Bernie Endyarni Medise
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Indonesia Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta

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Gambaran persepsi auditori CAP-II pada anak tuli prelingual bilateral 6–12 bulan pasca implantasi koklea Arief, Wresty; Zizlavsky, Semiramis; Priyono, Harim; Wahyuni, Luh Kurnia; Medise, Bernie Endyarni; Prihartono, Joedo
Oto Rhino Laryngologica Indonesiana Vol 48, No 1 (2018): Volume 48, No. 1 January - June 2018
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.189 KB) | DOI: 10.32637/orli.v48i1.250

Abstract

Latar belakang: Anak tuli prelingual akan kehilangan fungsi mendengar dan bicara, sehingga akan berpengaruh pada komunikasi, psikologis, dan kualitas hidupnya. Implan koklea hadir sebagai alat habilitasi terutama pada anak dengan tuli derajat berat dan sangat berat. Tujuan: Membahas karakteristik anak 6-12 bulan pasca implantasi koklea, evaluasi perkembangan auditori anak, serta faktor-faktor yang memengaruhi hasil keluaran. Metode: Bersifat deskriptif potong lintang, pada 36 subjek yang dievaluasi dengan metode penilaian berupa pengamatan yang bersifat global yaitu Categories Auditory Performance (CAP)-II. Hasil: Median waktu saat evaluasi 8,9 bulan, median CAP-II pada subjek ialah 3 (minimal 2-maksimal 7), dengan pencapaian 33,3% subjek dalam kategori CAP tinggi (skor 5 atau lebih). Kesimpulan: anak pasca implantasi koklea memiliki peningkatan persepsi auditori CAP-II dibandingkan sebelum penggunaan implan koklea yang dapat mulai dievaluasi sejak 6 bulan pasca implan. ABSTRACT Background: Prelingual deaf in children will cause the sufferers to loose their function of hearing and speaking, thus, are unable to hear and speak, and impacting on their ability to communicate, to grow psychologically, and on their overall life quality. Cochlear implant comes as a habilitating device especially mainly for children with severe and profound deafness. Purpose: This study described the children’s characteristics at 6-12 months after cochlear implantation, by evaluating their auditory development, and other factors influencing the output. Method: A descriptive cross sectional study, conducted on 36 subjects, evaluating the subjects by using the global observation method of Categories Auditory Performance (CAP)-II. Results: The median hearing age was 8.9 months, the median score of CAP-II was 3 (minimum 2-maximum 7), and 33.3% of subjects reached high CAP scores (CAP score of ≥ 5). Conclusion: CAP-II score would increase in children
Overweight and obesity in 16–18 years old teenagers in South Jakarta and the relationship with academic performance Marie Christabelle; Bernie Endyarni Medise
World Nutrition Journal Vol. 4 No. S3 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S3.0026

Abstract

Objective: In different parts of the world, Indonesia included, overweight and obese people are seen to have worse performance compared to their healthy counterparts. Although there were research that had been done to observe the relationship between overweight, obesity, and academic performance, the results obtained were still divided into significantly and non-significantly related.Methods: A cross-sectional study was done to 373 students from two different schools in South Jakarta on December 2017–January 2018. Data was obtained by measuring height and weight of the participant to get his/her nutritional status and the average of participant’s odd semester Continual Assessment and Semestral Assessment of Academic Year 2017/2018 to see if the result was higher or equal to the passing grade.Results: Data analysis with chi square test shows that there was no significant relationship between overweight, obesity, and academic performance (p = 0.452 for Indonesian Language and p = 0.476 for Mathematics) although overweight and obese students tend to have better performance in some exam.Conclusion: The events that lead to overweight, obesity, and one’s academic performance are all multifactorial that the relationship between the two is difficult to be determined.
Correlation of overweight nutritional status and sleep quality in 16–18 years old teenagers in South Jakarta Muhammad Prasetio Wardoyo; Bernie Endyarni Medise
World Nutrition Journal Vol. 4 No. S3 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S3.0030

