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All Journal PENELITIAN DAN KARYA ILMIAH Sari Pediatri Panrita Abdi - Jurnal Pengabdian pada Masyarakat Paediatrica Indonesiana Jurnal Biomedika dan Kesehatan JURNAL PENELITIAN DAN KARYA ILMIAH LEMBAGA PENELITIAN UNIVERSITAS TRISAKTI Jurnal Penelitian dan Karya Ilmiah Lembaga Penelitian Universitas Trisakti Jurnal Abdimas Kesehatan Terpadu The Journal of Society Medicine (JSOCMED) Jurnal Pengabdian Masyarakat Trimedika
Tubagus Ferdi Fadilah, Tubagus Ferdi
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Trisakti, Indonesia
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Relationship between Mothers Birth Spacing and Incidence of Stunting in Children 24 - 59 months Ricko Eliafiana; Tubagus Ferdi Fadilah
Jurnal Biomedika dan Kesehatan Vol 5 No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2022.v5.42-49

Abstract

Abstract: (1) Background: Stunting is one of the nutritional problems that occur in children under five years old. Based on maternal factors, the cause of stunting is a short birth spacing which results in a lack of energy recovery after giving birth to a previous child. This study aims to determine the relationship between birth spacing and stunting in children 24-59 months. (2) Methods: A cross-sectional observational study was conducted with a total of 130 children who with their parents attended monthly visits to the Public Health Center of Grogol Petamburan District West Jakarta, Indonesia in September-November 2019. Data were collected using z scores and questionnaires. The Chi-square test was performed for data analysis. (3) Results: The prevalence of stunting in this study was lower than the national prevalence and the incidence of stunting was higher in birth spacing below 2 years. Short interval birth spacing increases the risk of stunting. However, the relationship between childbirth spacing and incidence of stunting in children 24-59 months was not statistically significant. (4) Conclusions: Short interval of birth spacing is not a direct cause of stunting as there are other related modifiable factors.
Hubungan antara Kontak Erat dengan Anggota Keluarga Kasus Terkonfirmasi dan COVID-19 pada Anak di Puskesmas Panjatan II Kulon Progo Anggita Bintari Handayaningrum; Tubagus Ferdi Fadilah
Jurnal Biomedika dan Kesehatan Vol 5 No 3 (2022)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2022.v5.161-170

Abstract

BackgroundIt is estimated that the positive infection rate of COVID-19 in Indonesia is 4.261.412 cases confirmed. Indonesian Pediatric Society noted that since May 2021, cases of pediatric COVID-19 infection have been rising; it is related to many factors such as host immunity, nutrition, sociodemographics, and close contact. Our research evaluated the closed contact factor with confirmed cases in a family member or household contact and pediatric COVID-19 infection, the incidence of pediatric COVID-19, the association between closed contact with confirmed cases in family members and pediatric COVID-19 infection. MethodsOur research uses the observational analytics method, cohort retrospective design, based on medical records, 242 samples collected, period November 2020-November 2021, with sampling technique consecutive nonrandom sampling; our inclusion criteria are 0-18 years old, have positive or negative antigen swab or RT-PCR, wholly followed up by the health center. ResultsUsing chi-square in SPSS application, our research stated Mother and Father are the main sources of household contact transmission, children 12-18 years old, women sex are the highest number the incidence, statistical result p<0,05. ConclusionsAccordingly, there is an association between closed contact with confirmed cases in family members and pediatric COVID-19 infection.
The effect of the BLUI blanket on the reduction of bilirubin levels in neonatal jaundice: a preliminary clinical study Fadilah, Tubagus Ferdi; Adisasmita, Asri C.; Ascobat, Purwantyastuti; Siswanto, Johanes Edy; Koestoer, Raldi Artono; Susianti, Yanti; Irwan, Hermansyah; Gunarsih, Arum; Heryana, Ade
Paediatrica Indonesiana Vol. 65 No. 3 (2025): May 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.3.2025.245-52

