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All Journal MEDIA MEDIKA INDONESIANA BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Berkala Epidemiologi Folia Medica Indonesiana Jurnal NERS Global Medical and Health Communication The Indonesian Journal of Public Health Sari Pediatri Paediatrica Indonesiana Health Notions The Southeast Asian Journal of Midwifery JURNAL KEBIDANAN Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of Telenursing (JOTING) Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Strada Jurnal Ilmiah Kesehatan (SJIK)

Irwanto, Irwanto

Departemen Ilmu Kesehatan Anak RSUD Dr. Soetomo Universitas Airlangga Jl. Mayjen Prof. Dr. Moestopo 6–8 Surabaya

Author-ID : 656194

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Other

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The Correlation Between Weight Increment and Stunting in Children 0-24 Months Hanna Dyahferi Anomsari; I Gusti Eka Ayu Pratiwi; Irwanto Irwanto
Health Notions Vol 4, No 8 (2020): August
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn40804

Globally in 2016, 22.9% or 154.8 million children under 5 years of age suffered from child stunting. The prevalence of stunting in Indonesia is 19.3% and in east java it reaches almost 30%. Negative effect of stunting cannot be repair or irreversibel, especially brain damage and the management of stunting is complex, so preventing and reducing child become stunting is more important. Analysis of growth patterns and the detection of aberrant growth patterns provide critical information for the detection of pathologic conditions. Weight-for-age is the most commonly used index of nutritional status. Weight loss, or failure to gain normally, is often the first sign of pathology. If routine weight measurements could be used to detect the risk of linear growth faltering, the role of posyandu in stunting prevention could be enhanced. Purpose of this study is to find a relationship of weight increment in 2, 3, 4, and 6 month and stunting in children aged 0-24 months. There was a significant correlation weight increment for 6 months with stunting (r= -0.432, p=0.004) Keywords: weight increment; stunting; growth interpretation

The Effect of Health Facility and Ease of Accessibility on Satisfaction of BPJS PBPU Participant Anggi Sepfana Zizilia; Bagus Setyoboedi; Rachmat Hargono; Kuntoro Kuntoro; Irwanto Irwanto; Nur Mukarromah
Health Notions Vol 2, No 1 (2018): January
Publisher : Humanistic Network for Science and Technology (HNST)

BPJS is one of the Indonesian government, which maintains the social health insurance and is expected to guarantee the public health quality in Indonesia. This research was conducted to analyze the effect of the health facility and easier accessibility through the BPJS PBPU participant satisfaction. This research used observation method through cross sectional approach. The sampling method in this research was taken under the purposive sampling method with 245 respondents. The sample data was analyzed using the Chi Square statistical analysis to observe the effect of health facility offered and the easier accessibility given through the public satisfactory, who had been listed as BPJS participants. The result showed that the health facility did not give a significant difference with the p value of 0.197, while easier access was significantly different with the p value 0.000 < 0.005 through the BPJS PBPU participant satisfaction. The conclusion of this research was easier access had a significant effect through the BPJS PBPU satisfaction. It is also suggested to the government and BPJS Health Care for disuccsing further about the program along with the policy, as well as the quality service to increase the BPJS participant satisfaction, especially the BPJS PBPU satisfaction. Keywords: BPJS, PBPU, Health facility, Ease of Accessibility, Satisfaction

Influence of Additional Feeding Recovery on The Intellectual Intelligence of Children Mei Lestari Ika Widyyati; Irwanto Irwanto; Annis Catur Adi
Health Notions Vol 2, No 3 (2018): March
Publisher : Humanistic Network for Science and Technology (HNST)

Nutrition is the main requirement for a toddler, if not obtained food according to needs its nutrition value, it will interfere with the growing swell of current or next time. The purpose of this research was to analyze the effect of Additional Feeding Program Recovery on the intellectual intelligence children aged 4-5 years. Design of this research was observational cohort retrospective. The sample size was 70, were divided into two groups, group with a history of getting Additional Feeding Recovery and the Group didn't get Additional Feeding Recovery. Independent variable was Additional Feeding Recovery and the dependent variable was intellectual intelligence. Data was analyzed using Independent Sample t-test. There was no difference in the level of intelligence on the two group with p-value = 0.129. Kewords: Additional feeding recovery, Intellectual intelligence