Abstract

Background and Objectives: Overweight nutritional status in adolescents becomes a health problem that continues to require attention. Not only because of its rapidly increasing prevalence, but also its various adverse effects on adolescent health, especially on the quality of sleep. Sleep quality decrease in adolescents can impact their daily performance, especially in learning. This study aimed to investigate the relationship of overweight nutritional status with sleep quality in adolescents aged 16–18 years old in South Jakarta.Method: This cross-sectional design study was done in two public senior high schools in the South Jakarta. A total of 186 students from classes of 2015, 2016, and 2017 with age between 16-18 years old underwent weight and height measurements, determination of BMI and nutritional status using the CDC BMI-for-age chart, as well as filling the Cleveland Adolescent Sleepiness Questionnaire to assess the quality of sleep.Results: The prevalence of overweight was found by 20.43% (14.52% categorized as overweight, 5.91% categorized as obese) with a median value of the questionnaire 40.00 (23.00 to 58.00). Mann-Whitney test found that the p value for the mean difference of the questionnaire's total score to excess weight is 0.783.Conclusion: There was no correlation between the quality of sleep to excess weight in adolescents aged 16–18 years old in South Jakarta.
Excessive body weight and its relationship to body image in teenagers aged 16–18 years old in South Jakarta Dania Mirza Ramadhanty; Bernie Endyarni Medise
World Nutrition Journal Vol. 4 No. S3 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S3.0033

Abstract

Objective. Overweight is one of the health problems that often occur in children and adolescents throughout the world, both in developed and developing countries. Study results in USA showed yearly increase of overweight prevalence in children aged 2–19 years old. In addition, based on the results by the National Health and Nutrition Examination Survey 2009–2010 in United States, the highest percentage of overweight and obesity by age group was found at 12–19 years old (33.6%). Basic Health Research/Riskesdas’s data in 2013 showed the prevalence of overweight in adolescents aged 16–18 years old in Indonesia reached the highest value of 11.5%. Moreover, most teenagers see their body images as a match between self’s and others’ ideal perception. Teenagers with positive body image tend to be more confident and also easier to get along with other people, especially their peers. In this study, researcher aimed to investigate the relationship between teenagers who have excess body weight with body image, whether it had positive or negative impact.Methods: This was a cross-sectional study. Data collection was done from December 2017 to January 2018. Data collected were anthropometric measurements (weight and height) and the King College London Body Image Questionnaire's filled by participants. From 400 subjects who filled the questionnaires, a total of 350 participants matched the inclusion criteria and were analyzed. Chi square test was done as data analysis.Results: Chi-square analysis for excess body weight status in relation to body image scores showed no relationship (p=1,000).Conclusions: There was no significant relationship between excessive body weight and body image. 
The Role of Iron for Supporting Children’s Growth and Development Bernie Endyarni Medise
World Nutrition Journal Vol. 5 No. S1 (2021): The role and importance of iron : A supplementary papers
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S1.0003

Abstract

According to the World Health Organization (WHO), Iron Deficiency (ID) affects around 2 billion people worldwide. Early childhood ID has been associated with permanent cognitive deficits associated with CNS structural, metabolic impairment, growth retardation, impaired immune response, psychological abnormalities, and behavioral delays. This literature review will focus on the important role of iron in child growth and development. Iron is necessary for various cellular processes in the growing brain especially when it comes to memory and learning. Children with early ID show cognitive deficits that persist; however, prompt iron treatment soothes the problem. A chronic ID group reported substantially lower scores of vocabularies, ambient sound perception, and motor measurements in a recent study relative to infants with normal nutritional iron status at 6 months and 14-18 months. Children's iron requirement differentiates based on individual age. The daily iron requirement for one- to three-year-old children is 7 mg. Some risk factors of infants and toddlers in developing ID are insufficient food intake, poor bioavailability, reduced absorption, increase demand, increase losses, cow’s milk enteropathy hookworm infection, and maternal gestation. Iron plays an important role in promoting children's growth and development. Physical health and nutrition are important in the first two years of life. Children who are unable to achieve iron adequacy will possibly show permanent cognitive deficit and impaired motor growth. Thus, iron supplementation may only be successful in early prescription after diagnosing iron deficiency.
Social-emotional development in early life: what happens and how to optimize it Bernie Endyarni Medise; Tjhin Wiguna; Ni Ketut Susila Dharma Asih
World Nutrition Journal Vol. 5 No. S2 (2022): Supplement
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S2.0002

