Santoso, Febrina Mustika
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Postoperative Arrhythmia Repair of Tetralogy of Fallot in Pediatrics Santoso, Febrina Mustika; Prishanti, Nadira; Rahma, Naswa Arvieda; Abdullah, Mokhammad Faisol; Kusumaningrat, Dorothea Respa
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.667

Abstract

Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease. ToF affects 3% to 10% of all babies born with congenital heart disease. Arrhythmia is a common complication following congenital heart surgery. As a medical guide, it is important to know Arrhythmia as a complication after ToF surgery. Method : The author searched, selected, and chose journals related to Arrhythmia after ToF repair surgery through several research databases including ScienceDirect, Google Scholar, PubMed, and Wiley. by using the keywords "Arrhythmia", "Surgery", "Pediatrics" and "Tetralogy of Fallot". The results of the literature search were 2,006 journals with 21 journals meeting the selection criteria, and 6 studies that would be analyzed further. Results and Discussion : Arrhythmia after heart surgery is a common complication that occurs. The most common type of arrhythmia that occurs after ToF repair surgery is JET. This arrhythmia is associated with injury to the heart's conduction system during surgery. JET is a life-threatening tachyarrhythmia that occurs especially after procedures near the AV node (AVN), such as ToF repair operation. The main risk factor for postoperative arrhythmias is a longer cardiopulmonary bypass time. Conclusion : Arrhythmia is a common complication that occurs after ToF repair surgery and is an important cause of morbidity and mortality if not treated immediately.
`Socio-Demographic Association with Nutritional Status in Children Aged 8-9 Years Old in Surabaya: Focusing on HAZ Status in Path Analysis Ardianah, Eva; Indriani, Diah; Soenarnatalina, Melaniani; Widjaja, Nur Aisiyah; Santoso, Febrina Mustika
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI1.2025.1-15

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Background: Child health, growth, and nutrition are influenced by socioeconomic, cultural, demographic, climatic, nutrition, physical, hygiene, sanitation, medical, and environmental factors. LAZ/HAZ was used to assess the presence of 'stunting' in the population, which indicates chronic malnutrition. Objectives: to investigate the socio-demographics, lifestyle (sleep duration, screen time) and HAZ status of children in 2nd and 3rd grade of elementary school, and the correlation of socio-demographics with the anthropometric parameters. Methods: An observational study with a cross-sectional design was conducted during October – December 2022 in Surabaya, involving healthy children aged 9-10 years old who were in 2nd and 3rd grade of elementary school. Results: BMI-for-age z-score was higher in males than females. Overweight/obesity were prevalent in males (15.16% vs. 10.67%), and underweight and severely underweight were prevalent in females (12.27% vs. 14.23%). The prevalence of stunted/severely stunted was 12.39%. HAZ and WAZ were correlated positively with parental height. The number of children in the household had a negative, weak correlation with HAZ. The maternal education showed that the prevalence of maximal elementary school graduation was higher in stunted children than in normal children (29.27% vs. 18.14%, p=0.043). Fathers' salaries below minimum regional wage were more prevalent among stunted and severely stunted (81.71% and 75%, respectively) than normal subjects (60%), p=0.007. Conclusion: Socio-demographic factors affecting the prevalence of stunting in children were the father's salary and maternal education. Meanwhile, factors associated with HAZ were parental height and number of children in the household. The effect of socio-demography on HAZ was mediated by parental education, which stimulates household economics and has a further effect on food intake and child anthropometrics.
Immune response in IGF-1 and growth parameters among infected children Ardianah, Eva; Widjaja, Nur Aisiyah; Indriani, Diah; Melaniani, Soenarnatalina; Kuntoro; Wibowo, Arief; Notobroto, Hari Basuki; Purnomo, Windhu; Indawati, Rachmah; Saputro, Sigit Ari; Santoso, Febrina Mustika; Puspitasari, Ria; Pebriaini, Prisma Andita; Nurfidaus, Yasmine; Irawan, Roedi; Hidayat, Boerhan; Hidayati, Siti Nurul; Hanindita, Meta Herdiana
BKM Public Health and Community Medicine Vol 41 No 08 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i08.18379

Abstract

Purpose: Infections in children can affect weight gain and linear growth by influencing metabolism and nutrition. Chronic inflammation results in growth failure mediated by pro-inflammatory cytokines and poor nutritional intake, which affects the GH/IGF-1 axis. This study aimed to investigate the impact of the inflammatory response on children's anthropometry, particularly HAZ, and the role of IGF-1. Methods: An observational study with a cross-sectional design was conducted from September 2021 to July 2022. The study involved children diagnosed with infections. The subjects had undergone a physical and laboratory investigation, which included a thorax photo, urine culture, Mantoux test, and complete blood test in a hospital setting. A complete medical history was obtained from the pediatrician. Results: The prevalence of undernutrition was 37.33%; the prevalence of underweight/severely underweight, stunted/severely stunted, and wasted/severely wasted was 25.33%, 30.66%, and 14.67% respectively. Stunted/severely stunted was more prevalent in subjects under 2 years old, compared to subjects more than 2 years old (22/41 vs. 7/34, p=0.014). SEM analysis revealed that the inflammatory response affected IGF-1 levels (r=0.850, p=0.000), while IGF-1 affected body composition (r=0.245, p=0.025), and then affected HAZ (r=1.000, p=0.000). The effect of IGF-1 on HAZ appears to be indirect, acting through body composition. Parental height has a weak, albeit significant, effect on body composition (r=0.101, p=0.025) and HAZ (r=0.192, p=0.040). Univariate analysis revealed strong correlations between IL-6 and IL-10 and IGF-1 (r=0.870, p=0.000 and 0.876, p=0.000, respectively). In contrast, parental height showed a correlation with HAZ/LAZ (r=0.319, p=0.000). Maternal height was correlated positively with WAZ (r=0.320, p=0.044). Conclusion: The prevalence of stunting among children under two years of age indicates that early childhood constitutes a critical period for intervention in growth and development. Inflammatory response has been demonstrated to influence IGF-1 levels in children. The role of IGF-1 on HAZ was mediated by body composition.