Profiles of Early Childhood Education Program and Children Attending Them Lisa Pangemanan; Mira Irmawati; Irwanto Irwanto; Ahmad Suryawan
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Early childhood education (ECE) in Indonesia is growing with many variations in programs among the ECE. Children’s profile in those places were varied in terms of growth and development.This research aims to study the profiles in ECE in terms of program’s variation, growth and development of children attend it. This research uses a cross-sectional study was done in 3 ECE centers in Surabaya, which are varied in total effective hours, the use of language, and teacher-student ratio. The growth outcome was assessed by anthropometric measurement. The developmental outcome was assessed using Denver II. Statistical analysis was done by Kruskal-Wallis test. A total of 52 children from three ECE centers were enrolled. Program variations among 3 ECE were as follow: total effective hours per day (3, 2.5 and 3.5), the use of language (1, 1, and 2); and teacher-student ratio (1:7, 1:19, 1:15) respectively. Anthropometric measurements of those ECE were as follow: body weight in kg (16.9 (SD 5.10); 17 (SD 2.46); 17.9 (SD 4.62) (p ≥ 0.05)); body height in cm (100.7 (SD 5.72); 105 (SD 5.89); 104.7 (SD 6.31) (p ≥ 0.05)); head circumference in cm (49.5 (SD 1.75); 50.5 (SD 1.74); 50.6 (SD 1.59) (p ≥ 0.05)) respectively. Suspected developmental delays were 11, 9, 11 children (p ≥ 0.05) respectively. Development problem found was mainly in language and personal social. There are program’s variation among ECE but the growth and development profiles of children attend it were similar. Keywords: Variation, ECE program, Growth, Development

Pemberian Stimulasi Selama Satu Jam pada Perkembangan Anak Usia 12-24 Bulan Mira Irmawati; I Gusti Ayu Indah Ardani Ayu Indah Ardani; Dewi Astasari; Irwanto Irwanto; Ahmad Suryawan; Moersintowarti B Narendra
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 3 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.448 KB)

The influence of one hour stimulation in children aged 12-24 monthsIntroduction: Early stimulation plays an important role to reach optimal growth and development in children, especially cognitive, affective, and psychomotor developments. Stimulation has to be done continuously because this is important to maintain the connection between brain cells (synapse). Lack of stimulation can influence loss of brain cells functions. The aim of this study is to determine the influence of one hour stimulation on the development of children aged 12-24 months.Methods: An experimental analytic study with cohort prospective was conducted on children aged 12-24 months in Gubeng district, Surabaya, from September 2008-February 2009. Seventy healthy children were randomly divided into two groups, stimulation group and control group. Denver II was used to evaluate children’s developmental status, conducted before and after stimulation. Data analysis using McNemar and Chi Square test.Result: There were improvement on development in both groups, from 85.7% become to 94.3% in the stimulation group and 68.6% to 77.1% in the control group. There was a significant influence on children development, only 10% children did not have any development delay anymore in the stimulation group, but in the control group still 30% (p=0.042). After 3 months, there was an improvement of development in the stimulation group from suspect to normal in 80%, and 63.6% in the control group, but notsignificant (p=0.375 vs p=0.549).Conclusion: Early stimulation improves the development of children aged 12-24 months.Keywords: Children, aged 12-24 months, early stimulation, Denver II ABSTRAKPendahuluan: Stimulasi mempunyai peran penting untuk meningkatkan pertumbuhan dan perkembangan anak, terutama fungsi kognitif, afektif dan psikomotor. Stimulasi yang terus menerus mengakibatkan hubungan antar sel otak (sinapsis) bisa berjalan dengan baik. Kurangnya stimulasi akan mengakibatkan hilangnya fungsi sel-sel otak ini. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian stimulasi selama 1 jam pada perkembangan anak usia 12-24 bulan.Metode: Penelitian dilakukan secara analitik prospektif kohort pada anak usia 12-24 bulan di Kecamatan Gubeng, Surabaya, mulai bulan September 2008 hingga Februari 2009. Tujuh puluh anak sehat secara acak dibagi dalam 2 kelompok, kelompok stimulasi dan kelompok kontrol. Denver II digunakan untuk menilai status perkembangan anak, sebelum dan sesudah perlakuan. Analisis data menggunakan uji McNemar dan Chi Square.Hasil: Didapatkan perbaikan perkembangan pada kedua kelompok, dari 85,7% menjadi 94,3% pada kelompok stimulasi, dan 68,6% menjadi 77,1% pada kelompok kontrol. Terdapat perbedaan bermakna pada kemampuan perkembangan, hanya 10% tidak mengalami keterlambatan pada kelompok stimulasi, sedangkan kelompok kontrol 30% (p=0,042). Setelah 3 bulan, terjadi peningkatan perkembangan pada kelompok stimulasi dari subyek yang suspek menjadi normal sebesar 80%, dan kelompok kontrolsebesar 63,6%, tetapi tidak bermakna (p=0,375 vs p=0,549).Simpulan: Pemberian stimulasi satu jam meningkatkan kemampuan perkembangan anak usia 12-24 bulan.

