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Journal : Paediatrica Indonesiana

Parents Evaluation of Developmental Status and Denver Developmental Screening Test II in high risk infant and toddler Effie Koesnandar; Soedjatmiko Soedjatmiko; Pustika Amalia
Paediatrica Indonesiana Vol 50 No 1 (2010): January 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.657 KB)

Abstract

Background. Developmental screening is important particularly for high risk infants and toddlers. Parents Evaluation of Developmental Status (PEDS) and Denver Developmental Screening Test II (Denver II test) are recommended instruments with good sensitivity and specificity. Compared to Denver II test, PEDS is simpler, thus it is important to assess the agreement of PEDS and Denver II test.Objectives. To determine the prevalence of developmental disorder in high risk infants and toddlers and agreement of PEDS and Denver II test.Methods. Infants and toddlers registered at pediatric high risk clinic were recruited. PEDS questionnaire was answered by parents while the Denver II test performed by the investgator. Agreement of PEDS and Denver II instrument was assessed by Kappa score.Results. Out of 71 subjects, 41 (58%) were male, 43 (61%) were >12 months old, 35 (49%) were undernourished, 42 (59%) were preterm (<37 week gestational age), and 43 (60.6%) were low birth weight (LBW). The prevalence of developmental disorder was higher in subjects >12 months old (42%), undernourished (49%), preterm (48%), and LBW (47%). The prevalence of developmental disorder was 49% by PEDS and 39% by Denver II test. Agreement of PEDS and Denver II test was good with Kappa score 0.52, particularly for gross motor and language domain.Conclusions. The prevalence of developmental disorder is higher in high risk infant and toddler, who >12 months old, undernourished, premature, and LBW. PEDS instrument are equivalent to Denver II test, shows good agreement, particularly for gross motor and language domain. [Paediatr Indones. 2010;50:26-30].
Identification of emotional and behavior problems in obese children using Child Behavior Checklist (CBCL) and 17-items Pediatric Symptom Checklist (PSC-17) Dwi Fachri Harahap; Damayanti Rusli Sjarif; Soedjatmiko Soedjatmiko; Dwi Putro Widodo; Mayke Sugianto Tedjasaputra
Paediatrica Indonesiana Vol 50 No 1 (2010): January 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.022 KB)

Abstract

Background Obesity can result in emotional and behavior problems in school-age children. Child Behavior Checklist (CBCL) is a standard instrument for evaluating behavior problems, however it is considered not practical. The 17-item Pediatric Symptom Checklist (PSC-17) is a more simple instrument but its diagnostic value has never been evaluated in obese children.Objectives To evaluate the diagnostic value of PSC-17 compared to CBCL as the gold standard.Methods This cross-sectional study was done in May - June 2009. Children aged 6-12 years with obesity were included. Parents filled the CBCL and PSC-17 questionnaires. Sensitivity, specificity, predictive values, and likelihood ratios were calculated for PSC-17.Results Most subjects aged 6-9 years (83%). Boys out numbered girls. Emotional and behavior problems detected by CBCL and PSC-17 were identified in 28% and 22% subjects, respectively. The most common problem was internalization (withdrawal, somatic complaints, anxiety/depression). The PSC-17 had sensitivity and specificity of 69.2% and 95.6% respectively. Positive and negative predictive values were 85.7% and 89%, whereas positive and negative likelihood ratios were 15.7 and 0.32.Conclusions The prevalence of emotional and behavior problems detected using CBCL and PSC-17 in obese children was 28% and 22%, respectively. The PSC-17 has moderate sensitivity to screen emotional and behavior problem in obese children.[Paediatr Indones. 2010;50:42-8].
Factors associated with intelligence in young children with Down syndrome Frieda Handayani Kawanto; Soedjatmiko Soedjatmiko; Aryono Hendarto
Paediatrica Indonesiana Vol 52 No 4 (2012): July 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.436 KB) | DOI: 10.14238/pi52.4.2012.194-9