Abstract

The Physical, metabolic, emotional, cognitive, and social development all begin to develop during early years of childhood.. Social and emotional competencies are increasingly recognized as critical for children's success, in school and in later phases of life into adulthood. According to new research, changes in the gastrointestinal tract's development during the early postnatal period can affect brain development and vice versa., collectively called the gut-brain axis. The gut microbiota has an impact on a variety of mental processes and phenomena, as well as being involved in the pathophysiology of a variety of mental and neurological diseases.. Insights in this area can be targeted through dietary treatments to improve cognitive outcomes in newborns by optimizing the link between the gastrointestinal system and the brain. Further, having a healthy and happy human life could be ensured by acquiring adequate and balance microbiota
Pengaruh Pemberian Vitamin E terhadap Kadar Oksidan pada Leukemia Limfoblastik Akut Fase Induksi Dewi Anggraeni; Hikari Ambara Sjakti; Bernie Endyarni Medise
Sari Pediatri Vol 23, No 6 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp23.6.2022.402-8

Abstract

Latar belakang. Penderita leukemia limfoblastik akut (LLA) akan mengalami perubahan status oksidan dan antioksidan sejak awal diagnosis dan selama kemoterapi. Vitamin E merupakan antikarsinogenik dan berperan mencegah kerusakan oksidatif pada struktur sel dan jaringan lewat reaksi pemecahan radikal bebas. Tujuan. Mengetahui pengaruh vitamin E terhadap kadar oksidan, kadar enzim transaminase, dan insiden demam neutropenia pada LLA saat awal dan selesai kemoterapi fase induksi. Metode. Uji klinis acak tersamar ganda yang membandingkan kelompok vitamin E dengan kelompok plasebo pada penderita LLA saat awal dan selesai kemoterapi fase induksi pada bulan Juni-November 2019 di poliklinik Hematologi Onkologi Departemen Ilmu Kesehatan Anak FKUI RSCM Kiara. Hasil. Terdapat peningkatan kadar median MDA saat awal fase induksi dan terjadi penurunan MDA secara bermakna saat selesai fase induksi pada kelompok plasebo. Terdapat peningkatan median enzim transaminase (AST dan ALT) saat awal fase induksi dan terjadi penurunan delta median AST secara bermakna saat selesai fase induksi pada kelompok plasebo. Insiden demam neutropenia (per episode) ditemukan hampir sama pada kelompok vitamin E dan kelompok plasebo. Kesimpulan. Vitamin E tidak terbukti secara bermakna memperbaiki kadar MDA, enzim transaminase, dan insiden demam neutropenia pada penderita LLA fase induksi.
Efektivitas Seminar pada Perubahan Sikap Ibu dalam Pemberian Dukungan Nutrisi dan Stimulasi selama Pemantauan Tumbuh Kembang Soedjatmiko Soedjatmiko; Hartono Gunardi; Rini Sekartini; Bernie Endyarni Medise; Ikhsan Johnson; Yulianti Wibowo; Ray Wagiu Basrowi
Sari Pediatri Vol 19, No 4 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.597 KB) | DOI: 10.14238/sp19.4.2017.201-8

