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All Journal Paediatrica Indonesiana Contagion: Scientific Periodical Journal of Public Health and Coastal Health KESANS : International Journal of Health and Science International Journal of Health Science
Keswari Aji Patriawati
Universitas Kristen Indonesia
Chemistry Health Professions Medicine & Pharmacology Physics Public Health Social Sciences

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Serial blood lactate levels as a prognostic factor for sepsis mortality Keswari Aji Patriawati; Nurnaningsih Nurnaningsih; Purnomo Suryantoro
Paediatrica Indonesiana Vol 54 No 3 (2014): May 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (118.188 KB) | DOI: 10.14238/pi54.3.2014.168-73

Abstract

Background Sepsis is a major health problem in children and aleading cause of death. In recent decades, lactate has been studiedas a biomarker for sepsis, and as an indicator of global tissuehypoxia, increased glycolysis, endotoxin effect, and anaerobicmetabolism. Many studies h ave shown both high levels andincreased serial blood lactate level measurements to be associatedwith increased risk of sepsis mortality.Objective To evaluate serial blood lactate levels as a prognosticfactor for sepsis mortality.Methods We performed an observational, prospective study in thePediatric Intensive Care Unit (PICU) at DR. Sardjito Hospital,Yogyakarta from July to November 2012. We collected serialblood lactate specimens of children with sepsis, first at the time ofadmission, followed by 6 and 24 hours later. The outcome measurewas mortality at the end ofintensive care. Relative risks and 95%confidence intervals of the factors associated with mortality werecalculated using univariate and multivariate analyses.Results Sepsis was found in 91 (50.3%) patients admitted tothe PIW , of whom 75 were included in this study. Five patients(6. 7%) died before the 24-hour lactate collection and 39 patients(52.0%) died during the study. Blood lactate levels of ~ 4mmol;Lat the first and 24-hour specimens were associated with mortality(RR 2.9; 95%CI 1.09 to 7 .66 and RR 4.92; 95%CI 1.77 to 13.65,respectively). Lactate clearance of less than 10% at 24 hours(adjusted RR 5.3; 95% CI 1.1 to 24.5) had a significantly greaterrisk fo llowed by septic shock (adjusted RR 1.54; 95%CI 1.36 to6.4 7) due to mortality.Conclusion In children with sepsis there is a greater risk of mortalityin those with increasing or persistently high serial blood lactatelevels, as shown by less than 10% lactate clearance at 24-hours afterPIW admission.
The Relationship Between Body Image, Eating Behavior, and Physical Activity on the Nutritional Status of Adolescents Among Medical Students Ronauli Batubara, Frisca; Aji Patriawati, Keswari; Vilanda Sisthaningrum, Ni Made Evina
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.468

Abstract

Introduction: Adolescence is a crucial period of physical and psychological development, often accompanied by dissatisfaction with body image. Many adolescents struggle to accept their body shape, which can influence eating behavior and physical activity, ultimately affecting nutritional status. Objective: This study aimed to determine the relationship between body image, eating behavior, and physical activity on the nutritional status of adolescents. Method: A cross-sectional study was conducted among 115 medical students from the Faculty of Medicine, Christian University of Indonesia, Class of 2018. Data were collected through online questionnaires, including the Body Shape Questionnaire-34, Eating Attitude Test-26, and International Physical Activity Questionnaire. The data were analyzed using the chi-square test. Result and Discussion: The analysis showed that eating behavior had the most significant influence on nutritional status, with a p-value of 0.035. This finding indicates that irregular eating patterns and excessive dietary control may contribute to imbalanced nutrition among adolescents. Conclusion: There is a significant relationship between eating behavior and nutritional status among adolescents. Promoting healthy eating habits and positive body perception is essential to maintain optimal nutritional health during adolescence.
Demographic Characteristics, Knowledge, Attitudes, and Actions of Mothers Related to Nutrition among Stunting Toddlers Ida Bagus Eka Utama Wija; Wiradi Suryanegara; Louisa Ariantje Langi; Keswari Aji Patriawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26138

