penderita HIV adalah dengan memberi obat antiretroviral (ARV) untuk seumur hidup. Kepatuhan adalah faktor yang paling penting dalam keberhasilan terapi ARV. Penelitian ini bertujuan untuk mengetahui Hubungan Lamanya Terapi ARV dengan Kepatuhan Minum Obat pada Anak HIV di Klinik Teratai-RSHS. Penelitian menggunakan studi desain analitik Cross sectional, data diambil dari bulan November – Desember 2016 secara retrospektif dari kartu pengobatan pasien anak yang terdiagnosis HIV dan mengambil obat di Klinik Teratai-RSHS , Bandung. Jumlah sampel minimal 33. Pasien HIV anak lebih banyak pada umur ≤ 5 tahun (70,6%), jenis kelamin laki-laki (64,7%) dan lamanya terapi 13 – 18 bulan (23,5%) dan 19 – 24 bulan (23,5%). Pasien HIV anak dengan lama terapi 13 – 18 bulan tingkat kepatuhannya rendah < 95%, sedangkan lama terapi ≤ 6 bulan tingkat kepatuhannya baik ≥ 95%. Hasil analisis korelasi diperoleh tidak ada Hubungan antara lamanya terapi dengan kepatuhan minum obat ARV (p=0,94; r=-0,292). Dari penelitian ini didapatkan bahwa tidak adanya hubungan antara lamanya terapi dengan kepatuhan minum obat ARV pada pasien HIV di Klinik Teratai.Kata Kunci: ARV, HIV pada Anak, kepatuhan
Risk factors associated with sepsis in children with acute lymphoblastic leukemia and febrile neutropenia Versary, An nieza Dea; Susanah, Susi; Alam, Anggraini
Paediatrica Indonesiana Vol 64 No 3 (2024): May 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.3.2024.270-6

Abstract

Background Children with acute lymphoblastic leukemia (ALL), especially those with febrile neutropenia, are susceptible to sepsis. Several factors have been associated with the occurrence of sepsis in children with leukemia. Objective To identify potential risk factors associated with sepsis in children with ALL and febrile neutropenia. Methods This cross-sectional study was done in children with ALL who sought treatment at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia from January 2019 to March 2022. We recorded patients’ gender, age, nutritional status, absolute neutrophil count (ANC), co-infection, prophylactic antibiotic use, and phase of chemotherapy. Results Of 131 subjects, 57.3% were male and 42.8% were wasted. Subjects had a median age of six years old and median ANC of 230 cells/mm3. Furthermore, 48.9% of subjects had co-infections, 87.8% had not received prophylactic antibiotics, and 48.9% were in the induction phase of chemotherapy. Multiple logistic regression analysis revealed that older age [OR 1.16 (95%CI 1.04 to 1.29); ?=0.149; P=0.008] and co-infection [OR 12.9 (95%CI 5.01 to 33.21); ?=2.551; P<0.001] were significantly associated with sepsis in children with ALL and febrile neutropenia. Bronchopneumonia was the most common co-infection (72.5%). Conclusion Older age and co-infection are significantly associated with sepsis in children with ALL and febrile neutropenia.
Profiles of diphtheria cases in children in Hasan Sadikin Hospital, West Java Iskandar, Safira Atya; Setiabudi, Djatnika; Tarigan, Rodman; Alam, Anggraini; Afriandi, Irvan
Paediatrica Indonesiana Vol 64 No 4 (2024): July 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.4.2024.305-10

Abstract

Background Diphtheria cases continue to be reported in Indonesia, which has long been one of the countries with the highest number of diphtheria cases worldwide. One of Indonesia's province with the highest annual diphtheria cases is West Java. Dr. Hasan Sadikin General Hospital (RSHS) is one of the tertiary referral hospitals in Bandung, West Java, that treats several diphtheria cases annually. No study focused on the clinical characteristics of diphtheria cases in children admitted to RSHS between 2017 and 2021 yet. Therefore, this study sought to analyze that. Objective To find out the profiles of children < 18-year-old with diphtheria admitted in RSHS between 2017-2021. Methods This descriptive, cross-sectional study reviewed the medical records of diphtheria patients 0 to 18-year-old who were admitted to RSHS between year 2017 and 2021. Results Out of 45 subjects, 76% were males. The median of age was eight years old, ranging from 2 to 17 years. Most patients lived in urban areas and had normal anthropometry status, although some showed abnormal findings. The data showed that 44% had more than 3 days of onset until admission to the hospital, and the median length of stay was 9 days. The clinical characteristics showed that 91% of patients had pseudomembrane, also present with cough, common cold, hoarseness, stridor, and bull’s neck. As many as 44% of patients did not have complete basic immunization status. Complications found were airway obstructions, myocarditis, and sepsis, and 2 deaths were reported. Conclusion Pseudomembrane was found in the majority of patients. Most patients were over five years of age, and almost half number of the patients did not have complete basic immunization status, indicating the need for improved immunization and booster coverage.
Liver Function Profile of Pediatric Patients with Dengue Viral Infection Admitted to a Tertiary Referral Hospital during the COVID-19 Pandemic Rosalina, Ina; Adrizain, Riyadi; Sari, Chindy Arya; Alam, Anggraini; Setiabudi, Djatnika
Althea Medical Journal Vol 10, No 2 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v10n2.2954