Abstract

Background Neonatal jaundice is a prevalent condition in newborns, characterized by elevated bilirubin levels. Conventional phototherapy treatments for neonatal jaundice typically require hospital admission, separation from mothers, and may interfere with breastfeeding and bonding. The Blue Light Universitas Indonesia (BLUI) LED phototherapy blanket was developed to address these limitations by providing a portable, home-based alternative that maintains mother-infant contact while delivering effective therapy. Objective To evaluate the efficacy of the Blue Light Universitas Indonesia (BLUI) LED phototherapy blanket in reducing bilirubin levels in infants with physiological jaundice. Methods A preliminary study was conducted from December 2022 to February 2023, involved 14 infants with physiological jaundice at Hermina Hospital Ciputat, Sariasih Hospital Ciputat, and the General Hospital of South Tangerang. The inclusion criteria were infants with physiological jaundice, gestational age ≥35 weeks, and birth weight ≥2,000 grams. The dependent variable was the reduction in total serum bilirubin levels, assessed by spectrophotometry. Paired sample T-test was used to compare bilirubin levels before and 24 hours after intervention with the BLUI Blanket. Results The study included 14 infants, with a mean age of 6.86 days and mean gestational age of 37.71 weeks. The BLUI Blanket demonstrated a mean bilirubin reduction of 3.11 mg/dL after 24 hours of continuous treatment, with a 19.02% decrease. The intervention was well-tolerated, with minimal adverse effects, such as maculopapular skin rash occurring in only one infant. Conclusion The BLUI Blanket is an effective and safe phototherapy device for reducing bilirubin levels in infants with physiological jaundice. This preliminary study supports further research to confirm these findings in larger populations.
PENILAIAN STATUS GIZI DAN PEMERIKSAAN KESEHATAN BALITA WEIGHT FALTERING UNTUK PENCEGAHAN STUNTING Fairuza, Firda; Setiati, Dita; Fadilah, Tubagus Ferdi; Ningrum, Nathalia; Sari, Meiriani; Aziza, Nia Nurul
Jurnal Pengabdian Masyarakat Trimedika Vol. 2 No. 2 (2025)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v2i2.22992

Abstract

Community service activities were carried out in the form of health screening for weight faltering infants under two years old to improve the health and nutritional status of children in Kelurahan Jati Pulo, kecamatan Palmerah. The partner in this activity was the health sub-department in West Jakarta. The location for the activity was chosen because the sub-district is one of the subdistricts with the most stunting findings and was located close to the Trisakti University. The stunting screening for children under five in the work area of the primary health care follows the National Guidelines for Health Services for stunting in primary healthcare facilities. Still, apart from anthropometric examinations, the diagnosis of stunting was made based on anamnesis, physical examination and supporting examinations carried out by a pediatrician. The solution for community service activities was to reduce stunting prevalence and health screening of weight faltering toddler by a pediatrician. The purpose of this service activity was to prevent stunting and optimalization nutritional status by screening children's weight-faltering health so that parents can provide good and proper care for the process of growth and development of children. The benefit of this activity was that parents, especially mothers of infant, know their children's nutritional status and the importance of the First 1000 Days of Life to prevent nutritional problems in toddlers and improve children's health and nutritional status. The expected output of community service activities was through articles published in community service journals and posters.
Survei Pola Kuantitas Peresepan Antibiotik di Tiga Rumah Sakit di Indonesia dengan Penatagunaan Antimikroba Digital Natadidjaja, Ronald Irwanto; Lekok, Widyawati; Ariyani, Aziza; Adlani, Hadianti; Adianto, Raymond; Maharani, Ronaningtyas; Sumarsono, Hadi; Yenny, Yenny; Samira, Jihan; Hairunisa, Nany; Amalia, Husnun; Faradila, Meutia Atika; Fadilah, Tubagus Ferdi; Kalumpiu, Joice Viladelvia; Yuliana, Yuliana; Mulyani, Sri; Anggiat, Desi; Marja, Triyoko Septio; Pertiwi, Iin Indra; Dianawati, Dianawati; Legoh, Grace Nerry; Rantung, Alvin Lekonardo
Jurnal Biomedika dan Kesehatan Vol 8 No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