Abstract

Stunting is a chronic nutritional problem that affects children’s growth and development. Indonesia still has a high prevalence of stunting, including in urban areas such as Bogor. Maternal characteristics and nutrition-related behaviors are important factors to consider when designing effective interventions. This study aims to describe maternal demographics, nutrition-related knowledge, attitudes, and practices, as well as the incidence of stunting among toddlers in Gunung Batu Village, Bogor City. A quantitative descriptive observational design was applied, involving all mothers of stunted toddlers aged 6-59 months registered at the Gunung Batu Community Health Center in February 2025. A total of 54 respondents were selected using total sampling. Data on maternal knowledge, attitudes, and practices were collected through questionnaires, while stunting data were obtained from health center records. Descriptive analysis was conducted using frequencies and percentages. The average maternal age was 30.7 years. Most mothers had completed senior high school or vocational education (42.59%) and were housewives (72.22%). All toddlers in the study (N = 54) were classified as stunted. Most mothers demonstrated good levels of knowledge and practices related to toddler nutrition (96.3%), and all reported positive attitudes. Despite these favorable maternal characteristics, stunting persisted among all toddlers in this study. These findings suggest that factors beyond maternal nutrition-related behaviors may contribute to stunting and highlight the need for further studies to identify additional determinants and strengthen prevention strategies.  Keywords: Stunting, Knowledge, Attitude, Practice, Mother, Toddler, Demography.
Emotional and Behavioral Problems Among Senior High School Adolescents Keswari Aji Patriawati; Wiradi Suryanegara; Tiara Angelica Lucita Abineno
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.7248

Abstract

Emotional and behavioral problems among adolescents represent a critical issue influencing psychological and social development during a transitional phase of life. The aim of this study is to describe the prevalence and patterns of emotional and behavioral difficulties among adolescents at SMA Kristen Citra Bangsa Kupang, East Nusa Tenggara in 2024. This cross sectional study was conducted from July to August 2024 with a sample of 391 students from grades X to XII. Data collection was performed using the standardized Strengths and Difficulties Questionnaire (SDQ) to measure dimensions including emotional symptoms, conduct problems, hyperactivity, peer relationship issues, and prosocial behavior. The findings indicate that abnormal emotional symptoms were significantly more prevalent in female students (22.5%) than in males (4.9%), while abnormal prosocial behavior was more frequently observed in males (2.3%). Age-based analysis revealed that abnormal emotional problems peaked at age 15 (19.6%), whereas hyperactivity reached its highest abnormal levels at age 16 (4.8%). The study concludes that adolescent emotional and behavioral issues manifest in distinct patterns influenced by age and gender. These results synthesize the need for systematic mental health screening within schools to facilitate early intervention. Implementing gender-specific support and age-appropriate psychological services is essential to mitigate long-term negative consequences, such as academic decline and social withdrawal, thereby ensuring optimal adolescent development in the region.
Overview of Risk Factors for Pregnant Women from the Incidence of Stunted Children in the Working Area of East Bogor Health Center for the Period November 2024 to April 2025 Keswari Aji Patriawati; Vidi Posdo A. Simarmata; Batara Imanuel Sirait; Christine Handayani Tampubolon
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29667

Abstract

Stunting, a condition in which children fail to grow due to chronic malnutrition, remains a serious public health problem in Indonesia, although its prevalence has decreased from 21.6% in 2022 to 19.8% in 2024, according to the 2024 Indonesian Nutritional Status Survey (SSGI). This study aims to analyze risk factors in pregnant women that contribute to the incidence of stunting in the work area of the East Bogor Health Center in the period November 2024 to April 2025. This study used a descriptive quantitative method, with a population of 52 mothers who had stunted children aged 0-59 months at the East Bogor Health Center. Data collection was conducted via an electronic questionnaire, and the data were analyzed using univariate methods. The results showed that the majority of respondent mothers were aged 20-35 years (78.8%), had a junior high school education (46.2%), and worked as housewives (76.9%). The most stunted children are 25-36 months (28.8%), with the female gender slightly more (50%). Regarding risk factors among pregnant women, 55.8% did not have anemia, and 53.8% routinely took blood-boosting tablets. As many as 82.7% of mothers do not experience Chronic Energy Deficiency (CED). The most common maternal age during pregnancy is 20-35 years (67.3%). Most of the respondents (76.9%) had no history of pregnancy complications, attended regular ANC visits (71.2%), did not experience weight loss during pregnancy (76.9%), and received adequate nutrition (76.9%). Family support was received by 92.3% of respondents, but 53.8% did not receive counseling and information related to pregnancy. This study underscores the importance of interventions from the get-go to prevent stunting, with a focus on nutrition and health education for pregnant women, as well as on improving access to and quality of antenatal services. Keywords: Chronic Energy Deficiency, East Bogor, Overview, Risk Factors, Stunting
Co-Authors Batara Imanuel Sirait Christine Handayani Tampubolon Frisca Ronauli Batubara Louisa Ariantje Langi Nurnaningsih Nurnaningsih Purnomo Suryantoro Simarmata, Vidi Posdo Tiara Angelica Lucita Abineno Vilanda Sisthaningrum, Ni Made Evina Wija, Ida Bagus Eka Utama Wiradi Suryanegara