Abstract

Introduction Despite the considerable number of children withDo\Vll syndrome in Indonesia, there is little data available on thesuccess of intervention programs. This study was performed todefine factors affecting the intelligence of young children withDo\Vll syndrome.Objective To determine factors associated Mth lower intelligencein children with Down syndrome, including growth parametersand participation in intervention programs.Methods This cross􀁃sectional study was undertaken fromDecember 2010 to March 2011. Subjects were 60 childrenwith Down syndrome aged 2􀁃6 years who were enrolled inan intervention program at both the Medical RehabilitationDepartment, Cipto Mangunkusumo Hospital, and the Growthand Development Clinic, Harapan Kita Women's and Children'sHospital. Parents' data was obtained through self history􀁃takingand perusal of medical records. Subjects' anthropometricdata (body weight, body height, and head circumference) wasobtained through measurements using calibrated instruments.A psychologist administered IQ tests on the subjects. Results ofthe anthropometric and IQ tests were given to parents one weekfollowing the examinations.Results From the 111 children with Down syndromeregistered in the intervention programs, 60 children (36boys and 24 girls) met the inclusion criteria. The mean ageof subjects was 4 years 6 months. Most subjects were well􀁃nourished. Fifty􀁃five subjects had microcephaly. Eighty􀁃twopercent of subjects participated in the program regularly and70% of subjects had started in the program at less than 1 yearof age. Subjects' mean IQ was 52.8. Analysis showed thatgirls, subjects who were overweight and obese, subjects withmicrocephaly, those with irregular attendance in the program,and those living under the poverty line were at highest riskfor severe mental retardation.Conclusion Factors associated v.ith the intelligence in childrenwith Down syndrome were female gender, overweight/obesity, severe microcephaly, below􀁃poverty line economic status, andirregular participation in the program. [Paediatr Indones.2012;52:194-9].
Screen media and academic performance in the seventh graders Ratu Meulya Rezeki; Soedjatmiko Soedjatmiko; Abdul Latief
Paediatrica Indonesiana Vol 54 No 3 (2014): May 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.458 KB) | DOI: 10.14238/pi54.3.2014.155-61

Abstract

Background Excessive screen media exposures have manynegative impacts on children, including academic performance.Studies on the impacts of screen media on academic performancehave been limited, especially in Indonesia.Objective To assess screen media use and academic performanceof7th graders in a junior high school, and to evaluate other factorspotentially affecting student academic performance.Methods This was a cross-sectional study using surveys,questionnaires, and 12-day logbooks, conducted from May toJuly 2012. Students were 129 students in the 7,h grade of JuniorHigh Sch ool 115 in Jakarta and selected by consecutive sampling.Chi square test and multivariate analyses with logistic regressioncalculations were used for statistical analysis.Results The prevalences of students using screen media for > 2hours per day were 39.5% on weekdays and 64.3% on weekends.The prevalence of students using screen media that was notappropriate for their age was 69% on weekdays and 63.6% onweekends. Screen media content on weekdays and weekendshad no impact on academic performance (OR 0.56; 95%CI 0.26to 1.20; P=0.136 and OR 0.97; 95%CI 0.47 to 1.00; P=0.934,respectively) . In addition, the duration of screen media useon weekdays and weekends had no association with academicperformance (OR 0.60; 95%CI 0.30 to 1.23; P=0.161 andOR 0.90; 95%CI 0.44 to 1.86; P=0.782, respectively). Factorssignificantly associated with students' above average academicperformance were female gender (OR 3 .26; 95%CI 1.38 to7.74; P=0.007), superior intelligence quotient (IQ) comparedto average IQ (OR 4.63; 95%CI 1.66 to 12.9; P=0.003), highlysuperior IQ compared to average IQ (OR 5.45; 95%CI 1.51 to19.64; P=0.009), as well as achievement motivation and existenceof learning strategy, including intermediate vs. low motivation(OR 4.09; 95%CI 1.14 to 14.7 ; P=0.031), and high vs . lowmotivation (OR61.1; 95%CI 7.42 to 502.95; P<0.001); lack ofemotional and behavioral problems (OR 0.45; 95%CI 0.37-0.54;P= 0.01); and democratic parenting style (OR 0.45; 95%CI 0.37to 0.55; P=0.022).Conclusion There is no association between screen media useand academic performance in junior high school students. Factorssignificantly associated with above average academic performanceare female gender, superior and very superior IQ score, middleand high achievement motivation and learning strategy, lack ofemotional and behavioral problems, and democratic parentingstyle.
A comparison of axillary and tympanic membrane to rectal temperatures in children Tania Paramita; Mulya Rahma Karyanti; Soedjatmiko Soedjatmiko; Aryono Hendarto; Dadi Suyoko; Abdul Latief
Paediatrica Indonesiana Vol 57 No 1 (2017): January 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.343 KB) | DOI: 10.14238/pi57.1.2017.47-51