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Abstract

Background Antimicrobial Stewardship Program (ASP) is very essential. There are three categories of antimicrobial agents as recommended by WHO: Access, Watch and Reserve. e-RASPRO, a digital ASP model, may alter antibiotic prescribing patterns by prioritizing Access category antibiotic prescribing. Methods Our manuscript presented a quantitative survey on antibiotic prescribing patterns within 3 months and 9 months before and after implementing digital electronic-RASPRO (e-RASPRO) in three Indonesian hospitals, utilizing retrospective inpatient data. This analysis included the appropriateness of empirical antibiotic prescribing and the quantity of antibiotic prescribing based on each category. Results In the first 3 months, we found that 90.16%, 83.98%, and 81.15% of patients were included in Type 1 Risk Stratification. The appropriateness of initial empirical antibiotic prescribing with the digital guideline on antimicrobial use of e-RASPRO in three hospitals was 81.59%, 76.09% and 24.48%, respectively. Within 9 months after implementing e-RASPRO in Hospital A and B and within 3 months in Hospital C, there was a trend of reduced quantity of Watch category antibiotic prescribing of 54.93% (-58.86% per inpatient), 21.11% (-9.97% per inpatient), and 8.59% (-4.15% per inpatient), respectively. There was a 12.42% (+2.61 % per inpatient) and 223.17% (+268.83% per inpatient) increase in the quantity of Access category antibiotic prescribing in Hospitals A and B, while in Hospital C, the quantity decreased by 6.81% (-2.29% per inpatient).   Conclusions There are changes in antibiotic prescribing patterns, particularly in the antibiotics included in the Watch and Access categories following the implementation of e-RASPRO. The relationship between digital antimicrobial stewardship use and the results still needs further research.
SIKAP TERHADAP VAKSIN COVID-19 TERHADAP VAKSINASI COVID-19 PADA SISWA SMP-SMA Josia, Michael; Fadilah, Tubagus Ferdi
Jurnal Biomedika dan Kesehatan Vol 5 No 2 (2022)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2022.v5.102-108

Abstract

BACKGROUND Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the newly discovered Coronavirus, namely the SARS-CoV-2 virus. Daily cases of COVID-19 increased rapidly by up to 500% from May 15 to Jun 17, 2021, especially in Banten province; there were 53,472 cases, of which 10.4% were cases of children aged 6-18 years, causing an emergency to prevent the spread of COVID-19. One of the efforts to prevent COVID-19 in children can be through vaccination. Therefore, this study assessed students' attitudes towards the COVID-19 vaccine, evaluated data on COVID-19 vaccinations in students, and assessed the relationship between student attitudes towards the COVID-19 vaccine and COVID-19 vaccination in students. METHODS This study used a cross-sectional design with a population of students from Santa Patricia Junior High School with a sample size of 90 participants using cluster sampling technique and simple random sampling and then analyzed using the exact-fisher test. RESULTSThe results of the study prove that the most prominent characteristic aspects are female gender (64.4%), Age below or equal to 15 years (57.8%), having received the COVID-19 vaccine (86.7%), having a positive attitude towards the COVID-19 vaccine (85.5%), was influenced by other people around him (97.8%) and wanted to vaccinate against COVID-19 (86.7%). Students' attitudes towards the COVID-19 vaccine with COVID-19 vaccination had p=0.324. CONCLUSION The analysis did not show a significant relationship between students' attitudes towards the COVID-19 vaccine and the coverage of the COVID-19 vaccination (p=0.324; p>0.05). KEYWORDS: COVID-19 Vaccine, COVID-19 Vaccination, Junior High School, High School, COVID-19 Pandemic, Theory of Planned Behavior
Anemia Berat pada Pembawa Sifat Thalasemia dengan Tuberkulosis Peritoneal: Sebuah Laporan Kasus Salsabila, Diva Azura; Farsyah, Muhammad Athar; Amelia, Ade; Fadilah, Tubagus Ferdi
Jurnal Biomedika dan Kesehatan Vol 8 No 3 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2025.v8.350-358

