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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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Determinant Factors of Depression in Beta Major Thalassemia Children Ahmad Suryawan; Hapsari Widya Ningtiar; Irwanto Irwanto; I Dewa Gede Ugrasena
Folia Medica Indonesiana Vol. 57 No. 1 (2021): March
Publisher : Universitas Airlangga

Thalassemia is a chronic disease with long-term treatment that increases the potential for impact on physical, cognitive, and psychological conditions. About 80% of patients with major thalassemia have at least one psychiatric disorder, depression is one of the most frequently reported, especially in prepubertal and puberty periods. The aim of this study is to evaluate determinant factors of depression in beta mayor thalassemia children. This was a cross-sectional study on patients aged 9 to 17 years at hematology outpatient clinic in Dr. Soetomo General Hospital from September to Desember 2018. Level of depression determinded by Children Depression Inventory (CDI) questionnaire. The data were collected and analyzed using using the IBM SPSS Statistics version 21. It is statistically significant with p<0.05. Forty-five participants were included in this study, 15 participants with mild depression and 30 participants without depression. Gender (p=0.462), age of diagnosis (p=0.385), frequency of tranfussion (p=0.065), family history of depression (p=0,350), physical change (p=0.711), duration of illness (p=0.674) have no significant value as a determinant factor while complication (p=0.049) and serum cortisol level (p=0.037) had significant value as determinant factors of depression in Beta Major Thalassemia children. Mild depression is more common in thalassemia patients who experience complications and had high serum cortisol levels

Determinants of Maternal and Child Health Handbook Utilization in Surabaya, Indonesia Irwanto Irwanto; Ilham Ikhtiar; Indah Lutfiya; Windhu Purnomo
Folia Medica Indonesiana Vol. 55 No. 3 (2019): September
Publisher : Faculty of Medicine, Universitas Airlangga

Mothers and child health (MCH) are one of the main issues in family medicine. Related to this practice, Indonesian government issued mother and child health (MCH) handbook for monitoring child development due to various child developmental problems in Indonesia. However, there are reports of improper MCH handbook utilization. This study aimed to analyze factors related to the utilization of MCH handbook by mothers in Indonesia. Cross sectional observational study was conducted from March to May 2018. This study involved mothers with children aged 3 to 72 months old in Surabaya, East Java, Indonesia. Specific population of mothers who had children attending Early Childhood Education and Development (ECED) and Integrated Health Post (IHP) (Indonesia: Pos Pelayanan Terpadu-Posyandu) were included as inclusion criteria. Maternal characteristics, child health status, employment status, and utilization of MCH handbook were recorded through questionnaire. Association between variables then analyzed statistically using Spearman correlation test. As many as 288 participants were enrolled in this study. We found that mothers’ participation of Posyandu was positively correlated with MCH handbook utilization (p<0.05). Meanwhile, mother’s occupation (p>0.05), mothers’ education (p>0.05), and maternal age (p>0.05) were found to be unrelated to the utilization of MCH handbook. Mothers’ age, education, and employment were found to be uncorrelated with utilization of MCH handbook. Whereas, mothers’ participation in Posyandu was a determinant factor correlated with utilization of MCH handbook.

Assessment of Quality of Life in Cancer Children Mira Irmawati; Irwanto Irwanto; Andy Cahyadi
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: The survival rate of cancer children has increased over the past decade. The assessment of quality of life in childhood cancer survivors is required for understanding children's psychosocial functioning, perception of illness and its effect on daily life. The objective of this study was to assess the quality of life of cancer children.Method: This study was a cross sectional study done to both parents and cancer children 5–18 years old in January-February 2012. Subject and their parents were given the PedsQL 3.0 Cancer Module that was translated in to Indonesia Language. Cronbach's alpha and Pair-t tests were used for analysis.Result: Forty-four cancer children participated, mean age 6.4 years old, 30 (56.6%) were female, 24 (45.3%) suffered from leukemia. No signiﬁcant gender differences were found for all subscales. All subscales showed satisfactory reliability (Cronbach's alpha = 0.615–0.929). The scores from children-report was higher than parents-report for treatment anxiety, cognitive problem and total scale (p<0.05), the overall scores of 61–81. The subscale procedure anxiety, worry, and pain-hurt had low-scores for both children and parent.Disscussion: PedsQL 3.0 Cancer Module is an objective instrument for measuring quality of life in cancer children and their family.

