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Gangguan Koagulasi pada Sepsis Tri Faranita; Yunnie Trisnawati; Munar Lubis
Sari Pediatri Vol 13, No 3 (2011)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp13.3.2011.226-32

Abstract

Sepsis pada anak memiliki angka morbiditas dan mortalitas yang tinggi. Gangguan koagulasi berat padasepsis berhubungan dengan meningkatnya mortalitas. Telah banyak informasi mengenai perkembanganmekanisme aktivasi koagulasi dan inflamasi sebagai respon terhadap infeksi berat. Pada sepsis, gangguankoagulasi terjadi akibat pembentukan trombin oleh tissue factor, gangguan mekanisme antikoagulan danpenghentian sistem fibrinolisis. Pengetahuan tersebut sangat berguna untuk mengembangkan terapi danintervensi terhadap pasien dengan sepsis yang disertai gangguan koagulasi berat. Pemberian terapi sepertiantikoagulan, antitrombin, dan rekombinan protein C, rekombinan TFPI masih memerlukan bukti yangmendukung untuk dapat digunakan pada pasien anak.
Screening for nutritional risk in hospitalized children: comparison of two instruments Dwi Novianti; Tiangsa Sembiring; Sri Sofyani; Tri Faranita; Winra Pratita
Paediatrica Indonesiana Vol 57 No 3 (2017): May 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (422.663 KB) | DOI: 10.14238/pi57.3.2017.117-23

Abstract

Background Malnutrition in hospitalized children has negative impact on morbidity, mortality, length of stay, and health-care cost. A simple screening tool is needed to detect hospital malnutrition risk in children.Objective To compare the level of agreement of the Screening Tool for Malnutrition in Pediatrics (STAMP) and Pediatric Nutritional Risk Score (PNRS) with anthropometric measurements, as screening tools for hospital malnutrition in children.Methods A cross-sectional study was conducted from February to July 2014 in the Pediatric and Surgery Wards at H. Adam Malik Hospital, Medan, North Sumatera. Inclusion criteria were children aged 2 to 18 years who were hospitalized for more than 72 hours. Subjects were screened using STAMP and PNRS, and underwent anthropometric measurement on admission. The weight measurements were repeated on the 3rd and 7th days, and just before discharge. The STAMP and PNRS results were compared in terms of level of agreement with anthropometric measurements. Data were analyzed by Kappa value and Spearman’s correlation test.Results A total of 127 children were screened with both instruments. The PNRS had slight agreement with hospital malnutrition prevalence (κ=0.175; P=0.028), while STAMP had not  (κ=0.080; P=0.193). Both screening tools had weak positive correlations with length of stay, but the correlation was stronger for PNRS than for STAMP (r=0.218; P=0.014 vs. r=0.188; P=0.034, respectively). The prevalence of hospital malnutrition was 40.9%. Conclusions The PNRS screening tool has slight agreement with anthropometric measurement for identifying hospital malnutrition risk in children.
Efficacy of artemether-lumefantrine and artesunate-amodiaquine for treating uncomplicated falciparum malaria in children Tri Faranita; Ayodhia Pitaloka Pasaribu; Muhammad Ali; Munar Lubis; Syahril Pasaribu
Paediatrica Indonesiana Vol 52 No 5 (2012): September 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (120.7 KB) | DOI: 10.14238/pi52.5.2012.260-6

