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All Journal Paediatrica Indonesiana Jurnal Gizi Klinik Indonesia
Alifah Anggraini, Alifah
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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The Indonesian version of the Early Childhood Screening Assessment (ECSA_INA) to screen for social, emotional and behavioral disorders in children Rosana, Elvira; Anggraini, Alifah; Sitaresmi, Mei Neni
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/pi65.2.2025.137-46

Abstract

Background  The incidence of emotional, social, and behavioral disorders in children is quite high in the world, including in Indonesia. Therefore, earlier screening is necessary for effective treatment. Currently there is no screening tool for emotional, social, and behavioral disorders in children, especially toddlers, that has been validated in Indonesia. The Early Childhood Screening Assessment (ECSA) is a widely used and recommended instrument for children aged 1.5 - 5 years. This research aims to carry out a cross-cultural adaptation of ECSA in Indonesian (ECSA_INA) and assess its internal validity and reliability. Methods The study consisted of 2 phases: transcultural adaptation and internal validity and reliability testing on parents of children aged 1.5-5 years The first phase consists of the forward translation of original instruments into Indonesian, synthesis from experts and backward translation to the original language and then discussion by experts. Furthermore, pre-testing was carried out in 6 parents of children aged 1.5-5 years. We conducted the second phase of the internal validity and reliability test on 70 parents of children aged 1.5 - 5 years. Each respondent filled in ECSA_INA 2 times, with an interval of 14 days. Furthermore, the data were analyzed statistically with the correlation test of Cronbach’s α, Intraclass Correlation Coefficient (ICC) and Pearson correlation. Results The internal consistency was good (Cronbach’s α = 0.831). Test- retest reliability was good with intraclass correlation coefficient (ICC) of 0.867 (p<0.000). Overall internal validity is good. Conclusion The ECSA_INA is a reliable and valid instrument for screening social, emotional and behavior in Indonesian children.  
Maternal and perinatal factors affecting vitamin D status of very low birth weight infants hospitalized in neonatal intensive care unit Wibowo, Tunjung; Anggraini, Alifah; Safrida, Elysa Nur; Wandita, Setya; Haksari, Ekawaty Lutfia
Jurnal Gizi Klinik Indonesia Vol 20, No 3 (2024): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.91172

Abstract

Background: Vitamin D deficiency is a global problem in premature infants. Vitamin D deficiency is associated with skeletal and non-skeletal disease. In premature infants, vitamin D deficiency is primarily associated with metabolic bone disease. Objective: The study aims to investigate the prevalence and risk factors of vitamin D deficiency in very low birth weight (VLBW) infants who were hospitalized in the neonatal intensive care unit (NICU) of a tertiary hospital in a developing country. Methods: A retrospective cohort was conducted at the NICU of Dr. Sardjito General Hospital, Yogyakarta. VLBW infants (inborn and outborn), hospitalized between January 1, 2018, and December 31, 2020, were enrolled in this study. Data on maternal (age (years), parity, education level, and socio-economic status) and neonatal (birth weight, birth length, and head circumference), gestational age, age of serum 25 hydroxy-vitamin D (25-OHD), sex, type of feeding, postnatal steroid) was taken from the medical records. Serum 25-OHD measurement was conducted at the age of around 4 weeks. Throughout the first 24 hours following birth, all infants at Dr. Sardjito General Hospital weighing <1,500g would receive total parenteral nutrition (TPN). For infants who were referred to Sardjito General Hospital, nutritional and feeding history including TPN was assessed through anamnesis from the nurses or midwives who transport the patient and from referral records. Results: A total of 165 very low birth weight infants consisting of 88 male and 77 female newborns were included in this study. The mean ± SD of the vitamin D level was 11.5 ± 7.6 ng/ml (range 2.9 - 45.5 ng/ml). The prevalence of Vitamin D insufficiency, deficiency, and severe deficiency were 12.1; 55.2; and 23%; respectively. Receiving TPN was positively and independently associated with vitamin D levels (p=0.006). Conclusions: There is a positive relationship between the administration of TPN and serum 25-OHD level in VLBW infants hospitalized in the NICU.
Co-Authors Ekawaty Lutfia Haksari, Ekawaty Lutfia Mei Neni Sitaresmi Rosana, Elvira Safrida, Elysa Nur Setya Wandita, Setya Tunjung Wibowo