Hubungan Durasi Tidur dengan Kejadian Obesitas pada Anak Usia 3–8 Tahun Puput Septiana; Irwanto Irwanto
Global Medical & Health Communication (GMHC) Vol 6, No 1 (2018)
Publisher : Universitas Islam Bandung

Prevalensi obesitas pada anak meningkat secara global baik di negara maju maupun di negara berkembang termasuk Indonesia. Obesitas terjadi karena ketidakseimbangan asupan energi dan keluaran energi dalam jangka waktu yang lama dan dapat diketahui dari nilai indeks massa tubuh (IMT). Penelitian ini bertujuan mengetahui hubungan durasi tidur dengan kejadian obesitas. Jenis penelitian yang digunakan adalah observasional analitik dengan rancangan cross-sectional study. Subjek penelitian adalah semua anak usia 3–8 tahun yang bersekolah di Raudhatul Athfal (RA) Al Muawanah, SDN Rengasdengklok Selatan I, dan SDN Rengasdengklok Selatan II, Kecamatan Rengasdengklok, Karawang yang memenuhi kriteria inklusi periode bulan Maret–April 2017. Penelitian ini menggunakan total sampling dan uji statistik Spearman. Hasil penelitian diperoleh 440 anak ikut dalam penelitian ini. Anak dengan riwayat durasi tidur selama 7–9 jam 64,8% dan 10–12 jam 34,3%. Status gizi anak usia 3–8 tahun berdasar atas indeks massa tubuh menurut usia (IMT/U) 30,2% memiliki status gizi normal dan 64% memiliki status gizi gemuk–obesitas. Didapatkan hubungan durasi tidur dengan kejadian obesitas berdasar atas status gizi IMT/U (p<0,05). Simpulan, terdapat hubungan durasi tidur dengan kejadian obesitas pada anak usia 3–8 tahun. ASSOCIATION OF SLEEP DURATION AND OBESITY IN CHILDREN AGED 3 TO 8 YEARS OLDPrevalence of obesity in increasing worlwide, both in developed and developing countries, including Indonesia. Obesity develops due to imbalance of energy intake and expenditure in a long period of time and can be measured in values of body mass index (BMI). The purpose of this study was to discover the association sleep duration and obesity prevalence in children aged 3 to 8 years old. This cross-sectional study uses total sampling technique and involves 440 respondents that meet the inclusion criteria at Raudhatul Athfal (RA) Al Muawanah, SDN Rengasdengklok Selatan I and SDN Rengasdengklok Selatan II, Rengasdengklok sub-district, Karawang in March to April 2017. Data were analysed using Spearman's test. The result of descriptive study from 440 respondents showed that 64,8% children sleep 7 to 9 hours per day, and as many as 34,3% sleep 10 to 12 hours per day. Nutritional status of children aged 3 to 8 years old based on BMI/age showed that 30,2% had normal nutritional status and 64% were overweight-obese. Statistical analysis was conducted (p<0.05) was found sleep duration and prevalence of obesity based on BMI/age. In conclusion, there was an association between sleep duration and prevalence of obesity in children aged 3 to 8 years old.

Correlation Between Children’s Temperament and Risk Factor of Attention Deficit/Hyperactivity Disodrer in Elementary School Cheifia Krissanti Sasono; Yunias Setiawati; Irwanto Irwanto
Biomolecular and Health Science Journal Vol. 2 No. 1 (2019): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Introduction: The main symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) are hyperactivity, impulsivity, and inattention. While temperament in children with ADHD is described as high in negative reactivity, low task persistence, high activity, low attentional focusing, high impulsivity and low inhibitory control. This study aims to analyze the correlation between children’s temperament and risk factor of ADHD.Methods: This study used cross-sectional design with Abbreviated Conners’ Rating Scale and Temperament in Middle Childhood questionnaire for instrument. All data are analyzed using Pearson correlation.Results: Prevalence of children with risks of ADHD from total subject was 21/114 students (18,4%, consisted of 18 males (81%) and 3 females (19%) with average age was 10 years old. The majority of participants were in the sixth grade (28.6%). There was a positive and weak correlation between surgency and ADHD symptoms (3,05 ± 0,75, p=0,045; r=0,44).Conclusion: There was no significant correlation between the negative affect and effortful control dimensions of temperament with severity of ADHD, however this study found a positive and weak correlation between surgency and risk factor of ADHD.