Abstract

Background Artesunate-amodiaquine (ASAQ) has been usedas a firsdine treatment for uncomplicated faldparum malariain Indonesia since 2004. Its efficacy depends on amodiaquineresistance of the infecting parasites. Artemether-lumefantrine(AL) has been shown to be highly efficacious in treatinguncomplicated faldparum malaria in several countries. However,there have been few studies on these anti-malarial medicationsin Indonesia.Objective To compare the efficacy of AL to ASAQ for treatinguncomplicated faldparum malaria in children.Methods An open, randomized, controlled trial wasconducted in school-aged children in the Mandailing NatalRegency, North Sumatera Province, Indonesia, from Octoberto December 2010. A total of 280 pediatric, uncomplicatedfalciparum malaria patients were randomly assigned to receiveeither AL or ASAQ for 3 days. Participants were followed-up ondays 1,2,3,7, 14, 28 and 42 following the first medication dose.The outcomes noted were adequate clinical and parasitologicalresponse (ACPR), parasite reduction, parasite clearance time,fever clearance time and adverse events. Analysis was basedon intention-to-treat.Results In this study, ACPRs on day 42 were 86.4% and 90.7%for the ASAQ and AL groups, respectively (p=0.260). On days 7and 14, the AL group had higher cure rates than that of the ASAQgroup (P<0.05). Early treatment failure, late treatment failure andparasitological failure for both groups were similar. We also foundfaster parasite clearance time and higher parasite reduction in theAL group than in the ASAQ group. However, fever clearancetime was shorter in the ASAQ group. The incidence of adverseevents such as nausea, vomiting, malaise, and pruritus were similarbetween the two groups (P=0.441).Conclusion AL had higher efficacy than ASAQ for the treatment of uncomplicated falciparum malaria in children.[Paediatr rndones. 2012;52:260-6].
Peranan asam lemak esensial terhadap perkembangan otak dan ketajaman penglihatan Nelly Simarmata; Tiangsa Sembiring; Tri Faranita; Winra Pratita
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 3 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Essential fatty acids play an important role in brain development and visual acuity. Essential fatty acids are needed for optimal health, but human can not synthesize and must be obtained from food. There are two types of essential fatty acids, omega-3 and omega-6. The balance between these essential fatty acids is very important. Deficiency of these essential fatty acids in the critical period may affect the development of children in the future. Several studies have proven the importance of essential fatty acids in the period of brain development and visual acuity in childrenKeywords: essential fatty acids; brain development; visual acuity
Dampak perkembangan keterampilan makan yang tidak baik pada anak Grace Riris Vintany Siahaan; Tiangsa Sembiring; Tri Faranita; Winra Pratita
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.563 KB)

Abstract

Feeding skills are complex process that involves development of sensoric and motoric abilities. Feeding skills are influenced by anatomical, neurophysiological, and socio-cultural environment. Introduction of proper food that accordance with development of oromotor skills result in perfect development of feeding skill and also reinforce bonding between mother and child. Inappropiate feeding skills development will adverse bad impact on nutritional status, psychological development and the onset of feeding difficulties.Keywords : feeding skil; children
Hubungan Pola Asuh Nutrisi dengan Kejadian Stunting Sebuah Tinjauan Systematic Review Kurniasari Armayana Ahmad; Lisa Safira; Tri Faranita
Sari Pediatri Vol 24, No 2 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.2.2022.91-8

Abstract

Latar belakang. Stunting merupakan keadaan hasil pengukuran tinggi badan anak <-2 z-score atau di bawah median standar pertumbuhan tinggi badan terhadap umur WHO. Prevalensi stunting cukup tinggi di Indonesia. Faktor yang penyebab balita stunting salah satunya yaitu kurangnya asupan gizi pada anak yang sangat bergantung pada pola asuh nutrisi orang tua. Tujuan. Melihat hubungan antara pola asuh nutrisi dengan kejadian stunting sehingga orang tua terutama ibu dapat mengetahui pentingnya menjaga pola asuh nutrisi agar asupan gizi anak terpenuhi. Metode. Systematic review dilakukan dengan pencarian jurnal pada bulan Januari hingga April 2021. Pencarian dilakukan pada basis data PubMed, Google Scholar, dan Science Direct menggunakan metode Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). Hasil. Data didapatkan sebanyak 10 jurnal dengan hasil 9 jurnal memiliki hubungan signifikan antara pola asuh nutrisi dengan kejadian stunting dengan nilai p<0,005, dan satu jurnal tidak memiliki hubungan signifikan dengan nilai p 0,30. Kesimpulan. Terdapat hubungan antara pola asuh nutrisi dengan kejadian stunting. Anak yang mendapat pola asuh nutrisi yang buruk lebih beresiko mengalami stunting dibandingkan anak yang mendapat pola asuh nutrisi yang baik. Pola asuh nutrisi yang buruk dapat menyebabkan asupan nutrisi anak tidak terpenuhi sehingga menghambat pertumbuhan anak.
PENINGKATAN PENGETAHUAN DAN PERUBAHAN PERILAKU MELALUI EDUKASI MANFAAT ASAM FOLAT PADA WANITA USIA SUBUR DAN IBU HAMIL DI DESA RAJAIYANG Uswatun Hasanah; Nurfitri Bustamam; Cut Fauziah; Nugrahayu Widyawardani; Tri Faranita
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2023)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1029.946 KB) | DOI: 10.31949/jb.v4i1.4102