PENGARUH KADAR Hb TERHADAP PRESTASI BELAJAR ANAK USIA SEKOLAH KELAS II-VI DI SDN SONOAGENG 6 PRAMBON NGANJUK Dwi Yanti; Irwanto Irwanto; Arief Wibowo
The Indonesian Journal of Public Health Vol. 12 No. 1 (2017): The Indonesian Journal Of Public Health
Publisher : Universitas Airlangga

Low hemoglobin (Hb) level said as anemia, would reduce the ability to learn and endurance. Students who suffer from anemia will not have a hight enthusiasm for learning because it is difficult to concentrate. Consequently, anemia indirectly affect the value of courses and learning achievement. The aim of research was to analysis hemoglobin (Hb) level which influents to study achievement school-age- children. Statistic test of the research was linier regression with α 0.05 by applying cross sectional approach. The sample taken by simple random sampling, and I got 67 respondents school – age – children class II–VI. The result of the research showed that Hb had significantly influent to study achievement school – age – children by analysed regresilinier on grade p = 0.002.Keywords: hemoglobin level, anemia, study achievement

Pengaruh Penyuluhan Kesehatan Tentang Pengisian Buku Kia Oleh Ibu Terhadap Stimulasi Dan Perkembangan Anak Usi 0-3 Tahun Di Puskesmas Tambak Pulau Bawean-Gresik Astik Umiyah; Irwanto Irwanto; Windhu Purnomo
Buletin Penelitian Sistem Kesehatan Vol 22 No 2 (2019): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

One factor inﬂ uencing children development is mother’s knowledge concerning the actual process of child development. Health counseling to the mother is one option to maintain the children’s health, as well as to monitor their development. This study was to analyze the inﬂ uence of health counseling concerning mothers’ practice in ﬁ lling mother and child health book towards stimulation and development in children aged 0-3 years in Tambak Health Center, Bawean Island, Gresik Regency. This applied quasi-experimental pretest - posttest group design, with provision of health counseling as intervention. This study was conducted in Tambak Health Center at Bawean Island for 3 months, with overall sample consisted of 60 mothers with children aged 0-3 years, divided into 30 each in the treatment and the control groups. Questionnaires were utilized and analysis was done using the Mann-Whitney Test. The results indicated signiﬁ cant value of p (p> 0.05) meaning that stimulation provided no diﬀ erence between the treatment and control groups, but a downward trend occurred every month, with the ﬁ rst month (p = 0.937), the second month (p = 0.289) and the third month (p = 0.213) On the other hand, development provided the inﬂ uence with value of p <0.05. Counseling on ﬁ lling up MCH book can improve mother’s ability to stimulate the development of children aged 0-3 years and mother can provide stimulation at every stage of child development through MCH book. Abstrak Salah satu faktor yang memengaruhi perkembangan anak adalah ketidaktahuan ibu tentang proses perkembangan anak sesungguhnya, penyuluhan kesehatan kepada ibu merupakan salah satu cara untuk bagaimana menjaga kesehatan anak dan cara pemantauan perkembangan. Tujuan penelitian ini adalah menganalisis pengaruh penyuluhan kesehatan tentang pengisian BuKu KIA terhadap stimulasi dan perkembangan pada anak usia 0-3 Tahun di Puskesmas Tambak Pulau Bawean-Kab.Gresik. Penelitian ini menggunakan quasi eksperimen pretest post test group design, intervensi yang diberikan berupa pemberian penyuluhan kesehatan. Penelitian ini dilakukan di Puskesmas Tambak Pulau Bawean selama 3 bulan, keseluruhan sampel berjumlah 60 ibu yang terdiri dari kelompok perlakuan dan kelompok kontrol masing-masing 30 ibu yang mempunyai anak usia 0-3 tahun. Instrumen menggunakan kuesioner dan analisis data menggunakan uji MannWhitney. Hasil uji statistik nilai signiﬁ kan (p> 0,05) arti bahwa stimulasi tidak ada perbedaan antar kelompok perlakuan dan kontrol, tetapi ada penurunan tren tiap bulan yang terjadi yaitu bulan pertama (p=0,937), bulan kedua (p=0,289),dan bulan ketiga (p=0,213). Sedangkan perkembangan ada pengaruh (p< 0,05). Pemberian penyuluhan kesehatan tentang pengisian Buku KIA oleh ibu dapat meningkatkan kemampuan ibu dalam menstimulasi perkembangan anak usia 0-3 tahun dan ibu dapat memberikan stimulasi di setiap tahapan usia perkembangan anak melalui Buku KIA.