Abstract

Background Core body temperature measurement is not commonly done in pediatric populations because it is invasive and difficult to perform. Therefore, axillary and tympanic membrane temperature measurements are preferable, but their accuracy is still debatable.Objective To compare the accuracy of axillary and tympanic temperatures to rectal temperature in children with fever, and to measure the cut-off point for fever based on each temperature measurement method.Methods A diagnostic study was conducted among feverish children aged 6 months to 5 years who were consecutively selected from the Pediatric Outpatient Clinic, Pediatric Emergency Unit, and the inpatient ward in the Department of Child Health, Cipto Mangunkusumo Hospital (CMH), from December 2014 to January 2015. Subjects underwent three measurements within a two minute span, namely, the axillary, tympanic membrane, and rectal temperature measurements. The values obtained from the examination were analyzed with appropriate statistical tests.Results The cut-off for fever on axilla was 37.4oC and on tympanic membrane was  37.4oC, with sensitivity 96% (95%CI 0.88 to 0.98) and 93% (95%CI 0.84 to 0.97), respectively; specificity 50% (95%CI 0.47 to 0.84) and 50% (95%CI 0.31 to 0.69), respectively; positive predictive value/PPV 90% (95%CI 0.81 to 0.95) and 85% (95%CI 0.75 to 0.91), respectively; and negative predictive value/NPV 83% (95%CI 0.61 to 0.94) and 69% (95%CI 0.44 to 0.86), respectively. The optimal cut-off of tympanic membrane and axilla temperature was 37.8oC (AUC 0.903 and 0.903, respectively).Conclusion Axillary temperature measurement is as good as tympanic membrane temperature measurement and can be used in daily clinical practice or at home. By increasing the optimum fever cut-off point for axillary and tympanic membrane temperature to 37.8oC, we find sensitivity 81% and 88%, specificity 86% and 73%, PPV 95% and 91%, and NPV 95% and 91%, respectively. 
Effects of massage on behavior of full-term newborns Tri Sunarti Wahyutami; Soedjatmiko Soedjatmiko; Agus Firmansyah; Rulina Suradi
Paediatrica Indonesiana Vol 50 No 4 (2010): July 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi50.4.2010.187-92