Infant Development under 6 Months Old in a Family with Smoking Habit Rufina Adelia Widyatama; Irwanto Irwanto; Dwi Susanti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 2 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V12I22021.77-83

Introduction: Fastest developmental period of infants is on their first six months of life. However, smoking is a habit in Indonesia, done mostly by adult male (47.5%) on 30-34 years old group (33.4%) which can harm others, especially their family. Secondhand smoke, defined as environmental smoke that contains more than 4,000 dangerous chemicals, is the major cause of cigarette exposure, and home is the main place where children get exposed. Exposure of secondhand smoke can affect fetal brain, specifically on neurodevelopment stage, which can affect infant development.Methods: This study used analytic observational with cross sectional approach. Sampling method of the study was cluster sampling. This study involved 103 subjects who came to the selected primary health center. Data of smoking family was collected by interview, and infant’s development examination was done by the screening tool Pre-Screening Development Questionnaire (KPSP). Data were analyzed by chi-square correlation test between smoking habit and infant's development.Results: Number of infants in families with smoking habit were dominant which exposed by father is dominant (28.1%), followed by exposure by father and other family members (25.2%), and other family members (7.8%). Infants that were not exposed by secondhand smoke tend to pass the development test (67.5%). There was no significant relationship between infant’s development and smoking family habit (p = 0.128).Conclusion: Although the correlation is insignificant, parents should consider family smoking habit due to infants’ health and development.

Management of Lowe syndrome: a case report Risky Vitria Prasetyo; Heru Setiawan; Ninik Asmaningsih Soemyarso; Mohammad Sjaifullah Noer; Irwanto Irwanto; Prastiya Indra Gunawan; Rozalina Loebis; Sri Andreani Utomo; Ni Wayan Tirthaningsih
Paediatrica Indonesiana Vol 55 No 3 (2015): May 2015
Publisher : Indonesian Pediatric Society

Lowe syndrome (the oculocerebrorenal syndrome of Lowe, OCRL) is a multisystem disorder characterized by anomalies affecting the eyes, nervous system and kidneys.1-3 The disorder was first recognized by Lowe et al. in 1952, and described as a unique syndrome with organic aciduria, decreased renal ammonia production, hydrophthalmos, and mental retardation. In 1954, renal Fanconi syndrome was recognized as being associated with Lowe syndrome and in 1965, a recessive X-linked pattern of inheritance was determined.2,4 Lowe syndrome is a very rare disease, with an estimated prevalence in the general population of 1 in 500,000. According to the Lowe Syndrome Association (LSA) in the USA, the estimated prevalence is between 1 and 10 affected males in 1,000,000 people, with 190 living in the year 2000. The Italian Association of Lowe Syndrome estimated that there were 34 Lowe syndrome patients (33 boys and one girl) living in Italy in the year 2005.2,4,5 It almost exclusively affects males.6 Physicians may not be familiar with Lowe syndrome due to its rarity.4

Increased Insulin Like Growth Factor-1 and Antropometri in Premature Infants with Breast Milk I Dewa Ayu Agung Sridharaswari; Mira Irmawati; Ahmad Suryawan; Irwanto idris; Endang Retnowati
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 26, No 1 (2019)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i1.1399