Evaluasi Penggunaan Metode Prechtl untuk Menilai Kualitas Gerakan Spontan Bayi Muda Sehat: Pengalaman RSU Dr. Soetomo Surabaya Ahmad Suryawan; Komang Ayu Witarini; Risa Etika; Fatimah Indarso; Irwanto Irwanto; Moersintowati B. Narendra; Sylviati M. Damanik
Sari Pediatri Vol 9, No 6 (2008)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Penilaian kualitas gerakan spontan pada bayi dengan metode â€œGeneral movements (GMs)â€dari Prechtl mempunyai validitas tinggi untuk memprediksi risiko gangguan perkembangan anak. MetodeGMs masih relatif baru di Indonesia, sehingga dibutuhkan evaluasi aspek praktikalnya untuk dapatdiaplikasikan secara optimal.Tujuan. Mengetahui kondisi paling optimal untuk menilai kualitas gerakan spontan bayi muda sehatmenggunakan metode GMs dari Prechtl.Metode. Dilakukan rekaman video secara berurutan pada bayi yang memenuhi kriteria inklusi lahir sehat,cukup bulan, tanpa risiko, dan mendapat persetujuan tertulis dari orangtua, lahir di RSU Dr Soetomo-Surabaya pada kurun waktu Desember 2006-Januari 2007. Teknik perekaman dilakukan sesuai standarisasiPrechtl, dengan berbagai variasi waktu dan kondisi. Analisis video rekaman dilakukan secara persepsiGestalt oleh salah satu peneliti, yang sebelumnya telah mendapat kursus dan sertifikat metode GMs.Parameter aspek praktikal untuk evaluasi digolongkan: optimal dan tidak optimal.Hasil. Tidak didapatkan penolakan dari orang tua untuk seluruh 56 bayi yang memenuhi kriteria inklusi.Tiga (5,4%) video yang tidak dapat dianalisis karena faktor kesalahan teknis perekaman. Kualitas GMslebih optimal untuk dianalisis apabila perekaman dilakukan pada waktu siang hari dibandingkan waktupagi (p=0,026) atau malam (p=0,045), dan dilakukan 30 menit sebelum waktu minum, dibandingkan 30menit sesudahnya (p=0,032). Tingkat kesulitan analisis tidak berbeda bermakna apabila perekamandilakukan di tempat yang khusus dibandingkan dilakukan di boks (p=0,156) atau inkubator (p=0,466).Kesimpulan. Metode Prechtl dapat diterapkan dengan praktis dan optimal apabila pengambilan videodilakukan pada waktu siang hari dan 30 menit sebelum waktu minum. Tempat pengambilan rekamantidak mempengaruhi segi kepraktisannya

Correlation between Adolescents’ Temperament and Internet Addiction Levels in Junior High School in Surabaya, Indonesia Destasari Tri Hartanti; Yunias Setiawati; Dominicus Husada; Irwanto Irwanto
Jurnal Berkala Epidemiologi Vol. 9 No. 2 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I22021.192-201