Abstract

Thalassemia is a heterogeneous group of inherited hemoglobin disorders characterized by reduced or absent synthesis of globin chains, leading to varying degrees of ineffective erythropoiesis and chronic anemia. Thalassemia trait is usually regarded as a benign carrier state, often presenting with mild, asymptomatic microcytic anemia that does not require transfusion. In contrast, tuberculosis is a chronic infectious disease that commonly causes anemia of chronic disease through persistent inflammation, cytokine-mediated bone marrow suppression, and hepcidin-driven disturbances in iron metabolism. When these two conditions coexist, the resulting anemia may be more severe than expected from either condition alone.This report describes a unique case in which thalassemia is complicated by peritoneal tuberculosis, resulting in an unusually severe anemic state not typical for a carrier. A 15-year-old female receiving ongoing treatment for peritoneal tuberculosis presented with severe anemia (hemoglobin 7.43 g/dL). Physical examination revealed classic thalassemia signs, including facies cooley and splenomegaly. Laboratory findings confirmed severe microcytic, hypochromic anemia, and HPLC analysis showed elevated HbF and Hb Bart's, consistent with a thalassemia trait. The patient was managed with packed red cell (PRC) transfusions and folic acid, which successfully resolved the acute symptoms. As a conclusion, the severe anemia in this patient was likely due to multifactorial causes: an underlying thalassemia trait compounded by anemia of chronic disease (ACD) from tuberculosis. This case highlights the critical need to investigate comorbidities in thalassemia carriers with atypical presentations.
LED Phototherapy Blankets—Bridging the Neonatal Jaundice Care Gap with Family-Centered Innovation Fadilah, Tubagus Ferdi
Jurnal Biomedika dan Kesehatan Vol 9 No 1 (2026)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Editorial: LED Phototherapy Blankets—Bridging the Neonatal Jaundice Care Gap with Family-Centered Innovation Tubagus Ferdi Fadilah Department of Pediatri, Faculty of Medicine, Universitas Trisakti Neonatal jaundice is the most common clinical condition affecting newborns worldwide, with 60% of term and 80% of preterm infants developing jaundice in the first week of life.(1,2) For over 50 years, conventional phototherapy has been the gold standard for preventing kernicterus—a form of permanent brain damage from severe hyperbilirubinemia.(3, 4) However, from a public health perspective, its care model presents significant challenges. The reliance on hospital facilities, high costs, and the separation of mother and infant create access gaps and psychosocial impacts that can no longer be overlooked, especially in developing nations like Indonesia.(5) Traditional phototherapy methodologies, characterized by substantial, immobile illumination apparatus, inherently engender a treatment paradigm oriented around technological infrastructure rather than patient-centered care. Neonates undergoing such therapy are necessarily confined within incubation units, frequently resulting in maternal-infant separation during the critical initial postpartum period. The ramifications of this separation transcend mere logistical inconvenience; such practices significantly disrupt the essential maternal-neonatal attachment process, impede the establishment of successful lactation, and precipitate elevated levels of parental psychological distress.(1) From a healthcare systems perspective, this treatment modality imposes considerable burden upon tertiary care facilities and generates pronounced disparities in therapeutic access, whereby geographical location and socioeconomic status become determinative factors in the availability of potentially lifepreserving medical intervention. Technological innovation in the form of Light Emitting Diode (LED) phototherapy blankets offers more than just a technical upgrade; it offers a paradigm shift.