Abstract

Background Baby massage is one of the touch stimulation that could be applied as soon as possible after birth. Giving massage regularly will affect the behavior of newborn.Objectives To explore the effects of ten-day massage on infant's behavior.Methods A randomized control trial was done from December 200S to March 2009. Full-term newborm were randomly assigned into massage group or control group. Babies in massage group were given massage by their mothers and supervised by midwives. All babies were evaluated twice, i.e., on day 1 and day 11, using Brazelton Scale (Neonatal Behavior Assessment Scale). The behavior was compared between the two groups.Results A total of 72 full-term newborn infants appropriate for gestational age were included in this study. Infants in the massage group sbowed significant difference in adaptive behavior compared to control group. Those adaptive behavior consisted of habituation (WMD 1.08 CI 95% 0.67 to 1.49, P<0.0001), social interaction (WMD 1.54 Cl 95% 1.23 to 1.84, P<0.0001), motor system (WMD 1.35 CI 95% 1.14 to 1.55, P<0.0001), organization state (P<0.0001), range of state (WMD 1.35 CI 95% 0.95 to 1.55, P< 0.0001), autonomic system (WMD 0.53 CI 95% 0.23 to 0.84, P<0.0001), end reflexes (P<0.0001).Conclusions Massage gives better adaptive behavior and reflexes of full-term newborns compared to those without massage.
Maternal attitude and child interest in various play activities before and after mother-child play sessions Soedjatmiko Soedjatmiko; Hartono Gunardi; Rini Sekartini; Bernie Endyarni Medise; Ikhsan Johnson; Yulianti Wibowo; Ray Wagiu Basrowi
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.381 KB) | DOI: 10.14238/pi57.6.2017.316-22