Background: Internet addiction has become a serious problem in the world, especially for adolescents. Temperament plays an important role in influencing internet addiction in adolescents. Purpose: The aim of this study was to analyze the relationship between students’ characteristics and temperament with their internet addiction levels in one of the junior high schools in Surabaya, Indonesia. Methods: This was a cross-sectional study, which used primary data that was obtained from students who filled out a questionnaire. The study sample included 114 students in one of the junior high schools in Surabaya. The dependent variable was the internet addiction level; the dependent variables were gender, age, student grade, and temperament. An Internet Addiction Test (IAT) and an Early Adolescents Temperament Questionnaire-Revised (EATQ-R) were the tools used for data collection. Data was collected in November 2019. The sample selection was done through the stratified random sampling technique. The data was subsequently analyzed using the Fisher’s exact and Spearman correlation tests. Results: There was a significant positive correlation between age (p<0.01), student grade (p<0.05), negative affectivity (p<0.01), and surgency (p<0.05) toward internet addiction levels. There was a significant negative correlation observed between effortful control (p<0.05) and internet addiction levels. Conclusion: There was a significant relationship between age, student grade, negative affectivity, surgency, and effortful control and adolescents’ internet addiction levels.

Assessment Quality of Life in Children with Cerebral Palsy, Ages 2–18 Years Alfira Nailatul Izzah; Irwanto Irwanto; Andriati Andriati; Prastiya Indra Gunawan
Jurnal Berkala Epidemiologi Vol. 9 No. 2 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I22021.166-174

Background: Cerebral palsy is non-progressive disorder that can cause limited movement and lead to postural deformity in children, which can affects all the psychosocial aspects and, thus, impacts children’s’ quality of life as well. Assessment of quality of life is important to evaluate suitable intervention measures for children with cerebral palsy. Purpose: This study aims to investigate the domains and determine the quality of life in children with cerebral palsy between ages 2 and 18. Methods: This was a descriptive study that employed a cross-sectional design approach. Primary data was obtained through a questionnaire. This study used the pediatric quality of life inventory (PedsQL)TM 3.0 cerebral palsy module. The study was conducted from November 2019 to February 2020. The data was collected at the Department of Medical Rehabilitation at the Dr. Soetomo Hospital, Peduli CP Foundation, and the Happy CP Community. This study involved 52 subjects, aged 2–18 years. Results: Almost all of the subjects (76.90%) had an impaired or poor quality of life. From the seven existing domains, only one domain received a good score: the domain of movement and balance. Conclusion: Based on the PedsQLTM 3.0 cerebral palsy module, parents reported that the quality of life in children (ages 2–18 years) having cerebral palsy was still low. Only the movement and balance domain got a good score.

Co-Authors Ahmad Suryawan Alfira Nailatul Izzah Ana Rizqy Soliha Andriati Andriati Andy Cahyadi Anggi Sepfana Zizilia Annis Catur Adi Arief Wibowo Astik Umiyah Augustien Julia Sawitri Bagus Setyoboedi Bambang Purwanto Cheifia Krissanti Sasono Destasari Tri Hartanti Devika Aulia Dewi Astasari Dominicus Husada Dwi Susanti Dwi Yanti Endang Retnowati Fardana, Nur Ainy Farichah Fa'ilal Chusna Fatimah Indarso Fatma Tiara Sari Febriyana, Nining Fitriana Ciptaningtyas Giwang Yayi Retnosari Hanna Dyahferi Anomsari Hapsari Widya Ningtiar HERAWATI, LILIK Heru Setiawan I Dewa Ayu Agung Sridharaswari I Dewa Gede Ugrasena I Gusti Ayu Indah Ardani I Gusti Ayu Putu Eka Pratiwi Ilham Ikhtiar Ivon Diah Wittiarika Juliatus Sholikha Kamila Fadma Putri Sumarsono Komang Ayu Witarini Kuntoro Kuntoro Lailatul Fitria Sahid Lisa Pangemanan Lutfiya, Indah Martono Martono Mega Merdeka Pertiwi Mei Lestari Ika Widyyati Mira Irmawati Moersintowarti B Narendra Moersintowati B. Narendra Mohammad Sjaifullah Noer Muhammad Helmi Imaduddin Ni Wayan Tirthaningsih Ninik Asmaningsih Soemyarso Nur Mufida Wulan Sari Nur Mukarromah Prastiya Indra Gunawan Puput Septiana Rachmat Hargono Rakhmalia Imeldawati Risa Etika, Risa Risky Vitria Prasetyo Rozalina Loebis Rufina Adelia Widyatama Setiawati, Yunias Sri Andreani Utomo Sulistiawati - Sylviati M. Damanik Vista Claudia Sari Wahyu Agung Budi Alamsyah Wahyul Anis Widati Fatmaningrum Windhu Purnomo

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