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Latar belakang. Kualitas tumbuh kembang balita ditentukan oleh nutrisi, kasih sayang, stimulasi, dan perlindungan terhadap penyakit. Ibu sebagai pengasuh utama anak berperan penting mengoptimalkan pertumbuhan dan perkembangan anak, sehingga harus memiliki sikap yang baik tentang pemantauan tumbuh kembang saat kunjungan ke tenaga kesehatan. Peningkatan pengetahuan Ibu dapat dilakukan dengan edukasi dan pelatihan.Tujuan. Menganalisis efektivitas seminar pada perubahan sikap ibu dalam pemberian dukungan nutrisi dan stimulasi selama pemantauan tumbuh kembang. Metode. Penelitian desain potong lintang dengan kuesioner pre dan post intervensi dilakukan pada ibu dengan balita. Perubahan sikap ibu dievaluasi dalam pemantauan tumbuh kembang anaknya. Intervensi berupa seminar mengenai kesehatan anak yang diadakan di 6 kota besar di Indonesia dengan purposive sampling peserta yang mengisi lengkap kuesioner. Analisis data digunakan metode paired T-test dalam software IBM SPSS statistics versi 22.Hasil. Terdapat 617 ibu yang mengisi lengkap kuesioner yang diberikan dalam seminar. Terjadi peningkatan yang bermakna (beda mean -0,15±0,26;95%CI -0,17sampai-0,13; p<0,001) pada rerata skor sikap ibu setelah mengikuti seminar yang diadakan oleh peneliti. Sumber informasi yang penting dan berkesan, antara lain, televisi, gawai, media sosial, tenaga kesehatan, dan seminar oleh tenaga kesehatan. Kesimpulan. Pemberian seminar oleh tenaga kesehatan mengubah sikap ibu pada pengasuhan anak selama pemantauan tumbuh kembang dengan efektif (p<0,001).
Konstipasi Fungsional Bernie Endyarni; Badriul Hegar Syarif
Sari Pediatri Vol 6, No 2 (2004)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.914 KB) | DOI: 10.14238/sp6.2.2004.75-80

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Konstipasi merupakan keadaan yang sering ditemukan pada anak dan dapat menimbulkanmasalah sosial maupun psikologis. Berdasarkan patofisiologis, konstipasi dapatdiklasifikasikan menjadi konstipasi akibat kelainan struktural dan konstipasi fungsional.Konstipasi yang dikeluhkan oleh sebagian besar pasien umumnya konstipasi fungsionalyang dihubungkan dengan adanya gangguan motilitas kolon atau anorektal. Konstipasikronis yaitu kostipasi yang telah berlangsung lebih dari 4 minggu. Dalam mentukanadanya konstipasi terdapat 3 aspek yang perlu diperhatikan, yaitu frekuensi buang airbesar (b.a.b), konsistensi tinja, dan temuan pada pemeriksaan fisis. Para ahligastroenterologi di Eropa dan Amerika telah membuat satu kriteria untuk yangmenentukan adanya konstipasi fungsional, yang dikenal dengan kriteria Roma. Meskipunmasih terus dalam pengkajian, beberapa negara telah menggunakan kriteria tersebutsebagai upaya menentukan adanya konstipasi fungsional. Dalam menangani anak dengankonstipasi perlu ditekankan tentang pentingnya hubungan yang erat antara dokter,orangtua, dan pasien. Pada dasarnya, terapi konstipasi terdiri dari dua fase, yaitu fasepengeluaran masa tinja dan fase pemeliharaan. Catatan harian tentang b.a.b, latihanb.a.b (toilet training), makan makanan berserat, terapi laksatif, serta pendekatan secarapsikiatri/psikologi merupakan upaya yang perlu dilaksanakan untuk memperoleh hasilyang optimal.
Manfaat Terapi Pijat pada Konstipasi Kronis Anak Muzal Kadim; Bernie Endyarni
Sari Pediatri Vol 12, No 5 (2011)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp12.5.2011.342-6

