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I Wayan Dharma Artana, I Wayan Dharma
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GAMBARAN STATUS GIZI SISWA KELAS V SEKOLAH DASAR NEGERI 5 TONJA TAHUN 2020 Indrayanti, Ni Luh Gede Ari; Pratiwi, I Gusti Ayu Putu Eka; Artana, I Wayan Dharma
E-Jurnal Medika Udayana Vol 11 No 8 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i8.P09

Abstract

Upaya peningkatan status gizi untuk mencapai sumber daya manusia yang berkualitas di masa mendatang harus dimulai sejak dini, salah satunya pada anak sekolah dasar sebagai generasi penerus bangsa. Anak sekolah dasar adalah kelompok usia yang rentan terhadap masalah gizi. Masalah gizi yang dapat terjadi, yakni gizi buruk, gizi kurang, gizi lebih, dan obesitas. Tujuan penelitian ini adalah untuk mengetahui gambaran status gizi siswa kelas V Sekolah Dasar Negeri 5 Tonja tahun 2020. Penelitian ini menggunakan pendekatan deskriptif kuantitatif dengan desain cross sectional. Sampel dalam penelitian ini adalah seluruh siswa kelas V Sekolah Dasar Negeri 5 Tonja yang berjumlah 65 orang. Data tinggi badan dan berat badan responden yang telah mengisi kuisioner digunakan untuk mengidentifikasi status gizi berdasarkan IMT dan tinggi badan. Hasil penelitian yang dilakukan di Sekolah Dasar Negeri 5 Tonja menunjukkan status gizi berdasarkan IMT/U diketahui bahwa 3 subjek (4,6%) dengan gizi buruk, 5 subjek (7,7%) dengan gizi kurang, 37 subjek (56,9%) dengan gizi baik, 8 subjek (12,3%) dengan gizi lebih, dan 12 subjek (18,5%) dengan obesitas. Status gizi berdasarkan TB/U didapatkan bahwa sebagian besar subjek berperawakan normal, yaitu sebanyak 59 subjek (90,8%) serta subjek berperawakan sangat pendek, pendek, dan tinggi didapatkan hasil yang sama, yaitu masing-masing sebanyak 2 subjek (3,1%). .
Pengaruh Pemberian ASI Eksklusif Terhadap Kejadian Diare pada Anak Usia 1-3 Tahun Wardani, Ni Made Elsa; Witarini, Komang Ayu; Putra, Putu Junara; Artana, I Wayan Dharma
E-Jurnal Medika Udayana Vol 11 No 1 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.v11.i01.P03

Abstract

Abstrak Diare adalah suatu penyakit yang ditandai dengan adanya perubahan bentuk dan konsistensi tinja yang lembek sampai mencair dan bertambahnya frekuensi buang air besar yaitu 3 kali atau lebih dalam sehari yang dapat disertai dengan muntah atau tinja yang berdarah. Kejadian diare pada anak dapat terjadi akibat pemberian susu formula sebagai pengganti ASI. Penelitian ini bertujuan untuk dapat mengetahui pengaruh pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun. Penelitian ini dilakukan dengan metode analitik menggunakan studi kasus kontrol dengan sampel yang sesuai dari populasi berdasarkan kriteria inklusi dan eksklusi. Data dianalisis menggunakan software SPSS versi 26 untuk mendapatkan pengaruh pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun dan dengan memperhatikan faktor lain seperti keberadaan toilet, berat bayi saat lahir, tingkat pendidikan ibu, sumber air minum, kebersihan diri, kebersihan lingkungan dan status gizi. Hasil menunjukkan tidak terdapat hubungan yang signifikan antara pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun. Saran yang diberikan yaitu melakukan penelitian kembali dalam rentang waktu yang singkat sehingga memudahkan dalam mengingat kembali hal-hal yang telah dialami saat wawancara. Selain itu juga perlu memperhatikan berbagai faktor lain seperti kebersihan lingkungan, kebersihan diri, dan juga kebersihan peralatan makan dan botol susu sebelum digunakan. Kata Kunci: Diare, ASI Eksklusif, pengaruh
Occurence and risk factors of tuberculosis infection in orphanage children in Bali Clearesta, Kartika Eda; Mayangsari, Ayu Setyorini Mestika; Wati, Dyah Kanya; Purniti, Ni Putu Siadi; Suwarba, I Gusti Ngurah Made; Artana, I Wayan Dharma
Paediatrica Indonesiana Vol. 64 No. 2 (2024): March 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.2.2024.152-9

Abstract

Background Tuberculosis (TB) is an infectious disease that is still a common threat worldwide, especially in pediatric populations. TB transmission occurs particularly when the transmitter has no obvious manifestation of the disease. There is a higher incidence of TB infection in children than in the general population, especially in high risk populations such as children in orphanages. However, the incidence of TB infection in orphaned children in Indonesia, including Bali, is unknown. Objective To describe the incidence and risk factors for TB infection in children in orphanages in Bali. Methods This case-control study was conducted in 12 orphanages in Bali. Subjects were divided into a case group comprised of children with TB infection, and a control group comprised of those without TB infection. TB infection was diagnosed by positive tuberculin test without clinically confirmed TB. Results A total of 175 children were recruited as subjects. There were 49 (28.0%) children with TB infection. Bivariate analysis revealed significant associations between density, humidity, ventilation/room area ratio, and area of ??origin with TB infection. Multivariate analysis showed that ventilation/room area ratio and room humidity of ?73% were independently positive correlated with TB infection. Natural lighting and BCG scar were not significantly different between groups. Conclusion The occurence of TB infection in children residing in orphanages in Bali is high (28%). The risk factors identified independently are lower ventilation and higher room humidity.
Prevalence and factors associated with extrauterine growth restriction in premature infants Anggareni, Komang Tria; Sidiartha, I Gusti Lanang; Artana, I Wayan Dharma; Suwarba, I Gusti Ngurah Made; Hartawan, I Nyoman Budi; Gustawan, I Wayan
Paediatrica Indonesiana Vol. 64 No. 5 (2024): September 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.5.2024.405-11