Abstract

Pengabdian kepada masyarakat (PKM) mengenai edukasi manfaat asam folat bagi wanita usia subur dan ibu hamil di Desa Rajaiyang merupakan program yang berkelanjutan merujuk pada indikator Sustainable Development Goals (SDG) yaitu kehidupan sehat dan sejahtera, menjamin kehidupan yang sehat dan meningkatkan kesejahteraan penduduk desa. Seperti diketahui, pembentukan dan perkembangan otak sudah dimulai pada trimester awal kehamilan. Gangguan pertumbuhan otak selama kehamilan dapat disebabkan oleh kekurangan zat gizi esensial, salah satunya adalah asam folat. Asam folat merupakan mikronutrien (Vitamin B9) yang penting tetapi tidak dapat disintesis oleh tubuh sehingga kecukupannya diperoleh dari asupan makanan tinggi folat dan suplementasi asam folat. Asam folat penting pada periode pembelahan dan pertumbuhan sel, pembentukan sel darah merah, dan mencegah anemia. Kegiatan PKM ini bertujuan untuk memberikan edukasi pengetahuan dan perilaku mengenai manfaat asam folat. Edukasi dilakukan kepada 31 wanita usia subur (kader) dan ibu hamil di Desa Rajaiyang dengan tiga kali kunjungan. Saat pelaksanaan kegiatan, mitra diberikan kuesioner pre-test untuk mengukur pengetahuan tentang asam folat. Setelah mengisi pre-test, mitra diberikan edukasi secara langsung, selanjutnya diminta mengisi kuesiner post-test. Untuk menilai perilaku asupan asam folat, mitra diminta mengisi kuesioner food recall, dan food frequency. Saat pelaksanaan kegiatan juga dilakukan pemeriksaan kesehatan mencakup kadar hemoglobin, tekanan darah, berat badan, dan tinggi badan. Hasil PKM ini menunjukkan peningkatan pengetahuan dan perubahan perilaku berkaitan dengan asupan asam folat pada wanita usia subur dan ibu hamil di Desa Rajaiyang. Kata Kunci: Asam folat; Ibu hamil; Pengetahuan; Perilaku; Wanita usia subur
Edukasi Penerapan Protokol Kesehatan bagi Anak Usia Sekolah Sebagai Strategi Tangkal Penyebaran Virus Corona Meiskha Bahar; Agneta Irmarahayu; Tri Faranita; Abdul Kolib; Oktania Sandra
Segara : Jurnal Pengabdian Kepada Masyarakat Vol 1 No 1 (2023): Volume.1 No.1 Agustus (2023) - SEGARA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Fakultas Kedokteran UPN "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/segara.v1i1.5073

