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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Journal of Maternal and Child Health
Aisya Fikritama Aditya
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Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Neuroscience Public Health

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Provision of Anti-Tuberculosis Treatment on Nutritional Status in Children with Pulmonary Tuberculosis at Dr. Moewardi Hospital, Surakarta, Central Java Ni Nyoman Ratna Sri Dewi; Pitra Sekarhandini; Aisya Fikritama Aditya
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.03

Abstract

Background: Tuberculosis caused by Mycobacterium tuberculosis, remains a significant global health issue. In Indonesia, the number of childhood TB cases has risen substantially from 33,366 in 2020 to 56,622 in 2022. TB can contribute to nutritional disorders, while treatment with anti-tuberculosis drugs (OAT) may help improve nutritional status. This study aims to evaluate the differences in nutritional status among toddlers with pulmonary TB before and after receiving OAT treatment at Dr. Moewardi Regional General Hospital, Indonesia.        Subjects and Method: This study utilized a comparative analytical design with a cross-sectional approach and employed a retrospective purposive sampling technique. It was conducted at Dr. Moewardi Regional General Hospital from 2017 to 2024 using a total sampling method, identifying the nutritional status of toddlers before and after OAT administration. The dependent variable was anti-tuberculosis drugs (OAT) treatment The independent variables was nutritional status Resulting in 42 samples that met the inclusion and exclusion criteria for toddlers aged 1–5 years. Data were processed using SPSS and analyzed with the Wilcoxon signed-rank test. Results: The male gender was higher by 25 people (59.52%) and female by 17 people (40.47%). The highest age sample of toddlers before treatment was 2 years (33.33%) and after treatment 3 years (33.33%). The highest nutritional status before OAT treatment was malnutrition (59.52%) while after treatment it was good nutrition (66.66%). The nutritional status of toddlers was higher (Mean = 2.90; SD = 0.57) than before (Mean = 2.12; SD = 0.63), and this result was statistically significant (p<0.001). Conclusion: There is a significant differences between the nutritional status of toddlers suffering from pulmonary tuberculosis before and after OAT treatment at Dr. Moewardi Regional General Hospital.
RISK FACTORS FOR MORTALITY IN PEDIATRIC TRAUMATIC BRAIN INJURY IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU) OF RSUD DR. MOEWARDI Rusyda, Ayusya Khairunnisa; Sri Martuti; Aisya Fikritama Aditya
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 3 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i3.665

Abstract

Traumatic brain injury (TBI) represents the most common type of injury globally and can lead to death or permanent disability in children. In Indonesia, most existing studies have concentrated on adult TBI cases. This study aimed to identify the risk factors associated with mortality in pediatric patients with traumatic brain injury. This research employed an analytical observational approach with a cross-sectional design. Data were obtained from the medical records of pediatric patients aged 1–18 years diagnosed with TBI and admitted to the PICU of RSUD Dr. Moewardi between January and December 2023. A total of 40 patients were included. Statistical analyses were conducted using the Chi-square or Fisher's Exact test and logistic regression via SPSS. Mortality occurred in 25% of the patients (10 out of 40). Bivariate analysis indicated that a Glasgow Coma Scale (GCS) score ≤8 (OR = 36; 95% CI = 3.79–342.02; p < 0.001) and abnormal pupillary response (OR = 7.99; 95% CI = 2.73–84.18; p = 0.047) were significantly associated with mortality. Multivariate analysis identified a GCS score ≤8 as the most significant risk factor (OR = 22.87; 95% CI = 2.15–243.20; p = 0.009), followed by abnormal pupillary response (OR = 7.99; 95% CI = 2.73–84.18; p = 0.047). In conclusion, a GCS score ≤8 and abnormal pupillary response are significant risk factors for mortality in pediatric TBI patients admitted to the PICU of RSUD Dr. Moewardi.
Co-Authors Ni Nyoman Ratna Sri Dewi Pitra Sekarhandini Rusyda, Ayusya Khairunnisa Sri Martuti