Abstract

Background: Dengue infection is endemic in more than 100 countries; 70% of cases occur in Asia. One of dengue infection complication is hepatic dysfunction. The COVID-19 pandemic may cause a delay in seeking treatment and affect severe case of dengue infection when admitted to the hospital. This study aimed to analyze the liver function profile in dengue pediatric patients during the COVID-19 pandemic.Methods: All patients under 18 with confirmed dengue serology (NS-1 immunochromatography or IgM anti-Dengue (ELISA) test and IgG anti-Dengue (ELISA) test) in Dr. Hasan Sadikin General Hospital from 2021–2022 were included in this retrospective study. The patients were categorized based on the modified WHO classification of 2009. Data were processed with SPSS® ver. 25 and analyzed using Chi-Square and One Way-ANOVA.Result: In total, 85 patients were tested for the liver function; most severe dengue patients had abnormal SGOT and SGPT levels (100% vs. 64%).  The SGOT and SGPT levels during the initial admission were higher in the severe dengue group (634 U/l and 271 U/l) and significantly different among groups (p=0.001 and p=0.032). The elevated SGOT (1,339 U/l vs. 203 U/l vs. 87.3 U/l; p=0.014) and SGPT (438 U/l vs. 100 U/l vs. 42.8 U/l; p=0.005) levels were higher in the severe dengue group.Conclusion: The severity of dengue is in line with the increase in SGOT and SGPT levels. During the COVID-19 pandemic, the liver dysfunction persists and may be interfered with by delays in dengue treatment. Early recognition and prompt treatment are needed to decrease morbidity and mortality.
Evaluating the impact of triple elimination program for mother-to-child transmission of HIV, syphilis, and hepatitis B in Indonesia Azhali, Buti A.; Setiabudi, Djatnika; Alam, Anggraini
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.405

Abstract

Indonesian government launched a triple elimination program to eliminate mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV), syphilis, and hepatitis B in 2018, aiming to increase screening uptake among pregnant women during antenatal visits and to reduce the rates of these infections in children less than 50 per 100,000 live births. Despite this initiative, a thorough assessment of its effectiveness, particularly in Bandung, the capital city of West Java, as one of the most densely populated cities in Indonesia with a high HIV incidence, has yet to be conducted. The aim of this study was to analyze the impact of this triple elimination program in Bandung by assessing the data between 2017 and 2020. Monthly data was obtained from the Health Office of Bandung for four years, including number of screenings done for HIV, syphilis, and hepatitis B, number of confirmed cases and number of pregnant women treated for those infections. Additionally, data on children under 24 months old afflicted by these infections were also collected. Our data indicated an increase in screening coverage for HIV, syphilis, and HBV among pregnant women; however, it remained below the national set benchmarks for screening coverage. Only 59.5% of HIV-positive pregnant women received anti-retroviral therapy in 2020, while merely 25% of syphilis-positive cases were administered benzathine penicillin G. Syphilis screening was correlated with an increase in positive cases among children, suggesting missed opportunities in managing syphilis-positive pregnant women. Furthermore, management of HIV- and syphilis-positive cases had suboptimal outcomes. Data on hepatitis B was not evaluated since it was not available. To achieve the triple elimination program goals, comprehensive coordination among all relevant stakeholders is required, as is continuous monitoring and evaluation.
Community prevalence and distribution of dengue virus serotype based on antibody neutralization assay in Jakarta, Indonesia Karyanti, Mulya Rahma; Alam, Anggraini; Widyahening, Indah Suci; Hadinegoro, Sri Rezeki; Munasir, Zakiudin; Satari, Hindra Irawan; Sasmono, R. Tedjo
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.10-6

Abstract

Background Dengue infection is still rising globally despite the implementation of preventive efforts in many endemic countries. Monitoring the circulation of dengue virus (DENV) serotypes is not performed routinely in the Indonesian national surveillance program, primarily due to high cost and effort. Objective To evaluate the distribution of DENV serotypes based on serological profile and neutralizing antibody level against all four DENV serotypes in Jakarta, Indonesia. Methods This cross-sectional study was performed as part of a dengue vaccine effectiveness study, 10 years after a dengue vaccination program was initiated. It was conducted in five community public health centers in Jakarta in subjects aged 12 years and above who had not received the dengue vaccine. We collected serum samples and DENV neutralizing antibody titers were measured using a plaque reduction neutralization test (PRNT). Results Eighty healthy subjects with a median age of 15 (range 12-27) years were enrolled. The highest median antibody titer was that to DENV-2 [898 (range 29-91558) 1/dil], followed by that to DENV-3 [297.5 (range 10-36091); 1/dil], DENV-1 [288 (range 0-68237) 1/dil], and DENV-4 [164 (range 0-35812) 1/dil]. Neutralizing antibodies against the four DENV serotypes were found in all the 5 districts studied in Jakarta. A multitypic neutralizing antibody profile was observed in the majority (74/80 subjects; 92.5%). Three subjects were naïve. Conclusion All four dengue serotypes are widely circulating in Jakarta based on neutralizing antibody detection in the community, with the highest neutralizing antibody titer being against DENV-2, followed by DENV-3, DENV-1 and DENV-4.
Co-Authors Adrizain, Riyadi Azhali, Buti A. Djatnika Setiabudi Hayatiningsih, Ari Hindra Irawan Satari, Hindra Irawan Ina Rosalina Indah S. Widyahening Insi Farisa Desy Arya Irvan Afriandi Iskandar, Safira Atya Margaretha, Vindy Mulya Rahma Karyanti, Mulya Rahma Nadya, Siti Fairuz Prananta, Marietta Shanti Rodman Tarigan Sari, Chindy Arya Sasmono, R. Tedjo Sitorus, Trully Deti Sri Rezeki Hadinegoro, Sri Rezeki Susi Susanah Versary, An nieza Dea Zakiudin Munasir