Massage stimulation has consistently led to greater anthropometric in preterm infant by increasing IGF-1 in which plays an important role in promoting growth by stimulating cell growth, multiplication and inhibiting apoptosis. This research to analyze the effect of massage stimulation on IGF-1 and anthropometric in breastfeeding preterm infant. A randomized control trial was conducted on preterm infant with gestational age less than 37 weeks between February – May 2018 in nursery Dr. Soetomo Hospital. Fifty infants in nursery was randomly assigned to massage stimulation or control group. Massage stimulation consisted for three, 15 minutes periods per day for 10 days. Insulin Growth Factor -1 serum was examined on day 1 and 10. Data were analyzed by statistical software using t-test and spearman correlation. The average increase of IGF -1 in massage group was 4.8 (SD 4.41) and 3.1 (SD 3.57) in control group. The average increase of body weight was 252.2 (SD 208.55) in massage group, and 137.9 (SD 69.78) in control group. The average increase of body length was 2 (0.68) in massage group, and 1.1 (0.33) in control group. The average increase of head circumference was 1.5 (SD 0.82) in massage group, and 0.9 (0.28) in control group. The positive correlation between the mean increase of IGF-1 and body length was 0.347. The conclusion was IGF-1 and anthropometric increase in both groups, but the massage group has a significantly higher mean. An increase in IGF-1 correlates with increase in body length.

Risk Factor Mild Mental Retardation in Extraordinary School at Surabaya Muhammad Helmi Imaduddin; Nining Febriyana; Yunias Setiawati; Irwanto Irwanto
Jurnal Psikiatri Surabaya Vol. 9 No. 2 (2020): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v9i2.20039

Background: Children with mild mental retardation tend to have late language skills so that it affects aspects of speech and independence and can persist into adulthood. Knowing the risk factor of mental retardation is important because disability in children can be prevented by knowing the cause. Objective: This study aims to analyze risk factors for students with mild mental retardation in special schools in Surabaya in the academic year 2019-2020. Methods: This study was an observational analytic study with a case-control approach that took primary data in the form of a questionnaire on parents. Then the data is analyzed through univariate to display the characteristics of respondents and descriptive research variables and bivariate analysis with a chi-square test to determine the effect of risk factors on mental retardation. Results: In this study, there was a total of 100 samples after being excluded from 192 samples. Factors obtained by the length of neonatal stay in the hospital (p=0.010, OR=0.318, 95%CI=0.131-0.775), baby cries immediately at birth (p=0,000, OR=0.052, 95%CI=0,007-0,417), antenatal care (p=0.014, OR=0.107, 95%,CI=0.013-0.889), LBW (p=0.002, OR=0.820, 95%CI=0,72000,934), prematurity (p=0,007, OR=0,148, 95%CI=0,031-0,706), family income (p=0,000, OR=0.077, 95%CI=0.028-0.207), father's education (p=0.001, OR=5.310, 95%CI =1,913 14,745) affect mild mental retardation. Conclusion: Factors that influence mild mental retardation consist of perinatal factors (baby crying at birth) and environmental factors (family income and father's education).

The RELATIONSHIP OF CLEAN AND HEALTHY LIFE BEHAVIOR TO ILLNESS IN TODDLERS Lailatul Fitria Sahid; Irwanto; Wahyul Anis
SEAJOM: The Southeast Asia Journal of Midwifery Vol 7 No 1 (2021): SEAJOM: The Southeast Asia Journal of Midwifery
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/seajom.v7i1.104

Background: Childhood is susceptible to disease. One cause of illnesses in infants is due to unhealthy environmental conditions. Therefore, health efforts need to be done to prevent the emergence of diseases caused by the environment by behaving clean and healthy (PHBS). Method: observational analytic case control design. The number of samples was 142 toddlers with 71 respondents each in the case and control groups selected by consecutive sampling technique. Data were collected using questionnaires and illness reports from the health center. Data analysis used Chi Square with. Results: Chi Square test results with 5% α indicated delivery assisted by health workers (cannot be analyzed), exclusive breastfeeding (p=0.00), washing hands with soap and water (p=0.00), eradicating larvae once a week (p=0.00), not smoking at home (p=0.00), and healthy life behavior (p=0.00). Conclusion: there was a relationship of exclusive breastfeeding, washing hands with soap and water, eradicating larvae once a week, and not smoking in the house to the incidence of illness in infants

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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