Abstract

Background Play stimulates children's growth and development. When mothers and their children play, a positive attitude from the mother and adequate interest from the child is required. Little is known about the play activities that effectively stimulate such positive maternal attitude and child interest. Objective To assess for associations between various play activities with maternal attitude and child interest before and after mother-child play sessions. Methods Pre-post intervention questionnaires were distributed to mothers before and after playing with their children. Children were aged 1-5 years, from two play sites (in Surabaya and Makassar), and included using purposive sampling. Eight types of toys/play activities were provided. The allocated time for answering the 17-question survey was 15 minutes. Average scores before and after the mother-child play sessions were analyzed using paired T-test. Results We collected 264 valid questionnaires, 235 in Surabaya and 29 in Makassar. Improvement of maternal attitude after the mother-child play session was found in 132 mothers [mean diff. 0.07 (SD 0.42); 95%CI -0.117 to -0.015; P=0.011]. Play activities with significant improvements in maternal attitude were jigsaw puzzle [mean diff. 0.09 (SD 0.66); 95% CI 0.007 to 0.167;P= 0.033), Lego blocks (mean diff.-0.10 (SD 0.69); 95%CI -0.186 to -0.018; P=0.017), mini-gardening (mean diff. -0.15 (SD 0.75); 95%CI -0.238 to -0.057; P=0.002), sandbox [mean diff.-0.24 (SD 0.83); 95%CI -0.339 to – 0.138; P < 0.001], fishing [mean diff. -0.17 (SD 0.68); 95%CI -0.253 to -0.088; P < 0.001], and animal figurines [mean diff. -0.21 (SD 0.75); 95%CI -0.3 to -0.117;P <0.001]. Improvement of child interest was found in 161 children [mean diff. 0.20 (SD 0.52); 95%CI -0.264 to -0.116; P<0.001]. Play activities with significant improvements in child interest were jigsaw puzzle, Lego blocks, origami, mini-gardening, fishing, and animal figurines. Conclusion Some mother-child play activities, but not all, significantly improve both maternal attitude and child interest toward play.
Co-Authors Abdul Latief Abdul Latief Abdullah Reza Afreni Hamidah Agus Aktawan, Agus Agus Firmansyah Agus Firmansyah Agus Firmansyah Agus Ramli Alwi Alwi Alwi Alwi Amal Fatullah Randy Aman B. Pulungan Anastasia Maureen Ari Prayitno Arif Trihandoyo Aris Munandar Arwin AP Akib Arwin AP Akib Aryono Hendarto Badriul Hegar Bambang Tridjaja AAP, Bambang Tridjaja Bernie Endyarni Medise Cissy B Kartasasmita Cissy B. Kartasasmita Cissy B. Kartasasmita Dadi Suyoko Damayanti Rusli Sjarif Darmawan B. Setyanto Desyandri Desyandri Dominicus Husada Dwi Astri Ayu Purnama Dwi Fachri Harahap Dwi Prasetyo Dwi Prasetyo Dwi Putro Widodo Effie Koesnandar Elfan Muhamad Alfarizi Elina Waiman Emerensiana Ngaga Emiliana Metan Meolbatak Endah Yaodah Kodratila Endang Windiastuti Enggar Diah Puspa Arum Evi Adriani Evita Anggereini Fajarna, Farah Fajrul Wahdi Ginting Fajrul Wahdi Ginting Faradhilla Faradhilla Faradhillah Farrah Fadhillah Hanum Febrini Agasani Fitrianingsih Amalo Frans Yosep Sitepu Fransisca Handy Frengky Tedy Frieda Handayani Kawanto Frieda Handayani Kawanto Gatot Irawan Sarosa Gatot Irawan Sarosa Halimatus Sakdiah Hanifah Mutiah Hanifah Oswari Hanifah Oswari Hardiono D Pusponegoro Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Hartono Gunardi Helmi Purnama Herlina Herlina Hindra Irawan Satari Ignatius Pricher Agung Nirwanto Samane Ihat Sugianti Ikhsan Johnson Ikhsan Johnson Ilham Mufandi Imam Mukhlash Imral Chair Indra Permana Intan Dwi Isparulita Intisari Haryati Irawan Mangunatmadja Ismoedijanto Jaenab, Jaenab Jaka Wijaya Ja‟inang Ja‟inang Jeane Roos Ticoalu Jose RL Batubara Julfina Bisanto, Kemas Firman Khusnul Khatimah Kusnandi Rusmil Kusnandi Rusmil Lee Wah Lim Lilis Sugiarti Lily Rahmawati M. Rimawan Maghfirah Zulfa Maha Putra Mardjanis Said Martira Maddeppungeng Martira Maddepunggeng Martomo Setyawan Maryudi Maryudi Maryudi Maryudi Mayke Sugianto Tedjasaputra Megamawarni Megamawarni Mei Neni Sitaremi Mei Neni Sitaresmi Meutia, Firdalena Muhammad Alfian Muhammad Nur Arkham Muhammad Yamin Mulya Rahma Karyanti, Mulya Rahma Mulyanis Nafira Alfi Zaini Amrillah Nafisah Nurul Rahmatia Nafisah Nurulrahmatiah Nanda Novita Nastiti Kaswandani Netty Herawaty Nia Kurniati Nur Aliza Nuraini Fatmi Nurhayati Nurhayati Nurjanah Nurjanah Nurul Huda Piprim B Yanuarso Pramudia Bagus Dewangga Puji Muniarty Pustika Amalia Putri Ulya Ul Ulum Rahayu, Aster Rahmayanti Rahmayanti Raihan Raihan Ratu Meulya Rezeki Ray Wagiu Basrowi Ray Wagiu Basrowi Reka Seprina Rini Purwanti Rini Sekartini Rini Sekartini Rini Sekartini Rini Sekartini Rini Sekartini Riska Utami Melani Putri Riski Hernando Rita Friyani Rizqi, Reza Muhammad Rulina Suradi Safitri Maya Safriana Safriana Sapina Sapina Setyo Handryastuti Sisilia Daeng Bakka Mau Siti Jamilatun Sri Ningsih Sri Rejeki H Hadinegoro. Sri Rezeki Hadinegoro Sri Rezeki Hadinegoro Sri Rezeki S Hadinegoro Sri Rezeki S. Hadinegoro Suhendra Suhendra Syafrizal Idris Syawitri P. Siregar Tania Paramita Teny Tjitra Sari, Teny Tjitra Tita Menawati Liansyah Titis Prawitasari, Titis Tjhin Wiguna Toto Wisnu Hendrarto Tri Sunarti Wahyutami Tulus Setiawan Tuty Rahayu Ulys Larasati Waldi Nurhamzah Wan Nedra Widya Widya Winny N Wishwadewa Wulandari Yanti Yudi Wahyudin Yulianti Wibowo Yulianti Wibowo Yunan Surono Zaki Hendra Zeki Y Zakiuddin Munasir Zakiudin Munasir