Abstract

Background Extrauterine growth restriction (EUGR) is common in preterm infants and has been shown to affect their neurodevelopment. Significant variability exists in the criteria used to define EUGR and a standard definition has not yet been established. Several factors associated with EUGR have been identified, yet EUGR remains a problem in preterm infants. There is still much to be explored regarding risk factors associated with EUGR. Objective To determine the prevalence and factors associated with EUGR in preterm infants. Methods This cross-sectional study included randomly selected premature infants (<37 weeks gestational age) who were admitted to levels II and III Neonatal Ward at Prof. Dr. I.G.N.G. Ngoerah Hospital from May 2022 to August 2023. Results Of 185 subjects, the prevalence of EUGR in preterm infants was 47% and there were significant associations between EUGR and birth weight <1500 g (PR 8.814; 95%CI: 3.943 to 19.7; P=0.000), small for gestational age/SGA (PR 28.95; 95%CI: 3.79 to 220.1; P=0.000), neonatal sepsis (PR 4.29; 95%CI: 2.21 to 8.31; P=0.000), hyaline membrane disease/HMD (PR 2.12; 95%CI: 1.16 to 3.88; P=0.021), use of respiratory support (PR 2.57; 95%CI: 1.35 to 4.92; P=0.005), initiation of enteral nutrition at >48 hours (PR 2.23; 95%CI: 1.21 to 4.09; P=0.014) and length of stay/LOS >14 days (PR 8.11; 95%CI: 4.13 to 15.9; P=0.000). Multivariate analysis revealed birth weight <1500 g (aPR 5.14; 95%CI: 1.55 to 17.06; P=0.007), SGA (aPR 24.26; 95%CI: 2.64 to 222.6; P=0.005), presence of sepsis (aPR 2.35; 95%CI: 1.00 to 5.5; P=0.049), and length of hospital stay >14 days (aPR 4.93; 95%CI: 2.15 to 11.31; P=0.000) maintained positive significant associations with EUGR. Conclusion The prevalence of EUGR in preterm infants is 47%. Birth weight <1500 g, small for gestational age, sepsis, and length of stay >14 days are associated with EUGR in preterm infants.
Time to Achieve Full Enteral Feeding in Very Low Birth Weight Infants and Associated Factors in Neonatology Unit Sukmawati, Made; Kardana, I Made; Artana, I Wayan Dharma; Putra, Putu Junara; Cempaka, Putu Mas Vina Paramitha; Clearesta, Kartika Eda
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43270

Abstract

Background: Enteral intolerance in premature infants is associated with several morbidities, especially in very low birth weight (VLBW). There are only a few dietary practices to provide better outcomes in newborns with VLBW. This study aimed to assess the factors associated with the time to achieve full enteral feeding (FEF) in infants with VLBW. Methods: This was a retrospective study on infants with VLBW in the Neonatology Unit of Sanglah Central General Hospital, Bali from November 2020 to January 2022. The infants started trophic feeding with breastmilk and or formula milk. The age of FEF was determined when the target of 150 ml/kgBW/day was reached. The association of risk factors was analyzed using the Mann-Whitney test, the Kruskal-Wallis test, and linear regression analysis. Results: A total of 79 VLBW infants with a median gestational age of 30 weeks (25-38) were recruited. The median age of FEF was achieved in 9(7-15) days. Late trophic feeding (more than 24 hours), severe asphyxia, culture positive-sepsis, and using a mechanical ventilator were associated with a longer timing of FEF. While in the multivariate analysis, small for gestational age (SGA), late trophic feeding, severe asphyxia, absence of prenatal dexamethasone, and culture-positive sepsis were independent factors for longer FEF in this population. Conclusion: In VLBW infants, the age of FEF in our population was reached in 2 weeks. Small for gestational age, late trophic feeding, severe asphyxia, prenatal dexamethasone coverage, and culture-positive sepsis were associated with delay in FEF. Further studies of multi-centers and analyzing the factors of delayed TF might be needed.
Co-Authors Anggareni, Komang Tria Ayu Setyorini Mestika Mayangsari Cempaka, Putu Mas Vina Paramitha Clearesta, Kartika Eda Dyah Kanya Wati Ekaputri, Dian Sulistya I Gusti Ayu Putu Eka Pratiwi I Gusti Lanang Sidiartha I Gusti Ngurah Made Suwarba I Made Kardana I Nyoman Budi Hartawan I Wayan Gustawan Indrayanti, Ni Luh Gede Ari Komang Ayu Witarini Ni Putu Siadi Purniti Putu Junara Putra, Putu Junara Sukmawati, Made Wardani, Ni Made Elsa Wijaya, I Made Samitha