Abstract

Latar belakang. Konstipasi sering ditemukan pada anak dan menimbulkan masalah sosial maupun psikologi.Data menunjukkan 95% kasus konstipasi anak merupakan konstipasi fungsional. Penelitian memperlihatkandampak yang baik dari terapi pijat yang dihubungkan dengan berbagai kondisi dan penyakit pada anak.Tujuan. Melihat implikasi klinis terapi pijat terhadap pasien konstipasi kronis pada anak.Metode. Penelitian prospektif intervensional dilakukan dengan randomisasi dan menggunakan kontrol,terhadap kasus konstipasi berusia 2-14 tahun di Divisi Gastroenterologi Departemen Ilmu Kesehatan AnakRSUPN Cipto Mangunkusumo sejak bulan Februari hingga Juni 2006.Hasil. Jumlah subyek penelitian 16 orang terdiri dari 7/16 laki-laki dan 9/16 perempuan. Rerata umur subyek4,1 tahun (SB=+1,3). Frekuensi buang air besar (b.a.b) pasien konstipasi fungsional mengalami peningkatansetelah diberikan terapi pijat. Jumlah pasien yang mengalami kicipirit, dengan tinja keras berkurang lebihbanyak pada kelompok perlakuan dibandingkan kelompok kontrol. Jarak terlama antara b.a.b kelompokperlakuan mengalami penurunan yang lebih besar (6,7+3,2 hari menjadi 3,7+1,7 hari) dibandingkan kelompokkontrol (5,2+2,4 hari menjadi 3,3+1,0 hari). Lama waktu b.a.b kelompok perlakuan berkuranglebih banyak (21,2+18,2 menit menjadi 14,37+8,6 menit) dibandingkan kelompok kontrol (15,6+9,4 menitmenjadi 11,8+9,2 menit). Waktu yang dibutuhkan untuk terjadi perbaikan terhadap konstipasi kelompokperlakuan lebih singkat (29,2+24,9 hari) dibandingkan kelompok kontrol (32,2+20,8 hari).Kesimpulan. Terapi pijat dapat membantu mempercepat perbaikan konstipasi kronis fungsional
Co-Authors Ali Alhadar Aman Bhakti Pulungan, Aman Bhakti Antonius H Pudjiadi, Antonius H Arief, Wresty Badriul Hegar Syarif Badriul Hegar Syarif, Badriul Hegar Benedictus Bermanshah, Evita Karianni Budi Wiweko Corrie Wawolumaja Dania Mirza Ramadhanty Dave Anderson Dewi Anggraeni Dewi Friska Diana Sunardi Elina Waiman Erfi Prafiantini Erni Hernawati Purwaningsih, Erni Hernawati Ervira Wahyuni Erwin Hendrata Ganda Ilmana Gitayanti Gitayanti H.F. Wulandari Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Hikari Ambara Sjakti, Hikari Ambara I Boediman Ikhsan Johnson Ikhsan Johnson Intan Tumbelaka Irene Yuniar, Irene Ismi Citra Ismail, Ismi Citra Jessica Ferdi Jessica Ferdi Joedo Prihartono Jose RL Batubara Kartika Erida Brohet Kholisah Nasution Krishna Adi Wibisana Lenora Mohd. Ishak Lina Ninditya Liza Pratiwi M. Azharry Rully Sjahrullah M. Ramdhani Yassien Maria, Suzy Marie Christabelle Muhammad Faizi, Muhammad Muhammad Prasetio Wardoyo Muzal Kadim Naela Fadhila Ni Ketut Susila Dharma Asih Novie Amelia Chozie Nuri Purwito Adi Olfriani, Ciho Priscilla, Birgitta Priyono, Harim Pustika Amalia Wahidiyat Putri Maharani Tristanita Marsubrin Ray Wagiu Basrowi Ray Wagiu Basrowi Renno Hidayat Retnaningdyah, Windri Reza, Maulana Okta Rini Mulia Sari Rini Sekartini Rini Sekartini Rini Sekartini Rini Sekartini Rini Sekartini Rizki Yusrini Pohan Rosalina Dewi Roeslani Saptawati Bardosono Saptawati Bardosono Silva Audya Perdana Soebadi, Amanda Soedjatmiko Soedjatmiko Soedjatmiko Soedjatmiko Soedjatmiko Soedjatmiko Soesanti, Frida Sreshta Mukhi Sreshta Mukhi Sukamto Koesnoe Tirza Z. Tamin Titi Sularyo Titis Prawitasari, Titis Tjhin Wiguna Tjhin Wiguna Trevino Pakasi Tri Lestari H Wahyuni Indawati, Wahyuni Wahyuni, Luh Kurnia Wangke, Lydia Wirahmadi, Angga Yoga Devaera Yoga Devaera, Yoga Yogi Prawira Yulianti Wibowo Yulianti Wibowo Zakiudin Munasir Zakiudin Munasir Zizlavsky, Semiramis