Abstract

Perubahan tatanan kehidupan selama masa pandemi Covid-19 memaksa kita untuk menghadapi berbagai tantangan baru dalam kehidupan sehari-hari. Pada saat seperti ini perubahan perilaku serta kesadaran masyarakat sangatlah penting. Kepatuhan menjalankan protokol kesehatan  dapat memutus rantai penularan dan menekan angka penyebaran Covid-19. Upaya menjaga protocol Kesehatan pada anak usia sekolah dibutuhkan sejak dari rumah dana lingkungan keluarga. Untuk itu dibutuhkan berbagai upaya penyebarluasan informasi kepada masyarakat. Kegiatan ini meliputi pemberian informasi dan pengetahuan kepada ibu-ibu di wilayah Komplek UPN Meruyung melalui media power point dan video secara luring dengan menjaga protocol Kesehatan bagi semua peserta. Setelah itu ada sesi diskusi dan tanya jawab. Diharapkan dari kegiatan ini dapat memberikan tambahan pengetahuan dan menciptakan perubahan perilaku hidup lebih sehat dan siap memasuki masa endemi.  Kata kunci: Anak usia sekolah, Covid-19, Protokol kesehatan
Comparison of Clinical Outcomes After Coronary Artery Bypass Grafting (CABG) With Percutaneous Coronary Intervention (PCI) in Coronary Artery Disease (CAD) Patients With Kidney Disorders: Systematic Review Dhiya Putri Aqilah Sandha; Yanto Sandy Tjang; Tri Faranita; Karina Karina
Jurnal Health Sains Vol. 5 No. 2 (2024): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i2.1222

Abstract

According to data from the WHO, heart disease continues to be the top cause of mortality worldwide. The 2018 Riskesdas shows that the prevalence of heart disease, including CAD, based on doctors' diagnoses in Indonesia is 1,5%. Management measures in CAD patients are CABG or PCI. The research design used in this study was a literature review using a systematic review method. A systematic literature review comparing CABG and PCI costs is needed to determine optimal therapeutic options in CAD patients. For articles published during the last ten years, a literature search was done using four databases: PubMed, SagePub, Google Scholar, and Science Direct. Based on the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocol (PRISMA-P) 2020 protocol, a literature review was conducted. Eight texts in all met the inclusion and exclusion criteria for the study. Five literatures stating that CABG is better, two other literatures stating that there is no significant post-rehabilitation difference between CABG and PCI, and one literature stating that PCI has better survival after 5 years in CAD patients with impaired renal function. CABG is considered more effective and is recommended as the primary treatment option in CAD patients with a kidney disorder. Nevertheless, PCI can be utilized as an alternate therapy in CAD patients when kidney function and concomitant illnesses are considered.
RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND SLEEP QUALITY WITH MUSCLE MASS IN FEMALE MEDICAL STUDENTS Kevina Nuraini Yusuf; Nurfitri Bustamam; Tri Faranita; Diana Agustini Purwaningastuti
JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Vol 9, No 1 (2024): Improve physical competence, fitness, motivation, and enjoyment of physical acti
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpjo.v9i1.66263

Abstract

Female medical students tend to have low physical activity (PALP levels accompanied by poor sleep quality. This condition could disrupt muscle protein metabolism, resulting in decreased muscle mass at a young age. This study aims to determine the association between physical activity and sleep quality with muscle mass in female medical students. A cross-sectional study design was conducted on 60 female students according to the criteria selected using stratified random sampling. The study instruments were Tanita Medical Body Composition Analyzer (MC-980MA Plus), Global Physical Activity Questionnaire (GPAQ), and Pittsburgh Sleep Quality Index (PSQI). Study results found that 34 (56,7%) subjects, 23 (38,3%) subjects, and 3 (5%) subjects had low, normal, and high muscle mass respectively.  Physical activity levels PAL of 25 (41,7%) subjects were low, 30 (50%) subjects were moderate, and 5 (8,3%) subjects were high. A number of 55 (88,3%) subjects had poor sleep quality, while the other 7 (11,7%) subjects had good sleep quality. Multiple regression logistic test showed that PAL had more effect on muscle mass (p = 0,000; OR = 14,056, CI = 3,488-56,637) compared to sleep quality (p = 0,104; OR = 7,680, CI = 0,657-89,726). Therefore, young adults need to exercise regularly and perform sleep hygiene to maintain their muscle mass.