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All Journal JOURNAL OF Mother and Child Health Concerns Journal of Medical Surgical Concerns
Nina Herlina
Universitas Malahayati
Health Professions Nursing Public Health

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Risk factors for recurrent seizures in children with febrile seizures Novita Novita; Astri Pinilih; Zaleha Ulfa; Nina Herlina
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 8 (2025): November Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i8.1806

Abstract

Background: Febrile seizure is defined as a seizure occurring in children aged 6–60 months with fever ≥38°C without intracranial infection. It is most common in children under three years, with a global prevalence of 2–5% and up to 12% in Asia. Although generally benign, recurrent febrile seizures may increase the risk of epilepsy later in life. Purpose: This study aimed to determine the risk factors associated with recurrent febrile seizures in children. Method: An analytical observational study with a cross-sectional approach was conducted using medical records of children diagnosed with febrile seizures. Bivariate analysis with chi-square test was applied to examine the association between risk factors and recurrence. Results: Children aged <2 years had a 2.5-fold higher risk of recurrence. Low birth weight (<2500 g) increased the risk by 2.5 times. A family history of febrile seizures was identified as a strong predictor of recurrence. Additionally, seizure onset with body temperature >39°C raised the risk by 4.5-fold. Conclusion: Age, low birth weight, family history, and high fever at seizure onset were significantly associated with recurrent febrile seizures. Early identification of these risk factors is essential for prevention and parental education to minimize recurrence and long-term complications.
The relationship between nutritional status and the severity of pneumonia in children aged 1-5 Cut clara Zahira; Nina Herlina; Deviani Utami; Astri Pinilih
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 3 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i3.3473

Abstract

Background: Pneumonia is one of the leading causes of morbidity and mortality among children under five years of age. Nutritional status is known to play an important role in the immune system and may influence the severity of pneumonia. Purpose: To determine the relationship between nutritional status and the severity of pneumonia in children aged 1-5 years. Method: this study used an analytic observational method with a cross-sectional design. The sample consisted of 73 children selected using purposive sampling based on medical record data. Data were analyzed using the chi-square test. Results: the results showed that most respondents were classified as wasted, accounting for 28 children (38.4%), followed by normal nutritional status in 25 children (34.2%) and severely wasted in 14 children (19.2%). In addition, a small proportion of respondents were classified as having a possible risk of overweight and overweight, each accounting for 3 children (4.1%), while no respondents were classified as obese (0%). The majority of respondents experienced severe pneumonia, accounting for 56 children (76.7%). Statistical analysis showed a significant relationship between nutritional status and the severity of pneumonia (p = 0.034; p < 0.05). Conclusion: there is a significant relationship
The The relationship between a history of acute infectious diseases and nutritional status based on weight-for-age among children under five Athifah Dewi Ghinaa Yusriyyah; Nina Herlina; Upik Pebriyani; Astri Pinilih
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.3913

Abstract

Background: Acute infectious diseases, particularly acute respiratory infections (ARI) and diarrhea, are common health problems among children under five and may adversely affect nutritional status. Infection may reduce appetite, impair nutrient absorption, and increase metabolic demands, thereby contributing to undernutrition. Purpose: This study aimed to determine the association between a history of acute infectious diseases and nutritional status based on weight-for-age among children under five. Method: This quantitative study employed an observational analytic design with a cross-sectional approach. Secondary data were obtained from medical records of children aged 12–59 months treated at Dr. H. Abdul Moeloek Regional Hospital in 2025. A total of 177 children were selected using purposive sampling according to predetermined inclusion and exclusion criteria. Nutritional status was assessed using weight-for-age z-scores based on the Indonesian Pediatric Association classification. The association between a history of acute infectious disease and nutritional status was analyzed using the Fisher-Freeman-Halton exact test with a significance level of p < 0.05. Results: Among the 177 children, 120 (67.8%) had normal nutritional status, 45 (25.4%) were undernourished, and 12 (6.8%) were categorized as overnourished or at risk of overnutrition. ARI was recorded in 130 children (73.4%), while diarrhea was recorded in 47 children (26.6%). Undernutrition was more common among children with a history of diarrhea (46.8%) than among those with a history of ARI (17.7%). The Fisher-Freeman-Halton exact test demonstrated a statistically significant association between a history of acute infectious disease and nutritional status (p = 0.002). Conclusion: A history of acute infectious disease was significantly associated with nutritional status based on weight-for-age among children under five. Children with a history of diarrhea had a higher proportion of undernutrition than those with a history of ARI.
Household secondhand smoke exposure and recurrent acute respiratory infection among young children Famela Mutiara Sari; Nina Herlina; Nopi Sani; Astri Pinilih
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 4 (2026): August Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i4.3883

Abstract

Background: Acute respiratory infection (ARI) is common among young children, whose respiratory and immune defense mechanisms are still maturing. Household secondhand smoke exposure may increase susceptibility to recurrent respiratory infection by impairing mucociliary clearance and airway defense. Purpose: To examine the association between household secondhand smoke exposure and recurrent ARI among children aged 1–5 years. Method: This analytical observational study used a cross-sectional design and involved 93 children aged 1–5 years attending Balai Agung Community Health Centre, who were selected through purposive sampling. Household secondhand smoke exposure and recurrent ARI were assessed using a caregiver-completed questionnaire. Data were analyzed using the Pearson chi-square test, with statistical significance set at p < 0.05. Results: Of the 93 children, 56 (60.2%) were classified as having low household secondhand smoke exposure and 37 (39.8%) as having moderate exposure, and recurrent ARI was reported in 69 children (74.2%). Recurrent ARI occurred in 32 of the 37 children with moderate exposure (86.5%) and in 37 of the 56 children with low exposure (66.1%). Household secondhand smoke exposure was significantly associated with recurrent ARI (p = 0.028). Conclusion: Household secondhand smoke exposure was significantly associated with recurrent ARI among children aged 1–5 years. Because the study used a cross-sectional design, this finding should be interpreted as an association rather than as evidence of causation.
Co-Authors Astri Pinilih Athifah Dewi Ghinaa Yusriyyah Cut clara Zahira Deviani Utami Famela Mutiara Sari Nopi Sani Novita Novita Upik Pebriyani Zaleha Ulfa