(6) By integrating an effective blue-green light source into a flexible, portable blanket, therapy can be administered while the infant remains in its mother's arms.(7) This fundamental change transforms the care model into one that is family-centered—a practice globally recognized as a best practice in neonatal care. The public health advantages of phototherapy blankets are compelling: 1. Decentralized Care and Equitable Access: Their portability and lower operational cost allow these devices to be deployed in primary healthcare settings, such as community health centers (Puskesmas) in remote areas. This drastically reduces the time-totreatment, curtails unnecessary hospital referrals, and provides equitable access for rural infants who previously faced higher risks. Local innovations like the BLUI (Blue Light Universitas Indonesia) Blanket, which has undergone advanced development to ensure it meets thermal safety standards,(8) amplify this potential. 2. Supporting Mother-Infant Bonding and Breastfeeding: By enabling skin-to-skin contact and direct breastfeeding without interrupting treatment, phototherapy blankets actively support the foundations of long-term infant health. Effective breastfeeding is not only crucial for nutrition but also helps reduce bilirubin levels by promoting gut motility. 3. Health System Efficiency: In many countries, phototherapy blankets have paved the way for home-based phototherapy programs for uncomplicated cases. This model has been proven to significantly reduce inpatient costs, lower the risk of nosocomial infections, and free up hospital capacity for critically ill neonates. The successful implementation of this technology necessitates standardization of devices and establishment of comprehensive clinical guidelines. Evidence from existing clinical research substantiates the efficacy of these devices. A preliminary clinical investigation regarding the BLUI Blanket demonstrated significant reduction in bilirubin levels among patients with neonatal jaundice, thereby validating its application as a viable therapeutic intervention.(9) This evidence, in conjunction with technical advancements in thermal regulation mechanisms,(8) provides substantial justification for the adoption of this technology as a safe and effective first-line therapeutic modality. In conclusion, the LED phototherapy blanket represents not merely an alternative treatment modality, but rather constitutes a transformative innovation in neonatal care.(6) This technology serves as a critical nexus between clinical efficacy and familial integrity, facilitating not only the therapeutic management of hyperbilirubinemia but doing so in a manner that preserves the parent-child bond, enhances parental autonomy in care provision, and systematically addresses disparities in healthcare accessibility for neonates irrespective of geographical constraints. It is imperative that policy architects, healthcare institutions, and technological innovators expedite the integration of this therapeutic approach into standard clinical practice to ensure optimal health outcomes for future generations.
Co-Authors Adianto, Raymond Adlani, Hadianti Amelia, Ade Anggiat, Desi Anggita Bintari Handayaningrum Ariyani, Aziza Ascobat, Purwantyastuti Asri C. Adisasmita Aziza, Nia Nurul Devita, Arleen Dewi Setiawati Dewi Setiawati dianawati, dianawati Djatnika Setiabudi Fairuz SMW, Amirra Faradila, Meutia Atika Farsyah, Muhammad Athar Firda Fairuza, Firda Grace Nerry Legoh Gunarsih, Arum Hadi Sumarsono Hairunisa, Nany Heryana, Ade Husnun Amalia Irwan, Hermansyah Johanes Edy Siswanto, Johanes Edy Joice Viladelvia Kalumpiu, Joice Viladelvia Josia, Michael LEKOK, WIDYAWATI Maharani, Ronaningtyas Marja, Triyoko Septio Meiriani Sari Natadidjaja, Ronald Irwanto Ningrum, Nathalia Patricia Budihartanti Liman Pertiwi, Iin Indra RA. Koestoer Rantung, Alvin Lekonardo Ricko Eliafiana Salsabila, Diva Azura Samira, Jihan Setiati, Dita Sri Endah Rahayuningsih Sri Mulyani Susianti, Yanti Verawati Sudarma YENNY YENNY Yoki Oktavani Yuliana Yuliana